1 / 19

UHC in support by HiAP Thailand’s Experience

Learn how HiAP boosts Thailand's UHC through policies enacted at National Health Assembly. Analysis of health insurance schemes, district healthcare systems, and HiAP practices.

santoj
Download Presentation

UHC in support by HiAP Thailand’s Experience

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. UHC in support by HiAP Thailand’s Experience Ms. Nanoot Mathurapote Head of Global Collaboration Unit National Health Commission Office, Thailand nanoot@nationalhealth.or.th 1

  2. Presentation Points Overview of UHC in Thailand Health in All Policies implemented through National Health Assembly 3. Lessons learnt 2

  3. Overview of UHC in Thailand: 3 Health Insurance Schemes Low Income Scheme – social welfare First for low income group then extended to elderly, children and disable groups CBHI – voluntary based SHI Employees in Private sector CSMBS Civil servant and their dependants UCS Those not covered by CSMBS and SHI Population coverage 100% 29% 42% 53% 71% 1983 1975 2002 1980 1990 CSMBS = Civil Servant Medical Benefit Scheme SHI = Social Health Insurance UCS = Universal Coverage Scheme 3

  4. Solid platform for UHC: health delivery, health workforce, medical products, health info 1942 1978 1968 1975 2000s 1980 1990s Primary Health Care policy • Full coverage of health service providers (infrastructure, health professions, equipments, medicines) at district level • Gain trust from patients • Increase utilization rate Scaling up District Health System Mandatory rural services (MD, dentist, pharmacist, nurse) Establishment of Ministry of Public Health District Health care facilities Health center 3-6 health personnel cover 2,000-5,000 population District Hospital 30-120 beds cover 30-80,000 population 4

  5. If you achieve UHC, Will population HEALTH be BETTER? 5

  6. How can HiAP support UHC? ILLNESS HiAP Beyond HEALTH Promotion Prevention Curative Rehabilitation • Root Causes of Teenage Pregnancy • Education • Teenager’s Understanding of Sex • Teenager's families • Use of drugs and alcohol • Gender inequality • Environment, society and culture HEALTH Focus • Root Causes of Stroke • Stress • Financial and social status • Work-Life Imbalance

  7. CHALLENGE OF HIAP How to make non-health policies concern health Systematically? 7

  8. HiAP Practice in Thailand Vertical Structure Academia Private Sector People Sector Gov National Health Commission Mechanism Law, Framework Health Charter Horizontal Structure Platform, Process Health Assembly Tool, Process Health Impact Assessment 8

  9. National Health Assembly : Public Participation in the Policy Process Cabinet Politicians National Health Commission Community Various channels of Implementation Technocrats CSO HARD POWER Business Sector SOFT POWER National Health Assembly Others Implementation People as policy drivers People as beneficiaries of public services 9

  10. National Health Assembly (NHA):A year-long process Adjusted from PPT of Dr. Churnrurtai Karnchanachitra President of 3rd and 4th National Health Assembly Organizing Committee

  11. National Health Commission: a multi-sectoral governance mechanism • Give advices to the Cabinet on Policies and Strategies on Health • Facilitate the process of developing healthy public policy with a participatory manner • MoPH, MoSD, MoNRE, MoA, MoI, MoInd, • Representative of Local government (4 ppl) • Government sector • NHC • Chaired by the PM • Comprised 3 sectors equally • Academic/ • Professional Sector • Civil society elected from 13 zones • ie. Medical Council, Dental Council, • Nursing and Midwifery Council, • Pharmacy Council, Physical Therapy Council, • Medical Technology Council, Thai Traditional Medicine Council and • Academic from Non-Health sector: public policy, economy, business, media, specific pop group, social development

  12. National Health Commission NHA Organizing Committee NHA Resolution Follow-up and Drive Committee Subcommittee on technical matter Subcommittee on convening the meeting Subcommittee on Medical and Public Health (35 Resolutions ) Subcommittee on Social Determinants of Health (38 Resolutions) Subcommittee on grouping and capacity building Subcommittee on evaluation 12

  13. Example of NHA Resolutions which strengthen UHC Medical, Public Health Issues SDH Issues • Res 1.2 on access to medicine • Res 1.8 on equal access to basic health services • Res 2.1 on long term care for dependent elderly people • Res 3.2, 5.10 on equal access to health services by the people living with difficulties • Res 6.2 on targets of preventing and controlling NCD • Res 7.2 on development of health technology assessment and its decision making • Res 1.9 on impact of media to children and family • Res 2.1 on hazardous waste management • Res 3.9 on Impact from Free Trade Agreement • Res 5.2 on impact from biomass power plant • Res 5.5 on food safety: agriculture chemicals • Res 6.4 on illegal advertisements of drugs, food and health products 13

  14. Provincial Health Assembly: PHA • Functions: • Collectively find solutions and solve problems • Organize public consultation for NHA • Implement NHA resolutions that fit to the provincial setting Working Steps Step 1: PHA Organizing Committee is set up and a provincial database system on network and health situation is in place. Step 2: PHA organized Type of Secretariat of PHA Organizing Committee Government agency Research or Educational Institute Civil Society Organizaiton

  15. NHA solve CHALLENG of HIAP because • It opens a neutral platform for all sectors to • participate the policy process. • The participatory process builds understanding and trust among stakeholders. • It motivates new champions to work for health. 15

  16. Factors of making HiAP possible in Thailand • Broaden Definition of Health • Thailand redefines “health” as “wellbeing” covering physical, mental, spiritual • and social aspects • Legitimacy • National Health Act in 2007 is a law specifying an multi-sectoral mechanism and • tools such as NHA that builds HiAP. • Responsible organization • National Health Commission Office under the Office of Prime Minister plays as a • policy facilitator. • Participation • Thailand calls “Triangle that moves the mountain”: government, academia and • civil society

  17. CONCLUSOIN HiAP is complementary to UHC If you want to achieve UHC, please take attention to HiAP. 17

  18. NHA 10 : December 2017 • Draft Programme • Keynote speech • Consultation on resolutions • Progress report • Side Meetings • Exhibitions • Cultural activities • Special programme for int’l guests • Participants • Constituencies (280) • - MA: 77 provinces’ rep • -MP: Government agencies, • political parties • - MK: Academia /Professions • - MS: Civil Society, • Community, Private Sector • Resource Persons incl. • international guests • Media • People as observer

  19. Thank you Please click on to www.nationalhealth.or.thfor more info

More Related