4. In which ways is the initiative creative and innovative?
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Fort Prachaksinlapakom Hospital is the pilot unit in setting up the health behavior modification program starting in 2008 in 3 steps.
First, create motivation for the personnel to take care of their own health especially to have proper BMI since January 2009 we did detailed medical checkup for the personnel and found that more than 30% of personnel are overwight and increased at the rate of 7% per year.
Second, in 2012 we emphasized on making awareness and concern about BMI and balancing of food intake and exercise that match with age groups. In this phase there were increasing number of personnel who joined the program.
Third, Evaluation and Expansion of the program. We expanded the program to other units in the army and other health care units which aim to improve the health of the army personnel as well as the general population which will improve the capability of the national defense.
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5. Who implemented the initiative and what is the size of the population affected by this initiative?
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The Implementation of behavior modification programs to enhance health starts from the associated organization. The goal of the practice is to provide the armed force to focus on their own health and ready to maintain sovereignty. Fort Prachaksinlapakom Hospital of Thai military army seeks for the corporation with the Public Health Care Unit that there are qualified personnel to provide suggestions of the health care plan, training to armed forces. Army medical Department is responsible for research, analysis development plan and technology innovation that lead to success of the project.
Fort Prachaksinlapakom Hospital has enough various resources for activity to reach the target. To achieve the project-driven from the initial planning collaboration of all sectors within the Army medical department is the health of armed forces and capable to perform the duties effectively and be the model of good health to the public attention and lead to strengthened social landscape of the country as a whole.
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6. How was the strategy implemented and what resources were mobilized?
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Modifying health behavior project arise from the Thai army want the soldiers to take care of their health. To be effective in maintaining sovereignty and strengthening the nation, The start by using the integration of resources and people, who have expertise. In co-operation with Department of Health, Ministry of Public Health with researchers of the Army Medical Department. Preparation of workshop activities to the target group of Army troops. The budget for the project came from the Ministry of Defense. Then the action is performed by the medical staffs of Fort Prachaksinlapakom Hospital. The expert of the Department of Health Promotion, Ministry of Health advises with co-operating with the Army Medical Research and the Department of the stored data and evaluation of the project at all stages. A piece of medical equipment budget of the Ministry of Health and the operations performed on both the vehicle and the fuel cost of Fort Prachaksinlapakom Hospital. After the co-operation found that the success of the project is satisfactory. The Army has increased the budget to provide equipment for activities. The project expanded to cover all units in the estate bending forces. Operating throughout the duration of the project is to exchange knowledge experience and technology co-operation between agencies. The results have been tangible, is to use the resources of each agency with existing resources. So the Army has sustainable development.
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7. Who were the stakeholders involved in the design of the initiative and in its implementation?
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Achievement of the performance of the project starting from the year 2008 to present a summary of what has been implementing the project. The project has been that the troops participating in the BMI criteria increases which are a clear example as well as recognizing the importance of health. The direct impact of the mission assigned. The integration of resource efficiency. All this makes the execution of the project with higher achievement. Moreover, when the summary information throughout the project also found that the reduction of expenditures. Army can make this part of the budget which is used to develop the training, munitions and supply with the ultimate goal of the project to be stabilized for the nation.
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8. What were the most successful outputs and why was the initiative effective?
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Fort Prachaksinlapakom Hospital emphasized on sustainable solutions and require that the project be implemented continuously. In order to strengthen capacities in the operations of the army, the medical staff of Fort Prachaksinlapakom Hospital co-operating with the authorities of the project, the activities will monitor the implementation of the project. To collect data, the project was scheduled to be examined by two approaches; firstly, by monthly report. The Medical staff of Fort Prachaksinlapakom Hospital reported the event such as changes in BMI. The data is then sent to the Army, reported. The other approach is to check the reverse. Fort Prachaksinlapakom Hospital and Army Medical Department send the assessment team to confirm what had been reported.
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9. What were the main obstacles encountered and how were they overcome?
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The lack of understanding of the army personnel that are seen as important in health care which is the main problem at the beginning of the project. Fort Prachaksinlapakom Hospital has examined general health. Threfore, the army personnel knew and understood the dangers of health problems such as using BMI as a parameter. After the army personnel have the correct knowledge and awareness of the issues that will affect the national security by keeping armed forces to cooperate with the authorities for participation in various styles. Public relations has performed the duty by providing information which is useful to people who are not yet participating. The current projects are struggling to meet the requirement of the needs of our troops. The projects are much interested and paid attention to the public which needs the funding to support these activities. These are much beyond the capability of the Fort Prachaksinlapakom Hospital to continue the project to be sustainable. Since most people see the benefits and the importance of possible planning of health benefits, this problem needs to be urgently solved.
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