1. Country presentations Thailand Dr
Country presentations Thailand Dr. Churit Tengtrisorn Bureau of Non Communicable Disease Department of Disease Control Ministry of Public Health

2. Five important In-patient NCDs in Thailand
Per 100,000 pop
2004
2005
2006
2007
2008
2009 HT DM
IHD CA
Cerebal VD

3. Health System Structure
Ministry of Public Health
Public Health Development Cluster
National Health Security Office (NHSO), Thailand
Department of Disease Control
Bureau of Non Communicable Disease
Department of Health
Thai Health Promotion Foundation
Medical Service Development Cluster .
Department of Medical Services
Department for Thai Traditional and
Alternative Medicine Development
Department of Mental Health
Public Health Services Support Cluster
Department of Health Service Support
Department of Medical Sciences
Food and Drug Administration
Government Pharmaceutical
Organization
Central administration.
Regional administration.
Office of the Permanent Secretary .
Provincial Health Office
Central / General Hospital
District Hospital
Local government
Community Hospital / Health Station
District Health Office
Health Volunteers

4. Main Policies/Plan on NCDs and Risk Factors
Healthy Thailand Project
Thailand Healthy Lifestyle Strategic Plan
(In process implementation)
National Tobacco Control Strategic Plan
National Alcohol Consumption Control Policy 2010
Overweight and Obesity Management Strategic Plan
Ministerial NCD Policy 2011
Integrated DM and HT Prevention and Control Program
(To cerebrate His Majesty the King’s 84th Birthday )
Thai People Flat Belly Project

5. Challenges on NCDs and Risk Factors
KPI (2013)
HT / DM
90% HT/DM screening in population (>15 yr.)
50% of HT/DM risk groups have the behavioral change (Diet, Exercise, Emotion, Tobacco & Alcohol consumption control)
70% of early development of quality NCD Clinic
IHD
death rate from IHD < 20/100,000 pop.
CA (Liver)
death rate from CA liver < 20/100,000 pop.
Alcohol
50% decrease of new drinker
Tobacco
young smoker not more than 10%
100% of smoke free health service place

6. Competent Disease Control District (CDDC) Project
1. Disease prevention and control committee
1.1 disease prevention and control committee Order
1.2 reports of the committee meeting
1.3 operational plan and responsible agencies based on analyzed and reported community health problems
1.4 monitoring and evaluation of the operation by the committee
2. Good epidemiological surveillance system
2.1 a good epidemiological information system
2.2 Surveillance and Rapid Response Team (SRRT)
2.3 priority disease diagnostic laboratory in District Hospital

7. Competent Disease Control District (CDDC) Project [continued]
3. Disease prevention and control plan 3.1 goal and action plan for prevention and control of priority diseases or health problems (at least one disease) 3.2 integrated campaign activity with the community involvement 3.3 emergency plan exercise at district level (at least once a year) 3.4 Evaluation and review of operations to plan for next year 4. Integrated resources from stakeholders 5. Successful mobilization of resources for disease prevention and control

8. Successes, failures & challenges
Integrated project (En Occ, CD & NCD)
Integrate Resource (Man, Money, Management)
Focus on Community
failures
Select some important problem may ignore some problem such as law enforcement in Tobacco & Alcohol prevention
The project is similar to District Health System
challenges
Integrate with DHS

9. Meditation Therapy Center By DTAM Department for Thai Traditional and Alternative Medicine Development (Holistic Health Care Center)
Holistic Health Care program in 3 target groups
patient and their family
health personal
community
Integrated activity practice
giving activity
Volunteer activity
moral behavioral activity
moral activity and NCD preventive behavioral
mental development activity
mindfulness meditation
concentrate meditation
NCD knowledge

10. Successes, failures & challenges
It's a small success project for rural area.
The content is relate to Buddhist Religion so it is easy to distribute to population in rural area
It is a integrate learning between patient & health personal
failures
It's difficult to train the trainer because Buddhist is a specific science issue
Religion issue is not wind accept by the science personal
Challenges
Integrate to Health Care Service such as
in Hospital
in Community

11. Health system reform National Health Authority : NHA (Regulator)
many new health organization make chaos management in Health System
related to WHO Framework (6 Building Blocks)
Reform function & structure
National Health Authority : NHA (Regulator)
Structure
Health & Service
Health Promotion
Disease Prevention & Control
Health Consumer Protection
Function
1. Strategic knowledge based
2. Health knowledge management
3. Monitor & evaluation on health policy & health technology
4. Accreditation of health service
5. Development of surveillance system for disease, health risk & health emergency response
6. health law
7. Global health and international cooperation
8. Monitor & evaluation of Government Regional & Private agencies
9. health financial system
10. One standardized health information system
11. Health personal management
Purchaser
Provider

12. Thank you