CHALLENGES AND OPPORTUNITIES TO THE SUCCESS OF ENVIRONMENTAL HEALTH ASSESSMENTS IN HEALTHCARE FACILITIES UNDER THE BANGKOK GREEN & CLEAN HOSPITAL PLUS (BKKGC+) PROGRAM AT TAKSIN HOSPITAL OF THE MEDICAL SERVICE DEPARTMENT BANGKOK

Abstract

The Bangkok Green & Clean Hospital Plus (BKKGC+) standard serves as a strategic initiative to improve environmental health management in hospitals under the Bangkok Metropolitan Administration. This study aimed to explore the challenges and opportunities related to BKKGC+ implementation using a qualitative approach. In-depth interviews were conducted with stakeholders in selected hospitals, and data were analyzed through a content-based framework focusing on four key dimensions: organizational strengths, internal challenges, external opportunities, and strategic directions. Findings indicate that while organizations possess internal strengths—such as leadership commitment, digital systems, and staff awareness—several barriers remain. These include high staff turnover, weak internal communication, outdated infrastructure, and the perception of BKKGC+ as an additional burden. The analysis draws upon the Resource-Based View (RBV) to highlight the value of internal capabilities, while the Theory of Planned Behavior (TPB) explains how attitudes, social influence, and perceived behavioral control affect staff participation. Furthermore, SWOT analysis identified external opportunities such as supportive policy, technological innovation, and rising societal concern for sustainability. The study recommends a dual strategy: strengthening internal systems through structured training, monitoring tools, and cultural integration, while leveraging external networks and policy support. Embedding BKKGC+ into routine hospital operations and quality systems like 5S or IC is essential to ensure long-term sustainability.