YOUTH FRIENDLY HEALTH SERVICE CLINIC FOR ACCESS TO FRIENDLY PUBLIC HEALTH SERVICE FOR TEENAGERS: A STUDY IN SAMUTSAKHON HOSPITAL

Abstract

This qualitative study aimed to examine the mechanisms and processes    of managing adolescent- and youth-friendly health services, as well as the roles of internal and external networks involved in the operation of the Adolescent Clinic at Samut Sakhon Hospital. The key informants consisted of 15 representatives from six sectors: the Ministry of Social Development and Human Security (2), the Ministry of Interior (2), the Ministry of Education (1), the Ministry of Public Health (7), the Ministry of Justice (1), a public benefit organization (1), and a volunteer art therapist (1). Participants were selected using stratified purposeful sampling. Research tools included document analysis and in-depth interviews. Data were analyzed through classification, grouping, and synthesis of field data.

The findings revealed that, regarding management mechanisms, the clinic had a clear vision and policies, encouraged stakeholder participation, received sufficient resources, and maintained a systematic monitoring and evaluation process. In terms of service delivery, the clinic provided integrated, flexible, and accessible services during office hours, after hours, and via online platforms.         It also operated an effective referral system and worked in collaboration with     a multidisciplinary team. For network collaboration, the clinic functioned as          a central coordinating unit, efficiently linking with partners, building trust, and fostering sustained participation. These factors enabled comprehensive care for adolescents and positioned the clinic as a model for youth-friendly health services at the local level.