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Public Health Situation in Thailand

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  • 1. Public Health Situation in Thailand By Choen Krainara Suleeporn Boonbongkarn Chaba Srisuno Jirapa SophonRegional and Rural Development Planning Field of Study School of Environment, Resources and Development Asian Institute of Technology (AIT) 2008 1
  • 2. Distribution of Health Resources 2
  • 3. Ratio of High-Cost Medical Technologies 3
  • 4. Numbers of PatientsNo. Disease Death rate No. of Patients1 Cancer 47,000 4,000,0002 Heart disease 45,000 3,000,0003 Coronary artery 21,000 2,000,000 disease4 Diabetes 15,000 12,000,000 4
  • 5. Health ResearchResearch Projects on Health System ReformsResearch Projects on Diseases and Health Problems - Anti-AIDS Traditional Medicine - National Newborn Screening Project - Research Package on Diseases and Health Problems 5
  • 6. Health Education Formal Informal• 12 medical universities • Traditional and and public health alternative medical colleges, nurse colleges treatment• Standard Medical • Preventing rather Treatment Curriculums than curing 6
  • 7. The National Health Policy (the 9th Plan Period, 2002-2006) Image of Desirable Thai Society and Health Development Concept: People-centred and self-Sufficiency Economy Objectives of Health DevelopmentTo create a proactive health system To create a health security system To strengthen self-care and health To enhance knowledge and promotion technology for health developmentDevelopment Development of Development of basic Development ofof management health security factors for good health people ‘s healthsystem for and service and health promotion behaviourhealth quality Development of Management of Development of health knowledge and human resources country ‘s competitiveness 7 technology for health in health
  • 8. Targets and Situations under the National Health Development Plan during the 9th Plan Period, 2002-2006 Reduction Health Health Health impact of health problems promotion care accessibility• Reduce infant • Reduce malnutrition • At least 80% of All citizens havemortality rate to not among children aged children aged 0-5 health securityexceeding 15 per 1,000 0-5 years to not years have growthlive births exceeding 7% development according The • Reduce HIV infection• Reduce maternal to their age universal prevalence ratemortality to not • At least 60% of coverage ofexceeding 18 per - in conscripts to not the people exercise Healthcare100,000 live births exceeding 1% regularly scheme •Reduce smoking - in women of• Increase life rate among people reproductive age to notexpectancy at birth age 15 years and exceeding 1% - Female, to 77 years above to not - Male, to 72 years • Reduce mortality rate exceeding 21% due to cancer tonot Etc. exceeding 40 per 100,000 population 8 Etc.
  • 9. Policy on Decentralization Proposed New Decentralized Health System Decentralization Situation• Until December 2004, there was not much progress indecentralization of the health sector.• Factors hamper the decentralization include: • Limited budget • Ineffective cooperation • Inadequate human resource 9
  • 10. Proportion of National Health Budget byMajor Type of Programme (2002-2004): 10
  • 11. 11
  • 12. Thai Health Care system Success • Improvement of overall Thai people’s health situation • Promotion of an equal access to healthcare Strengths• Professional experts• Advanced medical technologies such as health facilitiesand equipments• Effective vaccination and epidemic disease control• Alternative medical treatment 12
  • 13. 13
  • 14. Health Index of Thai People by Region 14
  • 15. 15
  • 16. Health Care system Problems• Inequities of Medical and Health Services – Inequities in Resources Allocation – Inequities in Access to Health care – Inequities in Health Status – Inequities in Bearing Healthcare Cost• Problems of Health Services System Efficiency – Problems of Health Services Efficiency – Problems of Investment in Hospital Beds – Problems of the Quality of Service System 16
  • 17. Health Care systemWeaknesses •Centralization of budget and organization • Lack of both physicians and medical technologies in micro-level • Lack of accessibility to health care services 17
  • 18. Impacts of The Universal Coverage of Healthcare Positive Negative• People have more health security • Major public health budget was usedespecially poor people who don’t have for the universal coverage than otherany health insurance. programs• Promote an equal health budget • Ineffective health budget allocation toallocation. public health centers : Doctors move• Promote an equal right to access the to private hospitals.health services. • Impact on long-term economic viability of health care centers • Due to the limited national budget, lower health service quality. 18
  • 19. Other relevent issue:• Exercising Compulsory Licensing (CL)• Ethical issues of doctors and drug companies 19
  • 20. Recommendations1. Decrease an inequality of health service and health care2. Decrease an inefficiency of resource allocation3. Promote alternative treatment and preventive measures4. Take a long term look at the subsidy of health care plan for example 30 baht health scheme and universal health coverage scheme5. Promote decentralization6. Learn more about drug patent and study more about important drugs for poor people 20
  • 21. “…All Thai people have an equal right to access the quality health services…” 21
  • 22. 22
  • 23. Expatriates Living in Thailand Our local website in English Chinese (Simplified) Chinese(Traditional) Japanese 23
  • 24. Thank you 24

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