1. VIJAI AMMARALIKIT MAYOR PHANATNIKOM MUNICIPALITY CHONBURI,THAILAND VIJAI_AM999@HOTMAIL.COM Healthy city approach to address health inequity in Phanatnikom Municipality, Thailand Regional Workshop on Urban Health Equity Assessment and Intersectoral Responses WHO/SEARO, New Delhi, 24-7-29 Nov 2012

2. 1. Background Chonburi Province, Located in Chonburi Province, 87 kilometers from Bangkok, eastern part of Thailand Area covered: 2.67 square kilometers Population covered: 12,279 (5,593 males, 6,686 females) Better health & environment, peaceful society, conspicuous of tradition-art-culture-education, toward HEALTHY CITY ” City vision: Better health & environment, peaceful society, conspicuous of tradition-art-culture-education, toward HEALTHY CITY ” Bangkok Phanatnikom Municipality,

3. Population divided by age of Phanatnikom Municipality AgeFemale Total Percentage Male 0-6 years 7-12 years 18-30 years 31-50 years 60+ years 51-60 years 13-17 years Total 337 392 367 1,035 1,612 662 686 5,091 335 390 950 1,000 1,887 1,161 6,113 672 782 757 1,612 2,035 3,499 1,847 11,204 6.00 6.90 6.80 14.40 18.20 31.20 16.50 100.00

4. Public health problem NumberAgepersonsPercentage 1. High blood pressure30 up5958.55 0f population 30 up 2. Diabetes30 up2693.86 0f population 30 up 3. Eye vision problem50 up200.57 0f population 50 up 4. Cervix and breast cancers30 up110.27 of woman 30 up

5. 2. Approach (since 1997) HEALTHY CITY Conspicuous of tradition, art, culture, and education Good governance Financial management Rule of law Responsibility Efficiency & effectiveness Participation Transparency Budget allocation Income development Reduce expenses Better Health& environment Better PeacefulsocietyPeacefulsociety Learning & development organization Capacity building Capacity building Hardware& Software Hardware& Software Service mind Service mind Knowledge management Knowledge management Maximum Satisfaction of Our citizen Our vision and strategies Our goal Ultimate goal

6. 2. Approach (cont.) Our stakeholders National Health Security Organization, Thailand Provincial and District Hospitals 10 Communities 4 Municipal schools

7. 3. Activities and outcomes Activities for Better Health& Environment 1.Prevention and control of epidemic diseases such as bird flu, flu 2009 by distribute hand cleaning gel and knowledge in practice to avoid virus infection 2.Prevention of non-infectious diseases by - Screening check of diabetes and high blood pressure for elderly people - Screening check of cervix and breast cancers for women - Eye checking to prevent cataract 3.Pregnancy care by contribution supplements that are beneficial for pregnant women as well as education on maternal care 4.Provide health facilities and low income settlement improvement such as primary health care center, swimming pool, public park, playground, gym room, exercise machines, low income settlement upgrading 5.Support various kind of sport clubs and senior citizen club 6.Promote people participation on environmental and self sufficiency economy initiatives such as bio liquid detergent from organic waste, etc.

8. Prevention and control of epidemic diseases and non-infectious diseases

9. Pregnancy care and Health facilities for communities

10. Low income settlement improvement Before After

11. Produced bio liquid detergent from organic waste and use for cleaning to reduce chemical

12. 5. Lesson Learned Major benefits implementing Healthy cities Economy -Reduce medical treatment cost of household -Reduce fiscal budget of municipality on health care investmentSocial -Happiness society -Less conflict between municipality and community -More conciliation among people -People willing on participationEnvironment -Clean and green city guarantee by the winner of the cleanest city award and sustainable city award

13. 5. Lesson learned 5. Lesson learned Main challenges and successes Healthy city should not focus on only health aspect but social and environmental aspects must be concerned. Healthy city should not focus on only health aspect but social and environmental aspects must be concerned. Healthy city can not be done and sustainable just only local government itself but participation among strategic partners is the main key successful factor Healthy city can not be done and sustainable just only local government itself but participation among strategic partners is the main key successful factor

14. Our pride to be HEALTHY CITY and we will go forward to do better job for our His majesty King and our world! Thank you for your attention