New approach

2

- Lifestyle

- Environment

Preventive &

Promotive care

services

Activator for

change; :

Mainly within MOH Out side MOH

Existing approach

Involve the whole of the

government and society Involve MOH and those

who are sick & family

3

• HP as the Preventive & Promotive Care Provision

focus on services to individuals, groups or communities.

are mostly vertical activities / within health service sectors.

(Health education, vaccine etc.)

• HP as the Activator

- focus on Population/Societal base.

- create and coordinate HP activities of related sectors.

- activate mostly through policy advocacy and social mobilization.

Targeting different groups of population

Healthy

Having Risk

behavior

Diseases but not seeking

care

Sick and seek care

4

Health Promotion

(ThaiHealth)

Conventional Health Care system (MOH)

– establishing Thai Health

Promotion Fund under an

autonomous state agency,

– requiring 2% of alcohol and

tobacco surcharged levy to this

fund.

5

1. Health promotion needs regular and sustainable budget.

2. Because health promotion concentrate on software rather than hardware, existing funding agencies do not understand process-based funding priorities.

3. A dedicated/specific source of funding provide a predictable, more stable amount of budget.

4. Less susceptible to diversion of funding for other purposes.

6

7

Critical proposal/Politically acceptable source of budget

- The fund to come from tobacco and

alcohol importer/producer to pay an

additional 2% of excise tax (whenever

they pay for the excise tax).

- Key word: Government does not have

to pay

: The polluter pay

8

2010 Budget = 100 million USD.

Parliamentarian : - How to oversight the fund? - How to prevent corruption / abuse / misuse? - How to measure the effectiveness?

Provisions of Thailand Health Promotion Fund Act 2001

1. Objective/Mission of the fund

2. Sources of funding

3. Structure and functions of governing board

4. Organization of health promotion office

5. Evaluation auditing monitoring processes

6. Reporting to cabinet / parliament

Performance Evaluation

1. Board of evaluation (propose by

MOF, appointed by the cabinet).

2. Internal auditing committee.

3. Subject to auditing by General

Accounting Office.

Thailand Health Promotion Foundation’s Regulation

1. Criteria of funding

2. Funding for program/ project only

3. Program/project review

selection/approval processes

4. Fund administration/

monitoring /auditing system

Make all processes transparent

13

ThaiHealth

2000 2010

Gov. staffs

Budget (million Baht)

10

10

32

4

NGOs staffs

Budget (million Baht)

7

4

50

159

14

ThaiHealth

2000 2010

Gov staffs

Budget (million Baht)

0

0

42

7

NGOs staffs

Budget (million Baht)

0

0

125

279

Million USD

- Tobacco = 4.7

- Alcohol = 8.1

- Traffic accident = 4.7

- Nutrition = 3.2

- Social marketing = 4.5

- Total = 25.2

Total budget for major program

2001 – 2010 = 252

Total Thaihealth budget 2001 – 2010 = 614

Thaihealth budget as %

of MOH/NHSO budget

(million USD)

2006 2007 2008

MOH 1,548 1,735 1,922

NHSO (UHI) 1,766 2,204 2,863

ThaiHealth 74 74 94

= 2.2% 1.8% 1.96%

16

ThaiHealth Budget as % of

total health

(million USD)

2006 2007 2008

Total Gov.

Health Budget 6,365 7,421 8,780

Thai Health 74 74 94

= 1.16% 0.99% 1.07%

17

Population Groups Classify According to Health Status

Healthy

Having Risk behavior

Diseases but not seeking

care

Sick and seek care

18

Health Promotion (1 % of health budget)

Conventional Health

Care system(99 % of health budget)

Ministry of Public Health and ThaiHealth Budget

2002 - 2007

Source: Thai Health Profile 2005 – 2007 and ThaiHealth Annual Reports

-

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

10,000

-

20,000

40,000

60,000

80,000

100,000

120,000

140,000

2002 2003 2004 2005 2006 2007

Unit:Baht Million (MoPH) Unit:Baht Million

ThaiHealth : 1-2 % of MoPH

MoPH Avg Growth 13%

THANK YOU

www.thaihealth.or.th

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