The Development Model for the Capacity of Village Health Volunteers in Screening of Patients and Risk Communication with Severe Respiratory Disease to Home Isolate in Maha Sarakham Province

Abstract

Background and Aims: Globally, the COVID-19 pandemic has had a significant impact. Thailand's economy, society, and health have all been affected in previously unheard-of ways. There is a public health emergency, specifically the lack of medical staff and beds to treat patients, which forces many patients to receive care at home. As the frontline employees closest to the community, village health volunteers (VHVs) are crucial in promoting the prevention, screening, and assessment of those at risk for treatment and isolation in the family or community. As a result, creating knowledge for VHVs is crucial and required. As a result, a model for maximizing the potential of village health volunteers ought to exist. This article aims to develop a model for developing the potential of village health volunteers in assessing, screening, and communicating the risk of patients with severe respiratory diseases for home isolation in Maha Sarakham Province.

Methodology: This study uses a combination of methodologies. Using the PDCA quality cycle concept, phase 1 qualitative research was conducted to analyze the potential of village health volunteers in screening, assessing, and communicating the risks of patients with severe respiratory disorders for home isolation. To test the research hypothesis and develop a model for enhancing the potential of village health volunteers in screening, risk assessment, and communication of patients with severe respiratory diseases for home isolation, a quantitative research method was used in phase 2 to study the population and sample of 300 people.

Results: (1) To develop the potential of VHWs in screening, evaluation, and risk communication for patients with severe respiratory disease for home isolation, the pertinent target groups took part in each stage of the PDCA quality cycle process. (2) Knowledge and comprehension of severe respiratory disease, role perception, performance, and social support were all factors in the development of the potential for screening and risk assessment for patients with severe respiratory disease. (3) The following variables influenced the possibility of VHW screening and risk assessment in cases of severe respiratory disease: 1) necessary labor abilities; 2) supplies, tools, and assistance; 3) morale; 4) putting policies into action; and 5) the primary health care delivery system. With a multiple regression value of.687, the five predictive variables were statistically significant (p<0.05) and could jointly predict the development of the potential for screening and risk assessment for patients with severe respiratory disease by 60.10 percent (R2=.601, F= 29.739). A model for the development of the potential for screening and risk assessment for patients with severe respiratory disease for home isolation was developed using forecasting experience. In the Province of Maha Sarakham.

Conclusion: Policy recommendations for enhancing the capabilities of village health volunteers may result from the development model for screening and evaluating the danger of home isolation for patients with severe respiratory conditions in Maha Sarakham Province.