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Assoc. Prof. Dr. Khanitta Nuntaboot

THAILAND COMMUNITY NETWORK APPRAISAL PROGRAM TCNAP AS A TOOL FOR COMMUNITY INITIATED SOCIAL SERVICES AND WELFARE. Assoc. Prof. Dr. Khanitta Nuntaboot. Center for Research and Development in Community Health System, Faculty of Nursing, Khon Kaen University Thailand . Topics:.

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Assoc. Prof. Dr. Khanitta Nuntaboot

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  1. THAILAND COMMUNITY NETWORK APPRAISAL PROGRAMTCNAP AS A TOOL FOR COMMUNITY INITIATED SOCIAL SERVICES AND WELFARE Assoc. Prof. Dr. KhanittaNuntaboot • Center for Research and Development in Community Health System, • Faculty of Nursing, KhonKaen University Thailand

  2. Topics: • Introduction • Development process and community involvement • Training of the trainers • Results

  3. 1.Introduction Community organizations Target Population (aging, children, disabled, etc.) Data sharing Local Government (5,000-40,000 Population) Social services and Welfare • Transparency • Social accountability Thailand Community Network Appraisal Program (TCNAP) Data sharing • aunified andcommunity-owned • database system • Support decision making • Community planning Public sectors Participatory Action Research Projects (Ethnography, community survey, community planning, implementation, evaluation)

  4. 2.Development process and community involvement 1.Synthesis and sets of data necessary A community-owned database system A unified database system • Individual and Family level 2.Questionnaires development 1.Social capital encompassing • Community data-base team building • Management and utilizing team • Data collection team • Data checking team • Data entry team 3.Verify questionnaires 2.Communication systems 3.Health care 4.Population and education Community learning process 4.Development of an online data base system Data base system management 5.Household and community economics • Data collection and data checking • Data analysis • Report and findings utilization 6.Natural resources and the environment 5.Development of a training package 7.Political and conflict management 6.Implementation and verification for further developments • Group and Community level

  5. 3.Training of the trainers Healthy community project more than 2,380 sub districts Learners Trainers 70 sub-districts • Management and utilizing team • Data collection team • Data checking team • Data entry team The training package Questionnaires and Online program management Community learning Training sub-districts Conducted in the field using actual procedures as learning activities for participants

  6. 4. Results Network • Training centers for TCNAP Training center Training center Network Training center • 70 training sub-districts Network Network • More than 2,380 sub-districts in the network trained and implementing TCNAP as their community data base 2. Participation in TCNAP • TCNAP team (approximately 150-250 individuals) • Local residents • Leaders of community organizations • Members of the village committee • Members of the community • Members of LAO and government

  7. 4. Results (Cont.) • 3. Community social services and welfare created • increasing memberships • improving services • creating additional activities • merging community funds • improving living conditions • etc. Group activities • crafts • agriculture • mechanics • garments making • local goods making (mats, baskets, fishing nets), etc. Services Career skills training Utilizing of TCNAP report and findings • home care • security and safety • quit-smoking services • quit-drinking clinic • etc. Welfare services • finance for funerals, • allowances for hospital stays • loans for careers • loans for farming • loans for education • loans for house building • wheelchairs • meals for children • etc.

  8. 4. Results (Cont.) 4. Policy making at the community level • Household debts • Unemployment • Elders • Children under 5 Y • Etc. Address particular health issues • Conventional • Unconnected • Sectoral activities Local health issues Initiatives to build public support Support the decision making Holistic approaches Establishing a specific data base system Community-based initiatives for health promotion Research and Development Inter-sectoral movements in community-based (communities, society groups and organizations)

  9. Examples of Community Data Utilization:The elderly Problem & Issue Data collecting Data Analyzing Data Utilizing • Prioritizing the problems Individual and family level • Clarify problems • Summarize capital and potential • The number of the elderly • Health problem • Behavior risk • Chronic diseases or disability Aging Society • Organizing the discussion session • for problems solving 1. Number and percentage of elderly • 2. Number of elderly who need health care and welfare • living alone • need home care and assistance, • etc. Group and community level • Developing and organizing Project for help and support the elderly demand • Civil group • The number of population • Health volunteers • Health care providers • Health care service • Providing basic health care • Providing assistance by volunteers • Establishing welfare fund • etc. 3. Number of volunteers and related civil groups

  10. Examples of Community Data Utilization:The Children under 5 years old Problem & Issue Data collecting Data Analyzing Data Utilizing Individual and family level • Clarify problems • Summarize capital and potential • Data verification and confirmation in discussion forum • The number of children under 5 Y • Education level • Health status Need of child development and learning 1. Number and percentage of children under 5 Y • Prioritizing the problems and need Group and community level 2. Number of children need for children development plan and learning • Health care system • Health care volunteers • Related learning resources • Related leader groups • Developing and organizing Project for child development and learning 3. Number of volunteers and related civil groups • Training of the nannies • Providing child development center • Public spaces for childrens’ activity • etc.

  11. Examples of Community Data Utilization:The bedridden patients Problem & Issue Data collecting Data Analyzing Data Utilizing • Preparing the presentation and the forum of learning Individual and family level • Clarify problems • Summarize capital and potential The bedridden patients need for health care and supportive system • Health problems • Chronic illness or disability 1. Number and percentage of health status and chronic illness or disability Group and community level • Organizing the forum for leaning and finding the solution of problems solving • Health volunteers • Health care providers • Health care service • Related learning resources • Related leader groups 2. Number of patients who need health care and welfare • Planning and designing the activities to solve problem • Home-based services including check-up and transfer • Training care giver and volunteers • etc. 3. Number of volunteers and related civil groups

  12. Examples of Community Data Utilization:The abandoned people Problem & Issue Data collecting Data Analyzing Data Utilizing Individual and family level • Clarify problems • Summarize capital and potential • Planning and designing the ways of problems solving Poor and disadvantaged people in the society with health problem and no health care services • Living alone • Having congenital disease • Having unsafe houses 1. Number of person who living alone and health status or disability • Problems solving according to the plan • improve the system to be able to solve problems Group and community level 2. Number of abandoned people who need health care and welfare • Help system • Related learning resources • Related leaders 3. Number of volunteers and related civil groups • Volunteer group • Encourage funding

  13. Examples of Community Data Utilization:The smoking control by using community-based Problem & Issue Data collecting Data Analyzing Data Utilizing • Data verification and confirmation in discussion forum Individual and family level • Clarify problems • Summarize capital and potential A lot of smokers • The data of risky behaviors • The number of smokers • The problem of chronic diseases 1. Number and percentage of smokers • Preparing the presentation for the activities and forum of learning • How did the community manage? • What are the effects of smoking? 2. Number and percentage of smokers with chronic diseases Group and community level • The ways of communication • Related learning resources • Related leader groups • Organizingthe public forum for planning and designing the activities of problem solving 3. Number of communication for health promotion 4. Number of related civil groups Guidelines for smoking control by community-based

  14. Web Application www.tcnap.org

  15. TCNAP Questionnaires The individual and family level The group and community level

  16. Conclusion TCNAP Community strengthening • Community data base development • Multi-party initiatives on health promotion Improvement of community-initiated projects Provides sufficient evidences • Leaders of local administrative organizations • Other actors Community planning and Policy development

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