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(Center for developing research on sexual and reproductive health)
​​Center for Sexual and Reproductive Health: 

Research, Innovation & Community Services
(Annual report: 2015)


Research Project (on going)




1. “The effect of galactagogue herbal tea on breast milk production among postpartum mothers” 

(Finish clinical trial, complete technical report for TRF, writing Manuscript)









2.  “Development of breastfeeding support and effects on breastfeeding practice among women employed outside the home” (Finish clinical trial, writing complete technical report for CMU, & Manuscript)






3. Principal investigator on research plan “Sexual health across life span” : Three years project

1st Year: Developing in instruments for study sexual health across life span and manual for enhancing self-care on sexual health.   (Finish field work, writing complete technical report for CMU, & Manuscript)















2nd – 3rd  Year: Research Plan: Enhancing self-care on sexual health across life span

Include 3 sub-project
      1) Sexual health among adolescences

      2) Sexual health among reproductive age women

      3) Sexual health among older people





1. Journals & article

1)   Yimyam, S., Charuwatcharapaniskul, U., Chareonsanti, J., Indarangkura  Na Ayutthaya, A.,  Xuto, P., & Chaloumsuk, N. (2015).  Developing on Blended Learning for developing the 21st  Century Learning Skills. Nursing Journal, 42 (Supplement): 129-140.


Blended learning is a flexible model of teaching which combines teaching methods from inside the classroom and outside the classroom. It might be suitable for 21st century learners. This research and development project aimed to develop blended learning models for 21st century learning skills, and to compare these learning skills between after and before using the blended learning model as well as to study the learners’ satisfaction with this model. The study was divided into two phases. The first phase developed the blended learning model for maternal and child nursing and midwifery for 21st century learning skills by interviewing nine students for information to develop the model. Then, the researchers developed the learning model.  In phase two, 131 students, who participated in learning the methods of this model, were ask to evaluate their 21st century learning skills and their satisfaction with this model. Data were analyzed by using descriptive statistics and pair t-test.

The developed blended learning model combined teaching methods, such as lectures, with discussions in the classroom, and integrated with self-directed study such as group assignments on searching and reporting, using networking and studying questions, e-learning, CAI, and e-books.  The students rated their learning skills higher than before using this model.  Moreover, they were satisfied with this model at high and highest level in the whole, and with each learning method. Recommendations of this study include that other subjects should apply blended learning models in order to assist nursing students to better understand complex topics and in continuing their self-directed learning as their learning needs demand.

Key words:    blended learning model,   21st century learning skills, research and development

2)    Yimyam, S. & Narin, R. (2015).   Sexual Risk Behaviors and Family Violence Among Migrant Akha Women. Nursing Journal, 42 (4): 146-155.


            At present, there are an increasing number of Akha women migrated to work in the city. They often work in the informal sector, including domestic work, waiting tables, factory work, or hawk goods (walk/travel selling goods or food).  Working in such places put them to be sexual risk behaviors and family violence.  This descriptive study was aimed to explain sexual risk behaviors and family violence among Akha women.  Data were collected by interviews with 118 Akha women in Chiang Mai city.  The interview questionnaire was developed by researchers and reviewed by three experts, and was trial with 5 Akha women.  Data were analyzed using descriptive statistics and Chi-square test. 

            The results found that many Akha women had sexual risk behaviors such as have sex at young age (63.9%), have sex before marriage (15.2%), lack of skill for sexual communication and negotiation: never talk with partner about prevention of sexual infection (55.9%), never say about sexual need (56.8%), could not refuse to have sex (27.1%), no protection method for sexual transmission (80.5%) and their opinion that inappropriate for a couple to use condom.  About one sexth of these women (15.3%) had experienced at least one type of sexual harassment.  Among Akha women with partner have bad relationship with their husbands (39.5%), and was physical attack (10.1%)

            The researchers recommend that the findings will use to develop program for empowerment Akha women for equality of female-male sexual role and male participation to decrease sexual risk behaviors and family violence among Alkha women.

Key word:  Sexual Risk Behaviors, Family Violence, Akha women

3) Wan, HongWei, Tiansawad, S, Yimyam, S, & Sriaporn, P. (2015).  Factors Predicting Exclusive Breastfeeding among The First Time Chinese Mothers. Pacific Rim International Journal of Nursing Research, 19 (1): 32-44.


2. Manual Books

Susanha yimyam. (2015). A manual self-care for sexual and reproductive health.  Bangkok, Thailand: Department of Children and Youth, Ministry of Social Development and Human Security.


Susanha yimyam. (2015). A manual self-care for sexual and reproductive health.  Bangkok, Thailand: Department of Children and Youth, Ministry of Social Development and Human Security.



New2 FON CMU BF model Back4

1. Breast model for teaching breastfeeding


New2 FON CMU BF model Front1










On process of Patent (Apply Number:  1401,000,077

Date of applying: January 7, 2014


Publication: Developing breast model for teaching breastfeeding


The constructed model for health education can help learners to better understand and enhance skills in practice before clinical practice with clients.  The objective of this research and developmental study is to develop a health education breastfeeding model (FON CMU breast model) for postpartum mothers.  The process consisted of three steps as follows: 1) preparing for model development, 2) model development, and 3) trial and quality evaluation.  The sample were 107 nursing students and staff nurses who provide breastfeeding education for postpartum mothers; 20 participants were involved in step 1, 57 in step 2,  and  57 in step 3.  The research instruments consisted of interview guide and breast model quality evaluation form. Both were examined by the experts for content validity.  The content validity index of breast model quality evaluation form was 0.96 and the reliability by re-test was 0.92.  Data were analyzed using descriptive statistics.

The FON CMU breast model that was developed was made of silicone enclosed in plastic. This model assisted with educating postpartum mothers on anatomy and physiology and demonstrating breast preparation and care (breast message, warm compression, and breast milk expression).  After trial, the evaluation revealed overall mean quality score (Mean = 4.72, SD = 0.23), as well as the mean quality scores of individual properties (Mean = 4.53-4.96, SD = 0.23-0.83) of the breast model were at the highest level.  When comparing the FON CMU breast model with an upper body breast model, and a cotton breast model, the quality score of the FON CMU breast model was higher than both upper body breast model (c2 = 6.57, p < .001) and cotton breast model (c2 2 = 6.57 p < .001).

Key words:    Breast model, Model Quality Evaluation, Breastfeeding

2. Developing vaginal examination box for training assessment of labor progression (On process of applying for research fund, expect to developing next year)


Community services


1. A member of working group for suggestion to Ministry of Public Health for adding breastfeeding procedure in ICD 10.
























3. Writing “A Manual self-care of sexual health” and “A manual self-care for sexual and reproductive health”. 



3. Organizing & speaker in workshops

4.1 A speaker and moderator for workshop: breastfeeding and research in the 5th National Conference on Breastfeeding: “Breastfeeding and Work – Let’s Make it Work!” at Montian Riverride Bangkok, September 2-4, 2015






4.2 A speaker as well as a committee of training for nurse professionals in norther Thailand to promote, support, and protect breastfeeding:



4.3 A speaker in a workshop for training DJ teen and local administratations and relevant organizations to develope and produce media for prevent teenage pregnancy campaigm.

Participants: 141 Representative from council of children and youth in 17 provinces of the northern Thailand including DJ teen, representative of local administratations and relevant organizations.

Issues: teenage pregnancy: How to raising awareness anddevelop mass medias for preventing teenage pregnancy.



  • ​​​ข้อมูล​ศูนย์พัฒนางานวิจัยด้านสุขภาพทางเพศ และอนามัยเจริญพันธุ์​ เพื่อจัดทำพิธภัณฑ์


สรุปผลการดำเนินงานของศูนย์พัฒนางานวิจัยด้านสุขภาพทางเพศ และอนามัยเจริญพันธุ์



โครงร่างเพื่อขอรับทุน การวิจัย การตัพิมพ์/นำเสนอ
8 (งบคณะฯ)  8 -



1. ปรับปรุงกระบวนวิชาเพื่อการเรียนการสอน

2. การจัดระบบ Teleconference


Dr. Susanha: Reproductive Health Leader

Associate Professor Dr. Susanha Yimyam’s research primarily centers on breastfeeding support, but she has a particular interest in developing interventions for marginalized populations. Past projects have included research investigating factors influencing breastfeeding practices among working mothers and from that study, she developed a follow-up study to promote breastfeeding support in the workplace. She is the chair of the newly created Center for Sexual and Reproductive Health. Dr. Susanha is in the final stage of the “Developing a Health Communication System for Reproductive Health for Ethnic Groups” supported by funding from the Thai Health Promotion Foundation. The project, conducted through the Center for Sexual and Reproductive Health, is based on her previous experience in creating similar health communication systems among Shan migrant workers, undocumented or informal workers, and women in the workplace. Her current project is focused on Akha, Hmong, and Lahu ethnic minorities residing in Chiang Mai City. The project relies on a collaboration between FON academic staff in mass communication as well as the expertise of the Chiang Mai Provincial Public Health office and the UK-based non-profit MAP Foundation. Dr. Susanha was able to identify participants for the project through community-based Christian groups.
The project has three main outcomes. The first is the creation of a reproductive health network so Akha, Hmong and Lahu community members know where they can seek out services and work together with govenment and non-governmental health agencies to improve their health. The second outcome is the creation of reproductive health peer groups for each ethnic group to provide social support in providing health information and encouraging one another to seek care. The final outcome is development of culturally appropriate health education materials such as pamphlets, posters, radio spots, and VCD clips. All project activities will be completed by October 2013.



สรุปผลการดำเนินงานของศูนย์พัฒนางานวิจัยด้านสุขภาพทางเพศ และอนามัยเจริญพันธุ์

ไตรมาสที่ 2-2557​


โครงร่างเพื่อขอรับทุน การวิจัย การตัพิมพ์/นำเสนอ
1(สกว)  2 บทความ 2 เรื่อง



21st IUHPE World Conference on Health Promotion, 25-29 August 2013, Pattaya, Thailand.

§  “Developing a Network of Health Communication on Reproductive Health for Shan Migrant Workers”, oral presentation given by Assoc. Prof. Dr. Susanha Yimyam, Center for Reproductive and Sexual Health​

§  “Building Capacity of leaders for Health Communication on Reproductive Health for Shan Migrant Workers” and “Developing Health Media on Reproductive Health for Shan Migrant Workers”, poster presentation given by Assoc.  Professor Dr. Susanha Yimyam, Center for Reproductive and Sexual Health​ 


 Center for Sexual and Reproductive Health: Community Service, Research & Innovation

Director: Associate Professor Dr. Susanha Yimyam


In October, the Center began implementation of “Reproductive health risks and problems, accessibility for health care service and reproductive health behaviors urban ethnic women” which is funded by the Chiang Mai University. This descriptive study is being conducted with Lahu, Hmong, Karen and Akha workers residing in urban areas in Chiang Mai. Ethnic minorities enjoy a tenuous status in Thai society. In Chiang Mai City, many live and work illegally and as such they have limited options for work, and even more limited options for seeking healthcare. Furthermore, because of the diversity in languages and cultural traditions among each group, communication with and acceptance of these groups is difficult.  It is hoped that by better understanding the health seeking behaviors and barriers to seeking reproductive care among these populations, reproductive healthcare services can be improved and/or developed to better meet the needs of these groups.

A study on “Development of Multimedia Electronic Book on Basic Knowledge of Breastfeeding for Nursing Students”, funded by FON, was completed in April. The e-book from this study provides students with a valuable learning aid to assist them with their studies.  The Center for Sexual and Reproductive also began collaboration with The Center for Excellence in Midwifery on a 3-year UNICEF-funded initiative to improve exclusive breastfeeding in Thailand, “Train the Trainers: Supporting and Protecting Breastfeeding”.

On 11-12 March, Dr. Susanha was invited by the Chiang Mai Provincial Health Office to take part in a meeting to develop strategies in creating a health care system for migrant workers. This meeting involved the collaboration or government and non-government agencies, Chiang Mai area hospitals, issue experts and researchers, community leaders and migrant workers.