Potential development of health establishments according to SHA standards in Bang Rak area Bangkok

Abstract

This study aimed to (1) examine the current conditions of health establishments in Bang Rak District, Bangkok, (2) assess and compare the level of knowledge among business operators before and after training based on the Amazing Thailand Safety and Health Administration (SHA) standards, (3) develop the establishments to meet SHA certification standards, and (4) analyze the enabling and hindering factors affecting the implementation of SHA standards. This research employed a research and development (R&D) approach using mixed methods. A purposive sampling technique was applied to select 15 uncertified health establishments. Qualitative instruments included semi-structured interviews, observational checklists, SHA assessment forms, participatory observation forms, and follow-up reports. Quantitative tools comprised knowledge assessment forms and a training manual for capacity development of health establishments. Qualitative findings revealed key obstacles such as procedural complexity, limitations in personnel and budget, and lack of understanding about SHA standards. However, business operators expressed positive attitudes and intentions to participate in the certification process to enhance business credibility. Quantitative results indicated an increase in SHA knowledge scores from a pre-training average of 7.64 to a post-training average of 9.78. All 15 establishments successfully achieved SHA certification. The study demonstrates that capacity development aligned with SHA standards not only enhances service quality but also equips establishments to effectively respond to public health crises such as the COVID-19 pandemic.