1. Project Name

Elderly Care System Development Project Using Community-Based Approach

2. Objectives

1. To expand the health behavior change project for desired behaviors among the elderly in Nakhon Phanom Province

2. To expand innovative health promotion programs for the elderly, including good death preparation innovation, youth volunteer innovation, and day care center management innovation for the elderly

3. To develop a model center for preparation to enter elderly age

4. To develop a diabetes prevention model for people preparing to enter elderly age

3. Process/Methodology

1. To expand the health behavior change project for desired behaviors among the elderly in collaboration with the Provincial Public Health Office and the Office of Social Development and Human Security

2. To develop a mechanism for innovation expansion in collaboration with the Regional Health Committee for People in Region 8 and the Thai Health Promotion Foundation (ThaiHealth)

3. To develop a model center for preparation to enter elderly age through participatory action research

4. To develop a diabetes prevention model for people preparing to enter elderly age by adjusting the urban primary health care system

4. Project Results

4. Project Results

4.1 Output

1. There are 15 projects receiving funding support for elderly health promotion strategic initiatives, covering 6 districts, with 366 project management committee members, 569 volunteer participants in the area, 52 communities, 2,944 elderly participants, and increased health behavior changes after joining the project.

2. A mechanism was established for developing a diabetes prevention model for people preparing to enter elderly age, with innovation expansion covering the entire health region of 7 provinces, resulting in 17 MOUs with organizations to implement the innovation.

3. One aging society preparation center was established in the community, serving as a provincial model.

4. There were 80 participants in diabetes prevention for people preparing to enter elderly age through adjustments to the urban primary health care system, with 80% successfully controlling their diet and losing weight.

Outcome

1. Model Areas and Activity Areas

1.1 Establishment of capable working teams with community linkages, sub-district health promoting hospitals, schools, and elderly communities

1.2 Development mechanisms were established

1.3 Learning resource areas were developed with increased exercise spaces and organic vegetable plots

1.4 Exercise areas were created

1.5 Villages have self-health management

1.6 Model elderly persons in exercise, quitting alcohol, quitting smoking increased in many areas

1.7 Integration of projects into sub-district plans or connection with sub-district health insurance fund budgets

2. Alcohol-Free Funeral Ceremonies

2.1 Alcohol-free funeral ceremonies increased in many villages

2.2 Average alcoholic beverage expenses at funerals significantly decreased in some areas

2.3 Community rules and regulations were established

3. Expenses and Income

3.1 Many households were able to reduce expenses from purchasing vegetables

3.2 Some households increased income from selling organic vegetables

3.3 Average spending on alcohol and cigarettes by the elderly tended to decrease in some areas

4. Health

4.1 Many elderly persons had no illness or emergencies from chronic diseases after project implementation

4.2 The preparation group of 80 people remained free from diabetes

Impact

1. Nakhon Phanom Province and Health Region 8 adopted the innovation, resulting in increased community-level management.

2. Communities have processes to prepare people in the area to enter elderly age with quality.