THE EVALUATION OF THE DISTRICT HEALTH BOARD (DHB) PROJECT IN SAKAEO PROVINCE Year 2020

Abstract

     This research aims to assess the district health board (DHB), Sakaeo Province, year 2020. The study model was an evaluation research using qualitative techniques studied from the relevant documents under the CIPP model assessment framework. The population of the study was selected individually from all districts in Sakaeo Province, totaling 9 districts. The study tool used the project evaluation report form district health board (DHB), Sakaeo Province, year 2020. The data collected from October 2020 - November 2020. The collected data were analyzed by quantitative analysis, descriptive statistics statistics include frequency and
percentage, qualitative analysis for content, the research results can be summarized as follows:

     The district health board (DHB), Sakaeo Province, 1) In terms of environment, it was found that In line with the national policy of Thailand 4.0, Thai Niyom is Sustainable and the 20-year National Health Development Strategy and operates under the Prime Minister's Office Regulations on the Development of Quality of Life at the Area 2018 in line with the policy of Sakaeo Province. There is a memorandum of agreement (MOU) made by the Governor of Sakaeo Province and the District Sheriff has determined 2 main
issues: 1. Development of the elderly quality of life. 2. The control and prevention of dengue fever and districts define 1-3 issues of quality of life development district health board (DHB) that are problematic in each district. And since the epidemic of COVID 19 in March 2020 onwards, every districts have added issues in the area about the prevention and control of COVID 19 and in line with the Sakaeo Provincial Public Health Office policy appropriate to the context of the Sakaeo area. Since most of the area is rural area, Sakaeo Province, the way of life of the people in the community is in a self-sufficient way. 2) In terms of inputs, it was found that the personnel were sufficient. With the Provincial Governor of Sakaeo. There is a chairman and has the district sheriff as a committee, with the Sakaeo Provincial Public Health Doctor as the secretary, has established a district-level quality of life development committee, has established a sub-committee to drive each issue, a quality development committee is established life at the district level, with volunteerism and village health volunteers involved in driving the work. The budget from the Health Promotion Foundation (Thai Health Promotion Foundation) used to drive the provincial level, it was found sufficient. The budget from the Office of the Permanent Secretary, Ministry of Public Health, used for the administration of the district health board (DHB) was found to be insufficient. The budget for the quality of life development according to the problem of each district, most of them use the budget from the government sector, namely the local administration organization. Materials and equipment were found to be sufficient, the management system found that the provincial level had followed up the operation by having the chairperson of the quality
of life development committee at the district level or the secretary of the district quality of life development committee summarizing the performance report according to the issue district problems and problems of the province at the meeting of the provincial department of Sakaeo every month and the National Health Security Office (NHSO) meeting every month. District level has a 6-month and 12-month performance summary meeting according to UCCARE guidelines and a performance summary meeting to assess projects and summarize lessons on quality of life development at district level in October 2020. 3) In terms of process, it
was found that the model of health system management at the area level using “The area is a peoplecentered base” through the participatory work of the state, civil society and the private sector in accordance with the civil state approach to strengthening the district health system. The overall quality of life development at the district level according to the UCCARE 5-level framework found that all districts had most of the assessment results level 4 passed at least level 3. 4) Productivity, it was found that provincial issues
were issues that 1.for the development of the quality of the elderly, it was found that Indicator 1: 80% of the elderly received standardized care found that they passed the criteria of 66.66%. Indicator 2. The elderly who stay on the bed with the house were given care according to the criteria of 100%, found that they passed the criteria of 66.66% Issue 2: Prevention and control of dengue fever, a measure of 20% of the median morbidity rate in the past 5 years (2015-2019) found that 33.33% passed the criteria. Issue 3: Prevention and control of COVID 19 Indicators of no new cases in the area were found to be 66.66% if separated by districts, it was
found that the districts with results passed the criterial. Issue 3: Prevention and control of COVID 19 Indicators of no new cases in the area were found to be 66.66%, if separated by districts, it was found that the districts with results passed the criteria for all issues in 2 districts, representing a percentage point 22.22 districts that met the criteria 80% 2 districts, representing 22.22% districts that met the criteria 60% 2 districts or 22.22% districts that met the criteria 50% 1 district or 11.11% districts that met the criteria 40% in the number of 1 districts, 11.11% and districts that meet the criteria 20%, or 11.11%