Thailand Country Reporty pHuman Resource Development in the Sectors of Welfare and Health:

Capacity building of service providers and employability promotion of vulnerable people

Ministry of Public Health i ist y of ublic ealtMinistry of Social Development and Human Security

Ministry of Labour

The 9th ASEAN & Japan High Level Officials Meeting on Caring SocietiesTokyo, Japan 25-28 October 2011

1

y , p

Follow up of 8th High Level Officials Meeting:

At i l l l

Poverty alleviation with a focus on vulnerability people

At regional levelSub-Regional Workshop for LDCs in Achieving MDGs

as Part of the Implementation of the Istanbul Programme Actionas Part of the Implementation of the Istanbul Programme Action(South-East Asia/East and North-East Asia)

Incheon, Republic of Korea 14-16 September 2011Incheon, Republic of Korea, 14 16 September 2011

Thailand Experience on Universal Health Care Coverage Policy inThailand Experience on Universal Health Care Coverage Policy in

Pursuing Progress Toward MDG Targets

The Japan-Thailand Technical Cooperation on the Development of a

Community Based Integrated Model for Health care and Social

Welfare Services for Thai Older Persons (CTOP).

Follow up of 8th High Level Officials Meeting:

At national level

Poverty alleviation with a focus on vulnerability people

Tambon (Sub-District) Health Promoting Hospital- Government policy on improving the quality and effectivenesssGovernment policy on improving the quality and effectivenesss

of health care services system- 9,750 Health centers were up graded to Tambon (sub-district)

H lth P ti H it lHealth Promoting Hospital - Primary health care strategy: Health services close to your door - Proactive health promotion and rehabilitation > curativep- Family folder

MoPH Good Model for Elderly 6 Good Models for Elderly- 6 Good Models for Elderly

-84 district health offices

11th National Health Development Plan under 11th National Economic and Social Development Plan (2011-2014)

The Elderly in Thailand

Elderly is a person who is 60 years and above and a Thai citizen(Elderly Act B.E. 2003)In 2011, elderly population totals to 7.7 million (12.19%). Needs for help of the elderly ;Activity for daily living, health care services, social and moral support and economic support. In 2010, employed elderly workforce was 2.51 million (35.75%)of the total elderly population (57 56% i i lt l t )(57.56% were in agricultural sectors)

Promoting and supporting for elderly by skills development Promoting and supporting for elderly by skills development and trainingProviding occupation and employment center for elderly Providing occupation and employment center for elderly group in Employment OfficesProviding suitable occupation choice for elderly groupProviding suitable occupation choice for elderly groupProviding  suitable information for elderly on welfare and labour protectionpSupporting labour welfare in regards to savings such as retire funds for employeesPension distribution from social security funds

Persons with disabilities in Thailand

Th i h di bili i f 1 9 illi• The persons with disabilities account for 1.9 million (or 2.9%) out of the total population of 65.6 million in Thailand. (based on the 2007 figures of the National Statistics Office)(based on the 2007 figures of the National Statistics Office)• Out of 1.8 million of the disabled aged over 15, only 0.6 is employed.

Providing skill training for the disabledProviding skill training for the disabledOrganizing biannual national skills competition for the disabled to select those with excellent skills to participate disabled to select those with excellent skills to participate in the International AbilympicsPromoting employment and ensuring legal protection for Promoting employment and ensuring legal protection for persons with disabilitiesEnsuring legal protection for labour with disabilitiesEnsuring legal protection for labour with disabilitiesRehabilitating people with disabled

Human resource for social welfare and health

Human resource for welfare Human resource for health

Public sector- Social worker

Public sector- Physician

- Social development officers - Dentist- Pharmacist- Physical therapistPhysical therapist- Nurse

Other sectors Other sectors- Social welfare volunteer- NGOs

o Private sectoro Village health volunteer (VHV)

The Ministerial Regulation on- The Ministerial Regulation on Village Health Volunteer B.E. 2554

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- Ratio 1:1.8 familieso NGOs

Ratio of Human resource for health (HRH) to population

Cadres of HRH Year

2007 2008 2009 2010

Physician 1:2778 1:2931 1:3324 1:2893

Dentist 1:13525 1:13148 1:14833 1:13252

Pharmacist 1:7348 1:7534 1:8253 1:7087Pharmacist 1:7348 1:7534 1:8253 1:7087

Nurse 1:597 1:576 1:624 1:531

Technical nurse 1:4787 1:6747 1:7673 1:903

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Projection of supply and requirement of main cadres in 2015

Doctors Dentists Pharmacists Nurses

Supply 38,217 – 41,282 10,323 25,124 120,197-173,321

Requirement 40,633 – 46,015 8,924 – 9,768 32,761 – 33,698 137,997-142,366

Shortage 2,416 – 4,733 (537 - 1,399 )* 7,637 - 8,574 (30,955)* - 17,800

Strategy used in solving inequitable distribution of doctorsStrategy used in solving inequitable distribution of doctors

Supply side strategies Demand side strategies•Educational strategy

l i•Financial strategies

l f l-Local recruitment strategy-Increase production-Medical education reform

- Development of rural health infrastructure

- Compulsory publicMedical education reform- Appropriate skill mix

A i t kill i

Compulsory public services

- Increase financial i ti• Appropriate skill mix incentive

- Appropriate skill mix

•Nonfinancial strategies-Social strategyCareer development-Career development

Th ff t f th t t iThe effect of the strategiesReduce shortageL kLong-term workQuality of health service

Conclusion and recommendation1 K l d ti d t1. Knowledge generation and management2. Development of HRH information system3 D l t f t i bl it f HRH M t3. Development of sustainable capacity for HRH Management

Case study: Good PracticeChristian Prison Ministry Foundation (CPMF)Christian Prison Ministry Foundation (CPMF)The assistance for those who return to society

The purpose of House of Blessing,Halfway HouseHalfway House

1. To assist the underprivileged, the ex-prisoners to receive training and be ready to adapt to living in society with confidence.y p g y

2. To assist the ex-prisoners in the field of vocational training, jobs and investment to support their business accordingly.

3. To assist children, youth and the ex-prisoners from the Observation Center or children and youth training center to promote education, vocational training and development of life care to grow up wellvocational training and development of life care to grow up well.

Projects/Activities Th ti b f t f j il

jThe preparation before go out of jail

Training of Youth Observation and Guidance of life

Promoting education and training

j iProject to create a return to society