Developing and Driving a Participatory Community Health Advocate Case Study of Kalasin Municipality

Abstract

          The objectives of this research were 1) to study the community health situation of Kalasin Municipality; and 2)to study Development and driving Community Health Advocate of Kalasin Municipality with Participation. Use participatory action research methodology, data is collected with a questionnaire, field data record form for meetings and training sessions. The target group is the Kalasin Sub-District Health Advocate Committee, derived from purposive sampling and the sample group was representatives of households in 4 target communities of 528 households, the sample size was determined by using the criteria by specifying 60 percent of the population and using random sampling method. Quantitative data were analyzed using descriptive statistics. and qualitatively analyze the data with Analysis Introduction.
          The  results  showed  that 1. The health community situation of Kalasin municipality consisted of 4 aspects; 1) the individual aspect, the problem was that most of the patients were suffering from chronic diseases and the potential was the production of safe food for their own consumption in the household; 2) In economic aspect, the problem is that household expenditure is higher than income, and the potential is savings and reduction of household expenses; 3) Environment: Most of the problems faced with the problem of air pollution noise and waste water, and potential was household waste management; and 4) social aspect, the problem was that there was a moderate level of safety feeling. And most of them have little involvement in community development and potential is that households receive assistance and welfare from the community and the government; and 2.Development and driving of the Kalasin Municipality Community Health Advocate with a participation in 9 steps: 1) Make a Community Health Advocate Committee; 2) Make a framework for community health advocate; 3) Study the community health situation; 4) Draft a community health advocate; 5) Organize a public earing forum to people's opinions on the draft Community Health Advocate; 6) Organize a public forum to certify the Community Health Statute; 7) Convert the Community Health Advocate to Action; 8) promulgation of the Community Health Advocate; and 9) Summary of lessons learned in the preparation of a Community Health Advocate. From the development of the Community Health Advocate has caused The Health Advocate in Kalasin Sub-District, 2016, is called "The 5 Good Advocate: forming , create a dream, create people in Kalasin Sub-District".