Factor associated with health behavior among Hypertension patients in Khok Pho District, Pattani Province.

Abstract

ABSTRACT :

The objectives of this research were: 1) to evaluate the efficiency of the Ngao District Health System in reducing non-communicable disease (NCD) risk factors; 2) to analyze its sustainability potential; and 3) to examine the relationship between health system efficiency and sustainability potential in NCD management. This study employed a mixed-methods research design. The quantitative sample consisted of 353 health personnel and Village Health Volunteers (VHVs) in Ngao District, while 45 key informants participated in the qualitative phase. Data collection instruments included an in-depth interview guide and a questionnaire with an Index of Item-Objective Congruence (IOC) ranging from 0.67 to 1.00 and a Cronbach's alpha coefficient of 0.92. Data were analyzed using descriptive statistics (percentage, mean, and standard deviation) and inferential statistics (Pearson’s Correlation Coefficient).

The results revealed that the overall efficiency of the Ngao District Health System was at a high level. The output and process dimensions demonstrated the most outstanding efficiency, driven by the robust mechanisms of the District Quality of Life Development Committee (DQLDC) and proactive integrated interventions that ensured comprehensive screening coverage. Regarding sustainability potential, the overall level was also found to be high, particularly in the participation dimension, reflecting the strong engagement of the community network and VHVs. However, resources—specifically budget and manpower-remained a moderate constraint. Furthermore, hypothesis testing indicated that health system efficiency had a significant positive correlation with sustainability potential at the .01 level, with a high degree of correlation (r = .714). The process dimension showed the strongest relationship with sustainability (r = .782). This research suggests that relevant agencies should promote policy development for collaborative leadership to serve as a vital mechanism for ensuring the long-term sustainability of NCD management at the district level.