Thai UHC and Health Systems for COVID-19 Responses - Reproducing all or any part of the contents is prohibited - JICA
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Thai UHC and Health Systems
for COVID-19 Responses
Walaiporn Patcharanarumol, PhD
1. Director of Global Health Division, Ministry of Public Health
2. Secretary General of IHPP Foundation
Reproducing all or any part of the contents is prohibited.
COVID-19 Situation, worldwide
Source: Worldometers, data as of 7 December 2021
2
COVID-19 Situation, ASIA
Decreasing trend of COVID-19 cases
in Asia
Cases per 1 mln population
Death rate per 1 mln population
Source: Worldometers, data as of 7 December 2021
3
: Center for COVID-19 Situation Administration
4
4
Thailand Health Systems and UHC • 100% Thai population coverage • 100% geographical coverage of health facilities under Ministry of Public Health • 1 million village health volunteers • Field of Epidemiology Training Program • Surveillance and Rapid Response Team (SRRT) at district level 5
Thailand UHC: mobilization of health financing
for COVID-19 emergency response
6
COVID-19 Funding sources
Cabinet
Prevention and Promotion program
Screening and testing/ Tracking/ Tracing
Health related services
NHSB Home / Community Isolation Program
Regulate COVID-19 Compensation for people who suffer
Additional Budget COVID-19
Health services from vaccination adverse event
policy
UCS Fund + Gov.
loan decree
PP/OP/IP/UCEP Public health awareness
COVID-19 Community Health Fund Prevention and Promotion
regulation
*Annual Budget (Matching Fund) at community level
*Proposing plan to request Annual Budget usually
need to be done 2 years in advance.
7
Monthly Report on COVID Expenditures and
Tranches of Additional Budget Approval, FY 2021 (total 30,348 mln Bhat)
4th Approved
Date sent 13,026 Million Baht
(Aug - Sept 2021)
3rd Approved
10,569 Million Baht
(June - Sept 2021)
2nd Approved 3,752
1st Approved Million Baht
2,999 Million baht (April - Sept 2021)
(Jan - June 2021)
*The NHSO will request for more additional budget in FY 2022 due to an overspent in previous fiscal year
8
Thailand UHC COVID-19 Health Related Services
1 2 3 4
At Risk of exposure or PUI COVID-19 Patients Suffer from COVID-19
General Pop.
Vaccine
Free COVID-19 Free COVID-19 screening and testing COVID-19 patients will receive free Preliminary financial
vaccination (RT-PCR/ATK) treatment in both public and Private compensation
health facilities
Health Facilities “Not Detected” “Detectable” Thais who suffer from
Isolation/Quarantine The government will pay for adverse Reaction
Provincial Public refer to
for 14-day medical cost. of COVID-19 vaccination
Health Office Public or Private
At home or health Public hosp. payment system based on DRGs + will apply the defendant
NHSO Regional Hospital,
facilities Medical and protective equipment cost+ to Regional Sub-
Offices will Hopitel, Medication cost + committee to consider
provide COVID-19 After 14-day or Field Hospital Lab test and specimen collection cost
for the Financial
vaccine to Thai Isolation/quarantine Compensation. It will be
Private hospital can reimburse every
citizens Re-test for “Free” items (16 categories) paid within 5 working
days.
9
Lessons learnt
• Whole-of-Government & Whole–
of-Society approach
• Coordination and management
• New normal: routine life, working
style and health services
• Digital disruption/Digital
health/Telemed or Telemedicine
• Health promotion and disease
prevention: distancing, mask,
hygiene
10The Way forward
• Living with COVID-19
• No clear criteria for re-imposing social measures yet
Leadership/Governance
• ICU bed overdemand
in BKK • Recovery of physical
• Home Isolation Service delivery Health workforce and mental health of
• ATK access in daily life use HCW
• Ensure essential health services
Medical products • Ensure adequate
Work in progress vaccine supply
• CO-LINK 2
Information & Technologies • Invest in drug and
• ATK database Financing vaccine research
• COVID-Free-Pass
• Free for all
(Test/Treat/Isolate/Quarantine)
including vaccine
1112
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