5 results
Search Results
Now showing 1 - 5 of 5
Publication Open Access Strengthening self-help and mutual aid in Japan’s community-based integrated care system based on the Thai health policy for the elderly(2019) Kyoko Sudo; Jun Kobayashi; Shinichiro Noda; Jiraporn Chompikul; Yoshiharu Fukuda; Kenzo Takahashi; เคียวโก๊ะ ซูโด๊ะ; จูน โคบายาชิ; ชินนิชิโร๊ะ โนด๊ะ; จิราพร ชมพิกุล; โยชิฮารุ ฟุกุดะ; เคนโซ๊ะ ทากาฮาชิ; Mahidol University. ASEAN Institute for Health Development; National College of Nursing. National Center for Global Health and Medicine; University of Ryukyus. Department of Global Health; National Center for Global Health and Medicine. Bureau of International Health Cooperation,; Teikyo University. Graduate School of Public HealthAging is a global issue not especially in the developed world. Governments of both developed and developing countries struggle with the financial burdens of aging populations. The Japanese government is implementing the Community-based Integrated Care System (CbICS) for elderly individuals to provide comprehensive up-to-end-of-life support services in communities. This system proposes four elements: self-help (Ji-jo), mutual aid (Go-jo), social solidarity care (Kyo-jo), and government care (Ko-jo); self-help and mutual aid are expected to be strengthened for successful policy implementation. Thailand, with the highest aging rate in Southeast Asia, has a successful system based on primary health care (PHC). The authors discussed ideas from the Thai health policy for the elderly to address the challenges in the Japanese system. For a data collection method, the authors conducted document reviews. Interviews with officers from the relevant ministries were conducted to verify the evidence to strengthen self-help and mutual aid in Japan’s CbICS. Factors promoting the implementation of the Thai health policy for the elderly were extracted. Aging issues were influenced by the national strategy. The second National Plan for Older Persons focused on community-based care services following the PHC concept and tried to implement them comprehensively along with the ministries. The factors promoting the implementation of the Thai health policy for the elderly included “Clear and adequate government role distribution”, “Decentralization and authority of local governments”, “Earlier preparation”, “Empowerment and encouragement of preventive activities in the community”, “Evaluation system”, “Evidence-based”, “Fit for global concepts and national issues”, “Involvement of stakeholders”, and “Solutions to fragmentation”. The results indicated that the Thai health policy for the elderly was characterized by a strong central government, with emphasis on well-being and the prevention of diseases, and involvement of multiple ministries. Japan’s CbICS could provide more effective services when community activities adopt Thailand’s community-based elderly care. Relevant ministries should be more integrated for better service provision, and Japan’s PHC concept should be reconsidered for application to its peculiar situation.Publication Open Access Factors related to dental nurse preparation for working in Tambon Health Promoting Hospitals in Thailand(2016) Somrit Jirojvanichakorn; Nate Hongkrailert; Jiraporn Chompikul; Boonyong Keiwkarnka; Mahidol University. ASEAN Institute for Health DevelopmentDental nurses are the important persons who often the major influential to promote oral heath in the sub-district (Tambon) level. Dental caries is still a serious problem among the varieties group of the population in Thailand especially the group of children in rural areas. This cross-sectional descriptive study aimed to identify factors associated with dental nurse preparation by chiefs of dental departments of community hospitals all over Thailand. Self-administered questionnaires were filled out by 290 respondents to assess their socio-demographic characteristics, psycho-social factors, cues to action and enabling factors, which were considered related to their dental nurse preparation performance. Data were analyzed by descriptive statistics. The Chi-square test and multiple logistic regression were performed to determine associations between the dental nurse preparation and influential factors. Half of respondents had a low level of dental nurse preparation. Those who received information said this was mostly from their Provincial Health Office personnel. Factors that were found to have a significant association with dental nurse preparation were age group, perception preparation, mass media, advice from NHSO personnel, advice from other chief of a dental department of a community hospital, hospital policy, hospital assignment, hospital budget support and hospital manpower management system. The most significant predictors was hospital assignments (Adj. OR=2.87, 95%CI=1.76-4.65). Chiefs who had hospital assignments were 2.87 times more likely to be well prepared than those who had not after adjusting for other factors. The research recommendation showed that the department chiefs need to be encouraged to achieve better dental nurse preparation by mean of hospital policy, hospital budget support, and advice from other chief of a dental department of a community hospital to improve the levels of preparation and management among department chiefs in community hospitals.Publication Open Access Performances of village health volunteers in elderly care in Muang District, Nakhon Ratchasima Province, Thailand(2014) Osamu Watanabe; Jiraporn Chompikul; Aroonsri Mongkolchati; Nuanpan Pimpisan; Mahidol University. ASEAN Institute for Health DevelopmentA cross-sectional study was conducted to examine an association between performance levels of Village Health Volunteers (VHVs) in elderly care and related factors. The performances referred to the levels of activities for the assigned roles and tasks related to elderly care which composed of three scales: Instrument Active Daily Living scale (IADL), Active Daily Living scale (ADL) and other home cares. A total of 415 self-administered questionnaires were distributed to VHVs in February, 2014. Chi-square tests and multiple logistic regression were employed to identify significant predictors of VHVs performances. Approximately 26 % of VHVs were classified into high performances in elderly care. When adjusting for working hours per day and having experience of taking care of the elderly, significant predictors were: number of trainings that VHVs participated in Adj OR=2.54, 95% CI=1.45-4.45), levels of knowledge (Adj OR=2.51, 95% CI= 0.94-6.75 for good level and Adj OR = 1.41, 95% CI = 0.56-3.57 for moderate level) and high satisfaction with working in elderly care (Adj OR: 2.10, 95% CI= 1.14-3.88). VHVs who had good knowledge about elderly care were nearly three times more likely to show high performances than those who had poor knowledge. The findings suggested that two significant key factors to gain high levels of VHVs’ performance in elderly care are providing a variety of refresher courses related to elderly care to increase knowledge and skills, and also improving the work place support system and incentives to promote satisfaction of VHVsPublication Open Access Factors influencing the performance of village health posts in Kalasin Province, Thailand(2019) Bunpode Suwannachat; Jiraporn Chompikul; Aroonsri Mongkolchati; Boonyong Keiwkarnka; บรรพจน์ สุวรรณชาติ; จิราพร ชมพิกุล; อรุณศรี มงคลชาติ; บุญยง เกี่ยวการค้า; Mahidol University. ASEAN Institute for Health DevelopmentA descriptive study was conducted to identify factors influencing the performance of village health posts (VHPs) at Kalasin province, Thailand. Stratified sampling was used to randomly select a sample of 92 VHPs which responded to the structured questionnaires. Chi-square tests and multiple logistic regression were used to examine associations between independent variables and the performance of VHPs. The response rate was 74.2%. Thirty-five VHPs (38 %) were categorized into the high level of the performance and 57 VHPs (62 %) into the low level of the performance using the mean activities (3.58 visits per day) done by each VHP as the cut-off point. In the Chi-square tests, community health group, community health fund, distance from a VHP to a health center more than 3 kilometers, financial support for village health volunteers and participation of community leaders in VHP execution were found to be significant association with the performance of VHPs (p-value < 0.05). Multiple logistic regression revealing significant predictors for the performance of VHPs composed of financial support for village health volunteers and participation of community leaders in VHP execution. When controlling other factors, VHPs with financial support for health volunteers were 5.9 times more likely to have the high level of the performance than those with no financial support. VHPs with high level of community leader participation in execution of VHPs was 10.2 times more likely to have the high level of the performance than those with the low level of participation. The findings of this study suggest that providing of financial support for village health volunteers and promotion of community leader participation in VHP execution can boost the performance of VHPs.Publication Open Access Factors associated with quality of life among the elderly in Baglung District, Nepal(2017) Pradeep GC; Sariyamon Tiraphat; Jiraporn Chompikul; ประดีพ จีซี; ศริยามน ติรพัฒน์; จิราพร ชมพิกุล; Mahidol University. ASEAN Institute for Health DevelopmentThis community based cross-sectional study was conducted to investigate the factors associated with quality of life among the elderly in Baglung district, Nepal. The sample size was 403 elderly selected by multi-stage cluster sampling from Baglung district. The data were collected by face to face interview using structured questionnaires. The outcome variable was the World Health Organization Quality of Life (WHOQOL-BREF), while independent variables included socio-demographic factors and neighbourhood social and environmental factors. Descriptive statistics were used to describe the characteristics of the sample. Chi-square test and multiple logistic regressions were used to determine the association between independent variables and quality of life among the elderly. The finding showed that approximately half of the elderly (51.1%) had high quality of life. Factors associated with the quality of life included age, gender, marital status, religious, family structure, social capital, neighbourhood aesthetic and crime. After adjusting other factors, high quality of life was detected among the elderly who were perceived high neighbourhood social capital (Adj OR = 2.52, 95% CI = 1.48-4.29), perceived high neighbourhood aesthetic (Adj OR = 3.16, 95% CI = 1.91-5.23) and perceived low crime (Adj OR = 3.94, 95% CI = 2.31-6.72) in neighbourhood comparing to their counterparts. From the results of this study, interventions that can promote active aging, such as designing of age-friendly public spaces and pleasant social environments should be considered. Moreover, policy to improve quality of life towards the elderly should be seriously implemented.