THAILAND COMMUNITY NETWORK APPRAISAL PROGRAMTCNAP

AS A TOOL FOR COMMUNITY INITIATED SOCIAL SERVICES AND WELFARE

Assoc. Prof. Dr. Khanitta Nuntaboot

Center for Research and Development in Community Health System, Faculty of Nursing, Khon Kaen University Thailand

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Topics:

1. Introduction2. Development process and community involvement 3. Training of the trainers4. Results

1.Introduction

Local Government

(5,000-40,000 Population)

Social services and

Welfare

Community organizations

Public sectors

• Transparency • Social accountability

Participatory Action Research Projects (Ethnography, community survey, community planning, implementation, evaluation)

a unified and community-owned database system

Thailand Community Network Appraisal Program (TCNAP) • Support decision making• Community planning

Data

shar

ing

Data sharing

Target Population(aging, children, disabled, etc.)

2.Development process and community involvement

A unified database system

A community-owned database system

Data

bas

e sy

stem

man

agem

ent

Com

mun

ity le

arni

ng p

roce

ss1.Social capital encompassing

2.Communication systems

3.Health care

4.Population and education

5.Household and community economics

6.Natural resources and the environment

7.Political and conflict management

• Individual and Family level

• Group and Community level

1.Synthesis and sets of data necessary

2.Questionnaires development

5.Development of a training package

6.Implementation and verification for

further developments

3.Verify questionnaires

4.Development of an online data base system

• Community data-base team building• Management and utilizing team• Data collection team • Data checking team• Data entry team• Data collection and data checking• Data analysis• Report and findings utilization

3.Training of the trainers

Questionnaires and Online program management

Community learning

Conducted in the field using actual procedures as learning activities for participants

LearnersTrainers•Management and utilizing team• Data collection team • Data checking team• Data entry team

Healthy community project

Trai

ning

sub-

dist

ricts

70 sub-districts

more than 2,380 sub districts

The training package

4. Results

1.Training centers for TCNAP

•70 training sub-districts• More than 2,380 sub-districts in the network trained and implementing TCNAP as their community data base

2. Participation in TCNAP

Training center

Network

NetworkNetwork

Training center

Training center

• TCNAP team (approximately 150-250 individuals) • Local residents • Leaders of community organizations• Members of the village committee • Members of the community • Members of LAO and government

Network

4. Results (Cont.)

3. Community social services and welfare created

Utilizing of TCNAP report and findings

Group activities

Services

Welfare services

Career skills training

• increasing memberships• improving services• creating additional activities

• merging community funds• improving living conditions • etc.

• home care • security and safety • quit-smoking services • quit-drinking clinic• etc.

• loans for house building• wheelchairs• meals for children• etc.

• finance for funerals, • allowances for hospital stays• loans for careers• loans for farming• loans for education

• crafts• agriculture• mechanics• garments making• local goods making (mats, baskets, fishing nets), etc.

4. Results (Cont.)

4. Policy making at the community level

• Conventional• Unconnected• Sectoral activities

Holistic approaches

Support the decision making

(communities, society groups and organizations)

Research and Development

Establishing a specific data base system

Address particular health issues

Inter-sectoral movements in community-based

Initiatives to build public support

Local health issues

Community-based initiatives for health

promotion

• Household debts• Unemployment • Elders• Children under 5 Y• Etc.

Examples of Community Data Utilization: The elderly

Problem & Issue

Data collecting Data Analyzing Data Utilizing

Aging Society

• The number of the elderly• Health problem• Behavior risk• Chronic diseases or disability

• Civil group• The number of population • Health volunteers• Health care providers• Health care service

Individual and family level

Group and community level

• Clarify problems • Summarize capital and potential 1. Number and percentage of elderly 2. Number of elderly who need health care and welfare• living alone• need home care and assistance, • etc.

• Developing and organizing Project for help and support the elderly demand

• Organizing the discussion session for problems solving

• Providing basic health care• Providing assistance by volunteers• Establishing welfare fund• etc.

• Prioritizing the problems

3. Number of volunteers and related civil groups

Examples of Community Data Utilization: The Children under 5 years old

Problem & Issue

Data collecting Data Analyzing Data Utilizing

Need of child development and learning

• The number of children under 5 Y• Education level• Health status

Individual and family level

Group and community level

• Clarify problems • Summarize capital and potential 1. Number and percentage of children under 5 Y2. Number of children need for children development plan and learning

• Developing and organizing Project for child development and learning

• Training of the nannies • Providing child development center• Public spaces for childrens’ activity• etc.

• Prioritizing the problems and need

3. Number of volunteers and related civil groups

• Health care system• Health care volunteers • Related learning resources• Related leader groups

• Data verification and confirmation in discussion forum

Examples of Community Data Utilization: The bedridden patients

Problem & Issue

Data collecting Data Analyzing Data Utilizing

The bedridden patients need for health care and supportive

system

• Health problems • Chronic illness or disability

• Health volunteers• Health care providers• Health care service• Related learning resources• Related leader groups

Individual and family level

Group and community level

• Clarify problems • Summarize capital and potential

1. Number and percentage of health status and chronic illness or disability

• Planning and designing the activities to solve problem

• Organizing the forum for leaning and finding the solution of problems solving

• Preparing the presentation and the forum of learning

• Home-based services including check-up and transfer• Training care giver and volunteers• etc.

2. Number of patients who need health care and welfare3. Number of volunteers and related civil groups

Examples of Community Data Utilization: The abandoned people

Problem & Issue

Data collecting Data Analyzing Data Utilizing

Poor and disadvantaged people in the society with

health problem and no health care services

• Living alone• Having congenital disease • Having unsafe houses

• Help system • Related learning resources • Related leaders

Individual and family level

Group and community level

• Clarify problems • Summarize capital and potential 1. Number of person who living alone and health status or disability • improve the system

to be able to solve problems

• Problems solving according to the plan

• Planning and designing the ways of problems solving

• Volunteer group• Encourage funding

2. Number of abandoned people who need health care and welfare

3. Number of volunteers and related civil groups

Examples of Community Data Utilization: The smoking control by using community-based

Problem & Issue

Data collecting Data Analyzing Data Utilizing

• How did the community manage? • What are the effects of smoking?

A lot of smokers

• The data of risky behaviors • The number of smokers• The problem of chronic diseases

• The ways of communication • Related learning resources• Related leader groups

Individual and family level

Group and community level

• Clarify problems • Summarize capital and potential 1. Number and percentage of smokers

• Organizing the public forum for planning and designing the activities of problem solving

• Preparing the presentation for the activities and forum of learning

Guidelines for smoking control by community-based

2. Number and percentage of smokers with chronic diseases

• Data verification and confirmation in discussion forum

4. Number of related civil groups

3. Number of communication for health promotion

Web Application

www.tcnap.org

TCNAP QuestionnairesThe individual and family level The group and community level

Conclusion

TCNAP Community strengthening • Community data base development • Multi-party initiatives on health promotion

Improvement of community-initiated projects

Provides sufficient evidences• Leaders of local administrative organizations• Other actors

Community planning and Policy development