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Publication Open Access Management of aging society in Kobe, Japan(2016) Phetcharee Rupavijetra; Jiraporn Chompikul; Ploypailin Rupavijetra; เพ็ชรี รูปะวิเชตร์1 2 และ3; จิราพร ชมพิกุล; พลอยไพลิน รูปะวิเชตร์; Mahidol University. ASEAN Institute for Health Developmentons at all levels have responded to this matter by initializing policies and plans for the management of the elderly society. This research aimed to describe the following issues: (1) long-term care insurance for the elderly and (2) health care services for the elderly. The research was based on the principles of documentary and qualitative research. The data were collected via document research and interviews with the Kobe Municipal officers which was composed of the chief and three staff members of the Elderly and Welfare Section for policies, plans, and management of the aging society in the Kobe Municipality during October- November, 2014. In addition, the data were collected from interviews with twenty elderly Japanese people who participated in Shiawase–no-mura (the Comprehensive Welfare Complex). Content analysis was used to analyze the data. The research findings were as follows: (1) long-term care insurance for the elderly is a policy that provides care for the elderly, and is based on “Welfare Law for the Elderly” which was designed for low income elderly who have no family to care for them. However, the new long-term care insurance departs from past practices with respect to the following: (a) shifting the major responsibility for care giving from family to the state; (b) integrating medical care and social services via unified financing; (c) enhancing consumer choice and competition by allowing free choice of providers; (d) requiring older persons themselves to share the costs via insurance premiums as well as copayments; and (e) expanding local governmentautonomy and management capacity in social policy. (2) As far as health care services for the elderly is concerned, the Japanese government’s initiative, the Welfare Law for the Elderly, has a special system for the elderly, called “Health Service System for the Elderly.” The facility services in special nursing homes and home care aid services are funded by taxes. For, the Kobe Municipal has policies, plans, and management designed for the aging society: the long-term care insurance is that in which Kobe city is equipping itself to manage effectively the trend of increasing numbers of aging people by launching the statement, “keep life and take care” as well as planning for aged people with Alzheimer’s disease and aged people who are isolated. Kobe established the “Shiawase–no-mura”: the Comprehensive Welfare Complex designed for the elderly including the disabled and all the members in the family, and the program called Kobe Senior Citizens’ College or “Silver College,” which provides for the elderly to maintain life-long learning. The curriculum is composed of a general course which provides general education, sports, and health management studies, and the special courses include welfare community, living environment, international exchange, cooperation, and general art. The research finding suggested that long-term care insurance, health care services and colleges for the elderly should be promoted to improve the quality of their life.Publication Open Access Proper hand washing practices among elementary school students in Selat sub-district, Indonesia(2012) Tri Setyautami; Santhat Sermsri; Jiraporn Chompikul; Mahidol University. ASEAN Institute for Health Developmentwith improving school-based hygiene intervention programs. This paper describes a cross-sectional descriptive study about hand washing practice, the prevalence of proper hand washing, and related factors among sixth grade of elementary students in Selat sub...-district, Indonesia. A self administered questionnaire was administered to 274 students at seven schools randomly selected by proportion to size from five villages. Data were analyzed using descriptive statistics, Chi square tests, and multiple logisticPublication Open Access Factors associated with tobacco use among male adolescents in Magway Township, Myanmar(2013) Htein Linn; Jiraporn Chompikul; Jutatip Sillabutra; Somsak Wongsawass; เทียน ลิน; จิราพร ชมพิกุล; จุฑาธิป ศีลบุตร; สมศักดิ์ วงศาวาสA community based cross-sectional study was carried out in Magway Township, Myanmar to examinefactors influencing tobacco use among male adolescents aged 18-24 years. In March, 2012, 275 male adolescents were recruited in this study and the data... smokelesstobacco users and 65.4% were smokers and 65.4% were dual users. The median age of the respondents was 20 years and the majority were 18-20 years. Only 1.1% had good knowledge concerning risk of tobacco use. Father education, father smoking habit, presencePublication Open Access Relationship between child rearing and child nutritional status during the first year of life in Thailand(2016) Mai Beniko; Aroonsri Mongkolchati; Jiraporn Chompikul; Rutja Phuphaibul; Mahidol University. ASEAN Institute for Health DevelopmentThis descriptive study was conducted to determine relationship between child rearing and child nutritional status during the first year of life. A total of 4,245 cohort children were collected between July 2000 and June 2002 based... for identifying influential predictor and child nutritional status (underweight, stunting and wasting) at the first year of age. The finding showed that 8.3% of the children were underweight (weight for age), 9.5% of the children were stunting (height for agePublication Open Access Predictors of HIV preventive behaviors among migrants living in the transportation crossroads of Myawaddy Township, Myanmar(2018) Htet Ko Ko Aung; Bang-on Thepthien; Jiraporn Chompikul; เท็ด โก โก อ่อง; บังอร เทพเทียน; จิราพร ชมพิกุล; Mahidol University. ASEAN Institute for Health Developmentand its associated factors among migrants at Myawaddy Township in the Thailand-Myanmar border area. A community-based cross-sectional study was conducted among 358 migrants aged 18-49 years who were recruited by two-stage cluster sampling. Data... collection was carried out by trained interviewers using a structured questionnaire during the first and second week of April, 2017. The Chi-square test and multiple logistic regression were performed to examine factors associated with HIV preventivePublication Open Access Determinants of monthly breast self-examination among women in Samut Songkhram Province, Thailand(2018) Iona Koike; Jiraporn Chompikul; Bang-on Thepthien; Naruemon Maikhan; อิโอนา โคอิเกะ; จิราพร ชมพิกุล; บังอร เทพเทียน; นฤมล ไม้แก่น; Mahidol University. ASEAN Institute for Health DevelopmentThe breast cancer incidence rate is highest among women in Thailand. Monthly breast self-examination (BSE) which is simple, inexpensive and effective to detect breast cancer is recommended for every woman as the first step for early detection.... Therefore, cross-sectional study was conducted to identify factors associated with monthly BSE among Thai women aged 20 years old and over in Samut Songkhram Province, Thailand. Data collection procedure was carried out from April to May, 2017. A samplePublication Open Access Determining of Complementary Food Practice and Stunted Thai Children Aged 24 Months(2012) Joshi, Shrijana; Aroonsri Mongkolchati; Jiraporn Chompikul; Ladda Mo-suwan; Uraiporn Chittchang; Chanpen Choprapawon; Mahidol University. ASEAN Institute for Health Development,; Mahidol University. Institute of Nutrition; Prince of Songkla University. Faculty of Medicine. Department of Pediatrics,This descriptive study was conducted to determine the prevalence of child stunting at 24 months by using the Thai and New WHO growth standard and to examine the association between time of introduction of complementary food and child stunting at 24 months. The data of 4,245 children aged 24 months were selected from a cohort study of Thai children. After excluding 60 twin infants and 18 with abnormalities, 4,167 children remained for data analysis. Chi-square tests and multiple logistic regression were undertaken to identify variables that influenced child stunting at 24 months. For the 2001 Thai reference, the study showed 13.95% stunting prevalence whereas 2006 WHO reference showed 16.48%. After adjusting for confounding factors, the study showed that prolonged breast feeding was significantly associated with child stunting from both the WHO (OR=2.70, 95% CI=1.77-4.10) and Thai references (OR=2.31, 95% CI=1.48-3.60). By using WHO reference, this study found that children who were introduced pork before four months (OR=4.72, 95% CI=1.11-20.19) had the highest risk to be stunting at 24 months. And, by using Thai reference, it was found that children who were introduced whole eggs before four months (OR=2.76, 95% CI=0.56-3.54) had the highest risk to be stunting at 24 months. In conclusion, this study found that early introduction of complementary foods is a risk of child stunting. Implementing various health education programs to mothers and caretakers focusing on the improvement of feeding practices and by timely introduction of complementary food, optimum growth in children can be achieved.Publication Open Access Determinants of preventive behaviour against dengue haemorrhagic fever among caregivers of children in Magway Township, Myanmar(2017) Aung Swe Lin; Jiraporn Chompikul; Aroonsri Mongkolchati; อ๋อง ซู ลิน; จิราพร ชมพิกุล; อรุณศรี มงคลชาติ; Mahidol University. ASEAN Institute for Health Developmentof 318 caregivers of children aged 1-4 years. A structured questionnaire was used in a face-to-face interview with caregivers at their houses. The data collection was conducted from 21st April 2016 to 30thPublication 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 affecting compliance with the non-smokers' health protection Act B.E.2535: A Case study of taxi cars(2019) Doungjai Buntup; Jiraporn Chompikul; ดวงใจ บรรทัพ; จิราพร ชมพิกุล; Mahidol University. ASEAN Institute for Health DevelopmentPublic environment is an important issue for smoking regulation due to the concern of health equity. About 50-60 percent found that public car drivers have risky behavior such as smoking and alcohol drinking which shows that smoking in public transports causes harmful effects to others from exposure to second-hand smoke (SHS). The aim of this present study was to study personal factors, knowledge, attitudes, behaviors and smoking experiences of drivers or passengers and to investigate the correlation between factors and the compliance with the Non-Smoking Health Protection Act B.E. 2535 in drivers and taxi passengers. The data were obtained from self-administered questionnaires responded by 450 taxi drivers and 250 passengers. Statistical analyses were performed for descriptive statistics (demographic data, smoking-related knowledge and attitudes) and Pearson correlation analysis for different factors and smoking behaviors. The results showed that the majority of questionnaire respondents have a sufficient knowledge in law on smoking prohibition and a greater knowledge on harmful effects of smoking. The analysis of factors affecting legal compliance, it is found that attitude to the dangers of smoking was statistically significant (p <0.030) in taxi drivers while smoking behavior of passengers was significantly affected the compliance with the Non- Smoking Health Protection Act (p = 0.001). For further smoking control regulation, the governmental legislation on anti-smoking in public vehicles should be continued. The knowledge of harmful health outcomes associated with smoking should also be promoted to change the attitude toward public smoking.