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KEY SUCCESS FACTORS OF THE

NATIONAL POLICY IMPLEMENTATION FOR

REHABILITATION SERVICES

Sirinart Tongsiri MD PhDWachara Riewpaiboon MD

World Report on Disability Symposium, 5 December 2011, University of Sydney

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OUTLINE Recommendation 3 of the World Report

on Disability Aim of the study Background Findings Conclusions

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RECOMMENDATION 3 IN CHAPTER 9“Adopt a national disability strategy and

plan of action”

Stakeholders should be involved in the development, implementation and monitoring of a national strategy using prevalence of disability, needs for services, social and economic status, gaps in current services and environment and social barriers

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THIS STUDY AIMS TO Report the policy process of the PWDs’

capability-oriented database development in Thailand

BACKGROUND An ICF-based questionnaire is used to

develop a PWD database to identify health needs, guide resource allocation and monitor rehabilitation services

Two provinces: NP and NL under the 8th RHSO separately implemented the database development

Then the 7th RHSO (including 4 provinces)

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KEY ACTORS State actor: the 7th RHSO Local government actor: the Provincial

Rehabilitation Fund (PRF) in the NL province

Non-state actor: Disabled People’s Organization (DPO) in the NP province

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NL province

The 7th RHSO• Khonkaen •Roi-Et •Kalasin •Mahasarakham

NP province

The 8th RHSO

FINDINGS The 7th RHSO quickly implemented the

survey by health personnel of the state healthcare providers

FINDINGS The 7th RHSO quickly implemented the

survey by health personnel of the state healthcare providers

The NP province is slowly moving forward to participatory continue the survey after finishing the research

FINDINGS The 7th RHSO quickly implemented the

survey by health personnel of the state healthcare providers

The NP province is slowly moving forward to continue the survey after finishing the research, in participation with other organizations

The NL province started the survey by health volunteers with partial financial supports from outside funders

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WHAT WE HAVE LEARNED To implement rehabilitation policies: key

actors should be identified

State, local government and non-state actors, particularly the civil society, play crucial roles

WHAT WE HAVE LEARNED

State actor with higher control of authority, financial and human resources

Local government with limited resources but able to work across different organizations

DPO with insights of PWD’s needs

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WHAT WE HAVE LEARNED

ICF can be used as a conceptual framework and communication tool among actors should the services are to be implemented

The CBR matrix can serve as a comprehensive monitoring tool of improving quality of life and enhancing equalization of opportunity of PWDs

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TO ACHIEVE THE RECOMMENDATION 3

“Who play what roles in a big picture”

State: higher control of resources and have good link with state healthcare providers

Local government: bridge the gaps between health, education, livelihood, and social support services

Non-state: particularly DPO could voice specific interests of its members to guide the policy development; a good platform for empowerment and equalization of opportunities for PWDs