การรับรู้เกี่ยวกับบทบาทการสร้างเสริมสุขภาพของสมาชิกองค์การบริหารส่วนตำบล และเจ้าหน้าที่สถานีอนามัยในจังหวัดชลบุรี / ณรงค์ศักดิ์ ทองธรรมชาติ = Perception toward health promotion role among Subdistrict Administrative Organization Members and health center officers in Chon Buri province / Narongsak Tongtummachart
The present descriptive study aimed at exploring perception and practice of Subdistrict Administrative Organization Members (SAOM) and health center officers in Chonburi Province regarding their health promotion role concerning the transferred activities between them. The subjects were 651 SAOM and 218 health center officers who were selected by mean of stratified random sampling from all SAOM and health center officers in Chonburi Province. Data were collected by using a set of designed questionnaires from November 2002 to February 2003. There were 589 SAOM (89.4 percent) and 192 health center officers (88.1 percent) responding to the questionnaires. The data were then analyzed in terms of frequency, percentage, mean, and standard deviation, paired and unpaired t-test, One-way ANOVA, and Kruskal - Wallis test The results showed that scores of SAOM's role perception about health promoting activities were at a moderate level (except for those for family planning activity, which were at a low level), while their role performance scores were at a low level (except for those of child development surveillance, milk supplementation for school children and elderly supporting activities, which were at a moderate level). It was noticeable that SAOM's role perception and practice scores were high for non-technical or non-specialized activities such as public campaign, public relation, budgetary support, and coordination. Further analyses revealed that the differences between role perception and practice scores concerning various health promoting topics were statistically significant (p < 0.001), and these scores were varied significantly according to types of SAOM (p < 0 .05) As regards health center officers, their role perception and practice scores were at a moderate level, except for those scores concerning health promotion for pre-school age children which were at a low level. The scores were considered low for the operational and budgetary planning aspects of the health promotion activities. The differences between role perception and practice scores were statistically significant (p < 0.05), and the scores varied significantly according to training experience and level of exposure to health promotion information (p < 0.05). Based on these findings, the author recommended that improving knowledge and coordination skills among SAOM and health offices is essential. Promoting continuing education, identifying the role of SAOM and health officers clearly, and promoting the participation among health volunteers are also vital for the delegation of authority to SAOM.