A Participatory Model for Enhancing Well-being: A Case Study of ‘Makham Tia of Happiness’ in Surat Thani Province

Abstract

This study aimed to (1) examine the factors influencing health enhancement through participatory mechanisms, (2) investigate the participatory model of public health policy implementation, and (3) propose policy recommendations to strengthen participatory mechanisms at the local level. The case study was conducted in Makham Tia Sub-district, Surat Thani Province, where systematic health promotion activities have been carried out under the collaboration of local communities and multi-sectoral networks. A mixed-methods design was employed, consisting of quantitative data collected from 250 respondents and qualitative data obtained through in-depth interviews with 32 key stakeholders. Research instruments included questionnaires and interview guides, and data were analyzed using descriptive statistics and content analysis.

The findings revealed that: Objective 1 indicated that the most significant factors for health enhancement were religion and belief (mean = 4.28) and life philosophy (mean = 4.26), followed by public participation (mean = 4.12). Participation was reflected in community pride, shared benefits, strong social relationships, and public forums that enabled collaborative activity design. Health promotion was driven through both structural and thematic approaches, including youth activities, leadership capacity building, elderly care and health screening by the Sub-district Health Promoting Hospital, dissemination of collective results, waste management led by the Sub-district Administrative Organization and village health volunteers, continuous communication from community leaders, fostering pride in participation, and family relationship–strengthening initiatives. These factors contributed to high levels of happiness and well-being, particularly in the social and spiritual dimensions. Success was attributed to social capital, close community relationships, and creative leadership. For Objective 2, the main driving mechanism was the “Makham Tia Happiness Club”, which functioned as a central platform for coordinating collaboration among local administrative organizations, health services, village health volunteers, and external partners. The club organized activities tailored to community needs, including elderly care, healthy markets, waste management, and creative youth spaces. Regarding Objective 3, the study recommends establishing an official sub-district health committee, developing health plans based on local evidence, and promoting inclusive participation across all age groups to build a strong and sustainable healthy community.