Best PracticeBest PracticeUnited Nations Public Service United Nations Public Service

AwardsAwards

Dr. Sakchai Chaiyamahapurk, MD., PhD.Director of Office of Disease Prevention and Control 9 PhitsanulokDepartment of Disease Control, MOPH

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Integrating Network and Integrating Network and Community Participation for Community Participation for

Effective Malaria Management Effective Malaria Management Tha Song Yang District, Tak Tha Song Yang District, Tak

Province, ThailandProvince, Thailand

Category: Fostering participation in policy-making decisions through innovative mechanisms

OutlineOutline• About the initiative• Situation• Initiative evolution

and objectives• Strategy• Stakeholder

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• Change management Process

• Impacts• Obstacles• Sustainability• Lessons learnt

About the initiative About the initiative

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• The initiative is about the Integrated Capacity Development/Capability Improvement Model (ICD/CI Model) which has implemented for high affected area of malaria in Tha Song Yang since 2010 and could be applied for other areas.

• The goal is to be effective Malaria management.

• The highest infected malaria case in Thailand

• Area of Artemisinin Resistance P. falciparum

• Geographic difficulties• Poor facilities and infra-structure• Poverty• Border and migration• Ethnic different• Culture and languages• Beliefs

Initiative evolutionInitiative evolution

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By head of The Vector Borne Disease Control Unit Number 9.3.5(VBDU9.3.5) initiated the conceptualization and model

By Citizen voices and needs By SWOT tool By Strategy and Main activity

3 Objectives• To increase participative policy

making amongst stakeholders• To be effective malaria health

care• To maintain networks through

building human capacity and community trust

Strategy and modelStrategy and model

Key activitiesKey activities

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StakeholdersStakeholders

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1.The Vector Borne Disease Control Unit Number 9.3.5 (VBDU9.3.5)-coordinate all organization partners-deliver service of malaria care2.Healthcare providers -administer healthcare services-share resource and epidemiological data3.Local Administrative Organization (LAO)-provide key community leader-support necessary resource

4.The Border Patrol Police Units (BPPU)-educate parents and students-follow up the student case for complete medicine taking5.Non-government Organization (NGO)-coordinate and educate migrants for malaria prevention6.Community health volunteers -prepare community and people for service delivery-monitor medicine administration and trace case

Change management Change management processprocess

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• Community survey and feedback• Planning and activity through community

participation • Integrated proactive malaria service• Increase human capability building • Development of guideline for

collaboration networks• Monitor and evaluation

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Change service pattern to integrated proactive servicesChange service pattern to integrated proactive services

Results and BenefitsResults and Benefits

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Expected Benefits Actual Benefits

 

4.Significant reduction of the number of students with malaria in Tha Song Yang district

 

4. In 2010 to 2012, the number of student with infected malaria reduce from 70, 49 and 43 respectively

  

 

5. Citizens in remote areas will receive malaria prevention and control as quality standards, covered in all age groups; receive other health care as necessary; and be able to access to appropriate services and referral services.

 

5. Citizens in remote areas will receive malaria prevention and control as quality standards about 20,267 cases, including prevention and surveillance of filariasis, dengue, and parasitic disease about 5,028 cases. Patients have been appropriately referred for about 13 cases.

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Lesson learned: the key elements to Lesson learned: the key elements to

successsuccess

1) to understand the existing problems by inquiring people’s echoes and their needs and stakeholders’ expectation to be response involved main activities;

2) to compile the updated information technologies and feedback data, along with the lessons learned to provide optimum problem solving; 16

3) to create a participatory malaria management by meetings to brainstorm and listen to patients’ recommendations;

4) to learn passive service failures and patients’ needs in order to improve working procedures; 5) to cooperatively make a work instruction and delivery schedule between organizations;

5) to apply the model that specify clear responsible parties in each task and role

6) to incorporate indigenous knowledge of malaria prevention and treatment

7) to share and manage the resources for mutual benefits;

8) to be sincere in problem solving,and continue providing services to have a sense of sharing and ownership

9) to build trust and acceptance in the community by compliment with traditional beliefs.

The key elements to The key elements to successsuccess

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Lesson learnt: Obstacles and Lesson learnt: Obstacles and

SolutionsSolutions

Obstacles and SolutionsObstacles and Solutions

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Sustainability Sustainability EnhancementEnhancement

• Customized management plan in each district based on their resources also makes this initiative sustainable.

• community participation make an enhancing the results and lead to this initiative sustainable

• Village health volunteers are the key persons who connect our teams of government

• Collaboration between the healthcare providers and stakeholders such as local administrative organization.

• Border patrol police unit and NGOs makes this initiative sustainable.

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