A mixed-method quasi-experimental pre-post program across eight Krabi districts found improvements in planning, directing and leading and identified access and workforce mismatches through spatial and network analysis.
Key findings
- Planning, directing and leading improved at p
Why this matters globally
The framework moves GIS from standalone mapping toward governance infrastructure for decentralized health systems.
Thai researcher contribution
Mahidol University researchers supported district-health management capacity using real Krabi spatial data.
Limitations to consider
The uncontrolled quasi pre-post design omits sample size, attrition and instruments. Manager scores are not patient access or health outcomes, and geospatial data quality may be limited.