DC system

1
?????????????????????????????????????????????????
???
????????????????????

• ??? ????????????
• 14 ???????? 2554

2
2
???????????????

• ????????????????????????????????
• ?????????????????????????????????????????????????
  ???????
• ???????/??????????????????????????????????????????
  
• ????????????????????????????????????????????
• ??????????????????????????????
  ?????????????????????
• ????????????????????????

3
??????????

• ?.?.?.?????????????????????????????
  ?????????????????????? ???????????????????????????
  ???????????????
• ???????????????? ?????????????????????????????????
  ?????????????????????????????????????
• ?????????????????????????????????
  ??????????????????????????????????????????????????
  ??????????????????????

3
4
??????????

• ???????? ?????????????????????????????????????????
  ?????????????????????????????

New technology/ innovation
Pandemic threat
Drug company
Economics crisis
DC system
Health system
Politics
5

• Threats

• Opportunities

Complex Health issues
Environment
Science Tech Advancement
Drug Industries
Epidemiology change
??????????????????????????

• Political crisis

MOPH
Decentralization (transitional period)
?????????????????????
Strong Network (International/ national)
International policy (sometimes mislead,
irrelevant to country context)
DDC
Strategic partners collaborations (6 ?
???????????????)
?????????????? ???. (?????????????????????????????
??????????????????????????)
6 ??????????? (???????????????????????????????????
????????????????????)
Change to Think tank of Thailand
6
???????????????????
6

• ???????????????????????? 5 ????? (??.?.-
  ??.?.54) ?????????????????????????????????
• ???????????????????????????? ????????????????
  (11 ??.?.54)
• ????????????????????.
• ???????????.???????????????????????????.
• Next
• ?????????????????????????????????????????????

• ?????????????????????????? (?????????,???????,????
  ??????????????) 7 ??.?.54
• ????????????????????? ????????????????????????
  ???? ?.?????????????????????????, ????.
  (?????????,???????,????????,???????) 19 ??.?.54
• ?????????????
• ?????????????????????????????????? ?????????

7
??????????????????????????????????????????????
7
8
????????????????????
Epidemiological data Situation of PH problems
(Global/national/local)
Evidence-based knowledge
Policy
Implementation
???/?????
Regional
Provincial
Local
9
????????????????????????????????????????

• ????????????????????????????????????/?????????????
  ??????????????
• ??????? ????? ??????????? ????????????????????????
  ? ????????????????????????????????????????????
• ???????????????????? ??????????? ???????????
  ??????????????????????????????/???????????????????
  ???????
• ??????????????????????????????????????????????????
  ?????????????????????????????
• ???????????????????????????????????
  ???????????????
• ????????????????????????????????

Evidence-based knowledge
Epidemiological data Situation of PH problems
(Global/national/local)
Policy
Implementation
Regional
???/?????
Provincial
Local
10
???????????????????

• ???????????????????????????????????/??????????????
  ???????????? ?????????????????????????????
• ????????????????????????????????? ??????????????
  ???????????????????????????? ????????????????
  ?????????????????
• ???????????????????????? ?????????? ?????????????
  ????????????????????????/?????????????????????????
  ?????
• ?????????????????????????????????/?????????
  ?????????????????? ???????????????????????????????
  ?
• ????????????????????????? ?? ????????????????????
  ??????????? ??????? ??????????????????????????????
  ??????????????????????????
• ????????????????????????????????
  ??????????????????????

Evidence-based knowledge
Epidemiological data Situation of PH problems
(Global/national/local)
Policy
Implementation
Regional
???/?????
Provincial
Local
11
???????????????????????
Evidence-based knowledge
Epidemiological data Situation of PH problems
(Global/national/local)
Policy
Implementation
Regional
???/?????
Provincial
Local
12
??????????????????? ???????? VS ??????????????
13

• Passive
• Require systematic approach
• Multi sectoral involvement
• Evidence-based
• mechanism/driven/laws and regulation enforcement
• Assessment and evaluation

• All levels
• Right information
• Appropriate route
• Right person
• Risk communicatn

• Focus on RD/KM for PH
• Systematic approach
• RD/KM Infrastructures (MCRC, lab, database)
• Capacity buildings
• Networking, collaboration

• Interdepartmental
• MOPH-non-MOPH
• international

• Passive
• Multiple information systems
• Quality assessment
• Capacity buildings
• integration/collaboration/
• coordination

• ME Body
• Maintain expertise
• Strong technical background
• Good system and feedback

• Cross cutting
• Management/Integration
• EVB leading/strong technical
• HRM/HRD, expertise (policy, technical gt
  implementation)
• Multisectoral involvement

14
???????????????????? ????????????????????????????
?????????????????????????? ????????????
??????????????? ???????? ???? WHO, FAO, OIE,
UNICEF, ASEAN, APEC, ACMECS, etc.
??????? ??????????? ??????? ????????? ???????
14
WHO, FAO, OIE, and other international
partners ASEAN, APEC, ACMECS and other Regional
forums
15
???????????????????? ????????????????????????????
???????? ??. ??????????????

• ??????????? ?????????? ?????? ???????
• ?????????????? ??????????
• ????? ?????????
• ????????????????????????????

?? ??.
???

• ?????????????? ??????????
• ????? ?????????
• ??????????????????????????

??? ???/???
??? ??? ????
???????????? ????????? ??????????????????

• ??????????????????
• ??????????????????????????
• ?????????????????????

??????? ??????????? ??????? ????????? ???????
???
15
WHO, FAO, OIE, and other international
partners ASEAN, APEC, ACMECS and other Regional
forums
16
????????????? (Governance) ??????????????????????
???????????????????????????
?????? ?????????????????? ????????????
??? ?????? Vertical
???????????? Agency /Director Federal Advisory Committee
?????? Agency / CEO Horizontal
?????? Agency Departmental Board
??????? ?????? Vertical
???????? ???????????????? Vertical
???????? ?? Vertical
16
17
????????????????????????????? ??????????????????
17

• ??????????????????????????????????????????????????
  ???????????????????
• ???????????? ?????????????? ??????????????????????
  ????????????/?????????????????????
• ????????? ????????????????????????????? ?

18
??????????????????????????????????????????????????
?????????????
18
Private Spending/partnership e.g. OOPs, CSR
Private
NGOs / International agency
NGOs/ Intl. agency
MoPH/DDC National Program /Other Public Sectors,
e.g. MoI, MoD, MoSDHS, etc.
Public sector
CSMB /SS
ThaiHealth Promotion Fund
ThaiHealth
UC-PP-National Priority Program
UC-Benefit package
UC-PP- National Procurement
National Health Security Office
Tambon Health Fund (UC-PP-CommunityTAO)
Individual Care -facility base -home
base -community base
Community Care -screening -surveillance -
Dis.Prevention Control
Capacity Building -training -practice -KM
Social Movement -campaign -public
communication -law / measure enforcement
Disease Control Service Delivery
19
19
???????????????????? (Governance)

• ?? Board ????????? ??? Board ?????????????????????
  ?????????????? ??????????????????????????????
  ??????? ?????????????????????????? ?????????
  ????????????????????????????????????????????????

20
??????????????????????? Board
20
Disease Prevention and Control Policy
National AIDS Policy
NIP
.

???????? National program facilitator/ME/coach
??????????? Regional policy facilitator/ME/coac
h
Implementation (???????/?????)
21
21
?????????????????? 1

• ????????????????????????? ????????????????????????
  ???????????????????????/??????????????????????????
  ??????????????????

22
national
National DC Board
22
Support Policy development
??????????????????????????????????????????
Policy development law/regulation enforcement
Regional
endorsement
coacher/ME ?.?.????????????????????????? ????????
???????????????????????
Strategic partner
National Policy facilitator
Regional Policy facilitator/ME
Provincial/local
-???????????????????????????????????????????????
Implementator
???????? ??? 1
23
23
?????????????????? 2

• ?????????????? ???????????????????????????????????
  ???????? ??? ?????????????????????????????????????
  ??????????????

24
24
Surveillance
Policy
Technical development/ support
Strategic partner
national
Regional
Provincial/local
coacher/ME ?.?.????????????????????????? ????????
???????????????????????
Support policy development
-???????????????????????????????????????????????
???????? ??? 2
??????????????????????????????????????????
25
????????????????????????
25

• ?????????????????????????????????????
  ??????????????????????????????????????????????????
  ????/ ?????????????????????????? ???????????
• ??????????????????????????????????????????????????
  ??????? ????????????????????????????? ??????????
  ?????????????????? ??????????????
  ??????????????????????????????????????????????????
  ??????????????????????????????????????
• ??????????????????????????????????????????????????
  ????????????????????????
• ??????????????????????????????????????????????????
  ??????? ????????????????????????? ???. ????????

26
NEXT STEPS
?????????????????????????????????????????????
??????????????????????????
??????????????????????? ??????.??????????????????
??????????????
27
IT IS NOT THE STRONGEST OF THE SPECIES THAT
SURVIVE, NOR THE MOST INTELLIGENT, BUT THE ONE
MOST RESPONSIVE TO CHANGE.
27
Charles Darwin
28
1. National board

• "??????????????????????????????????"
  ??????????????????????????? ???
  ???????????????????????????????????????????
  ??????????????????????????????????????????????????
  ?????????? ???????????????????????????????????????
  ?/??????????? ????????????????????????????????????
  ??????????????????? ??????????????????????????????
  ????
• ????????????????????????????????????????????
  ??????????????????????????????????????????????????
  ??????/???????????????????????????????????????????
  ???

29

• ??????????????????????????????????????????????????
  ?????????? ??????????????????? ?????????????
  ?????????????? ???????? ????????(?????????????????
  ??? ???????????????) ?????????????????????????????
  ????????????????? ????????????????????????????????
  ???????????? ???? ??????????????????
  ???????????????????? ?????????????? ?????????
  ????????? ?????? NGO ??????? ???????????????????
  ???? national program ?????????????
• ??????????????????????????????????????????????????
  ???????????????????????????????????
  ???????????????????????? ?????????????????????????
  ????????????
• ??????????????????????????????????
  ????????????????????????????????????
  ???????????????????????????? ???????????????????
  ??????????????????????????????????????????????????
  ??????

30
1. National mechanism

• Budget allocation
• Authority
• Laws and regulation ( ?.?.?. ?????????)
• ????????
• ?????????????????????????????????/????????????????
  ?????????
• ???????????, ????????
• ???????????????/????

31
2. Regional mechanism, assessment

• 1 Board (PH ??? ??????????? ??????????????????.?.
  )
• ????????????????????????????
• ????????????????????????????????, maintain
  expertise
• ??? 4 s (Strategic formulation,
  supervision/ME, special service)
• Regional policy facilitator
• Technical development and support(coach)
• Assessment of Programs, local level
• Adapt for own context

32
3. Civil society participation

• Health NGO Board
• ???????????????????????? risk communication

33
4. Surveillance vs policy

• Surveillance ??????????????? policy
  ????????????????????????
• ????? conflict of interest