Integrated project of Share Love and Happiness (Pun Rak, Share Suk) and home visits for vulnerable groups is funded by the project of the older adult day care center Non Nam Thaeng sub-district, in the total amount of 20,000 baht. The objective is to develop a seamless integrated care model for vulnerable groups. The procedure/process is as follows:

The project meeting is organized for groups of people to participate and discuss. The working group consisted of representatives of the day care center from Non Nam Thaeng sub-district, Non Nam Thaeng sub-district community volunteer networks, and relevant network partners such as political sectors including people from the Office of Social Development and Human Security of Amnat Charoen Province, Amnat Charoen Provincial Administrative Organization, Amnat Charoen Provincial Public Health Office of Muang District. The university lecturers who are in charge of Family Health subject from the Faculty of Public Health Amnat Charoen Campus, Mahidol University and Amnat Charoen Hospital are also included. The representatives of Share Love and Happiness (Pun Rak, Share Suk Project), visit integrated homes for vulnerable groups with a plan to work together in the operation; for instance, finding vulnerable groups with complex problems, coordinate network partners in the community, and planning for home visits for those in vulnerable groups.

This project is integrated with the capacity building development to enhance skills and knowledge of community volunteer networks whose work to provide care and help vulnerable groups.  These volunteers perform follow ups, strengthen potential for sustainable livelihoods of people affected with alcohol addiction, having living difficulties, and vulnerable groups of Non Nam Thaeng sub-district Amnat Charoen Province in the fiscal year of 2023. The project receives a budget of 51,050 baht from Women and Men Progressive Movement Foundation (WMP). The work project is to search for potential volunteers/leaders of the future and enhance their knowledge and skills. The process starts from recruiting volunteers and leaders selecting from community networks and providing workshops on volunteer capacity building and development and future leader skills set. For instance, the workshop “Volunteer Mentors” provides coaching and follow up counseling system for those volunteers who have been working in the area continuously for more than 10 years.  It designs for sustainable system care, community assistance, monitoring and empowerment for the group of people affected by alcohol additions, people with living difficulties, and vulnerable groups.

The database system for vulnerable groups with complex problems is developed. The work is supported by Non Nam Thaeng Medical Center that acts as a coordination center and information management center working for vulnerable groups at sub-district level, which covering the work of all 14 villages.

Communication system for volunteers at Non Nam Thaeng sub-district to use for visiting vulnerable groups is developed. The system assists the work of community volunteer networks at Non Nam Thaeng sub-district. A Line group is set up for the purpose to communicate, report information on weekly follow-ups, and home visits.

There is a workshop to develop an integrated home visit model for vulnerable groups. The actions include preparation of a case-by-case home visit plan, procurement of materials needed for home visits, receiving donations from the older adult day care center of Non Nam Thaeng sub-district. Innovation development for health promotion and rehabilitation of vulnerable groups is implemented by the 3rd year university students from the faculty of Public Health Program Amnat Charoen Campus, Mahidol University and is integrated with Family Health subjects. The development project is funded by Amnat Charoen Campus, Mahidol University, older adult day care center of Non Nam Thaeng sub-district and donors.

The working group and network partners visit integrated homes of vulnerable groups case-by case as planned. Network partners work together in taking care of the problems, respond to the needs case-by-case, perform community surveillance, co-management with the community, provide health prevention, provide care and support, follow-ups, and enhance potential of the community by organizing activities and services at the older adult day care center. Services for vulnerable groups include shampooing and haircuts, cleaning houses together, providing healthcare knowledge education, coordinating to relevant community networks, renovating bathrooms and referring to their caregivers, and etc.

3^rd year students of the Public Health Science Program together with Family Health lecturers from Bachelor of Public Health Program Amnat Charoen Campus, Mahidol University visit the community to provide innovation to promote health and rehabilitation of vulnerable groups. The innovations consisted of 1) Sue Lam Ploen San Waen Jai, 2) Iron Man Safety Corner, 3) Doraemon Stroller, 4) Kidney Relief Corner, and 5) 9 squares table for older adult. Moreover, knowledge education on how to use innovations for vulnerable groups are given to the groups of family caregivers, and village health volunteers who are responsible for supervising, monitoring and evaluating the activities.

There are field visits to meet with vulnerable groups with complex problems, such as those who are bedridden and living alone without caregivers. Therefore, the community helps proceed the search for relatives and provide care during the inability to contact their relatives, and ensure that these vulnerable groups will be taken care in Bangkok through the support from Petchkasem Foundation, Amnat Charoen provincial office, and from those who donate to support travel expenses.

Summary of working performance, problems and obstacles encountered, care and assistance for improvement, and follow up visits on vulnerable groups as in individual or case-by-case according to the home visit plan every 1 month.

Summary of lessons learned from the operation of Share Love and Happiness (Pun Rak, Share Suk) and home visits for vulnerable groups and develop policy recommendations for caring for vulnerable groups to create a seamless integrated care system.

2.1 Database on vulnerable groups with complex problems is obtained.

2.2 There is an effective communication system for caring and helping vulnerable groups with complex problems.

2.3 A seamless integrated care model for vulnerable groups using community participation.

2.4 Vulnerable groups receive a seamless integrated care by the team of home visits in the total of 10 people.

2.5 The policy proposal for a seamless integrated care for the vulnerable groups has been initiated.

2.6 There is a formation of the network partners to provide a seamless integrated care for vulnerable groups. 

2.7 Vulnerable groups have better quality of life.

2.8 Vulnerable groups receive health innovative promotion and rehabilitation with the total number of 5 cases.

2.9 Vulnerable groups receive a budget for home improvements from the Office of Social Development and Human Security Amnat Charoen Province. The total of 1 person receive this budget.

2.10 Vulnerable groups are referred to their relatives for care in case of living along without caregivers. The total of 1 case is referred.

Target groups and areas that gain benefit

Vulnerable groups with complex problems at Non Nam Thaeng sub-district, Mueang District, Amnat Charoen Province

Impact

Local community level

Continuity and duration of the operation

The project has started since the month of February, 2023 until July, 2023. When the project is finished, it will be handed over to the working group of people at the older adult day care center of Non Nam Thaeng sub-district. Community volunteer networks and network partners continue to work together with professors and academicians from the Amnat Charoen Campus, Mahidol University. We together are working as a team by having the team from Non Nam Thaeng medical center plays as a main host in managing information system, supervising, monitoring the work, and coordinating network partners to provide care for vulnerable groups on a continuous basis.