DSS,

1. Physical Geography of the Kanchanaburi DSS

Kanchanaburi province is located in the Western are of Thailand and administratively is included in the Central region. It is about 129 kilometers west of Metropolis, the capital city. Kanchanaburi is Thailand's third largest province, covering an area of 19,486 square kilometers. The province includes both mountainous and plain areas and borders to the west. The province of Kanchanaburi consists of 13 districts.

2. Procedures

2.1 Introduction

The DSS area consists of 100 villages/enumeration districts scattered throughout Kanchanaburi province. The area is divided into five strata; urban/semi urban, rice, plantation, highland, and mixed economy. The selection of the 100 communities was structured to reflect diversity in social, economic and ecological conditions found in the province.

The objectives are to monitor population change within the area and to evaluate the effects of interventions. Changes in population are to be linked to changes in social, economic and environmental conditions. This also includes study of health consequences of population change.

2.2 Data collection and processing

Annual census is carried out between 1st July – 15th August, using three sets of questionnaires: village, household, and individual. The information on a global positioning of household is collected for every household and important place such as health centers, school, temples and community focal points.

Interviewers are temporary hired during the survey and data processing. The data processing unit has six permanent staff.

3. Basic Output

3.1 Demographic Indicators (2002)

Total population 45,043 Annual population growth rate -2.1 % Crude birth rate (per 1,000) 15.4 Crude death rate (per 1,000) 5.7 Population < 1 year 1.5% Population 1-4 years 7.6% Population 5-14 years 20.7% Population 15-59 years 60.0% Population 60-79 9.1% Population 80+ 1.1% Sex ratio (males:100 females) 92.7 Dependency ratios- Total 66.7

4. Capacity for Conducting Clinical Trials None, but could be built

4.1 Ethics: The Institutional Review Board Research is reviewed by Ethics Review Committee

4.2 Description of Laboratory Facilities (not applicable)

4.3 Description of Clinical Facilities (not applicable)

4.4 List of scientists (not applicable)

5. Catalogue of completed and ongoing projects

5.1 Completed Research Projects 1. People’s Participation in Developing Prevention Model for Diarrheal Disease in BongtiCommunity, Kanchanaburi 2. Designing a Health Promotion Program for the Elderly through Collaborative Action Research with Health Centers in Thongphaphum Kanchanaburi 3. A Study on Women’s Leadership Development in Income Generating Activities 4. New Paradigm of Maternal and Child Health Promoting Programme: A Lesson Learn from Saiyok 6. Development of Reproductive Health Education Programme for School Boys and Girls Entering Reproductive Age 7. Use of People Participation as a Strategy to Attain the State of Good Governance at Administrative Organization in Kanchanaburi Province : an Action Research 8. Designing a Health Promotion Program for the Elderly through Collaborative Action Research with the Provincial Elderly Club in Kanchanaburi Province

8.1 Ongoing Research Projects 1. Development of Verbal Autopsy as a Tool to Identify Causes of Death 2. Survey of Pregnancy, Birth and Early Life in the Kanchanaburi Field Station Population

8.2 Projects that have directly influenced national health policy None

9. Publications

- Report of Baseline Survey (2000) - Report of Round 2 Survey (2001) - Report of Round 2 Survey (2001)

10. General human resource capacity

- Data processing unit: 6 permanent staff - Field survey team: 70 temporary hired - Investigators: 4 - Researchers: 13 - Ph.D. students: 3