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STATUS. กรมวิชาการ. อะไรที่ต้องทำา. และทำอย่างไรร. สู่อาเซียน. Causes of NCDs. Later in diseases process less cost effective How much can the health system achieve alone? Rule of halves Poor effectiveness on obesity

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STATUS

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  1. STATUS กรมวิชาการ

  2. อะไรที่ต้องทำา และทำอย่างไรร สู่อาเซียน

  3. Causes of NCDs • Later in diseases process • less cost effective • How much can the health system achieve alone? • Rule of halves • Poor effectiveness on obesity • Good evidence on prediabetes and prehypertension (doesn't depend on doctors and nurses) • Biological risk factors? • Strengthening the health system helps patients with other problems,….?? Poverty Agriculture education very cost effective trade

  4. NCD prevention and control National multi-sectoral policy and plan within the national health and development plan Population based, multi-sectoral actions for risk reduction Health system strengthening for NCD prevention and management Surveillance, monitoring and reporting Sustainable partnerships and advocacy

  5. Context (Real Situation) • Health Problem . Multiple Factor Cause . Need Multiple Approach - Health Service Base - Non Health Service Base

  6. Global Change Commercial Drive –Fast Food Alcohol, Tobacco.. etc. Environmental Change Demographic Change CompetitiveLife Style Urbanization

  7. Global Change Isolate Family HIP (Highly Isolate Person)

  8. ROLE • National Priority NCD Identify • National Monitor Body 2.1 Burden 2.2 Situation 2.3 Trend

  9. ROLE 2.4Services 2.4.1Accessibility 2.4.2 Out Come 2.4.3 Impact

  10. ROLE 3.National Dis. Control Agency 3.1 Clinical Epidemiology 3.2 CD Experience - NCD Experience

  11. ROLE 3.3 National Expertise . NCD Epidemiologist . NCD Dis.Control - Specialist (s) - Public Health Mans ( Physician ,Non Physician)

  12. ROLE . System Managers - Provincial Managers - Districts Managers - Tambon Managers . Quality Model Leader . Efficiency Model Leader

  13. MANAGEMENT • Net Working Capacity Development . ประเทศ . เขต . จังหวัด . อำเภอ

  14. MANAGEMENT 2. Capacity Building Development . Professional Health Services Base . Non Health Services 3. Advocator ( National Level) 3.1 Policy Public Advocate Driver 3.1.1 Food – หวาน,มัน,เค็ม ,บุหรี่,สารพิษ แอลกอฮอล์

  15. MANAGEMENT 3.1.2 Physical Activity Policy . Incentive - Finance - Recognition . CSR. 3.2 life Style Modification . Mental Health . Spiritual Health

  16. MANAGEMENT 4. Coordinator . Clinician - มหาวิทยาลัย - กรมการแพทย์ - รพศ/รพท/รพช/รพ.สต. . Researcher Network . R to R Developer

  17. MANAGEMENT 5. Strongest Secretarial Office of National Committee . National NCD Broad . นอก กสธ., กรมใน กสธ. 6. Quality Developer Accreditator

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