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ABSTRACTS

THE PERCEPTION AND AWARENESS OF DRUG ADDICTS' SITUATION AMONG RURAL  COMMUNITY LEADERS OF SOONG-NERN, NAKORNRATCHASIMA

Mondha  Kengganpanich1 Niwat Ountapan2
Rural Health Training and Research Office, Faculty of Public Health,  Mahidol University

Kay words :  Perception, Awareness, Drug Addict, Rural Community  Leader.

                  The purpose of the study is to explore the perception  and awareness of the rural community leaders toward the problem of drug  addiction and approaches in solving it. A sample of six villages were selected  by the multi-stage random sampling method and data were collected through the  use of in-depth interview technique.
                  The sampled rural community  leaders revealed that in every village there were 2-4 cases of an adolescence  addicted  to inhaling thinner, such as rubber cement (KKK) among students and  out-of-school youth as well. addiction to marihuana and heroin are minor problem  but the use of amphetamine (ya-ma) nowadays is spreading into the rural  community.
                  The main cause of drug addiction is peer group pressure.   Monthly government meeting and television programs have influenced the  perception of the rural community leaders on the problem of drug addiction.   However, the leaders did not realize the problem seriously.  The leaders  suggested 3 levels of approaches in solving the drug addiction problem in the  rural community namely: prevention strategy in the family level, prevention and  control strategy in the community level, and control strategy in the community  level,and control by law in the country level.
 

THE ROLE OF THAI ELDERLY ON FAMILY HEALTH IN¬  RURAL AREA OF NORTHEAST  REGION

Sermpan  Nitnara

Rural Health Training and Research Office, Faculty of Public Health,  Mahidol University

Key word:  Elderly, Role performance, Northeast Region.
                  The objectives of this study are to identify existing roles of elderly people in  caring for health of their family members and to determine factors role  performances of three groups of elderly who spoke, Thai Korat, Laos, Phuthai in  the Northeast of Thailand.  Quantitative data were collected using  questionnaires and qualitative date were collected by in- depth interviews and  observations during April to July 1990. Results showed that 91.4% of elderly  lived in two generation families consist of the elderly couple and grand  children.  Ninety per cent of them were able to perform their daily living  activities freely and 55.4 per cent perceived that they were in good health and  had no chronic disease. There were 2 identified roles of elderly concerning  restoring health of the family member; 1) as care giver (20.3%) when one of the  family members get sick, 2) giving advise advise for source of care (39.1%).
                  There was no clear role of the elderly concerning prevention of  preventable diseases and health promotion activities identified in this study.   Education levels, ability to read and write, self-perception of health and  earning ability were found statistically statistically associated with above  mentioned roles performance. It is suggested that elderlies'roles as care giver  and  adviser should be maintained and also their roles in disease prevention and  promotion of health of their families should be promoted.

ECONOMIC, HEALTH AND LIFE SATISFACTION OF THE THAI  ELDERLY; A CASE STUDY  OF NAKHON SAWAN PROVINCE

Suwat  Thienthong1, Chanin  Chareonkul2

1 Office of the Permanent Secretary, Ministry of Public  Health.
2 Faculty of Public Health, Mahidol  University.

                  This study was based on data obtained from the survey conducted in  May 1993 by the Northern Regional Center for Training and Development of Primary  Health Care.  Samples of 897 elderly from 20 villages in 4 districts of Nakhon  Sawan Province were selected by using multistage stratification random sampling  technique.  The response rate was 79.5%
                  The results of this study  showed that female elderly reported more economic, psycho-social and health  problems and less life satisfaction than male elderly.  Using analysis of  variance, the dependent variable , the dependent variable was life satisfaction  score (LFSAT), the main effect variables were-locality: TMBOL, self-perception  of economic status: ECNSTS, and self-perception of health: SPHLTH.In addition,  the covariate variables in the model were-perception of seriousness of  psycho-somatic complaints : PCOMNT, stressful life events : SAD, and social  support : SOCSUP. Results of the analysis revealed that all variables in the  model except TMBOL were statistically significant influenced on level of life  satisfaction of the elderly (p<0.05). The Multiple R Squared of the model  was 0.28. Comparing between groups of the main effect variables, it was found  that self-perception of economic status was most directly influenced on life  satisfaction while the other variables  affected that influence of  self-perception of health on like satisfaction of the elderly.
                  Lesson learned from the study suggested the need for strengthening roles of  Tambol Council and Village Development Committee in support to the  implementation of Community Center for Primary Health Care. The study also  discussed the need for reorientation of supportive health services in support to  the improvement of quality of life of the underprivileged elderly in the  community.

THE COMPUTER'S OPTIMIZATION FOR DEVELOPING THE¬  HEALTH INFORMATION SYSTEM  OF PUBLIC HEALTH¬  AGENCIES

Tharadol  Kengganpanich

Rural Health Training and Research Office, Faculty of Public Health,  Mahidol University.

Key words:  Computer's Optimization, Developing the Health  Information System, Public Health agencies

                  The purpose of this research was to describe the situation and  problems of computer's optimization for developing the Health Information System  of Public Health Agencies.Questionnaire was conducted in 357 health personnel  who were trained in short course training of computer between March-July 1995
                  Mostly health personnel (95.24%) came from the agencies which have  computers and 72.72 % has ever used computer for data processing. For the  computer's experience 56.02 % has never trained in the short course training of  computer, however 50.70 % of untrained had abilities to use the computer's  application program (e.g. word processing, data base and presentation program)  and 42.58 % were in basic learning stage. The problems of computer's  optimization in Public Health agencies for developing the Health Information  System were lack of personnel who had knowledge about software packages and the  hardware's problem, either no enough computers or low capacity. For the  problems in personnel level are inadequate knowledge and the burden of routine. However the trend of the problem, both agencies and personnel level are the  quick changing of hardware while the personnel have not knowledge of hardware.
                  The suggestion for developing the Health Information System are in  3 aspects, the personnel should be developed by the formal and informal  education, the coverage of hardware should be in every levels and the policy of  developing the Health Information System should be clarified, unity and  standardized.

THE VIEW OF RURAL YOUTH FOR DRUG ADDICTS' SITUATION IN RURAL COMMUNITY

Tharadol  Kengganpanichl,  Niwat   Ountapanl

l Rural Health Training and Research office, Faculty of Public  Health, Mahidol University.

                  The objectives of this study was to explored the perception and  awareness of rural youth for drug addicts' situation and problem in rural  community and approaches in solving it. The six villages of Soong-noen  district, Nakornratchasima were selected by the multi-stage stratified random  sampling and the focus group discussion technique was used to collect data in  January 1996.
                  This study found that the smelling solvent such as  the rubber cement (KKK) is the drug addicts' problem of rural community occurred  in adolescence among students and out-of-school youth as well. Its' rate was 5  per 1000 population. Addiction to marihuana is minor problem and the use of  amphetamine (ya-ba) nowadays has not found in adolescence but occurred in some  drivers and employees which had seller in the community. The main cause of drug  addiction is peer group pressure and minor is family problem.
                  For  the knowledge of drug addiction, the formal education has effected to the  students were better than the out-of-school youth. Usually the newspaper and  television programs have influenced the perception of the rural community youth  on the drug addicts' situation and problem.¬  However, the realizing the problem  was so poor.
                  The suggestion for the solving approach of drug  addicts' problem of rural community both in the micro and macro level, which  integrated between protection and controlling strategy namely:¬  warmly family  building, adjustment the socializing pattern, behaving the good model of the  related adult (etc. parent, teacher, leader), strengthening the community, the  revision of public policy for addiction substance (etc. cigarette and alcohol)  and doing research to develop the education program for enhancing the  consciousness of youth in solving the drug addicts' problem of rural community.