DEVELOPMENT OF PREVENTION AND CONTROL ON TUBERCULOSIS MODEL IN SAMUT PRAKAN PROVINCE

Abstract This research is qualitative research. The objective is to study and develop the model of tuberculosis prevention and control operation in Samut Prakan Province. Using the McKensey 7's Model concept. The research was conducted during July 21 – June 2022. Tools Used Parts 1 Documentary Research Study the context of Samut Prakan province and guidelines for tuberculosis prevention and control operations. Part 2 In-Depth Interview on tuberculosis prevention and control operations in Samut Prakan Province. 12 key contributors and 14 focus group discussions. The study found that 1) Samut Prasad province is a metropolitan area, an industrial city that drives the economy; it has a passive population that is about 1 time greater than the population, according to the Rat Register, affecting the responsibility of healthcare workers in public health care. This is especially true during the COVID-19 pandemic. TB prevention and control performance based on key indicators in 2018 – 2021 is likely to decline, not achieve the target. This is due to the COVID-19 pandemic. As a result, operations are difficult due to increased workload of health officials. However, the public's good health habits in wearing masks. All the time as a result, new TB infections are likely to decline. 2) Development of TB Prevention and Control Operations In Samut Prakan Province, according to McKensey 7's Model, the strategy is based on the national anti-TB action plan, upgrading the mechanisms of ASM/ASAT and moving the search operation for infected and patients in the community in collaboration with local government organizations, accelerating the annual health check-up policy. And 5S as a base for improving the environment in households and in communities. Structure focuses on defining the responsible person clearly. The facility is clear and works in a multidisciplinary manner. The system focuses on utilizing NTIP programs to the fullest efficiency and thoroughness, driving SMART Hospital HA standards along with hospital quality assessment standards for TB care. Style, Strategy Leadership and Decentralization of Management for Practitioners. Staff managed in a network/zone format. Learn lessons learned (AAR) every year, continuously improving academic knowledge. Skill accelerates the development of essential skills, including interpersonal and motivational skills, Information Technology, Communication and Coordination, Consulting and qualitative measurement and the share values that are in every practitioner's heart are committed to achieving their goals under “Search to find, end with lost, and zero deaths ". And 3) Policy recommendations, expedite the comprehensive search for TB infections and TB patients by screening in vulnerable groups. Establish sustainable strategic management mechanisms and support the development of mechanisms for the implementation of public-private partnerships. To provide care for tuberculosis patients in all benefits, effective care is provided by the infected person at the center