Evaluation of the NCD@HOME Project to Manage Treatment and Care of Diabetes and Hypertensive Disorder Patients in Wattana Nakhon District, Sa Kaeo Province

Abstract

This research aimed to evaluate the NCD@Home Project to manage the treatment and care of diabetes and hypertensive disorder patients in Wattana Nakhon of Sa Kaeo province by applying the Logic Model, which included inputs, processes, outputs, and outcomes. It was carried out among the project workers caring for patients at health facilities and at home. The samples consisted of 26 primary project workers. Data was collected through in-depth interviews, focus group discussions, documents review on inputs and processes, and data retrieved from the service system on outputs and outcomes. Data was analyzed by content analysis, frequency, and percentage.

From the service data, the outcomes showed that after participating in the project, the proportion of diabetic patients who possess the HbA1c at the controllable level decreased, the proportion of hypertensive patients whose blood pressure was at the controllable level was similar to before entering the project., and there were no patients repeated visits as in-patients. In terms of outputs, the number of visits slightly decreased while the absence of appointments increased in the latter period. Findings from the documentary review together with interviews with key informants on inputs and processes showed that the refreshers’ courses for village health volunteers were not continuity, diagnostic and selection criteria reduced the impact on patients but limited the number of eligible participants, use of the application has been minimized, home visit and home drug delivery process was reorganized during the COVID-19 pandemic, insufficient budget, and some information systems were redundant.