Department of Health Sciences, Faculty of Public Health, Ubon Ratchathani Rajabhat University, Ubon Ratchathani, Thailand.
The Office of Disease Prevention and Control 10, Ubon Ratchathani, Thailand.
Asian Pac J Cancer Prev. 2024 Aug 1;25(8):2911-2917. doi: 10.31557/APJCP.2024.25.8.2911.
Despite the national campaigns in 1997 to control Opisthorchis viverrini (OV), a significant risk factor for cholangiocarcinoma (CCA) was accounted for in the northeast of Thailand, which is also considered the highest-risk area for CCA as per the latest national-wide survey in 2019. Social innovations were employed to address OV and CCA issues in this area, but they have yet to be thoroughly investigated. Investigating social innovations in areas where issues can already be solved is a particular approach for expanding on a broad basis.
This study aimed to search for social innovations used to handle OV and CCA in northeast of Thailand.
Researchers coordinated with the Office of Disease Prevention and Control Region-10 (1 of 12 regional offices under the Department of Disease Control, Ministry of Public Health) to specify the model areas for taking OV and CCA. In addition, researchers cooperated with local coordination units for data collection. The data were coded and classified for content analysis, and triangulation was performed for comparative analysis. Finally, a meeting was conducted to summarize the social innovations discovered in each study site area.
Our findings have been presented according to the epidemiologic triad: agent (risk factors), host (individuals/communities), and environment. The researchers and experts addressed and proposed social innovations for dealing with OV and CCA, such as the "3 Health" (Health Behaviours, Health Hygiene, and Environmental Health), in order to achieve a CCA-free society.
This is the first study to highlight the significance of social innovations in managing OV and CCA. The findings will be utilized to further create strategies for addressing these public health issues in this and other regions in a sustainable and successful manner.
尽管 1997 年全国开展了控制华支睾吸虫（OV）的运动，但在泰国东北部，OV 仍是胆管癌（CCA）的一个重要危险因素，而根据 2019 年最新的全国范围调查，该地区也是 CCA 的高风险地区。在该地区，采用了社会创新来解决 OV 和 CCA 问题，但这些创新尚未得到彻底调查。在已经能够解决问题的地区调查社会创新是一种特别的扩展方法。
本研究旨在寻找泰国东北部用于处理 OV 和 CCA 的社会创新。
研究人员与疾病预防控制局第 10 区（疾病控制部 12 个区域办事处之一）协调，指定 OV 和 CCA 的示范区。此外，研究人员与当地协调单位合作进行数据收集。对数据进行编码和分类，进行内容分析，并进行三角分析进行比较分析。最后，召开会议总结每个研究点发现的社会创新。
我们的发现根据流行病学三角呈现：病原体（危险因素）、宿主（个人/社区）和环境。研究人员和专家针对 OV 和 CCA 提出了“3 健康”（健康行为、健康卫生和环境卫生）等社会创新，以实现无 CCA 社会。
这是第一项强调管理 OV 和 CCA 中的社会创新重要性的研究。这些发现将用于在该地区和其他地区以可持续和成功的方式进一步制定解决这些公共卫生问题的策略。
