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Migrant Health : Challenges and What’s next?

Migrant Health : Challenges and What’s next?. Dr. Supakit Sirilak MD., MPHM., Preventive med. Board Senior Advisor on Preventive Medicine , MoPH . konc62@yahoo.com. 1) Different target groups need different approaches Thai 65.4 (Thai national 62.1 : yr2010) Stateless person

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Migrant Health : Challenges and What’s next?

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  1. Migrant Health : Challenges and What’s next? Dr. SupakitSirilak MD., MPHM., Preventive med. Board Senior Advisor on Preventive Medicine , MoPH. konc62@yahoo.com

  2. 1) Different target groups need different approaches • Thai • 65.4 (Thai national 62.1 : yr2010) • Stateless person • 0.45 million • Refugee • 0.14 million • Migrant worker • 0.6-0.9 million (MOI registered and exist) • passport holder 0.19 million • no passport • Illegal migrant • 2 millions ?

  3. กลุ่มเป้าหมายแรงงานผ่อนผัน : 886,000 – 193,000 (Temporary Passport or Certification Identity) • 1. ทร38 693,000 • - Exp 14 June Exam + 6 mo insurance • - Exp 28 Feb  14 June 6 mo insurance • MOU 132,000 • กระทรวงแรงงานเสนอ ครม อนุมัติขยายเวลาอังคารที่ 12 มิ.ย. 2555

  4. กติกา/ราคา : • ใช้ประกาศ กระทรวงสาธารณสุข • สถานที่ตรวจร่างกาย การประกันสุขภาพ การส่งเงิน • ระยะเวลาประกัน 6เดือน ราคา 650บาท • ค่าตรวจสุขภาพ 600บาท

  5. ประเด็นที่ต้องทำต่อ : • กลุ่มที่มี Passport/CI • Formal sector ประกันสังคม /P&P/ตรวจสุขภาพ • Informalตรวจสุขภาพ ประกันสุขภาพ • กบร มีมติให้ตั้งคณะทำงานทบทวนการเข้าสู่ระบบประกันสังคม

  6. 2) WHO six building blocks • Health Service delivery • Health workforce • Health Information • Medical Product & Technology • Health Financing • Leadership & Governance

  7. 3) Health Service delivery and Insurance • Universal health coverage? • Principle vs Law and Security • Social security scheme • not cover informal sector • not include P&P • lag time before eligible for health service • Friendly service • language & cultural barriers • attitude of health staff • Primary health care (Migrant community)

  8. 4) Health workforce • Health manpower • migrant health professional • migrant health worker • migrant health volunteer • Attitude & Skill needed

  9. 5) Migrant Health Information System • poor identification and mobile • no denominator for coverage • burden with no incentive • not priority in some areas

  10. 6) Medical Product & Technology • less benefit package in CMHI • lower unit cost • not cover ARV

  11. 7) Health Financing & 5 Questions • The design scheme • SSS • MoPH • Others • Matching fund (central & local) • Private insurance • 5 Questions • Who pay • Who benefit • What is the benefit package • How much (cost) • What is the payment mechanism

  12. 8) Leadership & Governance • Healthy public policy • based on the triangle to move the mountain • ( Government- Academia- Civil society) • Both national (ministerial) and local level

  13. 9) What do we need ? • Long term policy & strategy • Target on UHC with proper financing • ASEAN community opportunity • Strengthen the essential systems • Focus on local empowerment • Translate National Strategy to area implementation

  14. We do hope that we will never walk alone. Sawasdee

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