ACCELERATED MODEL FOR HEPATITIS B AND C ELIMINATION IN LOPBURI PROVINCE

Abstract

This action research aimed to develop an accelerated model for hepatitis B and C elimination in Lopburi Province to reduce liver cancer mortality. The process included four phases: situation analysis, model development, pilot implementation, and provincial scale-up. Results showed screening rates increased by over 90%, with 80% and 86% of hepatitis B and C patients receiving treatment within 2 weeks to 2 months. Challenges included limited human resources, lack of physician confidence, and poor inter-agency coordination. The model proved effective in improving service efficiency, but sustained policy support and integrated system development are essential for long-term success.