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National Health Assembly and Health for All

National Health Assembly and Health for All. Churnrurtai Kanchanachitra Thailand PHA, Cape Town 10 July 2012. 30 years of advocacy for participatory public policy. Are we there yet?. Wrong deeds in public policy decision and how to go over. Lack of knowledge

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National Health Assembly and Health for All

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  1. National Health Assembly and Health for All Churnrurtai Kanchanachitra Thailand PHA, Cape Town 10 July 2012

  2. 30 years of advocacy for participatory public policy Are we there yet?

  3. Wrong deeds in public policy decision and how to go over • Lack of knowledge • Lack of wide-scale participation • Lack of morality Prof. Dr.PrawaseWasi • Technical process • Social process • Moral process

  4. National Health Act B.E 2550 (2007) • Major turning point in the Thai health system • Expand from the medical and public health sector to all sectors • “All for Health and Health for All” “Health system Governance” is a major component in directing and monitoring the health system in a more desirable direction

  5. “The Triangle that Moves the Mountain” Strategy Knowledge (K) NHA Social (S) Political Involvement (P) 4

  6. Three types of Assemblies • National Health Assembly • Agenda on health and related • Annual basis • Area-based Assembly • Agenda related to area • No particular time limit • Issue-based Assembly • Agenda on specific issues • No particular time limit

  7. National Health Assembly • Involve in all policy development process from agenda setting to implementation and evaluation • Deliberative democracy President of NHA comes from 3 sectors

  8. National Health Assembly is a year-long process

  9. National Health Assembly is soft power on policy formulation—no legal binding Proposed from 200 constituencies—government, academic, civil society, community Committee on monitoring Draft resolution and tech doc, adopt in NHA (more than 1,200 attended), submit resolutions to Cabinet Ministries, communities

  10. 40 agendas were adopted in 4 Assemblies (2008-2011)

  11. Agenda setting, policy formulation and implementation– 3 cases • Participation in FTA negotiation process (1) • Equity in access to essential health care (1) • Medical Hub (3)

  12. Participation in FTA negotiation process (1)

  13. Equity in access to essential health care (1)

  14. Medical Hub (3)

  15. 2 dimensions, 4 values, 5 strategies Participatory Democracy Participatory healthy public policy Participatory healthy public policy process Social Movement Social empowerment Interactive Learning through action

  16. 5 Strategies • Increase participation from all 3 sectors and build ownership • Develop the Assembly System that are systematic with clear pattern but with flexibility • Use inclusive approach to involve all stakeholders • Support downstream process to bring policy to implementation • Link National Health Assembly to Thailand Reform Assembly and Assembly at International level

  17. 5th National health assembly18-20 December 2012Bangkok, Thailand Please visit our website at http.en.nationalhealth.or.th

  18. We are the leaves of one tree The time has come for all to live as one We are the leaves of one tree

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