Papers by orathai Srithongtham
Prehospital and Disaster Medicine, May 1, 2023
Journal of Arts and Humanities, Nov 17, 2013
Available Online October 2013 The denial of difficult, dangerous and dirty work done by the Thai ... more Available Online October 2013 The denial of difficult, dangerous and dirty work done by the Thai People has been the major cause of migrant substitution in Thailand which triggered the urgent need for proper health care. This study was aim to explain the burden and impact of providing health service to the transnational migrant in community hospital at border area of Laos, Burma and Cambodia. Therefore survey research and data collecting was used through quantitative and qualitative methods. Results: Khemarat and Klong Yai hospital: the financial burden was high however Mae Sai hospital has strong income with less expenditure. The impact of three hospitals was 1) the only way of solving the financial burden is by using the hospital's money. 2) No data system about trans-nation's migrant health services has been applied so far by any hospitals here in Thailand 3) Man power of hospital is depended on the Thai people which doesn't include the migrant which is approximately 50% 4) The language and the cultural had generated several obstacles to health service 5) Problem of prevention and control of Communicable disease such as Malaria, Dengue Hemorrhagic fever, Tuberculosis, and Elephantiasis, 6) No Referral system between Thailand and neighboring countries. Recommendations: it should be setting the strategy of AEC's health system at nearby country, concern with the trans-national migrants, and develop the data system of health service of trans-national migrant.
Open Science journal, Nov 23, 2021
This research was aimed to develop the community care model for Multi-Drug Resistant of Tuberculo... more This research was aimed to develop the community care model for Multi-Drug Resistant of Tuberculosis (MDR-TB) patient and to evaluate the community care for MDR-TB patient model. Four steps of method were (1) identify the problem, (2) performance enhancement, (3) model development, and (4) implementation. The 36 sub-districts from 12 districts where found MDR-TB patient was the study areas. Target groups were consisted of MDR-TB patient, TB Clinic people from district and sub-district hospital, care giver who care on drug observe therapy (Dot) to MDR-TB patient, and community leader. Research tools were questionnaires, interview guide, and venue of participation of the stake holders. The data analysis was used descriptive statistics for quantitative data and content analysis for qualitative data. The model of Multi-drug Resistance Tuberculosis (MDR-TB) Patient Care, "Sisaket Model" was 4 phrases; (1) Early access, "Prepare the readiness of care team", 2-7 day before registered to treatment. Care team at sub-district level was provided MDR-TB case report and communicated to care team, patient assessment, stop taking any drug in case of TB old case, and prepare the readiness for MDR-TB treatment. (2) In-hospital care, "Start treatment and care as MDR-TB patient", 14-28 day in the hospital. The essential activities were case management;
This research was aims to study the local policy formulation process to prevention and control NC... more This research was aims to study the local policy formulation process to prevention and control NCD risk factors in term of 3 Or 2 Sor: control unhealthy diet, activity, and emotion, and avoiding tobacco and alcohol consumption, and to study the adoption of the DDC’s role (Department of Disease Control) to control NCD risk factor in term of the local policy. The participants were 20 local administrative organizations (LAOs) in the area responsibility of the National security health organization region 10 Ubon Ratchathani. Data collecting were group interview and in-depth interview by interview guide. Content analysis was use for data analysis. Finding: The local policy formulation process was begun with the problem of DM and HT, the direct experience on the unknown cause of death the family member and neighborhood. This situation was acceptance as a community problem and launched as a policy to problem solving. The LAO’s health fund is the opportunity to support the local policy. The reason for decision to support the policy was the useful and worthwhile to the people health. The activity was training course of 3 Or 2 Sor for changing behavior. The law enforcement on alcohol and tobacco was the major problem in the community, due to no related to the community way of life and effect to the community capital. The gradually changing and learning with the social enforcement to built opportunity on reduces, abandonment, and stop the consumption of alcohol and tobacco was the appropriate way to the community. Keyword: Policy, Non communicable disease, Risk factor
Open Science journal, Jun 11, 2018
World Academy of Science, Engineering and Technology, International Journal of Humanities and Social Sciences, Jan 21, 2016
Prehospital and Disaster Medicine
Introduction:The pandemic of COVID-19 in the northeastern part of Thailand established the respon... more Introduction:The pandemic of COVID-19 in the northeastern part of Thailand established the response mechanism to COVID-19.Method:This study aimed to explore the PHER model of the COVID-19 pandemic in three provinces located in northeastern Thailand. The target group was 78 people who were responsible for COVID-19 response from the sub-district, district, and provincial levels. The data was collected through in-depth and group interviews following the non-structure interview guide and data was analyzed by content analysis.Results:Two levels of the PHER model were: 1) The response of the provincial level related to national and global situations. The provincial’s measure of the COVID-19 response was run by the Provincial Communicable Disease Committee (PCDC) and followed by the COVID-19 Epidemic Administrative Center (CEAC). The core team was a public health subcommittee who ran the Emergency Operation Center (EOC) and COVID-19 pandemic. The PCDC launched the provincial measure, risk ...
Abstract. The aims of this research were 1) to elucidate the process of policy implementation in ... more Abstract. The aims of this research were 1) to elucidate the process of policy implementation in both central and regional levels, and 2) to explain the obstacles of policy implementation and to propose a guide of solving problem. The method used was a qualitative study. Eight provinces were selected as the representatives from 4 four parts of Thailand. The stakeholder representatives of the policy implementation were 88 people, with data collected by in-depth interviews. The data was coded by a computer program and then analyzed and synthesized regarding to the main issues of the study. Results: The policy implementation in the central level was transferred from the national AIDS committee to the Department of Disease Prevention and Control (DPC) and then to the provincial areas of practice. This process was lacking budget support. In the practical area, the provincial AIDS committee was monitored by the provincial health office, cooperating with the central level, in order to tran...
Introduction: The Youth with HIV positive is vulnerable to the sex issues and sexual health servi... more Introduction: The Youth with HIV positive is vulnerable to the sex issues and sexual health service, due to the transition period from the children to be adult. This research was aims to set priority the needs of sexual health and to study the factor effecting to needs of sexual health of the youth with HIV positive. Methodology: The study areas were Ubon Ratchathani and Srisaket provinces. Target group was the youth with HIV positive who age 15-24 years old, 130 people, estimated by Morgan's table. Collecting data were In-depth-interview and group interview with the interview guide and interview with the questionnaires. Analysis of data was Multiple Regression Analysis and content analysis for quantitative and qualitative data. Finding: The most of the youth were infected HIV from theirs parents (79.4%), male (53.4%) age average 17.7 years old, studying (53.4%), on ARV (92.4%), taking ARV on time and regularly (61.1%), low level of physical and mental problem (Mean=7.88), middl...
This research was aims to study the local policy formulation process to prevention and control NC... more This research was aims to study the local policy formulation process to prevention and control NCD risk factors in term of 3 Or 2 Sor: control unhealthy diet, activity, and emotion, and avoiding tobacco and alcohol consumption, and to study the adoption of the DDC’s role (Department of Disease Control) to control NCD risk factor in term of the local policy. The participants were 20 local administrative organizations (LAOs) in the area responsibility of the National security health organization region 10 Ubon Ratchathani. Data collecting were group interview and in-depth interview by interview guide. Content analysis was use for data analysis. Finding: The local policy formulation process was begun with the problem of DM and HT, the direct experience on the unknown cause of death the family member and neighborhood. This situation was acceptance as a community problem and launched as a policy to problem solving. The LAO’s health fund is the opportunity to support the local policy. The...
INTRODUCTION; The global situation of HIV positive people and the Thailand situation of STDs (Sex... more INTRODUCTION; The global situation of HIV positive people and the Thailand situation of STDs (Sexual Transmitted Diseases) were found enhancement in the youth group. The youth with HIV positive is not difference from the general youth in term of sexual needs. Sexual health is crucial the most to support the youth with HIV positive to have a sexual well-being. The concept of sexual health in the dimension of the protection from HIV and STDs transmission of Dixon Muller was applied to the conceptual framework of this study. METHOD; This study aim to elucidate the sexual health on protection from STDs and HIV transmission and to explain sexual risk behavior of the youth with HIV positive. The target group was the youth with HIV positive about 23 cases from two provinces in the area of the office of disease prevention and control region 10th Ubon Ratchathani. Qualitative method was conducted for data collecting by in-depth interview. Content analysis was use for data analysis. RESULTS; ...
World Academy of Science, Engineering and Technology, International Journal of Humanities and Social Sciences, 2016
Journal of Health Science, 2017
The objectives of this research were to study the factors related to default and failure treatmen... more The objectives of this research were to study the factors related to default and failure treatment of multidrug resistant tuberculosis (MDR-TB) patients and analyze the problems associated with the provi-sion of treatment services by health facilities and the communities, as well as to the socio-economic problems of the patients. It was conducted in 7 provinces under the responsibility of the Office of Disease Prevention and Control Region 7, Ubol Ratchathani Province, Thailand. The study samples were 70 TB patients with laboratory findings showed resistant to INH and Rifampicin, and were diagnosed as MDR-TB and registered for treatment by physicians during the year 2002-2014. They were purposively cat-egorized into 2 groups: one with successful treatment (35 cases) and the other with failure treatment (35 cases). Data were collected by questionnaire interviews; and were analyzed by binary logistic regression. It was found that the majority of patients were male (75.5%), and aged 40...
วตถประสงค เพอศกษากระบวนการพฒนานโยบายทองถน ดานการปองกนควบคม ปจจยเสยงโรคไมตดตอ(3 อ. 2 ส.) ในองคกรปก... more วตถประสงค เพอศกษากระบวนการพฒนานโยบายทองถน ดานการปองกนควบคม ปจจยเสยงโรคไมตดตอ(3 อ. 2 ส.) ในองคกรปกครองสวนทองถน (อปท.) และการยอมรบแนวทาง การปองกนปจจยเสยงโรคไมตดตอ ตามบทบาทของกรมควบคมโรค โดยทำการศกษากบอปท. ในพนทสำนกงานหลกประกนสขภาพท 10จงหวดอบลราชธาน จำนวน 20 แหง เกบขอมลดวยการสมภาษณกลมและสมภาษณเชงลกตามแบบสมภาษณ วเคราะหขอมลดวยการจดกลมประเดนและวเคราะหเนอหา ผลการศกษา กระบวนการพฒนานโยบายฯ เรมจากปญหาการเพมผปวยเบาหวานความดนรายใหมการมคนในครอบครว-เพอนบานเสยชวต โดยไมทราบสาเหต หรอเสยชวตเพราะไมมเงนฟอกไตทำใหทองถนสนใจปญหาโรคภยเงยบ และทำการคดกรองปญหาภาวะสขภาพ เพอสอสารใหชมชนยอมรบปญหาและหาทางแกปญหารวมกนกบมกองทนสขภาพทองถน เปนหนวยงานหลกในการสนบสนนงบประมาณ อบรมดว ยหลก 3 อ.2ส. เพอการปรบเปลยนพฤตกรรมสขภาพในกลมเสยง สวนมาตรการทางกฏหมายในการควบคมเหลา-บหร มการนำไปปฏบตนอยเนองจากไมสอดคลองกบวถชวตชมชน เกดผลกระทบตอทนทางสงคม การใชมาตรการทางสงคมดวยการสรางโอกาส ใหชาวบานลด ละ เลก เหลา-บหร และการสรางตวแบบการเลกเหลา-บหร ในชมชน เปนการสรางความเคยชนและปรบวถ ชมชนอยางคอยเปนคอยไป เปนมาตรการทชมชนยอมรบไปปฏบต ศพทสำคญ: นโยบาย/ โรคไม...
This study was aimed to develop the model of ARV service to support drug adherence for PHA in Nor... more This study was aimed to develop the model of ARV service to support drug adherence for PHA in North-eastern part, in the responsible area of the office of disease prevention and control region 10 th Ubon Ratchathani. Four steps of model development were 1) theoretical base of model building up, 2) collecting the data and the service obstacle for approve the model, 3) model development by stake holder participation, and 4) implementation and evaluation the model. The study area was ARV clinic in 5 provincial hospitals. Target group were the service provider and the core group of PHA who working in ARV clinic and those who working on AIDS at provincial level: 30 people, PHA who provide the ARV service, 330 people and the representative of public health form provincial health office, 5 people. Data was collected by interview belong to the research tools. Quantitative data was analyzed by MRA and qualitative data was by content analysis. The most sample were female (58.7%), CD >200 (...
Journal of Health Science, 2017
Sexually transmitted infections (STIs) continue to remain a major public health problem in Thai-l... more Sexually transmitted infections (STIs) continue to remain a major public health problem in Thai-land. Almost half of STI patients sought treatment from private pharmacists before seeing physicians. Private pharmacists are primarily alternative source of care for treatment of STIs. The aim of this study was to identify opinions of public and private stakeholders about the roles of private pharmacists in the man-agement of sexually transmitted infections. It was a descriptive study using both quantitative and qualitative methods. Data were collected through self-reported questionnaire and in-depth interviews. A total of 70 participants were recruited: 6 policy makers and 64 community pharmacist and pharmacy staff. It was found that most participants had agreed on the role of private pharmacists in the management of STIs. However, there was training need on HIV counseling and STI knowledge. There were some constraints identified, incluidng limitation of STI management standards, poor a...
Journal of Health Science, 2017
The law enforcement to alcohol control in community was found to be unpractical when compared to ... more The law enforcement to alcohol control in community was found to be unpractical when compared to social intervention, particularly when implemented as alcohol-free funeral and traditional ceremonies. This study was aimed to explored the context and process of alcohol control in the communities success-fully implementing the alcohol-free funeral and traditional ceremony projects. The study units were 5 local administrative organizations in areas under the responsibility of the National Health Security Office (NHSO) region 10 th , Ubon Ratchathani. The study tool was a semi-structure questionnaire. Data was collected during May – October 2016 through group and individual interviews; and analyzed by content analysis. It was found that the success of the alcohol-free projects depended on two aspects: (1) an example of alcohol-free funeral ceremony which demonstrated significant reduction of expenses and debt resulting in remaining money for the host; and it was found to be suitable for ...
Open Science Journal, Jun 11, 2018
Open Science journal, Nov 23, 2021
This research was aimed to develop the community care model for Multi-Drug Resistant of Tuberculo... more This research was aimed to develop the community care model for Multi-Drug Resistant of Tuberculosis (MDR-TB) patient and to evaluate the community care for MDR-TB patient model. Four steps of method were (1) identify the problem, (2) performance enhancement, (3) model development, and (4) implementation. The 36 sub-districts from 12 districts where found MDR-TB patient was the study areas. Target groups were consisted of MDR-TB patient, TB Clinic people from district and sub-district hospital, care giver who care on drug observe therapy (Dot) to MDR-TB patient, and community leader. Research tools were questionnaires, interview guide, and venue of participation of the stake holders. The data analysis was used descriptive statistics for quantitative data and content analysis for qualitative data. The model of Multi-drug Resistance Tuberculosis (MDR-TB) Patient Care, "Sisaket Model" was 4 phrases; (1) Early access, "Prepare the readiness of care team", 2-7 day before registered to treatment. Care team at sub-district level was provided MDR-TB case report and communicated to care team, patient assessment, stop taking any drug in case of TB old case, and prepare the readiness for MDR-TB treatment. (2) In-hospital care, "Start treatment and care as MDR-TB patient", 14-28 day in the hospital. The essential activities were case management;
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Papers by orathai Srithongtham