Kaewchandee Chuthamat, Hnuthong Unchalee, Thinkan Sudarat, Rahman Md Siddikur, Sangpoom Suttida, Suwanbamrung Charuai
Department of Research and Medicine Innovation, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, 10300, Thailand.
School of Public Health, Walailak University, Nakhon Si Thammarat, 80160, Thailand.
Heliyon. 2023 Jan;9(1):e12558. doi: 10.1016/j.heliyon.2022.e12558. Epub 2022 Dec 22.
District public health officers (DPHO) are the major health care providers and vital resources for tackling the coronavirus disease 2019 (COVID-19) outbreak in Thailand. No studies have been published on their experiences of combating COVID-19 in Thailand. To guide and improve COVID-19 control efforts, we aimed to describe their experiences and analyze associated factors for tackling the outbreak. This mixed-methods design involved providing structured questionnaires to selected DPHOs across 52 districts of seven provinces in the upper southern region Thailand. We performed data analysis using descriptive and multivariate statistics. The quantitative approach used questionnaires that demonstrated the content validity and reliability. Data collection involved Google forms, analyzed by multivariate statistics. The qualitative approach comprised an online in-depth interview of 11 DPHOs and a thematic analysis. Results found of the 52 DPHOs, 41 were men (78.8%), and the mean age was 50.02 years (SD = 8.52 years). Their proactive experiences were significantly associated with sex (OR = 2.38, 95% CI = 1.11-3.30), age (OR = 1.73, 95% CI = 1.09-2.76), the length of experience in the current position (OR = 2.27, 95% CI = 1.43-3.63), and working time in the current position (OR = 2.27, 95% CI = 1.43-3.63). There was no significant association between marital status, knowledge, understanding, opinion, proactive practice, and participation experiences. These results were related to six themes of the qualitative approach as follows: High morbidity and mortality of COVID-19, COVID-19 concomitant with several problems, Reaching out to the community for better COVID-19 solutions, The importance of regular reports and feedback, Solution planning based on the situation, and Providing relief to all stakeholders from COVID-19 issue. Proactive experiences of district public health officers are important for sustainable COVID-19 solutions. Disseminating relevant equipment, guidelines, policy, and government regulations is necessary to promote preparedness and efficacy in the crisis management of COVID-19.
地区公共卫生官员（DPHO）是泰国应对2019冠状病毒病（COVID-19）疫情的主要医疗服务提供者和重要资源。目前尚未有关于他们在泰国抗击COVID-19经历的研究发表。为了指导和改进COVID-19防控工作，我们旨在描述他们的经历，并分析应对疫情的相关因素。这种混合方法设计包括向泰国南部上半区七个省份52个地区的选定DPHO提供结构化问卷。我们使用描述性和多变量统计进行数据分析。定量方法使用了具有内容效度和信度的问卷。数据收集通过谷歌表格进行，采用多变量统计分析。定性方法包括对11名DPHO进行在线深入访谈和主题分析。结果发现，在52名DPHO中，41名是男性（78.8%），平均年龄为50.02岁（标准差=8.52岁）。他们的积极经历与性别（比值比=2.38，95%置信区间=1.11-3.30）、年龄（比值比=1.73，95%置信区间=1.09-2.76）、现任职位的工作年限（比值比=2.27，95%置信区间=1.43-3.63）以及现任职位的工作时间（比值比=2.27，95%置信区间=1.43-3.63）显著相关。婚姻状况、知识、理解、意见、积极实践和参与经历之间没有显著关联。这些结果与定性方法的六个主题相关，如下所示：COVID-19的高发病率和死亡率、COVID-19伴随的几个问题、深入社区寻求更好的COVID-19解决方案、定期报告和反馈的重要性、根据情况制定解决方案以及为所有利益相关者缓解COVID-19问题。地区公共卫生官员的积极经历对于可持续的COVID-19解决方案很重要。传播相关设备、指南、政策和政府法规对于提高COVID-19危机管理的准备程度和效率是必要的。
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