English 
Thai 
Author
Sirinrat Sangsirilak
Department of Public Health, Surin Hospital, Surin Thailand
Akekalak Sansirilak
Department of Psychiatry, Surin Hospital, Surin, Thailand
Abstract
Background: The department of mental health has surveyed Thai children’s IQ in the fiscal year 2559, found the average IQ was 98.2 the standard. In the regional health promotion center 9th reveals average IQ was 96.6 under standard, Then the regional health promotion center 9th started the 1,000 days miracles program for mother and children comprehensive, continuous, coordinated, integrative Family and Community-based care.
วัตถุประสงค์: ศึกษาประสิทธิภาพของโครงการมหัศจรรย์ 1,000 วันแรกแห่งชีวิตต่อพัฒนาการของเด็ก กลุ่มศึกษา: เด็กทารกที่คลอดจากมารดาตั้งครรภ์ที่เข้าโครงการมหัศจรรย์ 1,000 วันแรกแห่งชีวิต ตั้งแต่เริ่มดำเนินโครงการวันที่ 1 กรกฎาคม พ.ศ. 2560 ถึง 30 กันยายน พ.ศ. 2562 ในเขตรับผิดชอบคลินิกหมอครอบครัว โรงพยาบาลสุรินทร์ จำนวน 55 คน
Study area: Family Doctor Clinic Surin Hospital
Methods: Non-randomized intervention study.
Results: 110 pregnant women were included., 55 have joined the 1,000 days miracle program average age 27.6(± 6.5) yrs. and 55 were not joined the program average age 28.5 (±6.8) yrs. Gestational age while delivery were 38.5 weeks in joined group, 37.4 weeksin controlled. Almost were not high-riskpregnancy (87.4%). 12.6% were teenage IUGR GDM and anemia.The joined group were assigned to have 4 steps of 1000 days miracles program(Family and Community-based); 1. mind-consciousness training, 2. attending inspiration speech of Good parenting, 3. attending the child developmental stimulation and evaluation, 4. the positive reinforcement Home visiting. 110 Children from both groups were followed development by using DSPM at age 9, 18 months. Children from joined group have normal development more than controlled group 32.6%, 95%CI 14.5-51.2%(p=0.001) by using propensity score control the confounding by indicationand confounding by contraindication. Conclusion: Childrenfrom joined group have normal development more than controlled group 32.6%, 95%CI 14.5-51.2%(p=0.001) at 9 months-age, 23.4% at 18 months-age.
Method
Non-randomized intervention study.
Journal
Medical Journal of Srisaket Surin Buriram Hospitals
Year 2020
Link for more information https://he02.tci-thaijo.org/index.php/MJSSBH/article/view/241307
