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

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.

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.

Objectives • To study the development community participation

to Non-smoking Community.

Materials and methods • The study was the participatory action research

• Between April 2011 - March 2012

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

The instruments for data collection • individual information

• Figure storm test for nicotine

The participatory action research The research had 3 phase • Pre - Research Phase for prepare

• The Research Phase

• Monitoring and evaluation phase

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

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

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

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.

Community smoke cessation clinic

The policy was non-smoking

Do not smoking in celebration and religious

ceremony

Do not selling cigarette in community

Empowerment by community leader and their family

Monitoring and evaluation phase •Monitoring and evaluation with community participation in depth interview และ focus group

Clinical outcome

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.

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

Conclusions • continuity to free smoking community

• prevention of new case COPD

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.