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Enterprise-Based Participatory Action Research in the Development of a Basic Occupational Health Service Model in Thailand

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  • Kankamol Passaranon

    (Department of Community, Family, and Occupational Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand)

  • Naesinee Chaiear

    (Department of Community, Family, and Occupational Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand)

  • Napak Duangjumphol

    (Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima 30000, Thailand)

  • Penprapa Siviroj

    (Department of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand)

Abstract

Various basic occupational health services (BOHS) are provided, particularly in-plant BOHS; however, it might be necessary to start expanding BOHS. The current study focuses on BOHS model development using participatory action research (PAR) at a large-sized enterprise in northeastern Thailand. The PAR began with a situation analysis using ILO Convention C161, problem and cause analysis, the development of an action plan, observation and action, evaluation, and replanning. The research tools included interviews, focus group discussions (FGDs), and participant observations. The participants included managers, human resource staff, safety officers, and workers. Both inductive and deductive thematic analyses were undertaken. The results showed that (1) education and learning experience led to the workers detecting work-related diseases early by themselves and the implementation of medical surveillance programs; (2) the workers’ occupational health needs led to return-to-work assessments and first aid room system development; (3) the employer’s experience led to appropriate fit-for-work examinations and emergency preparedness; and (4) the feedback from BOHS providers led to a hospital-to-in-plant return-to-work conversion. The study concluded that the enterprise could develop fit-for-work and return-to-work assessments as per the ILO Convention C161 under the policy; however, medical surveillance and the first aid room system need to be developed through counseling at the hospital’s occupational medicine clinic.

Suggested Citation

  • Kankamol Passaranon & Naesinee Chaiear & Napak Duangjumphol & Penprapa Siviroj, 2023. "Enterprise-Based Participatory Action Research in the Development of a Basic Occupational Health Service Model in Thailand," IJERPH, MDPI, vol. 20(8), pages 1-28, April.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:8:p:5538-:d:1125298
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    References listed on IDEAS

    as
    1. Marie Astrid Garrido & Verónica Encina & María Teresa Solis-Soto & Manuel Parra & María Fernanda Bauleo & Claudia Meneses & Katja Radon, 2020. "Courses on Basic Occupational Safety and Health: A Train-the-Trainer Educational Program for Rural Areas of Latin America," IJERPH, MDPI, vol. 17(6), pages 1-20, March.
    2. Elizabeth S. Wilcox & Ida Tsitsi Chimedza & Simphiwe Mabhele & Paulo Romao & Jerry M. Spiegel & Muzimkhulu Zungu & Annalee Yassi, 2020. "Empowering Health Workers to Protect their Own Health: A Study of Enabling Factors and Barriers to Implementing HealthWISE in Mozambique, South Africa, and Zimbabwe," IJERPH, MDPI, vol. 17(12), pages 1-17, June.
    3. Aditya Jain & Juliet Hassard & Stavroula Leka & Cristina Di Tecco & Sergio Iavicoli, 2021. "The Role of Occupational Health Services in Psychosocial Risk Management and the Promotion of Mental Health and Well-Being at Work," IJERPH, MDPI, vol. 18(7), pages 1-24, March.
    4. Felicia S. Los & Henk F. van der Molen & Carel T. J. Hulshof & Angela G. E. M. de Boer, 2021. "Supporting Occupational Physicians in the Implementation of Workers’ Health Surveillance: Development of an Intervention Using the Behavior Change Wheel Framework," IJERPH, MDPI, vol. 18(4), pages 1-15, February.
    5. Nicola Magnavita, 2018. "Medical Surveillance, Continuous Health Promotion and a Participatory Intervention in a Small Company," IJERPH, MDPI, vol. 15(4), pages 1-13, April.
    6. Masilu Daniel Masekameni & Dingani Moyo & Norman Khoza & Chimwemwe Chamdimba, 2020. "Accessing Occupational Health Services in the Southern African Development Community Region," IJERPH, MDPI, vol. 17(18), pages 1-11, September.
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