District Health Management for Diabetes and Hypertension Risk Groups by District Health Coaching Team: A case of Kosamphi Nakhon, Khampangphet

Abstract

District health system is a priority in community health management. This article aims to design and develop social mechanism for managing diabetes and hypertension, at district level. Transformative learning theory and empowerment are spurred to increase 140 voluntary health coaches including district health practitioners, community health volunteers, local politicians, non-government officers, professionals from local academic institutions, and community leaders. 80 volunteers from risk groups were selected from three Kosamphi Nakhon sub districts in Khampangphet. Then, grounded theory has been employed during qualitative practice and lesson learning process. The data collection include interview guideline, observation checklist, learning recorded form and empowerment evaluation form. Data were analyzed by using content analysis and descriptive statistic, and t-test before presenting in the form of good practices. The results showed that transformative learning process and capacity building model significantly helped increasing capacity of health coaches in district health management. This system significantly reduced risk behaviors of diabetic and hypertension risk groups an alpha level of 0.05. Moreover, the system harmonized with socio-cultural aspect of the target community.