thailand's health promotion and social development in practice · health promotion networking...

Thailand's Health Promotion and Social Development in Practice

Dr. Supreda AdulyanonCEO, Thai Health Promotion Foundation

Promoting health, promoting sustainable development:it’s our health, our future and

our choice.

Health for all and all for health • Santé pour tous et tous pour la santé Salud para todos y todos para la salud • •人人享有健康一切为了健康الصحة للجميع والجميع للصحة • Здоровье для всех и все для здоровья

National Health and Family Planning Commissionof the People’s Republic of China

The Next Generation: Fast Moving World !!

Social Changes

Technology Changes

GlobalizationDigitalization

De-IntermediarizationPolarization


our choice.




our choice.



HealthNew and variety frontiers for promoting health

Paliament Social Media Local authority LobbyStock market Communities Workplace etc.

Disease model / Medicine

With AI / Media literacy/Less dependent to professionalMore self acquired medicine/health protection

Health Promotion = a tool for great reform

A Paradigm Shift

Economic paradigm Health paradigm

Greed is good Health is good

Money capital Social capital

Fragmented, top down Integrated,bottomup

Unbalanced, social divide Living together

“Homo economicus” “Homo holisticus”

Prawase Wasi

Together let’s HEAL THE WORLD

The world is too sick

Through Health Promotion

Thank you

Set up as an autonomous state agencyvia Health Promotion Act 2001

To support Tobacco Control, Alcohol

Control and Health Promotion in Thailand

Board of Governance, Chaired by the

Prime Minister, comprises of multi-sectoral

members (2 politicians, 9 related ministries, 9

independent experts /social leaders, and the CEO)

• Revenue: 135 million USD (2017) -- 1% of National Health Expenses

• 2% Surcharge Excise Tax (from Tobacco & Alcohol)

ThaiHealth’s Revenue

producers/importers

Ministry

Of

Finance

ThaiHealth’s funding strategy

Major health promotion issues; goal/strategy/partners oriented

opportunities for public participation in health promotion; innovations

Tripower Strategy

(Triangle that moves the mountain)

14

Multi-sectoral Approach

Both Health

& Non-Health

2,000+ projects/year

22,000 Partners in 17 years

15

Modern Health Promotion:

Ottawa Charter for Health Promotion Actions (1986)

1) Building healthy public policy

2) Creating supportive environments

3) Strengthening community action

4) Developing personal skills

5) Re-orienting health care services toward

prevention of illness and promotion of health

Communication, Campaigning, Education

Personal Capability

Behaviour/ Lifestle

Health

Supportive Environment

Public Policy

Health Care Service

Stregthening Community

Health Promotion Networking

Policy Advocacy

Personal/ Group Personal/ GroupMass media Mass media

Health Promotion Model

Health literacy

Green & Tones, 2012

Social service/ welfare

Central of the policy process

Emotional base

for policy decision

making

Rationale base for

policy options

consideration

Policy

adoption

Advocated

policy

Knowledge

Creation

Social

Movement

Policy

Involvement

ThaiHealth: Triangle towards Public Policy

Public education

1) Building healthy public policy

• Excise tax on Sugary Beverages (Sugar Tax) (2017)

• Integrated Excise Act (2017) • Tobacco Control Acts (1992,

2017)• Alcohol Control Act (2008)• Control of Marketing for Infant

Foods (2017)• National NCD Strategic Plan

2017-2021 • National Strategy on Physical

Activity ( later in 2017)• Etc.

• “Thai Health Promotion Act 2001” – Sin-Tax financing for population-wide HP and NCD prevention

• “National Health Security Act 2002” – for UHC

• “National Health Commission Act 2007” – participatory policy process

• WHO – Thai Government : Country Collaboration Strategy on NCD 2017-2021 -- System Improvement

Public Policy for Health in Thailand

Dr. Margaret Chan

(Former) Director-General, WHO

16 November 2016, Bangkok, Thailand

2) Creating supportive environments

Smoke Free Environment

Smoke-free restaurants

Smoke-Free Gov’t Offices

Smoke-Free Public Areas

Smoke-free hospitals Smoke-free schoolsSmoke-free temples

23

3) Strengthening Community Actions

Model of Work: ThaiHealth Community Plan

OTTAWA CHARTER

Strengthen Community

Actions

THAIHEALTH ACT 2001

Objective 5 : community able to foster health promotion by

supports from community …

DIRECTION, GOAL, and 10 YEARS STRATEGY

Empower Capacity Building for Community

Area-Based Development + Health in all Policies

24

Goals

Disciplines

Capacity Building

Environmental Changing

Public Services

Data Management

Welfare & Funds

Social Norms Development

6 Activities

S-2I STRATEGY

1. Support Political Reform in Thailand and Thailand 20 Year Strategic Plan and Reforms

2. Utilize the potential of over 2,000 Sub-district Administrative Organizations in implementing the Policies of Thailand such as Aging Society, National Security

3. Support "learning centers" for health & social development

27

4) Developing personal skills

Changing Times - Need New Solutions

1990 2017

SOCIAL MARKETING = Enabling Social Climate

Partnership/networkingLaw & Policy Enforcement

Awarenessraising

Creating Social Pressure

Changing Norm

Media education

Behaviour model presentation

Synergy with the GROUND Activities

31

Clin. Prof. Dr. Piyasakol Sakolsatayadorn

Minister of Public Health, Thailand

5) Re-orienting health care services toward prevention of illness and promotion of health

Communication, Campaigning, Education

Personal Capability

Behaviour/ Lifestle

Health

Supportive Environment

Public Policy

Health Care Service

Stregthening Community

Health Promotion Networking

Policy Advocacy

Personal/ Group Personal/ GroupMass media Mass media

Health Promotion Model

Health literacy

Green & Tones, 2012

Social service/ welfare

34

Smoking Prevalence (percentage)

Alcohol Consumption Per Capita (1961 – 2014)

(liter of pure alcohol per person per year)

ThaiHealth started alcohol control plan in 2005

8.18.1

6.76.97.47.5

7.98.08.18.27.9

7.6

6.76.77.17.1

6.86.9

0.30.50.80.9

1.21.61.71.71.81.92.01.91.8

2.32.32.9

4.24.44.8

5.55.55.3

6.16.0

5.15.0

5.86.4

7.47.57.07.0

7.97.9

7.1

7.97.78.38.48.5 8.5

0

1

2

3

4

5

6

7

8

9

1961

1963

1965

1967

1969

1971

1973

1975

1977

1979

1981

1983

1985

1987

1989

1991

1993

1995

1997

1999

2001

2003

2005

2007

2009

2011

2013

CAS WHO

Litre

Sources: WHO (1961 – 2014) and Center for Alcohol Studies, Thailand (1997 – 2014)

36

National Expenditure on Alcohol

Consumption (mil baht)

• PA Promoting Projects

447,769 Participants

• 13 Prototypes Healthy Organizations

• Bikable City

• 3 Healthy Space Industrial Estates

75.2

Number of Runners Increase:5 Mil to 12 Mil between 2012-2016

thailand's health promotion and social development in practice · health promotion networking...

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