Key Success F actors of the National Policy Implementation for Rehabilitation Services

1. Key Success Factors of the National Policy Implementation for Rehabilitation Services SirinartTongsiri MD PhD WacharaRiewpaiboon MD World Report on Disability Symposium, 5 December 2011, University of Sydney

2. Outline • Recommendation 3 of the World Report on Disability • Aim of the study • Background • Findings • Conclusions

3. Recommendation 3 in Chapter 9 “Adopt a national disability strategy and plan of action” Stakeholders should be involved in the development, implementation and monitoring of a national strategy using prevalence of disability, needs for services, social and economic status, gaps in current services and environment and social barriers

4. This study aims to • Report the policy process of the PWDs’ capability-oriented database development in Thailand

5. Background • An ICF-based questionnaire is used to develop a PWD database to identify health needs, guide resource allocation and monitor rehabilitation services • Two provinces: NP and NL under the 8th RHSO separately implemented the database development • Then the 7th RHSO (including 4 provinces)

6. Key actors • State actor: the 7th RHSO • Local government actor: the Provincial Rehabilitation Fund (PRF) in the NL province • Non-state actor: Disabled People’s Organization (DPO) in the NP province

7. The 8th RHSO NL province NP province • The 7th RHSO • Khonkaen • Roi-Et • Kalasin • Mahasarakham

8. Findings • The 7th RHSO quickly implemented the survey by health personnel of the state healthcare providers

9. Findings • The 7th RHSO quickly implemented the survey by health personnel of the state healthcare providers • The NP province is slowly moving forward to participatory continue the survey after finishing the research

10. Findings • The 7th RHSO quickly implemented the survey by health personnel of the state healthcare providers • The NP province is slowly moving forward to continue the survey after finishing the research, in participation with other organizations • The NL province started the survey by health volunteers with partial financial supports from outside funders

11. What we have learned • To implement rehabilitation policies: key actors should be identified • State, local government and non-state actors, particularly the civil society, play crucial roles

12. What we have learned • State actorwith higher control of authority, financial and human resources • Local government with limited resources but able to work across different organizations • DPO with insights of PWD’s needs

13. What we have learned • ICF can be used as a conceptual framework and communication tool among actors should the services are to be implemented • The CBR matrix can serve as a comprehensive monitoring tool of improving quality of life and enhancing equalization of opportunity of PWDs

14. To achieve the Recommendation 3 “Who play what roles in a big picture” State: higher control of resources and have good link with state healthcare providers Local government:bridge the gaps between health, education, livelihood, and social support services Non-state: particularly DPO could voice specific interests of its members to guide the policy development; a good platform for empowerment and equalization of opportunities for PWDs