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
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
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.