ArticleHealth promotion perspectives2025
Assessing the operational effectiveness of village health volunteers in Thailand: A structural equation modeling analysis.
Article in Health promotion perspectives, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Village health volunteers (VHVs) play an essential role in Thailand's primary healthcare system by promoting health, preventing diseases, and ensuring community well-being. However, their operational effectiveness is influenced by several key factors, including transformational leadership, employee commitment, and job satisfaction. This study investigates these relationships and their implications for sustainable community health systems. Methods: A mixed-methods approach was utilized, combining quantitative data from 280 VHVs across Thailand's lower central region with qualitative insights gained from focus group discussions (FGDs). Structural Equation Modeling was employed to evaluate the relationships among transformational leadership, employee commitment, job satisfaction, and operational effectiveness. Results: The findings reveal that transformational leadership significantly predicted employee commitment (β=0.80, Conclusion: To sustain effective community health programs, it is vital to enhance leadership capabilities, improve job satisfaction, and foster commitment among VHVs. These findings offer actionable insights for policymakers to create leadership training programs, enhance incentives, and implement strategies for workforce retention. Strengthening VHV systems can significantly contribute to sustainable healthcare delivery and health equity in Thailand.
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