Effectiveness of Leader Village Health Volunteers Training Program on Preventing Cholangiocarcinoma in Thailand: Advantages for High-Risk Area with Limited Public Health Personnel

Songserm, Nopparat; Woradet, Somkiattiyos; Bureelerd, Onanong; Thongchai, Comsun; Thongprung, Sumaporn; Ali, Anees Janee

doi:10.1007/s13187-020-01768-4

Cited by 6 publications

(6 citation statements)

References 11 publications

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“…Therefore, it is not only a challenge for public health workers in carrying out CCA prevention and control in their own country, but it is also the responsibility of public health workers across the region. Therefore, it is necessary to find out a suitable model or method for reducing the risk factors, such as using the model of having village health volunteers in high-risk areas in Thailand with a shortage of health personnel [ 19 ] or the parallel program of village health volunteers in the twin cities (Thailand–Laos) [ 18 ] to prevent and reduce CCA risk factors. In addition, some high-risk areas have adopted a public health approach [ 20 – 23 ] or one health approach [ 24 , 25 ] to reduce risk factors or control OV and CCA.…”

Section: Discussionmentioning

confidence: 99%

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Cholangiocarcinoma protective factors in Greater Mekong Subregion: Critical issues for joint planning to sustainably solve regional public health problems

et al. 2022

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Although Opisthorchis viverrini (OV), lifestyle, and diet co-factors have a relatively high prevalence in the Greater Mekong Subregion (GMS) population, cumulative (0–74) incidence rates of cholangiocarcinoma (CCA) do not reach 5% in this region. Other co-factors must influence, but in this study, we only highlighted positive factors for guiding joint planning to address public health problems at the regional level. Therefore, we aimed to study prevalence and factors associated with CCA incidence focusing only on protective factors. A cross-sectional analytic study was carried out from June to October 2017. Participants with informed consent completed the questionnaires. Descriptive statistics were used to analyze general information. Primary variables were classified into high and low levels by mean. Logistic regression was employed to investigate the correlation between interesting variables and the overall risk level of CCA. The overall prevalence of CCA protective factors of the whole region was knowledge (61.39%), health beliefs (42.32%), prevention behavior (31.93%), and community participation (14.53%). When considering the proportions at a high level, they were 49.53%, 53.72%, 35.37%, and 49.67%, respectively. Significant factors associated with CCA prevention were females with secondary or vocational education, a high level of perceived seriousness and benefits, and community participation. These findings are likely to be helpful for both the public and administrators. First, it can be information for people to be aware of CCA risk. Second, policy-driven authorities at the local or regional level should apply the critical issues from this study for joint planning to sustainably solve regional public health problems.

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Section: Discussionmentioning

confidence: 99%

“…Especially UB, THA were statistically different from other areas for all factors. It is why there have been campaigns in northeast Thailand to deal with OV and CCA for more than 40 years [ 28 – 30 ] until now [ 18 , 19 , 31 , 32 ]. So that people in this area have better knowledge and health beliefs than other areas.…”

Section: Discussionmentioning

confidence: 99%

Cholangiocarcinoma protective factors in Greater Mekong Subregion: Critical issues for joint planning to sustainably solve regional public health problems

et al. 2022

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“…4. Knowledge 3,24 with a negative effect on the performance of the VHVs can be explained by the notion that the increase in knowledge can decrease the performance of the VHVs. Although the VHVs gain more knowledge, they do not apply it in practice, so their performance decreases.…”

Section: Discussionmentioning

confidence: 99%

“…VHVs assume the roles of practitioners in Primary Health Care Centres (PHCC) in the villages around the country, and they are the main mechanism to increase health service access with fairness and people-centredness. They are helpful for problem management in terms of the shortage of health workers needed to achieve the goals for people's good health in developing countries [2][3][4] . Similarly, other low-and middle-income countries as well as Thailand have VHVs or Community Health Volunteers (CHVs) who are people in the community willing to commit to the service activities of their own communities.…”

Section: Introductionmentioning

confidence: 99%

Factors affecting performance of village health volunteers in Sukhothai, Thailand

Yaebkai

Wongsawat

2022

JPHD

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This descriptive research aimed to investigate the factors affecting performance among village health volunteers (VHVs). The sample participants were 598 VHVs in Sukhothai Province, Thailand. They were selected by using the systematic random sampling technique. In this research, a questionnaire was employed for the data collection, after which the data were analysed by using percentage, mean, standard deviation, and stepwise multiple regression analysis. The study results showed that knowledge, role perception, social support, and work motivation were at a high level, whereas attitude and performance were at a moderate level. Work motivation was the strongest predictor of performance among VHVs, followed by role perception, number of other positions in the communities, knowledge, agricultural occupation, duration of being VHVs, and attitude. In combination, all these factors could predict the performance of the VHVs at 26.5% with a statistical significance of 0.05. According to the study results, related agencies should arrange training programs as a means of enhancing attitude towards work operation and role perception, and should create work motivation of VHVs to further increase their effectiveness of performance.

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“…It should apply these public health interventions to housewives who determine the diet and cook for their family [20], or to food vendors to promote and cultivate cooking habits that do not risk OV infection. This public health programme is even more critical if the VHVs apply to their villagers [26].…”

Section: Discussionmentioning

confidence: 99%

Public health interventions for preventing re‐infection of Opisthorchis viverrini: application of the self‐efficacy theory and group process in high‐prevalent areas of Thailand

Songserm

Namwong²,

Woradet

et al. 2021

Tropical Med Int Health

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Objective To study the effectiveness of public health interventions in preventing Opisthorchis viverrini (OV) re‐infection in high‐prevalence areas of Thailand. Methods 68 people from Sisaket, the province with the second‐highest prevalence in Thailand, who tested positive for OV eggs in faeces and took praziquantel before the start of the study, participated. 34 participants were allocated to the experimental group, which received a 12‐week public health intervention based on the self‐efficacy theory and group process between July and October 2018. The control group received the usual services. Data were collected using a questionnaire with a reliability of 0.84. Faecal examinations using the formalin‐ether concentration technique were conducted before and after the experiment. The re‐infection rate was analysed after the experimental 12 weeks and after one year. Descriptive and inferential statistics, including paired t‐test and independent t‐test, were employed for data analysis. Results After the experiment, the mean scores of knowledge, perceived self‐efficacy, self‐efficacy expectation and OV prevention behaviour of the experimental group were significantly higher than before the experiment and also higher than scores of the control group (P < 0.05). Conclusion The public health intervention is useful. It educated the experimental group about OV, perceived self‐efficacy and self‐efficacy expectation in changing behaviour to prevent OV re‐infection. As a result, no re‐infections were observed after the 12‐week intervention nor at the one‐year follow‐up. Public health benefits will be evident if the results are extended to other high‐prevalence areas.

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Effectiveness of Leader Village Health Volunteers Training Program on Preventing Cholangiocarcinoma in Thailand: Advantages for High-Risk Area with Limited Public Health Personnel

Cited by 6 publications

References 11 publications

Cholangiocarcinoma protective factors in Greater Mekong Subregion: Critical issues for joint planning to sustainably solve regional public health problems

Cholangiocarcinoma protective factors in Greater Mekong Subregion: Critical issues for joint planning to sustainably solve regional public health problems

Factors affecting performance of village health volunteers in Sukhothai, Thailand

Public health interventions for preventing re‐infection of Opisthorchis viverrini: application of the self‐efficacy theory and group process in high‐prevalent areas of Thailand

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