Questions/Answers

Office of Disease Prevention and Control 3, Nakhon Sawan Province There is a mission to prevent disease for the people. From the surveillance report of communicable diseases in Mueang Nakhon Sawan district The patients were found annually on average of 10,000 from approximately 241,273 people. At risk are the elderly, children, students and workers. Even though these diseases can be prevented by themselves With this doubt, we surveyed the data and found the following issues: 1) People do not know what disease is in the area and what to do. I do not know if he is at risk of disease If you want to know, you must come to the health service. Cost time and think that health problems are a problem that the government has to serve. So people lacked awareness of taking care of their health until they were sick. 2) Health care agencies lack of technology to facilitate and reduce the process of providing services to people. For this reason, it is a challenge to solve the problem for people to receive information services from the government with digital technology thoroughly To manage their own health by themselves With the objective to allow people in Muang Nakhon Sawan District The goal of 10,000 people accesses information on surveillance and prevention services essential to health care using Line Chat Bot “Disease Surveillance Service” and to reduce the number of patients with diarrhea, dengue fever and hands, feet and mouth decreased by 5% of the patients in Muang Nakhon Sawan district. As a result of the performance, the public has access to more than 80% of health information. And many problematic communicable diseases tends to be reduced because people trust the quality of services provided by digital technology.

Line Chat Bot "Disease Surveillance Service" is consistent with the 1st branch with technological innovation development the government's for health services provide easy access. Comprehensive and equitable, convenient and fast No restrictions on gender, age, occupation, free of charge. It is a service of quality and reliability. Solve communication problems between and within the network. It is a new service system that is consistent with technological changes and is consistent with the digital government development plan of Thailand to improve operational efficiency. Reduce the budget of government agencies and benefit the people directly.

Using Line Chat Bot “Disease Surveillance Service” serving the people in accordance with goal 3 ensuring a healthy life and promoting welfare for all people of all ages. Results of the work show that approximately 10,000 people in the target group have access to public health services to receive services by add friend with Line Chat Bot “Disease Surveillance Service” by receiving services such as disease alerts that require surveillance, prevent disease screening know how to prevent disease can inquire 24 hours a day as a result, people have information to make surveillance decisions and prevent disease themselves and their families. And when evaluating results after using Line Chat Bot, it was found that people perceive the disease that requires more surveillance. In addition, collaborating with representatives of the public health sector. Driving the community disease surveillance service process by alerting epidemic disease in the community. To control the outbreak and this is another guarantee that people in the community will be vigilant to prevent the epidemic in the community. To end the spread of AIDS, tuberculosis, malaria and neglected tropical diseases. And fight against hepatitis waterborne and other communicable diseases by 2030.

Providing health services with Line Chat Bot “Disease Surveillance Service” sustainability requires participation from representatives of the public sector as a community Disease Surveillance Service strategy. Bring together a strategy that converts into an action plan that all parties understand the plan, ready to work as a team. And the main thing is People in the community must have access to health services for the benefit of self-management. People have to accept from seeing the benefits of using Line Chat Bot that happened to themselves.

Performance brings benefits to government services with limited budgets. Government officials with few but must serve many people as follows: 1) Reducing the process of receiving surveillance services from more than 10 service units to 1 step (one stop service) in mobile phones. Because people use Line Chat Bot to inquire immediately. 2) Reduced medical expenses, e.g. in 2020, the number of dengue cases decreased from 193 in 2019 (43% reduction). Medical expenses per person are about $ 320, reducing medical expenses up to 61,918 dollar/ year. 3) Reduce the workload of health workers, reduce the time, reduce travel expenses. 4) Reduce the cost of materials and equipment for disease control Because people can monitor themselves against disease. 5) Reduce disease prevention budget reducing the use of public relations materials, resulting in a 160 dollar per year. And when an outbreak occurs, use Line Chat Bot to inform the epidemic, disease control methods allowing the relevant parties to proceed immediately therefore there is no need to hold a meeting to direct it reduces the cost of each meeting by about 64 dollar.

Line Chat Bot “Disease Surveillance Service” serving the people with equal, no restrictions, all age groups and genders (female, male and LGBT) all age groups do not have caste divisions. Or discourage any group of people asking only the add friend phone will receive equal service. And socially vulnerable groups can reach even the elderly or children who may not be able to use it. Village health volunteers help teach people how to use them.

Line Chat Bot " Disease Surveillance Service " positively impacts target groups as follows: 1. Effects on the good health of the people. People in the district of Muang Nakhon Sawan received approximately 8,550 people from the original that people never received service. But now people are aware of the epidemic occurring in the community and take precautions to protect themselves to avoid them. Can be educated 24 hours a day as a result, many infectious diseases have a lower number of cases than ever before. 2. Affect the reduction of epidemics in the community. People use the disease screening function to assess their health condition as a result, people in the community can distinguish their health as healthy, vulnerable, sick. Use screening results to manage your own health. 3. Effects on government services Line Chat Bot is a tool that directly benefits people. It has a beneficial effect on government services because there is a limited budget and the number of staff members is insufficient to serve all citizens.

Project to use Line Chat Bot to serve people in health. There is a development process explain it as follows. 2015, in collaboration with community health service units local government organization representative of the public sector. Survey the needs of people to receive services from communicable disease problems in Muang Nakhon Sawan district and set a solution to the problem. 2016, in collaboration with Nakhon Sawan Rajabhat University to develop the application "Be aware of disease prevention" to be a service technology for testing, improvement and evaluation before being able to actually provide a service. 2017, in conjunction with the community health service local government organization Representatives of the public sector use the application " Be aware of disease prevention" Serve the people But found a problem, must scan the QR Code sticker which is limited in number, difficult to distribute to all people therefore, we have to switch to Line Chat Bot development. In order to be able to access without the need to scan the QR Code sticker 2018, developed Line Chat Bot to serve the needs of the people and began to try the service in conjunction with the application " Be aware of disease prevention". Found that the public was satisfied with Line Chat Bot. 2019, expanding the results for people in the district of Nakhon Sawan to use. Therefore resolved by improving the service system to be easy to access and improve according to the needs of the service recipients from listening to their opinions. 2020, jointly raise funds to develop Line Chat Bot with the Office of Disease Prevention and Control No. 5, Ratchaburi Province and 11 Nakhon Si Thammarat provinces.

The development of Line Chat Bot to replace the "Be aware of disease prevention" application. Because there are many problems which are 1) restriction of access to the application "Be aware of disease prevention" must scan QR Code stickers and distribute them limited. Solve problems for people to add friend with Line Chat Bot. Which will stay in the phone forever. And 2) application "Be aware of disease prevention" can not interact with the public. But Line Chat Bot can do so, people are satisfied with the service.

People receive Line Chat Bot service "Disease Surveillance Service". Which is a proactive service innovation of digital technology surveillance and prevention services. Like having a health worker on the people's phone. Has a duty to alert the disease to be aware of yourself on a regular basis. Encourage disease screening to know their health condition. And introduce knowledge on how to prevent disease. Able to respond with the public automatically it also helps to reduce steps, reduce time, budget and manpower of the government in service proactive, surveillance and prevention.

Line Chat Bot "Disease Surveillance Service" arises from the role of surveillance and prevention for people. Even though I know that in the Muang Nakhon Sawan district, there are people suffering from infectious diseases. Which group of people are sick with the disease? But was unable to go down to alert the disease to the public to watch and protect everyone. This has inspired the development of efficient technology. Providing people with fast surveillance information service Solve problems on the spot. Desires people to have the ability to take care of their health.

Line Chat Bot has been used to prevent disease surveillance service for people in the district of Nakhon Sawan. It is the application of skills, knowledge, information about diseases and health hazards to create a Line Chat Bot. People get service 24 hours. Payments need information knowledge of self-defense surveillance can be inquired from Line Chat Bot immediately. No need to apply for services from agencies, thus saving time, travel costs and reducing the congestion of health care agencies. Government sector cuts expenses, budget cuts and simplifies diagnosis procedures.

Line Chat Bot "Disease Surveillance Service" has an impact on the quality of life of the people in the Muang Nakhon Sawan district, helping people to access disease and health information. Able to monitor and prevent disease by themselves resulting in the number of patients with infectious diseases such as dengue fever, influenza, diarrhea, hands foot and mouth disease tend to decrease. As a result of the above results, he was given the opportunity to disseminate his work in the academic forum of the department of disease control. Ministry of public health. It is widely known and recognized and is guaranteed to be named by the State Excellence Award. Service development branch. Therefore there is an agency under the Department of Disease Control requesting to come and study and visit and help raise funds to develop and improve Line Chat Bot in accordance with the living conditions of the people. For use in responsible areas such as the Office of Disease Prevention and Control 9, Nakhon Ratchasima Province ,Office of the Prevention and Control Division 5, Ratchaburi Province and the Office of Disease Prevention and Control 11, Nakhon Si Thammarat Province.

No

Resources for developing and expanding Line Chat Bot "Disease Surveillance Service" include. 1) Finance this project, in addition to receiving a budget from the Department of Disease Control Ministry of Health every year and also received funding from the Tambon Administrative Organization in the district of Nakhon Sawan to expand the effect to cover. 2) Human resource development representatives of the public sector are village health volunteers 1,500 people to have the ability to transfer applications to people.

Factors that will make Line Chat Bot "Disease Surveillance Service" sustainable service explain it as follows. 1) Representatives from the public sector to participate in the actions from thinking, participating in assessing, and improving and people have to think that health is a matter of their own health that must not be a disease. 2) Many government sector projects are not sustainable at the end of the project or have no funding available. But not with this work because it is available in the form of digital technology.

Yes

Division of Innovation and Research assesses innovation. Set the assessment guidelines as follows it is something that the agency has developed. Never has any agency done this before and is accepted by the client. Measure the productivity of the number of service recipients whether they meet the target. Measure operational results from the perception of the people who have to know the diseases that need to be prevented and the ability to analyze public health risks and measure the impact from the number of patients that had to be reduced.

Indicators of innovation performance as follows: 95% of the target population is satisfied with the Line Chat Bot “Disease Surveillance Service”. With regard to ease of application, ease of service that reduces time Reduce steps and reduce travel costs. Set the following evaluation indicators: Number of service recipients from Line Chat Bot "Disease Surveillance Service". In the area of Muang Nakhon Sawan district, the target is 10,000 people. Performance indicators are 60% of people know disease in community.

The objective : more than 80% of target people in Muang Nakhon Sawan district, direct access to health services. Learn to use tools for surveillance. Prevent and take care of the health of yourself and your family. People accept this tool as something that reduces the risk of disease. Consistent with the assessment results found that 89% of the people. Recognize what disease there is that needs to be prevented 84%. Able to analyze the risk of disease can distinguish their own health levels. When measuring the number of infectious disease cases that are often found in Muang Nakhon Sawan district, it was found that Dengue fever decreased by 193 people, accounting for 43% (2019: 452, 2020: 259). Diarrhea decreased by 2,021 people, accounting for 66% (2019: 3,283 people, 2020: 1,262). And hand, foot and mouth disease decreased 309 people, accounting for 82% (2019: 380 people, 2020: 71 people).

Innovation development phase, in collaboration with Nakhon Sawan Rajabhat University, Line Chat Bot Co-analyze feasibility, design, test, improve before serving. It is designed with network agencies to meet the needs and expectations of the clients. And take suggestions of service recipients to improve their work even further. Working period with representatives of the public sector Transcribe how to use Line Chat Bot "Disease Surveillance Service " and set up a surveillance system to prevent disease in the community. Determine the baht chapter for disease surveillance as follows 1) community sector when the epidemic occurs will be notified in the LINE group. Whose members are village health volunteers, community leaders and some people. In order to control the disease Eliminate disease vectors, search for patients 2) The public sector uses Line Chat Bot " Disease Surveillance Service". To receive disease notification services, disease screening and study methods of disease prevention. Performance evaluation period In collaboration with the Division of Strategy, Planning and Innovation and Research Division. Participate in monitoring and assessing productivity, results, and impacts on people

Guidelines used to create partnerships with stakeholder networks that include: Local government organization Tambon Health Promoting Hospital Village health volunteers, community leaders, and people representatives. Achieve objectives Explained as follows. 1) Jointly analyze problems, disease situations, and disease consensus. Enter into a common area in all sectors to explore, collect health data, and synthesize clear issues affecting public health. Along with establishing solutions to solve problems. 2) Collaborate and discuss Presenting issues to the public Agree that what is presented here is a problem that must be solved. 3) Co-design the service system Set the mechanism to drive the work Set the service model And follow up operations. 4) assign roles and duties in the operation to Network of all sectors. Co-operate from the beginning every step, including sharing the concept of protection surveillance in the community. And jointly broadcast the use of Line Chat Bot "Disease Surveillance Service" to people in the community. 5) Cooperate with internal and external agencies to evaluate the performance at least once a year. In order to bring information to improve for the better.

1) Public health service provision must meet the public health issues. Must adhere to the principle of serving the needs of the people is a very important part. The Line Chat Bot "Disease Surveillance Service" can respond to the health problems of the network and people. 24 hours service. Automatically interact with people. People are satisfied. 2) Stakeholder engagement results comprising representatives from various sectors. Within the network to be able to jointly identify policy issues in various dimensions and can point out the opportunities for disease prevention and solutions to deal with problems in the first place. Representatives of each sector have specialized knowledge on public issues. Or public affairs services in different dimensions when those stakeholders combine their own knowledge, they make wise decision-making choices. In the sense that it is a decision that is consistent with reality and there is a possibility of action to achieve the goal as possible. And the results of joint thinking and problem solving. It also gives rise to new knowledge that is useful for improving people's wellbeing such as Knowledge of the prevention of dengue fever using folk wisdom.