Abstract:
This research aim to assessment efficiency three million of people in three years quit for king project at Nakorn nayok and Srakaew province .Mixed Method designs was used in this study for assessment context, Input, process and Product by modified CIPP model (Stufflebeam, 2003) .The sample were 60 health care workers and 80 community health volunteers .The data collected by semi-structure interview, in-depth-interview and focus group. Data analysis by content analysis, mean and percentage. The study result was: 1) context aspect found that the policy was multi-Chanel communication from central to local areas. The objective was clearly and compatible to tobacco control in Public Health Office. The policy perception of health care workers and community volunteers does not cover in everywhere, They accepted and recognized the importance of policy situation but some of opinion put on second policy.2) Input aspect found that the management pattern of conduct policy to community used official document from Public health officer to District Health officer and promotion hospital worker and asks community volunteers for cooperation to persuaded smoker to quit smoking for king. It was not sufficiency of budget for activity in three year and health care workers and community volunteers do not have knowledge and skill on quit smoking, that effect to their believe for quit smoking success.3) Process aspect found that community volunteers used how to quit smoking cold turkey and in quit smoking clinic used counseling process and herbal lozenge for quit smoking. Some of community volunteers were training for quit smoking technique and knowledge of toxic substances in cigarettes. Data was collected to health care worker at health promotion hospital but the data was duplicate information they cannot record to system. The part of work with network and partner not integrated to this project and they worked as individual area that cannot impact to driving force in high level .In addition to the monitoring and follow up not regulary.4) Product aspect found that a number of registered in Nakorn nayok were 686 person, quit for 6 month 29 person, quit for 3 month 51 person, quit for 1 month 66 person, a number of registered in Srakaew were 2,780 person, quit for 6 month 952 person, quit for 3 month 1,359 person, quit for 1 month 2,120 person, the report show under of target ,the obstacle and problem were community volunteers have not efficiency to persuaded smoker to quit smoking and duplicate information made them cannot record in data system .In addition to lack of monitoring and follow up regularly due to resource support and solving problem. The result of this research shown that the project have to improve by set a main policy and indicator from Ministry of Public Health and integrated with tobacco control department at public health officer. In addition to driving force they have to work with network and partner for cooperation to get a target in time limit.
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