Integrating Ethnic Cultural Heritage in Community Health Management

This study investigates the integration of traditional ethnic culture into community health management among the Tai Song Dam and Karen ethnic communities in Western Thailand. Using a participatory action research approach, the study employed in-depth interviews, focus group discussions, community forums, and participatory observation with key stakeholders, including community leaders, health volunteers, local officials, and cultural knowledge holders. The research was conducted in two phases: (1) analysis of stakeholder participation in promoting community well-being through ethnic cultural resources and (2) development and pilot evaluation of a culturally grounded community health management model. Findings indicate that culturally embedded practices, locally recognized leadership, and collaborative networks enhanced participation, trust, and perceived relevance of health activities. The resulting model integrates traditional, people-based, and modern medical systems within a Plan–Do–Check–Act framework coordinated by a community health management committee. A three-month trial demonstrated feasibility and acceptability, reflected in increased community engagement, health awareness activities, and coordination among local institutions, although long-term effectiveness could not be assessed. The study concludes that culturally grounded, participatory approaches can support community well-being in marginalized ethnic contexts when aligned with local values and supported by public health systems, but sustainability and transferability require further longitudinal research.