A study of the results of operations to develop the quality of life at the district level (P.C.O.), Ratchaburi Province

Abstract

Abstract

          This mixed–methods research aims to evaluate the performance of the district health system in Ratchaburi Province according to the CIPP Model framework and the success of development according to UCCARE principles. The study is divided into 2 phases: an evaluation study; with questionnaire, the population used in the research consisted of 201 people from the District Quality of Life Development Committee (CPC). Data were analyzed using descriptive statistics, content processing and categorization and a qualitative study using group discussions to extract lessons learned from success factors, select pa purposive sample of 3 districts and analyze the data using content analysis. The results found that: Evaluation of the performance of the district health system Ratchaburi Province, according to the CIPP format has a high average score in all aspects (context: = 3.96; Input: = 3.68; Process: = 3.84 and Product: = 3.92). Achievement results according to the UCCARE guidelines, overall and in each aspect, were mostly at a moderate level, except for Unity District Health Team at a high level (overall: = 3.57; Unity District Health Team: = 3.72; Customer focus: = 3.57; Community participation: = 3.55 ; Appreciation and Quality: = 3.48; Resource sharing and human: = 3.57; Essential care: = 3.57). The key to success is participation, resource support in operation. Suggestions from this research: A mechanism should be created to develop the quality of life at the district/sub – district level (CPC/PC) in a participatory manner and further develop the operating process in driving health issues (ODOP) according to UCCARE principles.