NHSO’s roles in universal health coverage (UHC) and further cooperation

Dr. Pongpisut JongudomsukAssistant Secretary General

National Health Security Office (NHSO), Thailand

Thailand-Pacific Island Forum 9 August 2014, Bangkok, Thailand

b National Health Security Office - Thailand

National Health Security Office - Thailand

Infrastructure of NHSO

2

Headquarters office13 branch officesnationwide

Total staff 800

National Health Security Office - Thailand 3

Three public health insurance schemes in Thailand after achieving UHC

CSMBSCSMBS

ComptrollerComptroller

UCSUCS

NHSONHSO

SSSSSS

SSOSSO

Public/privatePublic/privateprovidersproviders

5 mil 48 mil 10 mil

General taxGeneral tax

BeneficiariesBeneficiaries

contribution

Informalemployees2001

Formalemployees1991

CivilServants1963

Health services

National Health Security Office - Thailand

Outputs:Increased access ambulatory and inpatient care

4

National Health Security Office - Thailand

Outcome: Reduction in out of pocket payment

42% 44% 44%50% 50% 50% 51% 50%

58% 57% 58% 56%64% 69% 69% 67% 67%

44% 43% 42%37% 35% 35% 34% 33%

27% 27% 26% 27%17% 14% 15% 15% 14%

0%

25%

50%

75%

100%19

94

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Year

%

Public SHI Households Other private

UHC achieved

National Health Security Office - Thailand

UHC achieved

Outcome: Protection against health impoverishment

National Health Security Office - Thailand

Further collaboration

• Working collaboratively to achieve UHC by building capacity on– Health care financing and provider payment methods– Health service organization based on primary care– Quality accreditation– Governing structures– Health technology assessment– ICT systems for registration and service transactions

• CAP UHC (Capacity building on UHC)

7

National Health Security Office - Thailand 88

Thank you for your attention