A CAUSAL RELATIONSHIP MODEL OF FACTORS AFFECTING THE FFECTIVENESS OF ENVIRONMENTAL HEALTH SERVICE SYSTEM DELVELOPMENT OF LOCAL ADMINISTRATIVE ORGANIZATIONS IN NORTH-EASTERN REGION OF THAILAND

Abstract

The purpose of this research is to study and establish causal relationships among factors affecting the effectiveness of the development of the environmental health service system of the local administrative organizations. It also checks the consistency between models created with quantitative data and propose policy recommendations for the development of the environmental health service system of the local administrative organizations with mixed-method research methodology. The population was 442 municipality. The instrument was questionnaire with the reliability of 0.93. Samples for data collection were Mayor or Permanent Officer of the local administrative organizations, Director of Health and Environment Division and Environmental Health Practitioners. The samples were randomly selected of 521 random samples. Data were analyzed by computer program for frequency, percentage, mean, standard deviation Pearson's Product Moment Correlation Coefficient and Linear Structural Relationship Model Analysis. Research results found that factors affecting the effectiveness of the development of the environmental health service system consisted of 5 factors including Organizational leadership, Organizational Competency, Motivation to work, Organizational participation and Organizational effectiveness. The testing of model consistency with quantitative data found that there was a consistent pattern with quantitative data. Suggested policy recommendations are as follows: leadership development should be encouraged, the policy for the development of the environmental health service system as a measure that influences the LPA score should be established to motivate systematic development and sustainability.