Stakeholders' Perspectives on Child Healthcare Services under Rural Health Reform in Thailand: A Qualitative Study.
Katemanee Moonpanane, Salisa Kodyee, Pimkanabhon Trakooltorwong and 2 others
PMID 39906252WHAT IT FOUND
Rural Thai families and providers described child health care as uneven, under-resourced, and hard to navigate during reform.
They pointed to village volunteers, teachers, local leaders, and clearer family communication as needed supports.
Key findings
01Stakeholders said rural child care was limited by unequal service distribution, uneven provider training, and difficult policy transfer.
02Parents said families with less education or lower income often lacked clear information and faced logistical barriers to using services.
03Participants described collaboration with village health volunteers, teachers, and stronger family engagement as opportunities to support child healthcare.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was done in a rural district in northern Thailand, so the views may not match other places. It reports perceptions, not measured child health outcomes, so it cannot show that services improved or that any solution worked. Participants were selected because they had experience with child care, not randomly, and some stakeholder groups were small. The authors note that the COVID-19 pandemic affected participant access and service use during the study.
Declared interests
The supplied text does not report a conflicts-of-interest statement or funding source.
The easy way to misread this
Do not conclude that decentralisation or community collaboration improves child health outcomes. This study reports stakeholders' perceptions in a rural Thai district and did not measure health outcomes or compare services before and after reform.