Development Community Participation to Non-smoking Community, Tha Wang Pha District, Nan Province,...
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Transcript of Development Community Participation to Non-smoking Community, Tha Wang Pha District, Nan Province,...
Development Community Participation to Non-smoking Community
Tha Wang Pha District, Nan Province, Thailand
Watchareekorn Piman , Jurarat Suriyathai , Derek Sutdan , Warisara Thakun , Sriwan Nosri and Peanthong Mungkala
Background • Chronic Obstructive Pulmonary Disease[COPD] is
the high risk and high cost health problem in Tha Wang Pha District.
• Top five cause of death in Tha Wang Pha Hospital.
• The risk factor is tobacco.
Background • The most of patients were smoking.
• Smoking was popular in Thai people in the past they had smoking to insect repellent.
• Donton and Banhan villages had 49 and 53 smokers.
Materials and methods • The study was the participatory action research
• Between April 2011 - March 2012
Population and Sample • 13 stakeholders from each village
• 49 and 53 smokers in Donton and Banhan villages
• 50 and 55 teenage in Donton and Banhan villages
The participatory action research The research had 3 phase • Pre - Research Phase for prepare
• The Research Phase
• Monitoring and evaluation phase
Pre - Research Phase • For prepare the researcher
• Analyse community and primary care unit
• Improve cooperation of researcher and community
• Provide information and awareness to the community
The Research Phase • The participation technique was done in 4 steps in 3 times until the community were prevention risk factor induce COPD in new cases
• Planning
• Practice
• Observation
• reflex on problem
The Research Phase • The activity for smokers pre evaluation visited spirometry for lung function test
figure storm test for nicotine were used
• The community participation activity The policy was non-smoking
promoted cigarette -free shop in community
limited smoking area
The Research Phase • Community smoke cessation clinic (5-9 pm) was
established and supported
• Empowerment by community leader and their family
• Trans theoretical model of change was done and a new anti-smoking youth.
The policy was non-smoking
Do not smoking in celebration and religious
ceremony
Do not selling cigarette in community
Monitoring and evaluation phase •Monitoring and evaluation with community participation in depth interview และ focus group
Clinical outcome
Results • All of shops in community did not sell tobacco.
• A regulation-smoking community.
• Safety zone for smoking and a new anti-smoking.
• The empowerment and supportive within context and community resources make impact for activity, attitude to care in COPD patients.
Results Topic Donton villages Banhan villages
N % N %
Smoker 49 100 53 100
Smoker and participants
32 65.31 23 43.40
Smoker able to stop smoking
26 53.06 20 37.74