PMID- 29804461 OWN - NLM STAT- MEDLINE DCOM- 20181211 LR - 20181211 IS - 1445-6354 (Electronic) IS - 1445-6354 (Linking) VI - 18 IP - 2 DP - 2018 May TI - Participatory capacity building for improving quality of childcare centers in Thailand. PG - 4570 LID - 10.22605/RRH4570 [doi] AB - INTRODUCTION: Childcare centers (CCCs) with good quality standards can be effective in reducing the risk of diseases being easily spread from person to person. The aim of the present study's program, adapted from a method used by the United Nations Development Program, was to increase the capacity of local administrators(s) and heads of CCCs to improve quality standards. METHODS: This study was quasi-experimental, with a one group pretest-post-test design. In this study the authors describe the effects and impacts of the program in Chonburi Province in eastern Thailand. Six LAs and 48 CCC heads were trained regarding (1) knowledge of the Thai Department of Health quality standards, (2) implementation and assurance and (3) program evaluation. The program consisted of three sequential participatory workshops. Effects at the center level were increased overall knowledge of quality standards of CCCs (QCCC), and developed skills of improvement plans. The impact at the center level was CCCs achieving the QCCC. At the child level it was the reduction in the period prevalence of three diseases and two symptoms. RESULTS: The significant (p<0.05) effects and impacts at the center level were increased overall knowledge of QCCC in LAs and CCC heads and increased overall managerial skills of CCC heads. At the child level, the period prevalence of chickenpox and diarrhea symptom were reduced. CONCLUSION: Participatory capacity building is an appropriate way to enhance the managerial skills of LAs and heads of CCCs for improving quality of CCCs to meet the local authority and the Ministry of Public Health quality standards. FAU - Petcharoen, Hataya AU - Petcharoen H AD - Department of Public Health Administration, Faculty of Public Health, Mahidol University, 420/1 Ratchawithi Road, Bangkok 10400, Thailand hataya@scphc.ac.th. FAU - Suwannapong, Nawarat AU - Suwannapong N AD - Faculty of Public Health, Mahidol University, 420/1 Ratchawithi Road, Bangkok 10400, Thailand nawarat.suw@mahidol.ac.th. FAU - Howteerakul, Nopporn AU - Howteerakul N AD - Faculty of Public Health, Mahidol University, 420/1 Ratchawithi Road, Bangkok 10400, Thailand npp92432@yahoo.com. FAU - Tipayamongkholgul, Mathuros AU - Tipayamongkholgul M AD - Faculty of Public Health, Mahidol University, 420/1 Ratchawithi Road, Bangkok 10400, Thailand mathuros.tip@mahidol.ac.th. FAU - Ramaswamy, Rohit AU - Ramaswamy R AD - Gillings School of Global Public Health, Public Health Leadership Program and Department of Maternal and Child Health, 4107 McGavran-Greenberg Hall, CB #7469 135 Dauer Drive, Chapel Hill, NC 27599, USA ramaswam@email.unc.edu. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180528 PL - Australia TA - Rural Remote Health JT - Rural and remote health JID - 101174860 SB - IM MH - Adult MH - Capacity Building/*organization & administration MH - Child MH - Child Day Care Centers/*organization & administration/standards MH - Child, Preschool MH - Female MH - Humans MH - Knowledge MH - Program Evaluation MH - Quality Improvement/*organization & administration MH - Thailand OTO - NOTNLM OT - Thailand OT - child-care center OT - local administrative organization OT - participatory OT - quality standards OT - capacity building EDAT- 2018/05/29 06:00 MHDA- 2018/12/12 06:00 CRDT- 2018/05/29 06:00 PHST- 2018/05/29 06:00 [entrez] PHST- 2018/05/29 06:00 [pubmed] PHST- 2018/12/12 06:00 [medline] AID - 4570 [pii] AID - 10.22605/RRH4570 [doi] PST - ppublish SO - Rural Remote Health. 2018 May;18(2):4570. doi: 10.22605/RRH4570. Epub 2018 May 28.