plueme/wizJson huggingface dataset:
A community participatory action research aimed to assess knowledge, attitudes, and practices to prevent COVID-19 among the hill tribe population living in border areas including the impacts of the COVID-19. The ultimate goal was to to develop a model for preparedness and response COVID-19epidemic in the area. A validity questionnaire and special training programs developed were used as the tools. A total of 2,518 people were recruited. A moderate level of knowledge and attitude were detected. While a good level of practice to prevent the disease was found. Students were impacted from the pandemic of the COVID-19 in several dimensions such as having to stop studying and having trouble with online learning. The employees were terminated, and their salaries. Many people had debt during the pandemic. Farmers could not sell their products. A large proportion did not get the compensation from the government due to lack of Thailand national identification card (ID card). After the training, it was found that knowledge and attitude towards COVID-19 prevention and control of the participants improved significantly. The villagers were transformed from knowledge and prevention skills from people who attended the training program. There were many approaches to transferring knowledge and skills to the villagers: village broadcast, small group discussion, and small group training. All people in the villages had a better knowledge and skills in COVID-19 prevention and control with evidence of regular hands washing, wearing a mask and social distancing. Disease prevention and control implementation should be collaborated among community leaders, village health volunteers and villagers to maximize the effectiveness and efficacy especially under the situation of travelling restriction.
“The Proposal-based Policy Synthesis of Social Return on Investment (SROI) in Tackling the Coronavirus Disease 2019 (COVID-19) Pandemic under the District Health Board (DHB)” aimed to analyze the social return on Society (Social Return On Investment: SROI) of coping with the COVID-19 epidemic situation under the District Health Board (DHB) and to synthesize stakeholder analysis for policy recommendation. There are 6 DHB studies, i.e. Na Thawi DHB, Songkhla province, Bang phli DHB, Samut Prakan province, Bang Bua Thong DHB, Nonthaburi province, Song Phi Nong DHB, Suphan Buri province, Khon Kaen Muaeng DHB, Khon Kaen province, and Mae Sai DHB, Chiang Rai province. This research, there is mixed method research using the Social Return on Investment (SROI) concept of the Coronavirus Disease 2019 Epidemic Management System under the District Health Board (DHB). The study process comprised quantitative, qualitative method and participatory action research methods, using documentary research, secondary data, focus group, in-depth interviews, and questionnaires. Moreover, we use social value, financial proxy, net present value (NPV), cost-benefit analysis, and SROI calculation using a discount rate government bond 3%. The result of SROI under the Covid-19 management system of the District Health Board (DHB): 6 Case Studies during 2020-2021 with discount rate government bond 3% showed the following results: 1) Song Phi Nong DHB, Suphan Buri province has SROI of 1.59 times meaning that every one baht invested in the management system of Covid-19 under Song Phi Nong DHB has generated social value of 1.59 baht 2) Mae Sai DHB, Chiang Rai province has SROI of 2.58 times meaning that every one baht invested in the management system of Covid-19 under Mae Sai DHB has generated social value of 2.58 baht 3) Na Thawi DHB, Song Khla province has SROI of 2.25 times meaning that every one baht invested in the management system of Covid-19 under Na Thawi DHB has generated social value of 2.25 baht 4) Khon Kaen Muaeng DHB, Khon Kaen province has SROI of 0.98 times meaning that every one baht invested in the management system of Covid-19 under Khon Kaen Muaeng DHB has generated social value of 0.98 baht 5) Bang Bua Thong DHB, Nonthaburi province has SROI of 13.59 times meaning that every one baht invested in the management system of Covid-19 under Bang Bua Thong DHB has generated social value of 13.59 baht 6) Bang Phli DHB, Samut Prakarn province has SROI of 13.39 times meaning that every one baht invested in the management system of Covid-19 under Bang Bua Thong DHB has generated social value of 13.39 baht, respectively.
This research is continuous innovation and an effective additional protocol to reduce and control the COVID-19 pandemic by creating free COVID-19-surfaces and environments without the required routine cleaning process. A prototype of a clear “DSci sticker” has been coated with a solution of Ag-TiO2/WPU nanocomposite, which is a smart material that can generate active species with long-lasting property. Our sticker with virucidal efficacy of 99.99% against SARS-CoV-2 according to ISO 21702: 2019 standard has been developed. The ROS and Ag+ accumulate on the surface of virus particles and denature the viral proteins, offering broad action against unspecified targets (all virus proteins, not just the spike proteins), which could be helpful in all SARS-CoV-2 variants of concern. In addition, the cytotoxicity test was determined according to ISO 10993-5: 2009 standard to ensure that our sticker is safe and non-toxic to humans and animals (% cell viability >70%). To take this research into real practice, we tested antiviral efficiency against SARS-CoV-2 under the simulated practical conditions following ISO 21702: 2019. We mimicked a spreading of virus in air (coughing and sneezing) using a direct spraying model. The results showed that our sticker completely eradicated SARS-CoV-2. Our sticker is used for medical equipment with clear readability and labelling. It reduces risks of high-touch contaminated surfaces and its virucidal efficacy lasts for at least three months (≥99.90%). The prototype is prompted for Thai FDA registration of class 1 medical devices. Furthermore, a production process in this work can be scaled up for an industrial production.
Since the year 2019 till present (2022), all countries around the world have confronted with the Covid-19 pandemic. The Government of each country has launched several public health measures in responsive to the changes of the Covid situation as well as its own country context. The main objectives of this study were to prevent the spread of the disease and to reduce the infected cases and deaths. Public health measures included social distancing, city lockdown, travel restriction, and closure of public service places, restaurants, or schools. Those measures could cause negative impacts in several sectors, such as economic, environmental, and educational sectors. The Covid impact on education was of het concern as education is the foundation of human capital development. It has been found that approximately 1.6 billion children and adolescents (more than 90% of the total learners) in 190 countries could not physically attend their schools for several months due to school closure. In addition, above 100 million teachers and school staff had been affected by the rapid closures of schools. School closures resulted in the dropouts of about 24 million students. During the pandemic, many countries had adopted the online education approach in order to k continue the study activities for children. This study aimed to investigate the education management and health promotion and prevention activities for primary school children during the Covid-19 pandemic, and to develop policy recommendations for improving the quality of primary school education management and health promotion and prevention activities for children and parents for better preparation and responsiveness given any outbreaks in the future.
This cross-sectional research study aimed to study adverse events and unsafety after receiving types of Covid-19 vaccine. The sample of the study was people with sevem groups of chronic illnesses and older adults who received the Covid-19 vaccine from Ramathiodi Hospital, Bangkok. Purposive sampling was 1,254 cases. Data were collected by face-to-face interview, telephone, or online using the personal questionnaire and the Adverse Events questionnaire. Results showed that almost half of the participants received AstraZeneca+AstraZeneca of 48.79 %. Participants with chronic illnesses and older adults who received the different types of Covid-19 vaccine had the significant difference of adverse events both first dose (χ2=20.21, p<0.001), second dose (χ2=47.7, p<0.001), and the two-dose crossover vaccine (χ2=50.3, p<0.001). The participants who received the two-dose crossover vaccine of Astrazeneca+Pfizer/Moderna had the most adverse events of 67.7%. However, the two-dose from the same group vaccine of Sinovac/Sinopharm+Sinovac/Sinopharm reported only 28% of adverse events. People who were younger than 60 years old with chronic disease had a statistically significant difference in the greatest adverse events compared to healthy older adults with chronic disease who received both the first and second doses of the Covid-19 vaccine (χ2=24.36, p<0.001; χ2=18.31, p<0.001). In addition, Pfizer/Moderna reported the greatest adverse events of 17.4-38.7% such as local symptoms (pain, swelling, redness, hotness, itchy at the injection site), fever, and muscle pain. Moreover, twenty-two participants reported severe adverse events and need to receive first aid and visit the doctor. The results of this study suggested continuing the policy recommendations for vaccination by using the same type of vaccine Sinovac/Sinopharm or AstraZeneca. Using the cross-over type of vaccine is not recommended, especially, in-group of people who were less than 60 years old and had chronic illnesses to decrease adverse events and increase safety.
According to the situation of COVID-19 pandemic worldwide, policies and strategic measures
managing the new normal restrictions may impact the quality of life, especially in the aging population.
This study aimed to monitor and compare the quality of life across different periods of the COVID-19
pandemic in older adults stratified by regions in Thailand. Participants comprised 400 older adults living
in provinces representing five regions in Thailand with a total number of 2,000 participants. The self-reporting
questionnaires were applied for data collection, including personal and health information and
the EQ-5D-5L quality of life Thai version (of high reliability 0.89). Descriptive statistics was utilized for
overall personal and health information, and one-way analysis of variance was performed to examine
the change of quality of life among different pandemic waves. Findings revealed that most of the
provinces reported a higher quality of life and satisfaction of health at the first wave of the pandemic
than others. The restriction policy decreased mobility in older people. Comparing each province, findings
displayed that older people in Samut Prakarn had lower quality of life than others, such as Phrae
province. It might be because Samut Prakarn province with high number of cases imposed a maximum
infection control under a high restriction policy, while Phrae province with fewer cases enforced less
restriction requirement. The findings on quality of life informed that the maximum infection control
policy which decreased physical activity and lowered quality of life in older adults. Remarkably, the
results of the present study showed that quality of life varied depending on pandemic waves and regions.
These findings provided useful information to healthcare personnel and policymakers in Thailand to
develop further plans and services for older people to cope with future pandemics properly.
This study aimed to estimate the value of willingness-to-pay (WTP) for elderly care and study the
impact of factors on willingness-to-pay for the elderly care. A total of samples in this study were 420
people aged 18 years and older, living in Sa-Ad and Nongkung subdistricts, Namphong district, Khon Kaen
province. The study found that mean age of the samples was 57.6 years, 71.0% were females, 75.2%
had primary school education or lower, more than a half lived with a monthly household income of
<10,000 baht, more than a half reported having health problems, and 63.1% never provided care to
dependent elderly. The three major problems related daily activities reported were: 9.8% having difficulty
of physical movement, 8.3% feeling sick, and 6.9% having stress/depression. More than 90% of
respondents were willing to join and pay for the elderly care program. The mean value of willingness-to-pay
for the elderly care was 373.77 baht (SD=286.01). This study found that willingness-to-pay was significantly
associated with age, household income, smoking behavior, quality of life, selfcare problem, anxiety/
depression, willingness-to-join the care program and starting price (p < 0.05). The study also found
that WTP value was associated with household income, size of household, years of providing elderly
care, selfcare problem and starting price (p < 0.05). As willingness-to-pay for elderly care studies are still
limited in Thailand, findings of the present study could be good lessons for other areas or settings.
Tooth loss holds a complex relationship with oral health-related quality of life. A recent national survey reported only half of Thai elderly population with fewer than 20 remaining teeth had their
dentures made, despite a policy promoting denture fabrication free of charge. The aim of this study was to explore the perspectives of older adults’ perceived needs for tooth replacement. We purposefully selected older adults living in Dan Kwian subdistrict who were identified with a denture needed by a dental nurse but not currently wearing the prosthesis, for a face-to-face in-depth semi-structure interview. Data saturation was reached with 29 older adults. Inductive content analysis of the interview transcripts yielded two main themes. First, the factors influencing the needs for denture were: 1.1) “the word of mouth from neighbors & the village health volunteer as the main influencer” inducing the needs; 1.2) the socialization stimulated the needs; and 1.3) indirect cost despite free denture hindering the needs. Second, the dynamic of conflicting priorities: 2.1) from attach to detach once getting old or being ill; 2.2) changing perceived needs over time in response to changes in life circumstance. In sum, insights from this study may help reduce the discrepancies between professionally defined needs and the patient perceived needs.
The mechanical thrombectomy (MT) is the established standard and effective treatment for large
vessel occluded stroke patients. This research aimed to analyze whether MT was cost-effective when
compared with intravenous thrombolysis (IVT). This was a retrospective cohort study, reviewing medical
records of acute ischemic stroke patients with large vessel occlusion during 2015-2020. The study included
106 stroke patients treated with MT (n=66) versus IVT (n=40). The total cost of MT and IVT were estimated
at 568,587 baht and 121,582 baht, respectively. Both male and female patients treated with MT
had a greater quality-adjusted life years (QALYs) compared to those treated with IVT. The incremental
cost-effectiveness ratios for male and female patients treated with MT were 99,184 and 82,715 baht per
QALY gained, respectively. Conclusion: This study demonstrates that MT was cost-effective for treating
acute ischemic stroke judging against the willingness to pay of 160,000 baht per QALY of Thailand.
The present study’s objective was to investigate the claim behaviors of the insured persons
under Social Security Act’s Article 40 who had transportation related occupations. This would provide
lessons for other platform workers being prevalent during COVID-19 pandemic who chose to register
under Social Security Act’s Article 40. The Social Security Office’s administrative database between
2018–2020 provided a total of 417,135 insured persons for analysis. Descriptive statistics of number,
percentage, mean, and standard deviation were presented to reflect insured persons’ claim frequencies,
benefits and averaged days from registration dates to first claim dates by benefits. The analysis showed
that 4.1 percent of insured persons submitted claims. The average duration from the registration dates
to the first claim dates exceeded a year. The most benefit claims came from the sickness benefit. The
highest rate of denied claims came from the disability benefit. Developing effective communication
strategies for platform workers should consider potential claimants and their needs as found by this
study.
Aquaculture plays an important role in global food supply and in national economic development in low and
middle income countries. However, during the process of aquaculture production, farmer may inappropriately use
antibiotics to prevent and to treat infections. This may lead to antimicrobial resistance in humans and environment.
This study aimed to assess fisheries officers’ knowledge and awareness of antibiotic use, antimicrobial resistance, and
knowledge on regulations related to antibiotic use in aquaculture sector. A self-administered questionnaire survey was
conducted in 92 fisheries officers whose work was related to aquatic animal health and aquaculture management from
61 provinces in February 2019. The questionnaire comprised four parts: 1) knowledge about the Thailand’s National
Strategic Plan on Antimicrobial Resistance 2017-2021 (NSP-AMR); 2) knowledge on antibiotics; 3) awareness of antimicrobial
resistance; and 4) regulations on chemicals and antibiotic use in aquatic animals. Over half of the respondents
(57.6%) had heard about the NSP-AMR, but most of them (62.3%) did not know the content. The level of knowledge
of antimicrobial was measured using six true/false statements. Results showed that level of knowledge on AMR and
antibiotic use was high, as 73.9% of respondents gave correct answers to more than 3 out of 6. The majority of respondents
(more than 80.0%) correctly recognized the importance of antibiotic use and AMR problems, and all of the
respondents agreed that AMR was an important problem that needed policy attention. More than half of respondents
gave correct answers in all statements regarding the antimicrobial use regulations in aquaculture sector. This study was
the first study which assessed knowledge on antibiotic use and antimicrobial resistance among fisheries officers in
Thailand. We applied the questionnaire from the National Health and Welfare Survey 2019 and the results showed
that respondents had a high level of knowledge about antibiotic use and antimicrobial resistance. But, gaps remain in
the dissemination of antibiotic-related policies. Training should be provided to improve knowledge and awareness on
AMR and to support fisheries officers in regulating and ensuring rational use of antibiotics in the aquaculture.
The International Health Policy Program (IHPP) has been using household surveys conducted by
the National Statistical Office (NSO) for more than two decades. These surveys contribute to the advancement
of several health policies. This article presents successful evidence of IHPP using household
statistics survey data to support the process of health policy and health system development. Nine NSO
surveys related to health under 12 health topics include 1) universal health coverage, 2) health financing,
3) the burden of disease, 4) health (in)equity, 5) antimicrobial resistance, 6) smoking and alcohol consumption,
7) food and nutrition, 8) breastfeeding, 9) physical activity and sedentary lifestyle, 10) non-communicable
disease risk factors, 11) health workforce and 12) health of urban refugees and asylum
seekers. Five predominant characteristics of NSO surveys include (a) one-stop data source available for
most health domains, (b) national representativeness due to large and probabilistic sampling techniques,
(c) standard proxies for global and national monitoring systems, (d) ability to track health equity, and (e)
compliance with international benchmarking systems. The future challenge lies on improvement of the
quality of data and ensuring the sustainability of surveys.
The United Nations Sustainable Development Goal 11 commits to inclusive, safe, resilient, and sustainable cities and human settlements. Rapid urbanization can result in increased non-communicable disease burdens attributed to physical inactivity among the urban population. The patterns of physical inactivity and interventions to promote physical activity in the urban setting in Thailand are largely unknown. This study reviewed evidence on physical activity epidemiology and interventions to promote physical activity in the urban setting from the international and national studies, and recommended policy interventions that promote physical activity in the urban setting. The results suggested that promoting active transport such as walking, cycling, and use of public transport, integrating transit-oriented development in city design and planning, and supporting recreational activities for all groups of people, were key leverage policies that addressed the sedentary problem in Thailand.