Primary Oral Health Care System Under the Supervision of Local Administrative Organizations in Phayao Province DOI:

Abstract

This research aimed to: 1) examine the situation of oral health workforce at the primary healthcare level under the local administrative organizations in Phayao Province, 2) study the primary oral health policies and the management roles of local administrative organizations in Phayao Province, 3) explore the problems and obstacles faced by local administrative organizations in Phayao Province in managing oral health for the public, and 4) propose strategies for the development of knowledge in primary oral healthcare within local administrative organizations in Phayao Province. This study is a cross-sectional survey research, utilizing a mixed-methods research approach that combines both quantitative and qualitative research. The population consists of 189 people. The sample for the quantitative research includes 66 workers from health promotion hospitals (HPH) in the province, selected through purposive sampling. Meanwhile, the qualitative research involved in-depth interviews with 12 administrators and practitioners involved in the oral health field.

          The quantitative results revealed a shortage of dental manpower and essential equipment. Additionally, did not fully cover all necessary aspects. However, the assignment of responsible personnel and the understanding of work procedures were considered adequate by respondents. The qualitative results indicated that the transfer of primary health care centers to LAOs had both advantages and disadvantages. The advantages included increased manpower and policies aligned with community needs, while the disadvantages involved coordination problems, a shortage of dental personnel, and unclear financial regulations. Local personnel expressed a need for academic support and training from the School of Dentistry, University of Phayao, to enhance their knowledge and capacity in providing oral health care.