VIJAI AMMARALIKITVIJAI AMMARALIKITMAYORMAYOR

PHANATNIKOM MUNICIPALITYCHONBURI,THAILAND

VIJAI_AM999@HOTMAIL.COM

Healthy city approach to Healthy city approach to address health inequity in address health inequity in

Phanatnikom Municipality, ThailandPhanatnikom Municipality, ThailandRegional Regional Workshop on Urban Health Equity Assessment Workshop on Urban Health Equity Assessment

and Intersectoral Responses and Intersectoral Responses

WHO/SEARO, New Delhi, 24-7-29 Nov 2012WHO/SEARO, New Delhi, 24-7-29 Nov 2012

1. Background1. Background

• Located in Chonburi Province, 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)• City vision:

Better health & environment, Better health & environment, peaceful society, peaceful society, conspicuous of tradition-art-culture-education,conspicuous of tradition-art-culture-education,toward toward HEALTHY CITY HEALTHY CITY ””

BangkokPhanatnikom Municipality, Phanatnikom Municipality,

Population divided by ageof Phanatnikom Municipality

Age Female Total PercentageMale

0-6 years

7-12 years

18-30 years31-50 years

60+ years

51-60 years

13-17 years

Total

337

392

367

1,035

1,612

662

686

5,091

335

390

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

Public health problem

Number Age persons Percentage

1. High blood pressure 30 up 595 8.55

0f population 30 up

2. Diabetes 30 up 269 3.86

0f population 30 up

3. Eye vision problem 50 up 20 0.57 0f population 50 up

4. Cervix and breast cancers

30 up 11 0.27 of woman 30 up

2. Approach (since 1997)2. Approach (since 1997)

HEALTHY CITYHEALTHY CITY

Conspicuous of Conspicuous of tradition, art, culture, tradition, art, culture,

and educationand education

Good governanceFinancial management

Rule of lawRule of law

Responsibility Responsibility

Efficiency & effectivenessEfficiency & effectiveness

ParticipationParticipation

TransparencyTransparency Budget

allocation Budget

allocation Income development

Income development

Reduce expenses Reduce

expenses

Better Better Health& Health&

environment environment

Peaceful Peaceful societysociety

Learning & development organization

Capacity buildingCapacity building

Hardware&Software

Hardware&Software

Servicemind

Servicemind

Knowledgemanageme

nt

Knowledgemanageme

nt

Maximum Satisfaction

ofOur citizen

Our vision and strategies

Our goal

Ultimate goal

2. Approach (cont.)

Our stakeholdersNational Health Security Organization, ThailandProvincial and District Hospitals10 Communities4 Municipal schools

3. Activities and outcomes3. Activities and outcomes

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

Pregnancy care and Health facilities for communitiesPregnancy care and Health facilities for communities

Low income settlement improvementLow income settlement improvement

Before After

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

5. Lesson LearnedMajor benefits implementing Healthy citiesEconomyEconomy-Reduce medical treatment cost of household-Reduce fiscal budget of municipality on health care investmentSocialSocial-Happiness society-Less conflict between municipality and community-More conciliation among people-People willing on participationEnvironmentEnvironment-Clean and green city guarantee by the winner of the cleanest city award and sustainable city award

5. Lesson learned5. Lesson learnedMain challenges and successes

Healthy city should not focus on Healthy city should not focus on only health aspect but social and only health aspect but social and environmental aspects must be environmental aspects must be concerned. concerned.

Healthy city can not be done and Healthy city can not be done and sustainable just only local sustainable just only local government itself but participation government itself but participation among strategic partners is the among strategic partners is the main key successful factormain key successful factor

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