“The development of health literacy with a participatory learning mechanisms for Village Health Volunteers and youth leaders in surveillance and control of tobacco consumption in Selaphum District, Roi-Et Province.”

Abstract

     This action research aims to develop health literacy through a participatory learning mechanism for Village Health Volunteers (VHVs) and youth leaders in monitoring and controlling tobacco consumption in Selaphum District, Roi-Et Province. The research divided into 3 phases, with Phase 1: studying the situation of monitoring and controlling tobacco consumption. Phase 2 : developing health literacy through participatory learning mechanisms for Village health volunteers and youth leaders monitor and control tobacco consumption. And phase 3 : studies development results. The sample consisted of 168 people by purposive selection according to inclusion and exclusion criteria. Data were collected using 2 sets of qualitative tools. The tools were checked for content and construct validity by 3 experts. And 2 sets of quantitative tools to check confidence using the Cronbach's Alpha Coefficient method. Cronbach's Alpha Coefficient values ​​were equal to 0.900 and 0.878, respectively.
     The results of the research found that ; The situation of monitoring and controlling tobacco consumption The smoking rate of people aged 15 years and over is 12.90 percent. The age group with the highest smoking rate is 25 - 40 years old, 22.24 percent, and those with chronic diseases. There were 61 people who had smoking habits. There were 132 grocery stores that sold cigarettes. Most of the sample had poor health literacy, 58.93 percent, and participation in monitoring and controlling tobacco consumption was low, with an average of 0.64. The results of surveillance and control of tobacco consumption Issues of surveillance at the point of sale and advertising through the media It was found that the majority of stores sold tobacco products in compliance with the Tobacco Product Control Act 2017, 75.52 percent. Issues of improper practice include selling tobacco products outside the premises specified in the tobacco sales license. They are sold at traditional community events where there are performances. Monitoring cigarette buying and selling behavior. It was found that there were sellers under the age of 18 selling tobacco products in temples and in public parks when there were traditional community events or entertainment. This includes selling or giving tobacco products to people under 20 years of age and cigarettes sold in packets. Access to smoking cessation services It was found that smokers received advice from Village health volunteers and youth leaders urged them to quit smoking until 328 people were able to quit, a decrease of 3.11 percent, and those with chronic diseases were able to quit smoking 80.33 percent.