DEVELOPMENT OF A MODEL TO INCREASE THE EFFICIENCY OF VILLAGE HEALTH VOLUNTEERS (VHVS) IN PHICHIT

Abstract

This research aimed to 1) Study the performance of Village Health Volunteers (VHVs) in Phichit Province, 2) Study the factors affecting the effectiveness of VHV performance in Phichit Province, 3) Develop a model for improving the effectiveness of VHV performance in Phichit Province, and 4) Evaluate the effectiveness of the model for improving VHV performance in Phichit Province. This was a participatory action research study. The sample consisted of 420 VHVs in Phichit Province, 24 network partners, and VHVs from two experimental sub-districts. The research instruments were questionnaires (reliability 0.83 - 0.88) and focus group discussions. Data were analyzed using Stepwise Multiple Regression, Paired t-test, and content analysis. The results showed that 59.29% of VHVs had a high level of performance, 20.71% had a moderate level, and 20.00% had a low level. Factors affecting and predicting the level of VHV performance included perceived role, work-related motivation, social support in terms of value assessment, motivation related to supervisory methods, and overall motivation. Attitudes and age (R2 adj = 0.469) were key factors in determining the effectiveness of community health volunteer (CHV) performance enhancement programs. These programs included: 1) Establishing a shared agreement to support CHV performance; 2) Developing CHV capabilities; 3) Promoting teamwork; 4) Providing motivation; 5) Encouraging CHVs to receive social support; and 6) Improving communication skills. Evaluation of the programs showed a statistically significant improvement (p < 0.05) in the average CHV performance scores after implementation compared to before implementation. Recommendations include declaring these programs as a key policy, coordinating cooperation across all sectors, and disseminating the programs to areas with similar contexts for adaptation.