Community Health Development: Lesson Learned Working in the Area of Health Promotion for Older Adults by the Community
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Date
2011-01-24
Authors
Kanokporn Moopayak; Department of Public Health Nursing, Faculty of Nursing, Mahidol University
Duangjai Rattanathanya; Department of Public Health Nursing, Faculty of Nursing, Mahidol University
Suparp Foungfoo; Department of Public Health Nursing, FSriprajan District, Supanburi Province
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Faculty of Nursing, Mahidol University
Abstract
Purpose: This study aimed to describe the main themes for community health development in promoting health of older adults by the community.Design: Qualitative research design was employed.Methods: The samples were the older adults, village health volunteers, health center staff, nurses in community hospitals and municipal officers in a district of Supanburi Province. Several methods of data collection were employed, including community survey, data collection from secondary sources, focus groups, in-depth interviews and observation of older adults care activities in relevant sectors. The data were analyzed by using content analysis, reflection, conclusion of the lesson learned and themes for community healthdevelopment.Main findings: The study results showed 2 themes in health development of the community. The first theme was a systematic process of community health development: 1) process of searching and utilizing social capital, 2) process of identification of knowledgerelated to health problems and the methods of systematic care management, 3) process of community area based care design and 4) process of community health policy development complied with the higher policy. The second theme involved factors leadingto community health development: 1) community key persons who have strong leadership and participated in community health development, create concrete policy and implementation plan, 2) participation and collaboration of private and public organization,community and community members to attain the objectives of the plan, and 3) having and utilizing social resources, to initiate and maintain the project of community health development.Conclusion and recommendations: 1) Policy level: district administrative organizations should have clear policies and practical implementation plans, as well as systematic processes and collaborating strategies in place to improve both work and the health worker in the community. 2) Implementation level: health professions should develop working mechanisms and strategies together among stakeholders and health service network, using community members’ potential of self care and focusing on health promotion for all groups of members.
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Journal of Nursing Science (วารสารพยาบาลศาสตร์ มหาวิทยาลัยมหิดล); Vol.28 No.3 July-September 2010; 69-77