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摘要


Introduction: Health literacy (HL) can improve behaviors and health status. In the era of digital and technology advancement, It will enhance HL and also solve important health problems. Objectives: 1. To develop systems and mechanisms for enhance HL through use of proper technology, suitable social medias for the community. 2. To strengthen the capacity for design and develop technology , motivate HL for the target group. Methodology: Participatory Action Research (PAR) by interested volunteer communities in the northern region of Thailand has started since March 2019 - 2021, this project was getting support from Saeng Sitthikan Foundation (for Quality of Life) and Health promotion center region 1, Chiang Mai, Department of Health. We used The nine-steps building of health literate organization, There are 4 important steps: 1) analysis and assess problems on community context 2) design developments by emphasis on participation and appropriate technology 3) model implementation 4) assessing of development outcomes. Results: The nine-steps building health literacy organization and strengthening the capacity can be applied for enhancing health literacy of people in the four communities as follows: Community 1: HL enhancement of families and kidney disease patients for decrease progression rate of chronic kidney disease (CKD). Jointly developed Care Kidney application to assess the risk of CKD and track daily sodium intake. Make them improve about decrease consumption of high-salt diet. Community 2: Enhance HL in pregnant women for healthy pregnancy, birth safely, breastfeeding for 6 months, raising healthy children aged 0-5 years, focusing on community participation by using Line OA, Line group and 1,000 days of miracles application to create a reciprocal channel and enhance HL in mothers and children. Make them have better outcomes. Community 3: This community are aging society (23.86% elderly).We create re-unite of elderly club for develop a quality of life, health promotion, Emphasize target group using appropriate technology to enhance the HL of the elderly's desirable behavior such as Pill reminder Pro app for helps remind when taking medicine, Magnifying Glass With Light helps expand the text on screen can make better reading, Pocket Physio collects exercises steps, OLDSTER: social network application for retirees, etc. Make them improve desirable behavior. Communitiy 4: A problem of agricultural chemical side effect. Establishing Community Pest Management Center by integrate with District Health Promoting Hospital, Sub district Administrative Organization, Online VHV applications, LINE GROUP app for communication, surveillance, protective equipment while using pesticides, use biological, cleaning vegetables/fruits. Conclusion: The nine-step building of health literate organization, creating and choosing proper digital-technology by strengthening community capacity are enhancing HL and improving health status .

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