Development Community Participation to Non-smoking Community, Tha Wang Pha District, Nan Province, Thailand

1. Development Community Participation
to Non-smoking Community
Tha Wang Pha District, Nan Province,
Thailand
Watchareekorn Piman , Jurarat Suriyathai , Derek Sutdan ,
Warisara Thakun , Sriwan Nosri and Peanthong Mungkala

2. Background
• Chronic Obstructive Pulmonary Disease[COPD] is
the high risk and high cost health problem in Tha
Wang Pha District.
• Top five cause of death in Tha Wang Pha Hospital.
• The risk factor is tobacco.

3. Background
• The most of patients were smoking.
• Smoking was popular in Thai people in the past they
had smoking to insect repellent.
• Donton and Banhan villages had 49 and 53 smokers.

4. Objectives
• To study the development community participation
to Non-smoking Community.

5. Materials and methods
• The study was the participatory action research
• Between April 2011 - March 2012

6. Population and Sample
• 13 stakeholders from each village
• 49 and 53 smokers in Donton and Banhan villages
• 50 and 55 teenage in Donton and Banhan villages

7. The instruments for data collection
• individual information
• Figure storm test for nicotine

8. The participatory action research
The research had 3 phase
• Pre - Research Phase for prepare
• The Research Phase
• Monitoring and evaluation phase

9. Pre - Research Phase
• For prepare the researcher
• Analyse community and primary care unit
• Improve cooperation of researcher and community
• Provide information and awareness to the
community

10. The Research Phase
• The participation technique was done in 4 steps in 3
times until the community were prevention risk factor
induce COPD in new cases
• Planning
• Practice
• Observation
• reflex on problem

11. The Research Phase
• The activity for smokers pre evaluation visited
spirometry for lung function test
figure storm test for nicotine were used
• The community participation activity
The policy was non-smoking
promoted cigarette -free shop in community
limited smoking area

12. The Research Phase
• Community smoke cessation clinic (5-9 pm) was
established and supported
• Empowerment by community leader and their
family
• Trans theoretical model of change was done and a
new anti-smoking youth.

13. Community smoke cessation clinic

14. The policy was non-smoking
Do not smoking in
celebration and religious
ceremony
Do not selling cigarette in
community

15. Empowerment by community leader and their family

16. Monitoring and evaluation phase
•Monitoring and evaluation with community
participation
in depth interview และ focus group
Clinical outcome

17. Results
• All of shops in community did not sell tobacco.
• A regulation-smoking community.
• Safety zone for smoking and a new anti-smoking.
• The empowerment and supportive within context and
community resources make impact for activity,
attitude to care in COPD patients.

18. Results
Topic Donton villages Banhan villages
N % N %
Smoker 49 100 53 100
Smoker and
participants
32 65.31 23 43.40
Smoker able to stop
smoking
26 53.06 20 37.74

19. Conclusions
• continuity to free smoking community
• prevention of new case COPD

20. Acknowledgement
Community leaders,Volunteer in Donton and Banhan
villages.
Donton and Banhan community.
Donton and Banhan Primary Contracting Unit.
smokers and teenage in Donton and Banhan villages.