Factors Related to the Performance of the District Health Board in Chainat Province

Abstract

This study aimed to investigate (1) the operational level of the District Health Board (DHB) in Chainat Province, and (2) the factors associated with its operations. The study population consisted of 168 DHB members from all districts in Chainat Province. Data were collected using a structured questionnaire, which was validated for content with an item-objective congruence (IOC) index ranging from 0.67 to 1.00 and demonstrated a reliability coefficient of 0.969. Descriptive statistics, including percentage, mean, and standard deviation, together with Pearson’s correlation coefficient, were employed for data analysis.

The results indicated that the overall operational level of the DHB was high (μ = 3.21, σ = 0.53). Regarding personal factors, significantly related to performance (p-value = 0.000) For management resources, an overall moderate correlation was found (r = .540, p < 0.01), with personnel showing the strongest correlation (r = .542, p < 0.01), followed by materials and equipment (r = .468, p < 0.01), management (r = .438, p < 0.01), and budget (r = .380, p < 0.01). In terms of administrative processes, a moderate correlation was also observed (r = .535, p < 0.01). Among these, organizational structure showed the strongest correlation (r = .489, p < 0.01), followed by work control (r = .481, p < 0.01), leadership (r = .468, p < 0.01), and planning (r = .446, p < 0.01). Overall, both management resources and administrative processes were moderately correlated with DHB operations, with personnel and organizational structure identified as the most influential factors.