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The Development of Model for Community Health Management at Lao Nadi 12
Mueang District Khon Kaen Province: Community Enhancement Leaving from
Slum

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S. Kumvongsa, N. Phujeewon, S. Sudlod, W. Daosri, A. Keawponpek, S. Janda, and K. Panidchakul 2
1 Graduate student in the Master of Nursing Science Program in Community Nurse Practitioner, Faculty
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of Nursing, Praboromarajchanok Institute, Ministry of Public Health, Thailand, and Faculty of Nursing,
Praboromarajchanok Institute, Ministry of Public Health, Thailand
Background: Slum communities have faced with challenges in many aspects, especially health problems
and accessibility to health care. Community health participation is needed to improve health outcomes.

Objective: This study aimed to develop a model for community health management and database
system by using community participation processes.

Methods: This action research study used six building blocks and social determinants of health as
a framework. Data were collected using a questionnaire, a structural interview questionnaire, and
participation observed technique and were analyzed using descriptive statistics and content analysis.

Results: Lao Nadi Community was a slum community located on the side of the railway. There were
a hundred thirty-four households with 377 people. Sixty-nine people were chronic diseases, especially
diabetes and hypertension diseases. Main health problems were lack of continuing treatment, lack
of caregivers, not pay attention to health, difficulty to access the Emergency Medical Service (EMS)
system, and no health database. The developed Model was consisting of 6 dimensions: 1) enhancing
health literacy and self-care skills for hypertensive patients, 2) developing community health leaders
and enhancing their health literacy in health screening and education, 3) developing capacities of
caregivers, 4) designing an emergency care system with community participation, 5) strengthening a
community primary health center, and 6) operating health database of the community and training
village health volunteers to perform health records. As a result, people in this community had been
able to access health care systems and increased health literacy and self-management skills. The
Poster Presentation Abstracts
community leaders were able to promote health of people and young health leaders were developed
by vision “Community enhancement Leaving from Slum.”

Conclusion: Key success factors were actively participation of community leader teams and village
health volunteers. This model should further develop for increasing self-care management and health
outcomes of people in the community.

Keywords: model for community management, health management, community participation,
vulnerable community, community health information

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Correspondence: Sangdao Janda, Faculty of Nursing, Praboromarajchanok Institute, Ministry of Public
Health, Thailand
E-mail: Sangdao.j@bcnkk.ac.th

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