Sirinart Tongsiri MD PhD Wachara Riewpaiboon MD 1 World Report on Disability Symposium, 5 December 2011, University of Sydney

 Recommendation 3 of the World Report on Disability  Aim of the study  Background  Findings  Conclusions 2

“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 3

 Report the policy process of the PWDs’ capability-oriented database development in Thailand 4

 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 8 th RHSO separately implemented the database development  Then the 7 th RHSO (including 4 provinces)

 State actor: the 7 th 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 6

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

 The 7 th 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

 The 7 th 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

 To implement rehabilitation policies: key actors should be identified  State, local government and non-state actors, particularly the civil society, play crucial roles 11

 State actor with 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

 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 13

“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 14