1. Hospital-based Online
Birth Registration in Thailand
Netnapis Suchonwanich
Assistant secretary general
National Health security office

2. Content
 Background of health insurance registration in
Thailand
 Evolution of seamless operation for UC enrollment
system
 Move forward to birth and birth defect registry
2

3. MOI’s Main System for issuing the National ID Card
Card Khonthai.com Public Officer
ID Card Khonthai
Control
Central CA
•Data Reading
Initial PC
Participation Internet ICR
Agencies
•Data Read Update CPD Central PDS
Central Registration Population Data
• Health care Population Bureau Oversea •Data Updatin
Subset Registration
• Social Security Database
• Hospital Offices People
House Owner
Data Population
Database at Regional Participation
Communication Data
Regional Centers Agencies
center Network Subset
at agency
47 MOU
Agencies
Multi-Purpose
machine
Personnel Kiosks
Divisions Villages
,
Provincial Sub-district
Offices District Major Local Minor Local Authorities
Offices Offices Offices
•Data Read/Update
•Applying for card •Applying for card
ICR - IC Reader •Data Read/Update •Data Read/Update •Data Read/Update
•Data Read/Update

4. Dead Dynamic of health insurance status
in Thailand Dead
Social security Civil Servant Medical
Scheme Benefits Scheme
(SSS) (CSMBS)
Work in Quit Quit Become
Formal sector Fired Fired gov.officer
retired retired
Stateless
people
Universal coverage
Scheme
(UC)
Dead

5. Beneficiary enrollment System
EAI
Social Security Centralized
Ministry of Interior
Office database
NHSO
Members data Registration
Civil Servant Data from
provincial
Offices
( Batch online)
Internet
Registration
Data from
Other registration
Immigration Department units (online)
State enterprise,local administration

6. Card ID , Purchase province
Eligibility primary care unit,
Referral hospital , start date,
Expiry date
transdate

7. How to identify the beneficiaries
People without Household registration booklet Key 13 digits
National ID card or certificate of birth
Key 13 digits
People with
National ID card
Card reader

8. How to identify the beneficiaries at the provider’s site
Website
Kiosk

9. Interactive voice recognition
1330
(24 hrs. service)
9

10. Concurrent retrieves data from 2 remote sites database :
MOI , NHSO
Information from Ministry of Interior : first name, last name,
birth date, live status,hometown address
(
Information of UC Scheme
from NHSO head office :
eligibilty data

11. Decrease in beneficiary enrollment errors
from 2002-2005
14 920 .7102.
1
36
11. 11
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9.7
10 8.7
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1.3 .82
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3 0.34 0.5 0.18 .1 0.18 .06 .06 .08 .13 0.45 0 0.49 0.29 .1 .098 .07 .047 .043 .03
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12. System analysis for unregistered persons by age
group June 2011)
child 0-5 yr.
Working
age
Total uninsured = 481,332

13. The gap from out-SSS to become UC member
140,000
120,000
100,000
80,000
60,000
40,000
AMOUNT
20,000
-
OCT NOV DEC JAN FEB MAR APR MAY JUN
2010 2010 2010 2011 2011 2011 2011 2011 2011
S S S ->
SSSNULL 95,531 115,318 93,353 100,018 91,131 95,409 85,827 89,700 86,204
S S S -> UC 33,864 37,023 33,608 39,997 30,752 33,920 32,609 31,837 33,205
MONTH
SSS -> NULL SSS -> UC

14. The gap from out-CSMBS to become UC member
25,000
20,000
15,000
จำนวน
AMOUNT
10,000
5,000
-
OCT NOV DEC JAN FEB MAR เม.ย
APR MAY JUN
ต.ค 53 2010 53 ธ.ค 53 2011 54 2011 54 มี.ค 54
2010 พ.ย 2010 ม.ค ก.พ 2011 2011 พ.ค 54 มิ.ย 54
2011 2011
54
OFC -> ว่าง 21,752 12,975 7,970
OFC NULL 8,875 7,491 7,407 8,089 7,062 7,259
OFC -> UC 7,531 4,401 2,727 2,541 2,514 2,609 2,358 2,379 2,598
เดือน
MONTH
OFC -> ว่าง
OFCNULL OFC -> UC

15. System analysis for re-uninsured
1. Children between 0-5 yr.
2. Out from other schemes
2.1 Quit /retire/fire from SSS
2.2 Quit /retire/fire from CSMB which will cover
- Their children beyond 20 yr.
- Their couple and parents

16. newborn newborn

17. The Development of UC Coverage
%
YEAR
17

18. The benefits from applying civil registration
 2002 : Establish the UC enrollment system
 2005 : Establish Civil servant database
 2007 : Improved the HIV/AIDs’ patients database
2011 : Enhance the Birth registry
2012 : Move forward to Birth defect registry
18

19. Birth and birth defect registry
19

20. Delivery Registration (DR) in hospital
700,000-800,000
Newborn newborns/year
Outside hospital In Hospital
No Delivery certificate Delivery certificate
Birth
No Birth certificate certificate
Around 7 % Local
20 (50,000-60,000 cases/yr) administration
(MOI )

21. The implementation of birth registry
in Thailand
 In the year 2011, the collaboration among the
Ministry of interior (MOI), UNICEF, MOPH and
NHSO were taken place for establishing of birth
registry by linking the birth data from hospital’s
delivery room to MOI’s database. The data will
be further prepared for issuing the national ID
and birth certificate later.
21

22. Project plan
Phase 1 : 2011
implemented in 40 pilot public hospitals
Phase 2 : 2012
Expanded more to 538 hospitals
Phase 3 : 2013
Going nation wide in every public hospitals
22

23. Process of birth registry
Hospital Local administrative
organization
Key in Print out Issue
delivery record delivery certificate Birth certificate
1. Through HIS
2. upload the birth data
(complied with standard
data structure) from the
delivery room to MOI
Delivery certificate Get 13 digits
database for preparing
the national ID and
birth certificate.
.

24. The data included in birth registry
1. General data for Newborn
2. Family status
3. Doctor /nurse information
4. Add on some more details
involving the abnormal newborn
5. Mother’ s illness
24

25. Birth registry scenarios
Best case
Delivery
ISSUE Birth certificate
certificate
local administrative org.
Expected to
Monitoring data for follow up
Delivery Still not
certificate get birth
local administrative org. certificate
NHSO
Worst case Monitoring data for follow up
Delivery Still not
certificate get birth
25 local administrative org. certificate
NHSO

26. Move forward to birth defect registry in 2012
 Normally, around 2-3% of newborns (approximately 24,000
to 40,000 per year) were found to have congenital anomalies.
 As Thailand still lacks the database for children with birth
defects, particularly for children with 0-7 years, which is an
obstacle in the reduction and prevention of neonatal
congenital.
 In the year 2012, a strategy for establishing the birth defect
registry has been proposed by extending the birth registry
program with new designed framework.
26

27. The data included in birth registry
1. General data for Newborn
2. Family status
3. Doctor /nurse information
4. Add on some more details
involving the abnormal newborn
5. Mother’ s illness
27

28. Detection for congenital anomaly
Congenital
anomaly

29. Click the category of birth defects
Category of birth defects

30. 1 .Since the time of birth :
connected the
delivery records from hospital
directly to MOI
database for further issuing the
birth certificate
at the local administrative
organization
Birth defect database
30

31. Individual records in NHSO
OP, IP
data
disease Prevention & Emergency care
management Promotion
1. Leukemia 1. Screening for metabolic 1. Pre-hospital care (EMS)
Lymphoma syndromes (sss, csmbs)
2.
2. Screening for stroke 2. Trauma
3. Haemophilia 3. Poisoning
4. Heart surgery 3. Thalassemia
4. Vaccine 4. Stroke
5. Epilepsy
6. Cataract 5. Thyroid
7. Cleft palate 6. Screening for CA cervix
8. HIV 7. Disabilities
9. Diabetes Mellitus 8. Sealant
hypertension & 9. Denture in elderly
dyslipidemia
10. TB
11. Stroke

32. 1 .Since the time of birth :
connected the
delivery records from hospital
directly to MOI
database for further issuing the
birth certificate
2. Add on with health
at the local administrative
services data :
organization
Retrieving the
healthcare services data from
inpatient , outpatient databases with
matched ICD
codes begin with “Q”
Birth defect database
33

33. Single window for 1. Since the time of birth :
Birth Defect registry
connected the delivery
records from hospital
directly to MOI database
for further issuing the
birth certificate at the
2. Add on with health services data :
local administrative
organization Retrieving
Birth defect
database
the healthcare
services data from inpatient
& outpatient
databases with matched ICD
3. Birth Defect Registry websitebegin with “Q”
codes : If new
case is
founded, the health worker can register via
“ the birth defect registry website”.

34. Summary report
year
NHSO region
province
No. of children grouped by diseases

35. QUESTIONS
& ANSWERS