การประเมินผลแผนปฏิบัติราชการ ประจำปีงบประมาณ พ.ศ. 2567 สำนักงานสาธารณสุขจังหวัดสมุทรสาคร
Abstract
Abstract
This research is an evaluation research study aimed at assessing the performance of the Fiscal Year 2024 Operational Plan of the Samut Sakhon Provincial Public Health Office, focusing on its alignment with the Ministry-level Operational Plan. The study emphasizes the analysis of the plan's efficiency and effectiveness. Researchers collected, studied, and analyzed data from relevant documents using content analysis. The research methodology included defining the population and sample, research instruments, research procedures, data collection, and data analysis. The population and sample consisted of the Fiscal Year 2024 Operational Plan of the Samut Sakhon Provincial Public Health Office and other related documents, such as the 20-Year National Strategy for Public Health, the Fiscal Year 2024 Operational Plan of the Ministry of Public Health, and the Fiscal Year 2024 Operational Plan of the Office of the Permanent Secretary, Ministry of Public Health. The data collection instrument was an evaluation form for the Fiscal Year 2024 Operational Plan of the Samut Sakhon Provincial Public Health Office, using the CIPP Model as a framework for evaluation across four dimensions: context evaluation, input evaluation, process evaluation, and product evaluation.
The research findings revealed the following : Context Evaluation : The vision, mission, objectives, goals, and four strategic plans of the Ministry of Public Health were found to be consistent with the public health issues in Samut Sakhon Province. The analysis of disease and health hazard situations identified key factors impacting health, including an aging society and increasing environmental problems. The health status of the population in Samut Sakhon Province showed a trend of improvement, with an overall life expectancy of 79.30 years. The plan generally addressed the health problems of the local population. However, challenges remained in ensuring consistent understanding and implementation across relevant agencies. Input Evaluation : In terms of personnel, the plan involved the establishment of steering and operational committees, with public health academics comprising the majority (51.14%). The first strategic issue had the highest personnel involvement (29.55%). Regarding budget, the highest allocation was from income funds, followed by provincial development funds and maintenance funds. Process Evaluation: Each stage of the process, including planning, implementation, monitoring, and plan adjustment, was evaluated. The planning phase adhered to the set timeline, and implementation followed the reviewed and approved plan. The second strategic issue received the highest budget allocation (10,901,750 baht), followed by the first (10,835,359 baht), fourth (4,151,770 baht), third (2,913,720 baht), and fifth (130,280 baht) issues, with a total project budget of 30,197,759 baht. Post-approval adjustments included 23 plan increases (24.21%) and 18 plan reductions (18.95%), with 56 additional plans approved, totaling 151 plans. The additional budget was 9,061,038 baht, but some projects faced integration issues, delays, or overlaps with other agencies, leading to plan cancellations. The first and second strategic issues saw the largest budget increases. Monitoring revealed 51 plan adjustments (57 times), primarily for timeline changes, budget reductions, and plan cancellations. Overall, data integration among agencies was crucial for reducing duplication and ensuring timely implementation. Product Evaluation: The Fiscal Year 2024 Operational Plan of the Samut Sakhon Provincial Public Health Office was evaluated in terms of budget disbursement and performance indicators. The first strategic issue received the highest budget, with 27,333,465 baht spent and 7,886,566 baht remaining. Performance indicators showed that the first strategic issue met 14 indicators and failed 1, while the second met 18 and failed 9. Overall, 40 out of 59 indicators were met (67.79%).
Research recommendations included : Analyze health situations in the local context, addressing issues like PM2.5, drug abuse, and traffic. Enhance interagency collaboration and include relevant professionals and personnel from the Provincial Administrative Organization and sub-district health promotion hospitals in plan development. Encourage workgroups and district health offices to seek external funding. Adhere strictly to the operational plan timeline. Conduct annual plan development workshops. Hold monthly meetings to monitor performance indicators and address obstacles.
Keywords : Operational Plan, Evaluation, CIPP Model.