ความรู้และทัศนคติต่อการเฝ้าระวัง ป้องกันและควบคุมโรคเบาหวานและโรคความดันโลหิตสูงของอาสาสมัครสาธารณสุขในพื้นที่อำเภอลี้ จังหวัดลำพูน

Abstract

A descriptive study, used qualitative and quantitative combination methods to collect data, aim to study knowledge level and attitudes on surveillance, prevention and control of diabetes mellitus and hypertension of the village health volunteers (VHVs) in Tambon Li, Li district, Lamphun Province. Data were collected from 326 VHVs by using questionnaires. Descriptive statistics were used. And data were collected by in-depth interviews from 18 VHVs and analyzed by using inductive method. The results of this study found that the knowledge level of the samples on surveillance prevention and control of diabetes mellitus and hypertension in the overall were good (70.55 percent). And the study found that the highest score of knowledge level was on disease prevention (86.50 percent), followed by surveillance (70.25 percent), and the least was the disease control (40.80 per cent). Most of VHVs had a good level of attitude (88.96 percent), on surveillance, prevention and control of diabetes mellitus and hypertension. The data from in-depth interviews revealed that most of VHVs had opinions that such operation is useful. It is convenient to the public service, and it covered in all health groups included normal group risk group and patient group. Barriers to the implementation were found at the beginning of the operation. These included the acceptance of VHVs from the local people, the available equipment such as the blood pressure monitor and blood sugar meters which were sometimes inadequate. Key success factors were that most people in the area cooperated very well for the activities. The work was operate and done on the appropriate time. Tools, materials and equipment were available for screening. Then, health officials could operate and coordinate their works well. The suggestion from the VHVs in order to develop the operation was to build credibility and trust in the VHVs work by the health officials. The health officials should be involved in the operation in the early stages of activity in order to clarify understanding and fostering public confidence with VHVs works, and to support the work including materials and equipment used for screening. They should develop VHVs both knowledge and skills continuously.