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The Happy Year of Happiness Promotion
Annual Report 2008
Thai Health Promotion Foundation (ThaiHealth)
The Happy Year
of Happiness Promotion
Annual Report 2008 Thai Health Promotion Foundation (ThaiHealth)
For 7 years…
The Thai Health Promotion Foundation (ThaiHealh) has been part of a the movements to develop the health system of Thailand through the principle of “Building health is better than being on the mend”. To achieve the goal, ThaiHealth is functioning to provide a new model of government agencies that emphasizes compactness and flexibility.
... Over time,
ThaiHealth has been gradually growing, gaining knowledge and experiences, expanding its networks of friends and partners and focusing on its goal, “the good health” for Thai people amidst crises and challenges as described in this Annual Report 2008.
Table of Contents
รายงานประจำปี สสส.
Part 1 : ThaiHealth and the Well-beiang of Thai People • Introducing ThaiHealth • The Health Situations of Thailand in 2008
1 2 4 9 11 17 23 94 101 103 111
Part 2 : Performances • Executive Summary • Performances in Fund Management • Performances towards the 6 Goals Performances in 7 Years (2001-2008)
Part 3 : Evaluation and Audit • Evaluation Report • The Report of the Internal Audit Sub-committee
“Promoting happiness and joy” is our task.
Message from the Chairman
The government is determined to proceed with the development of Thailand’s health system as announced in its public health policy by stating that it “will right away implement measures to promote good health and reduce the risk factors that jeopardize health and lead to chronic illnesses.” The World Health Organization defines health as a state of complete physical, mental and social well-being. The National Health Act of 2007 and the Thai Health Promotion Foundation Act of 2001 of Thailand are based on this international principle. Thailand has expanded its definition of health from medicine and public health to the complete “well-being”. In other words, it covers not only the treatment of “illnesses” but also factors for the development of “man”. At present, there are many signs of serious concerns about the future of society. They include crimes, narcotics, gambling, cigarettes, liquor, carelessly sexual intercourses, vices, misleading interests , pornographic media, temptations, pregnancy and abortion among teenagers, divorces, the number of the children who do not live with their parents, and the time that children waste with television and the Internet. Some of these factors are not be the direct cause of illnesses but all of them have impacts on the development of Thai people and society. The government seriously sees the importance of social development. Especially I, as the prime minister, intend to devote myself to social development as much as I do to the development in economic and other matters. The Thai Health Promotion Foundation (ThaiHealth) is certainly an important mechanism that must work together with other relevant mechanisms. I am glad to know that ThaiHealth is determined to cooperate with its partners and I support this collaboration so that all parties can achieve their goals. Besides, ThaiHealth is able to contribute to many other organizations that already have their own budgets. ThaiHealth’s sponsorships are seriously aimed at increasing their efficiency, not funding other’s routine work. As the chairman of the Thai Health Promotion Foundation, I would like to assure that ThaiHealth will carry out its various missions, continuously review and improve its operations, and continue to be a governmental organization in which people can trust.
Prime Minister Chairman of the Board of the Thai Health Promotion Foundation
Message from the Chairman of the Evaluation Committee
The evaluation of operations by the Thai Health Promotion Foundation (ThaiHealth) in the 2008 fiscal year (between October 2007 and September 2008) included a wider area than previous annual evaluations had coverd. The Evaluation Committee focused on the implementation of the major plans of ThaiHealth, the operational results evaluated with the performance indicators that ThaiHealth agreed upon with the Evaluation Committee, the management of the fund of the Foundation and efficiency in enabling partners to control the consumption of tobacco and alcoholic drinks and to prevent road accidents. It can be concluded generally that ThaiHealth carried out its assigned missions well and continuously had impacts on society, the public and relevant parties. Especially it raised the public awareness of what is harmful to health and launched more health-promoting measures and activities. However, threats to public health will keep changing and growing unless society is ready to watch out for, prevent and tackle them. Therefore, ThaiHealth must adjust to cope with such threats in a timely manner, emphasizing proactive measures and creativity that the Evaluation Committee will monitor into the future.
Prof. Dr. Kraisit Tantisirin Chairman of the Evaluation Committee Thai Health Promotion Foundation
Message from the Manager
The Thai Health Promotion Foundation has been functioning as the secretariat of the board of the Foundation and implementing the policies of the board. ThaiHealth has been doing its best to support government measures, mobilize and support the power of civil organizations and campaign for the reduction of risk factors harmful to health, which has produced good results in some cases as described in this report. For example, the number of smokers has steadily declined, from 10.57 million in 2001 to 9.53 million in 2006. The number of drinkers had dropped as well, from 16.2 million in 2004 to 14.9 million in 2007. While the statistics on well-being are improving in some aspects, the problems of ill-being in other aspects still cause concerns, especially when it comes to Thai youths whose lives are at risk. For example, the rate of pregnancy among female teenagers aged under 19 keeps increasing. In 2008, it was estimated that as many as 77,000 teenagers gave births. The number of arrests of children and youths for criminal offenses grows every year. In 2007, there were 51,128 such cases, rising by as much as 41.71% from those in 2005, and there were as many as 1.3 million families of single parents. In the 2008 fiscal year, ThaiHealth’s budgetary allocations for health promotion projects rose by 20.11% from 2007, from 2,656 million baht to 3,190 million baht. There were 1,260 health promotion projects, up by 29.76% from 971 projects in the 2007 fiscal year. They covered research and development, the expansion of prototype areas of project implementation, the development of health promotion personnel, the production of prototype media and evaluated campaigns. These media and other campaigns produced satisfactory results in terms of the number of people reached audience and public awareness as described in this annual report.
“happiness”
Four petals are slowly revealing The pollen that is appealing. The smile that’s so superior Belongs to nothing else but you, Cattleya
ThaiHealth and the Well-beiang of Thai People
Part1
Introducing ThaiHealth
Vision
health promotion, and integrate and collectively develop work skills of work as members of the networks that share same ideals and goals. To support and develop the health promotion • The force of policies : It expands the area processes that lead to the well-being of Thai of participation in public policies that are the people and society important elements of health promotion because they have extensive and long ThaiHealth is a small agency with a huge task. standing impacts on the general public. It must improve the quality of life of Thai people. It works together with all groups, organizations and agencies in society that form the “health ThaiHealth improved many areas of its work system”. The system covers not only hospitals, in the past year. the Ministry of Public Health and agencies under other ministries, but also local agencies, • Project Development community organizations, charity organizations It improved the quality of proposals, and private organizations. ThaiHealth manages plans and projects by regularly organizing the the health promotion fund that is raised with forums where project proposers and ThaiHealth contributions from liquor and tobacco taxes. personnel learned to improve their capabilities The contributions that equal 2% of all the taxes so that they are able to cooperate efficiently to collected are transformed into a wide range of work out project proposals with clear goals, lay operations to promote the health of Thai people down the strategies that guarantee success, nationwide. determine the stages of progress that can predict the “outcomes” of their projects, and include evaluation plans and implementation stimuli in their project proposals. ThaiHealth uses the strategy of “triforces” that harmoniously drives the process of changes. Three forces are as follows. • The force of wisdom : It expands the areas of wisdom where all parties in society supply their knowledge and develop new knowledge to catch up with situations and be able to handle various target groups, contexts and tasks. • The force of society: It expands the areas of society where social partners join forces to continuously campaign for and monitor The sustainable well-being of Thai people
Commitment
Work Improvement in the Past Year
Strategy
Annual Report 2008
Figure 1
Elements of and relations between ThaiHealth and organizations in the health system of Thailand
The Parliament
The Advisory Council
The NESDB
The cabinet
Thai • Run the Health Health promotion Fund
• Suggest health related policies and strategies NHC/NHCO • The Charter on the National Health System • The Health • Run the HSRI Assembly health promotion The networks of civil societies and health partners
The Ministry of Public Health and other health-related ministries HA • Run the Health Security Fund
NHSO • Develop systematic knowledge EMIT
Regional agencies Local administration organizations
Other networks
Academic and professional networks
Media networks
Source: The National Health Commission Office of Thailand
• Project Audit ThaiHealth has developed an extra audit system that covers not only the conventional financial audit but also project progress. Auditors were trained to advise project implementers to properly prepare project-related documents. • Project Implementation with Efficiency and Transparency To ensure that its fund awardees implement projects in line with proper procedures and their project implementation is subject to transparency and accountability, ThaiHealth has developed its “Handbook for the Proactive Implementation of Plans and Projects” to guide every stage of
project implementation. The guidance covers project proposal development, management, supervision, audit, evaluation and other important actions such as the management and prevention of conflicts of interest in the process of project scrutiny and approval.
Introducing ThaiHealth
Health Situations
in the 2008 Fiscal Year
Major situations that happened to health prices in August 2007, the government received promotion in Thailand in the 2008 fiscal year are more money from the tax despite the declining number of smokers. as follows : • Tobacco Consumption The declining number of frequent smokers The National Statistical Office of Thailand found in its latest survey on the smoking behaviors of Thai people aged 15 and over that the number of Thai frequent smokers dropped steadily, from 9.53 million in 2006 to 9.49 million in 2007, or from 18.94% of the Thai population aged 15 and over in 2006 to 18.54% in 2007. The decrease happened among both males and females. With regard to the economic status of smokers, declining smoking habits happened among to both the poor and the rich. However, the poor smoked more than the rich did. Regarding the ages of frequent smokers, the lion’s share of frequent smokers were 41-59 years of age, followed by the group of smokers aged 25-40 years old. All age groups showed the continuous declines in smoking except for for young people from 15-24 between 2006 and 2007 when smoking increased slightly. This reflects that young people are at risk and are the new smokers who are the most important group of people deserving close watch. While smoking dropped, income from the excise tax on cigarettes that the government collected rose from 35,642 million baht in 2006 to 41,823 million baht in 2007. Because the excise tax on cigarettes was raised to 80% of the retail • The Consumption of Alcoholic Drinks Operators want youths to be “new drinkers” From its latest survey on drinkers aged 15 and over, the National Statistical Office of Thailand found that in 2007 there were 14.9 million drinkers, or 29.3% of all people aged 15 and over. The number dropped from 16.2 million drinkers in 2004 who accounted for 32.7% of all the people. The percentage of drinkers among males (51%) was higher than that among females (8.8%). Of all drinkers, 3.8% drank every day. More drinkers lived outside municipalities (31%), compared with those living inside municipalities (25.4%). However, the percentage of frequent drinkers rose from 17.8% in 2004 to 20.2% in 2007 while the percentage of non-frequent drinkers dropped from 14.9% in 2004 to 9.7% in 2007. Real concerns rested with teenagers. A survey under the Child Watch project of Ramjitti Institute on children and youths from the fifth grade of secondary school up to the college level in 2007 found that liquor was the youths’ first choice of addictive substances, followed by cigarettes and marijuana.
Annual Report 2008
• Sex-related Risks Youths are at risk from their sexual values and behaviors Surveys conducted in the past year found Main causes of road accidents in the past that Thai youths accepted sexual relationships year were everyday traffic violations such as without marriage. Opinion surveys on young breaching speed limits, cutting in, chasing, illegally people aged 15-22 in 11 provinces by a network overtaking and drunk driving. of Thai youths against AIDS found that 48.8% of Thai youths accepted sexual relationships without marriage and 39.1% considered swinging as a • Exercises normal behavior of teenagers. People at working ages still lack exercises The National Statistical Office of In addition, more youths suffered from Thailand found in its surveys that between 2004 sexually transmitted diseases. The Bureau of and 2007 the percentage of Thai people aged Epidemiology under the Department of Disease 11 and over who exercised rose from 29.2% to Control reported that the biggest group of people 29.6%. However, the percentages of those who who sought treatment for sexually transmitted exercised varied by age groups. The percentage diseases in 2007 and whose number grow was the highest (73.1%) among people aged steadily were young people aged between 15 11-14. The second highest percentage (45.4%) and 24. Thai youths are still at increasing risk. The
In the past year, some liquor products were introduced just to woo youths. They included lao pan – liquor blended with crushed ice, juice and syrup – that features pleasant scents and sweet tastes. These kinds of drinks are the first step for the people who will become “drinkers”. They are available in areas crowded with young people like shopping centers and the vicinities of universities in Bangkok and other provinces. Such drinks were even delivered in bottles for buyers’ convenience. • Road Accidents Thai roads were safer than they had been The number of road accidents in the first 6 months of 2008 and during the Songkran (Thai New Year) festival declined continuously and made a new low since 2004 thanks to joint road safety campaigns by relevant agencies in the government and the private sectors.
belonged to those aged 15-24. The third highest percentage rested with old people aged 60 and over. People at their working ages, 25-59 years old, posted the lowest proportion of only 19.7%. Venues and facilities for exercises were developed continuously. At present, there are sufficiently equipped stadiums which can serve international sports events in all 76 provinces of the country. There are also a wide range of places in nationwide communities where people can work out. They include 50,768 sports fields and 12,880 public parks and recreational sites. Besides, all educational institutes and government agencies allow the general public to use their sports fields for exercises.
Introducing ThaiHealth
pregnancy rate among female youths aged under 19 keeps growing. In 2008, it was estimated that as many as 77,000 teenagers gave births. The number of offences in which children and youths are arrested grows every year. In 2007, there were 51,128 such cases, rising by as much as 41.71% from those in 2005 and there were as many as 1.3 million families of single parents. The HIV infection rate is falling in general according to the Bureau of Epidemiology under the Department of Disease Control, the Ministry of Public Health. However, the infection rates of HIV and other sexually transmitted diseases are going up among young people because they risk infection due to their behaviors, especially unprotected sex.
• Food All Thai people suffer from unsafe and more expensive foods Food safety is a major issue. It significantly c o n c e r n s i m p o r t s f ro m C h i n a t h a t w e re contaminated with toxic chemicals such as agricultural products contaminated with pesticides and melamine contamination in infant milk powder, foods, sweets, etc. The contamination affects a number of people because contaminated products are cheap and thus popular among a lot of people who believed that these products should have already passed tests by agencies responsible for the standards of imported products and foods.
Another issue is that low-income earners tend to have worse foods because food prices • Mass Media soared in accordance with the fuel prices that Harmful media develop new channels to continuously rose from early 2008. Although fuel reach the youth prices dropped in the second half of 2008, the Studies found the increasing use of prices of most foods in markets did not decrease pornographic media such as pornographic clips, accordingly. video compact discs and websites among college people.
Besides, some media open up channels for gambling, especially football gambling on the Internet. Internet cafés in all provinces provide football gambling websites. Consequently football gambling becomes popular among children and youths including female ones. Gambling has not only economic impacts but also health-related ones including severe tension and depression, according to the KASIKORN RESEARCH CENTER.
8
Annual Report 2008
References
The National Statistical Office of Thailand (2008) : a preliminary report on smoking and drinking behaviors of Thai people in 2007 Tobacco Control Research and Knowledge Management Center (2008) : the situations of tobacco consumption among Thai people between 1991 and 2007 Center for Alcohol Studies (2008) : drinking situations in Thailand in 2008 A plan to promote exercises and sports for health (ThaiHealth) : the situations of exercises and sports between 2004 and 2007 The Office of the National Economic and Social Development Board : (monthly and quarterly) reports on social conditions from November 2007 to October 2008 The Child Watch project by Ramjitti Institute
Introducing ThaiHealth
“happiness”
The plum’s smile’s charming.
To all, it is impressing. The smile is of maximum, Reflecting the happy plum.
Part2
Performance
Executive Summary
Executive Summary
The year 2008 was the 7th year of operations • Budgetary Allocation to Support Health of the Thai Health Promotion Foundation (Thai- Promotion Projects Health) and its important operations in the year In the 2008 fiscal year, ThaiHealth allocated are as follows. its budgets to various areas of health promotion. The lion’s share – 859 million baht or 31.13% – of its totally disbursed budgets went to projects to reduce primary risk factors. Of that amount, 319 • Budgetary Approval and Disbursement million baht went to alcohol control, 201 million In the 2008 fiscal year, ThaiHealth approved baht to road safety campaigns, 150 million baht 3,190 million baht to support new projects. The to tobacco control, and 189 million baht to camsponsorship increased by 20.11% from 2,656 paigns for exercises. The disbursement for the million baht that was approved in the 2007 reduction of primary risk factors rose by 36.78% fiscal year. from the amount disbursed for the same purpose in the previous fiscal year. Budgetary disbursement for both new and ongoing projects amounted to 2,759 million baht • The Number of Health Promotion in the 2008 fiscal year, rising by 35.58% from Projects that ThaiHealth Sponsored 2,035 million baht in the previous fiscal year. In 2008, ThaiHealth sponsored 1,260 health promotion projects, an increase of 29.76% from 971 projects that it had sponsored in the 2007 fiscal year.
1) Budgetary Allocation
+ 20.11%
Amount : project
3,10
+ 3.8%
2,
2,03
Increasing by 28 projects or 2.% + 2.0%
2,
Amount : million baht
200 2008 The amount allocated to new projects
200 2008 The amount disbursed for new and ongoing projects
80
200
The amount of sponsored projects
1
Annual Report 2008
1.20
2008
Amount : million baht
+ 3.% 31 + .3% 18 201
• The Areas of Projects That Won More Budgetary Support In the 2008 fiscal year, budgets were spent not only on the reduction of primary risk factors but also on other areas of work. The areas of work for which disbursed amounts increased by 50% and over compared with the budgetary support in the previous fiscal year were nutrition and the reduction of overweight status, the reduction of sex-related risks, the environment, overall health and academic work.
200 2008 + .% 128 18 Campaigns for exercises
+ .3% 10
Tobacco control
Control on alcoholic drinks
23
risk factors Road safety campaigns
2) Operational Results
• The Introduction of the Public Policies That Promote Health It can be stated that the past year was “the year of progress in the development of the policies that promote health” because ThaiHealth and its partners took part in developing and translating into effect 36 health promotion policies at the national level, up from 10 policies in the 2007 fiscal year.
2 policies 1 policy
1 policy 1 policy policies policies policies
Consumer protection policies Media-for-well-being policies Health promotion policies for children and youths Policies to control alcoholic drinks Food safety policies Health promotion policies for organizations/communities Polices to prevent violence in society Policies to develop health systems Polices for sexual well-being Policies to promote exercises Policies to reduce road accidents Tobacco control policies
1 policy 1 policy 200
1 policy 2 policies policies 1 policy 2008
policies policies policies
Executive Summary 1
• The Development of the Surroundings That Promote Organizational Health In the past year, the plans that ThaiHealth sponsored promoted health in the following organizations. • The government organizations that were able to conduct health promotion ativities increased in amount from 270 in 2007 to 300 in 2008. • The private organizations that were able to conduct health promotion activities increased in amount from 90 in 2007 to 151 in 2008. • The educational institutes that produced health personnel and were able to conduct health promotion activities numbered 97 in 2008.
300
20
200 2008 Governmental organizations
200 2008 Private organizations
• Campaigns for Health Values among the Public ThaiHealth supported the development of strategies to create all possible channels and media for public relations, to apply marketing for the social interest, and to use sponsorships to campaign for health values among the general public through major festivals throughout the year and through everyday routines of people nationwide. Then ThaiHealth conducted field surveys to evaluate its support for these areas. The surveys found that 77.6% of target groups acknowledged and understood health promotion. Among them, 89% had attitudes that should lead to health improvement. • The Empowerment of Communities in Terms of Health Promotion ThaiHealth implemented plans to support organizations directly and indirectly. That led to the development of mechanisms to incorporate health promotion into local activities and benefited the empowerment of communities in terms of health promotion as described below. • Mechanisms to incorporate health promotion into activities at the provincial level were installed in 57 provinces. • Mechanisms to incorporate health promotion into activities at the level of local administration organizations were installed in 1,226 such organizations. • Mechanisms to incorporate health promotion into activities at the level of communities were installed in 104 communities.
0
Non-smoking in public places Alcoholic drinks Road accidents 88.1 88. 88. 8.1 8.3 8.
21
100
fv ups o illages) gro
Understanding Acceptance and behavioral changes among the people who understand
provinces
municipa lit ,22 1
ies
and Tambon (
10 communities
1
Annual Report 2008
• Researches and Conferences to Develop Knowledge The number of completed health promotion researches that ThaiHealth sponsored rose from 40 in 2007 to 168 in the past year or soared by about 4 times. Besides, the research centers on tobacco, alcoholic drinks and road safety, of which ThaiHealth sponsored the establishment, took part in organizing national and international academic conferences to present new information about the prevention of the 3 primary risk factors every year.
200 2008 The amount of completed health promotion researches
• The Reduction of Risk Factors and the Development of the Well-being of Children and Youths ThaiHealth’s sponsorships for plans and projects in the past year resulted in the development of the public policies that led to 9 issues in relation to the reduction of health risk factors and the promotion of health for children and youths. The 9 accomplishments in 2008 were as follows.
1
2
3
4
5 7 8
9
6
Executive Summary 1
0
18
18
Annual Report 2008
Performances
in Fund Management
Executive Summary 1
Performances
Overall Budgetary Spending
in Fund Management
In the 2008 fiscal year, ThaiHealth spent 2,915 million baht in 2 parts as follows. • Sponsorships for health promotion projects amounted to 2,759 million baht. • Spending on office operations amounted to 156 million baht or 5.65% of project sponsorships. The percentage of the spending on office operations decreased from 6.39% of project sponsorships in the 2007 fiscal year.
2,
2,03
Project sponsorships Spending on office operations
.% 200
130 2008
.3%
1
20
Annual Report 2008
The Allocation of Sponsorships for Health Promotion Projects
• Allocation by Plans In the 2008 fiscal year, funds were disbursed for new and ongoing projects.When the disbursement i s c a t e g o r i z e d b y p l a n s , t h e l i o n ’s share of budgets, or 859 million baht, went to plans related to the prevention of primary risk factors. They dealt with tobacco control, drinking control, road safety, accident prevention, and campaigns for exercises a n d s p o r t s t o p ro m o t e h e a l t h . T h e disbursement on other plans in descending order of amounts of money went to social marketing plans (405 million baht), plans to reduce other health risk factors (380 illion aht),plans o evelop upportive m b t d s systems and mechanisms for health promotion (243 million baht), plans to improve health through health service systems (215 million baht), plans to support general projects and innovations (171 million baht), plans to promote learning on well-being (167 million baht), plans to develop well-being in localities and communities (164 million baht), and plans to develop organizational well-being (107 million baht).
Supporting systems 8.81% Service systems .% General projects .20% Social marketing 1.8% Organizational well-being 3.88% Learning .0%
Others 1.%
Cigarettes, alcohol, accidents, exercises 31.13%
Risk factors 13.% Communities .%
Budgetary disbursement not only sponsored projects to reduce primary risk factors but also supported other areas of work. The six other areas of work that won the most of the remaining budgets were projects to improve overall well-being (619 million baht), control of the consumption of alcoholic drinks (326 million baht), academic support (295 million baht), campaigns to reduce accidents and promote safety (214 million baht), campaigns for exercises (162 million baht), and the reduction of food consumption risks (158 million baht).
Amount : million baht 32 2 21 12 18 2 11 1 13 3
Accidents Exercises Overall Food Sex well- consumption being Mental Consumer Addictive Health Environment Policy Academic Evaluation health protection substances media development support
10
1
Tobacco Alcohol consumption
Performances in Fund Management 21
1
3
•
Allocation by Areas The amounts of funds allocated to regions were close to one another. The Central Plain received 642 million baht or 25.18%, the North 533 million baht or 20.90%, the Northeast 524 million baht or 20.55%, Bangkok 454 million baht or 17.88%, and the South 395 million baht or 15.49%.
Amount : million baht 8
๒๕๑
2 2
2
33
200 2008 The Central Plain
200 2008 The Northeast
200 2008 The North
200 2008 The South
28 3
200 2008 Bangkok
•
Allocation by Areas of Activities In the 2008 fiscal year, the lion’s share of disbursed funds went to activities in the areas of partners (937 million baht or 40.32%). The rest were allocated in descending order of amounts to communities – temples and villages – (623 million baht or 26.81%), educational institutes/schools (407 million baht or 17.51%), clinics/hospitals (161 million baht or 6.93%), mass media (126 million baht or 5.42%), and enterprises (70 million baht or 3.01%).
3 0
10 11
81
32
200 2008 Educational institutes/ schools
200 2008 Clinics/ hospitals
200 2008 Enterprises
81 0
200 2008 Communities (temples and villages)
200 2008 Mass media
82 12
200 2008 Partners
22
Annual Report 2008
3
Amount : million baht
0
01
• Allocation by the Nature of Organizations ThaiHealth allocated budgets to organizations and agencies to support their health promotion projects. In the 2008 fiscal year, most of its funds went to foundations including religious places (994 million baht). The rest were allocated to gov- ernment agencies including local administration organizations as well as communities’ and people’s rganizations (566 million baht), educational nstitutes 547 million baht), private agencies o i ( (356 million baht), groups of people (237 million baht), professional organizations (171 million baht), associations (163 million baht), and individuals (156 million baht).
Professional organizations .3% (11 million baht) Foundations 31.1% ( million baht)
Associations .11% (13 million baht) Groups of people .3% (23 million baht) Individuals .8% (1 million baht) Educational institutes 1-1% ( million baht)
Government agencies 1.% ( million baht) Private agencies 11.1% (3 million baht)
Performances in Fund Management 23
Performances
towords the Goals
The objectives of the foundation of ThaiHealth according to the Thai Health Promotion Foundation Act of 2001 have been translated into the 6 goals of operations. The goals that guide the operations of ThaiHealth are: 1. to reduce primary risk factors; 2. to develop necessary mechanisms to reduce secondary risk factors; 3. to develop processes, prototypes and mechanisms to improve the overall well-being of organizations, locali- ties and groups of young people 4. to increase innovations and opportunities for innova- tions related to the promotion of well-being 5. to create the culture of sustainable well-being develop- ment in Thai society 6. to increase the capabilities of health systems and well- being service systems by developing knowledge, the capabilities of personnel, and necessary infrastructures. Operations in the 2008 fiscal year (October 2007-September 2008) will be presented in accordance with the 6 goals. All operational outcomes result from the “Movement to Create Happiness” style of work of ThaiHealth. In other words, ThaiHealth acts as a catalyst that encourages groups, organizations and agencies in society to show their potential and combine their various expertise to help one another in a way that leads to all forms of initiatives and operations to improve the health of people of all sexes and ages throughout Thailand.
Goal No. 1 :
To Reduce Primary Risk Factors
ThaiHealth uses resources intensively to reduce the 4 primary risk factors : smoking, drinking, traffic accidents and lack of exercises.
Operations towards the goal no. 1 to reduce primary risk factors in 2008 brought about the following important developments. • ThaiHealth took part in realizing policies, laws and measures to promote health at the national level, which concern the reduc tion of primary risk factors. A total of19 such policies, laws and measures won approval from the legislature and relevant agencies and took effect in the 2008 fiscal year (Octo ber 2007-September 2008). • Knowledge was broadened to support the control of the 4 primary risk factors. The development of the knowledge resulted from improved researches, the creation of the databases and the information exchange systems that meet academic needs, the formulation of strategies, planning, and the management of knowledge of primary risk factors at national, regional and global levels to support the development of public policies and operations that lead to the effective eduction of the 4 primary risk factors.
Overview
• • •
Service systems were deveoped to sup- port attempts to quit smoking and drinking. Counselinghotlin sand the rehabilitation facili ties of the government sector, the private sector and communities were improved to treat people nationwide. The networks of partners that help re duce the 4 primary risks expanded. They also had their capabilities improved so must that they were also able to continuously watch for possible risks and lead health promotion. ThaiHealth campaigned to build public demands and social values for the reduc tion of the 4 primary risk factors. The campaigns were launched through all kinds of media through out the year
2
Annual Report 2008
1 New Policies in the 2008 Fiscal Year
1. The 13th Announcement of the Ministry of Public Health of 2007 (according to the Tobacco Product Control Act of 1992) on Cri teria, Methods and Conditions for the Presen tation of Labels, Pictures and Warnings against the Dangers of Cigars requires five 4-color pictures to be shown on labels to gether with warnings against the dangers of cigars in the ratio of 1 picture to 50 cigar packs. 2. The Announcement of the Ministry of Public Health of 2007 (according to the Tobacco ProductControl Act of 1992) on Criteria, Meth- ods and Conditions for the Presentation of Labels, Pictures and Warnings against the Dangers of Tobacco requires 2 black-and- white pictures to be shown on labels together with warnings against the dangers of tobacco in the ratio of 1 picture to 500 tobacco packs. 3. The Announcement of the Ministry of Public Health of 2007 (according to the Act to Pro- tect the Health of Non-smokers of 1992) on the Conditions and Aspects of Smoke-free Zones requires the presentation of smoke- free zone signs as specified by the Ministry of Public Health and the absence of smoking and any equipment or facilities for smoking. 4. The 14th Announcement of the Ministry of Public Health of 2007 (according to the To- bacco Product Control Act of 1992) on Crite- ria, Methods and Conditions for the Presen tation of Pictures and Information on Dan- gers, Dates and Places of Manufacturing, and Availability only in the Kingdom of Thai land requires such pictures and information on the labels of cigarettes and cigars. 5. The 18th Announcement of the Ministry of Public Health of 2007 (according to the Act to Protect the Health of Non-smokers of 1992) on the Names and Types of Public Places requires “all the places where foods, beverages, and foods and beverages are sold and all party venues” to be smoke-free zones (including entertainment venues). 6. The Act to Control the Consumption of Alco- holic Drinks of 2008. 7. The 222/2551 Resolution of the 10/2551 Meeting of the Sangha Supreme Council declares temples off limits to alcohol con- sumption and sale according to the Act to Control the Consumption of Alcoholic Drinks of 2008. 8. The cabinet resolution reached on July 8, 2008, declares the Khao Phansa Day (the first day of the Buddhist Lent) the National Non-Drinking Day. 9. The Department of Local Administration issued a policy for nationwide local adminis- tration organizations to campaign against alcoholic drinks during the Buddhist Lent in 2008. 10. The 8th Land Traffic Act of 2008 prohibits drivers from using mobile phones unless they use mobile phone accessories. 11. The Land Traffic Act imposes harsher punish- ment against drunk drivers. 12. The rights of passengers of public vehicles were announced. 13. The Disaster Prevention and Mitigation Act of 2007 14. Polices to promote exercises for health were announced in 30 provinces in conjunction with the Ministry of Tourism and Sports. 15. Local administration organizations and the Department of Local Administration an- nounced policies to promote exercises for health at the local level. 16. The Bangkok Metropolitan Administration announced policies to promote exercises for health in public parks and communities. 17. Policies to promote exercises for health were announced in conjunction with 17 sports associations under the Sports Authority of Thailand. 18. All educational institutes have and apply tests and standards of physical fitness. 19. ThaiHealth supported the policies of the government to reduce the influences of alco- hol and cigarette advertisements by spon- soring national sports activities in place of such advertisements.
Performances towards the Goals 2
1.1
•
Public parks were among the places covered by the Act to Control the Consumption of Alcoholic Drinks of 2008’s ban on the sale and consumption of alcoholic drinks imposed last year.
Tobacco Control
Important achievements that resulted from collaboration between ThaiHealth and tobacco control partners in the 2008 fiscal year are as follows :
• The Announcement of the Ministry of Public Health of 2007 (by virtue of the Tobacco Product Control Act of 1992) on Criteria, Methods and Conditions for the Presentation of Labels, Pictures and Warn ings against the Dangers of Tobacco requires 2 black-and-white pictures to be shown on labels together with warnings against the dangers of tobacco in the ratio of 1 picture to 500 tobacco packs. The m i n i s t e r i a l re g u l a t i o n t o o k e ff e c t o n December 19, 2007, and the products that comply with the regulation have been marketed since early 2008. • The 18th Announcement of the Ministry of Public Health of 2007 (by virtue of the Act to Protect the Health of Non-smok- ers of 1992) on the Names and Types of Public Places requires “all the places where
The Development of Public Policies
Support for 2 Ministerial Regulations to Expand Smoke-free Zones ThaiHealth assisted the secretariat of the National Tobacco Control Commission under the Department of Disease Control, the Ministry of Public Health, in improving laws and policies.That assistance led to the amendment and enforcement of these 2 improved ministerial regulations :
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Annual Report 2008
Table 1
Progress in the development of the public policies to promote health
Pending consideration International level
Approved
Enforcement
Support for Thailand to act as the world’s leader in observing the Framework Convention on Tobacco Control of the World as an international law to control the trade in 2004 until the present
Regional level
The Southeast Asia Tobacco Control Alliance (SEATCA) coordinated the development of public policies to control tobacco in Southeast Asia and People’s Democratic Republic became a smoke-free world heritage site in 2008
National level
Tax improvement : The improvement of the Tobacco Act of 1966
Tobacco product control : The Announcement of the 2007 non-smokers : The 18th Announcement of
The government sector : Support for law enforceagencies. The civil sector : The establishment of a center to receive information on the laws that control the consumption of tobacco and alcoholic drinks.
Table 2
Thailand’s tobacco control laws that took effect in 2008
Commencement dates Major progress
December 19, 2007 The pictures and warnings on cigarette packs were improved to better communicate the health hazards of cigarettes. “Smoke-free zones in public places” were expanded to cover the places where foods and beverages are sold, party venues, entertainment venues and many other kinds of public places.
The names of the laws
The Announcement of the Ministry of Public Health of 2007 The 18th Announcement of the Ministry of Public Health of 2007
February 11, 2007
Performances towards the Goals 2
•
foods, beverages, and foods and beverages are sold and all party venues” (including entertainment venues) to be smoke-free zones.The regulation took effect on February 11, 2008. Campaigns for the Public to Watch for Legal Violations • ThaiHealth supported the Ministry of Public ealth’s stablishment f he enter H e ot c to receive complaints and supply information on the laws that control the consumption of tobacco and alcoholic drinks to the public around the clock by phone and the Internet. It serves over 15,000 calls per month. • ThaiHealth supported the non-governmen- tal organization namely the Action on Smoking and Health Foundation to in implementing a project to watch for legal violations by cigarette companies. Under the project, training sessions were organized and media materials were produced to update partners and the general public on illegal actions.
• •
Support for Thailand to Act as the World’s Leader in Observing the Framework Convention on Tobacco Control of the World Health Organization as an Interna- tional Law to Control Tobacco continu- ously. In 2008, ThaiHealth started a process to arrange for the Tobacco Control Research and Knowledge Management Center (TRC) of Mahidol University to act as the WHO Collaborating Center for Tobacco Control (WHO-CCTC). The process was set to take 2 years. Support for the Introduction of Policies and Laws to Control Tobacco in South- east Asia. ThaiHealth and the Rockefeller Foundation support the Southeast Asia Tobacco Control Alliance (SEATCA) in act ing as a coordination center to push for the development of policies, laws and knowledge related to tobacco control in the region, especially in the neighboring countries of Thailand. Law development made significant progress and resulted in the prototype smoke- free tourist destination of Luang Phrabang city in Lao People’s Democratic Republic, which won praise from the World Health Organization in August 2008.
Cigarette packs were marketed with warning pictures and messages in 2008.
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Annual Report 2008
One of some 2,400 drug stores in Thailand that joined the “100% smoke-free drug store” project to encourage people in local communities to quit smoking.
The Development of Knowledge
• Support for Researches to Develop Policies ThaiHealth supported academic agencies including the Tobacco Control Research and Knowledge Management Center (TRC) and various academic institutes in doing researches to improve tobacco control. In the meantime, it worked with agencies to develop and apply the knowledge of tobacco control to swiftly cope with new issues. In the past year, improved knowledge resulted in the following important awareness and measures: • awareness about the impacts of smoking in entertainment venues; • the tax measures that support tobacco control • instructions to quit smoking and the intro- duction of a nationwide quit-smoking hotline • a ban on the production, import and sale of flavored cigarettes • free-trade agreements and tobacco products • campaigns for tobacco control policies in localities and communities • • • • a b a n o n t h e i m p o r t o f e l e c t ro n i c cigarettes; researches on the situation and tendency of the consumption of roll-ups; and the situations, behaviors and tendency of smoking in children, youths and women.
The Development of Curricula ThaiHealth campaigned for the following curricula • the smoke-free school curricula that were tested at 11 schools and were published into handbooks distributed to schools nationwide; and • tobacco control curricula for students at colleges of public health.
The Development of Networks
ThaiHealth continued to sponsor existing networks of health professionals, supported the formation of new networks to control tobacco, and encouraged them to cooperate.
Performances towards the Goals 31
Figure 2.3.1 The tobacco control networks that ThaiHealth sponsored and their important achievements in 2008
The network of doctors Deans and deputy deans of medical schools from 17 institutes developed the curriculum on “Tobacco Consumption Control” and proposed it to the 8th National Medical Education Forum in 2008. The network of dentists “The Quit-Smoking Dental Clinic Network” expanded to 600 private clinics. The network of nurses The network of nurse students who control tobacco was developed in 65 nursing schools and 280 nurses were trained to play leading roles in tobacco control. The network of pharmacists The operators of 2,398 drug stores joined the “100% smoke-free drug store” project to promote tobacco control in communities. The network of therapists The network and its database were created for interested therapists to join and exchange their experiences in tobacco control. The network of teachers The network of teachers who campaign against smoking was expanded. It has 320 members whose capabilities were developed with training on how to help students quit smoking and make them non-smoking campaigners. The network of non-smoking artists Activities with children and youths expanded to cover both urban and rural areas. The network of regional campaigners The prototype non-smoking campaign that was conducted successfully in clinics was introduced to hospitals and nursing schools nationwide.
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Annual Report 2008
1
2
1 2 3
Measures to protect youths by refraining from selling cigarettes and liquor to minors were intensified and instituted with wider coverage. Smoke-free zones were instituted by law at restaurants and shops in communities nationwide and both cigarette sales and smoking are prohibited there. ThaiHealth sponsored a wide range of activities to prevent youths from trying smoking.
๓ 3
Performances towards the Goals 33
Services Accessible to the Public
ThaiHealth sponsored the establishment of the Thailand National Quitline to assist ThaiHealth supported all kinds of communipeople who want to quit smoking with easy cations to inform the public of the wider coveraccess to advice. age of smoke-free zones according to a relevant announcement of the Ministry of Public Health. It also continuously campaigned for family members to be aware of the impacts of cigarette smoke in their houses and to help counter smoking in houses and public places to bring an end to smoking.
Fostering Values and Campaigning for the Public
Figure 2.3.2 The places that ThaiHealth promoted as smoke-free zones in 2008
Drug Store
VETERINARY
Toilet
Shopping
Massage & Spa
LIB RA RY
CLINIC
“Smoke-free zones” according to the Announcement of the Ministry of Public Health of 2008 expanded to many public places namely entertainment venues, government agencies, temples, zoos, railway stations, bus stops, public phone booths, toilets, movie theaters, libraries, meeting rooms, drug stores, human and animal clinics, massage parlors, spas, fitness clubs, amphitheaters, playgrounds, day care centers for young children, schools, museums, department stores, barbershops and computer shops. The evaluation report by Dr. Kitti Kanphai, a lecturer of the Faculty of Communication Arts at Chulalongkorn University, and others in 2008 stated that 88.1% of people had knowledge about second hand cigarette smoke and, of the people, 88.9% and 86.9% were ready to quit smoking in public places and houses respectively.
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Annual Report 2008
Figure 2.3.3
The prototype smoke-free places that ThaiHealth took part in promoting in 2008
In the past year, ThaiHealth took part in various forms of campaigns for “prototype smoke-free places” to support the enforcement of non-smokers’ health protection laws that imposed smoke-free zones in public places. smokers and the general public and provided the foundation for the expansion of smoke-free zones in society.
oke pol -free sta ice tion s
Sm
Smoke-free hospitals
Smok
e-fre
eh
otel
S
ke mo
-fre
em et
ple
s
Smoke-free temples Smoke-free markets
expanded nationwide in parallel with campaigns for “liquor-free temples”. were introduced at 7 crowded markets in Bangkok and Chiang Mai. were supported by the Royal Thai Police that agrees to make police stations nationwide smoke-free zones. Smoke-free enterprises were a campaign of the Association for the Development of Environmental Quality that urged entrepreneurs to make their premises smoke-free zones.
Smoke-free police stations
Smoke-free hospitals were promoted by the Action on Smoking and Health Foundation that produced and distributed guidelines, compiled from successful smoke-free campaigns at 5 prototype hospitals, to hospitals nationwide. Smoke-free hotels were promoted by the Thai Hotels Association that wanted
300 hotels in Thailand to be smoke-free. Performances towards the Goals 3
Sm ok ma e-fre rke e ts
S en mok ter e-f pri ree ses
1.2
Over 2,500 Buddhist temples in Thailand comply with the 10/2551 resolution of the Sangha Supreme Council that declares temples as “areas free of consuming and selling alcoholic drinks” so that temples are the peaceful places that truly promote Buddhism.
Alcoholic Drink Contorl
The attempt was successful in 2008 when Thailand passed the first law to this effect. It is the Alcoholic Drink Control Act of 2008. • Support for the Enforcement of the Alco- holic Drink Control Act.As Thailand has its new law to control alcoholic drinks, Thai Health encouraged all concerned parties to acknowledge, comply with and enforce the law. • Support for Thailand’s First Law to Con- • The Government Introduced the “Na- trol Alcoholic Drinks. Since 2006, Thai tional Liquor-free Day”. Since 2003, Thai Health has been the organization that has Health has sponsored campaigns for the called for a law to control the consumption of public to refrain from alcoholic drinks and reduce the impacts of alcoholic drinks. during the Buddhist Lent One continuous
Important achievements that resulted from collabora- tion between ThaiHealth and its alcohol control partners in the 2008 fiscal year are as follows.
The Development of Public Policies
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Annual Report 2008
Table 3
Progress in the development of public policies to control the consumption of alcoholic drinks in 2008, which ThaiHealth took part in promoting Pending consideration
The development of tax measures : Amendment to the Liquor Act of 1950
Approved
The Act to Control the Consumption of Alcoholic Drinks of 2008 The 10/2551 resolution of the Sangha Supreme Council The cabinet resolution on July 8, 2008 Policies of the Department of Local Administration
Enforcement
The government sector : Concerned agencies were encouraged to enforce the law. The civil sector : A center was established to receive complaints, supply information on the laws that control the consumption of tobacco and alcoholic drinks, and publicize new laws.
National level
campaign was for peple’s organizations to call on the government to declare the first day of the Buddhist Lent the National Liquor- free Day. The request was successful last year as the cabinet resolved on July 8, 2008, to intro duce the National Liquor-free Day on the first day of the Buddhist Lent.
• Support for Tax Measures to Control the Consumption of Alcoholic Drinks.Thai Health supported amendment to the Liquor Act of 1950 to impose the tax measures that promote public health and generate more income for the state. In 2008, the draft measures won approval from thecabinet and were proposed to the parliament.
Public parks were among the places covered by the Act to Control the Consumption of Alcoholic Drinks of 2008’s ban on the sale and consumption of alcoholic drinks imposed last year.
Performances towards the Goals 3
Table 4
The laws that control alcoholic drinks in Thailand and took effect in 2008
Major progress
The minimum age of alcohol drinkers and buyers was increased to 20 to protect minors. areas free of alcohol sale and consumption to reduce the impacts of alcohol consumption. Alcohol consumption control committees were formed at the provincial level to effectively enforce measures to control the consumption and the impacts in respective provinces and adjust the measures to suit provincial contexts. February 14, 2008
The names of the laws Commencement date
The Act to Control the Consumption of Alcoholic Drinks of 2008
The 222/2551 Resolution of the 10/2551 Meeting of the Sangha Supreme Council The cabinet resolution on July 8, 2008 A policy of the Department
The resolution was reached on April 21, 2008.
Buddhist temples were declared the “zones free of liquor consumption and sale”.
is the
.
2008
The department issued the policy to urge all local administration organizations to campaign against alcohol consumption
•
Support for Local Administration Or- ganizations in Developing and Imposing Measures to Control Alcoholic Drinks at the Local Level They include the municipal laws and the policies that affect local people. Such measures were piloted in 2 municipali- ties and areas under the jurisdiction of 8 Tam bon administration organizations. The De partment of Local Administration also issued a policy to urge all local administration orga nizations to campaign against alcohol consumption during the Buddhist Lent in 2008.
The Development of Knowledge
ThaiHealth supported the development of knowledge about alcohol control to improve policies, academic networks, campaigns and the dissemination of information about situations and updates to the public. The support happened in 3 main forms: researches, national academic conferences and regular meetings where Thai academics could exchange information with foreign counterparts in the past year.
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Annual Report 2008
Figure 2.3.4
The process of developing knowledge leading to alcohol control that ThaiHealth sponsored in 2008
ThaiHealth supported academic agencies including the Center for Alcohol Studies (CAS) and various academic institutes in doing the researches that were free of any interests to gather the information cooperation with parties to promote the develop ment and application of knowledge about tobacco control to swiftly cope with changing situations.
Launching researches to develop policies Sponsoring national academic conferences Supporting knowledge exchange between Thailand and other countries
Since 2006, ThaiHealth has sponsored the annual National Alcohol Conference which creates oppor tunities to present and exchange new information to stimulate and support the processes of develop ing knowledge about the alcohol control that is swift and matches the context of Thailand. The 2008 conference titled “Stop the Liquor Crisis
In the past year, ThaiHealth continuously sponsored academic conferences and activities related to alcohol control in regional and international levels to improve knowledge together with international parties.
policies
Strong academic networks
campaigns
The public are educated and updated.
Performances towards the Goals 3
Figure 2.3.5
The local and international networks that cooperated with ThaiHealth to control the consumption of alcohol in 2008
Thailand
ThaiHealth supported its alcohol control partners in expanding their networks and participating in all aspects of alcohol control covering the development of policies, laws, measures, knowledge and social campaigns. In 2008, ThaiHealth cooperated with 264 organizations. Besides, it supported its partners in developing to promote the health of people throughout Thailand.
International network
In 2002, ThaiHealth joined network since then.
and it has been cooperating with the
ThaiHealth supported the establishment of as the coordination center for the member states of the regional network.
. Thailand acts
ThaiHealth supported a on international campaigns against liquor and narcotics. Youth leaders from 9 nations attended the meeting.
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Annual Report 2008
Figure 2.3.6 Local partners that cooperated with ThaiHealth on alcohol consumption control in 2008
th you net wor k
A
In the past year, alcohol control activities that resulted from collaboration between ThaiHealth and its partners happened nationwide. The followings are examples.
An a ne lcoh tw olork fre e
Non
A network of communities
-viole nce netw orks
ko exe f cu t i v es
or
Ar
etw
elig
en
iou
unive
y rsit
Th
sn etw
An alcohol-free network
ork
ThaiHealth together with people in provinces organized campaigns against liquor throughout the year and monitored the observance of the Alcoholic Drink Control Act of 2008.
A youth network
ThaiHealth took part in developing policies and campaigned for the observance of the laws that protect the youth from alcoholic drinks.
Non-violence networks
The Friends of Women Foundation and a network to quit drinking and stop violence that consists of 12 communities from all regions organized campaigns to raise the awareness of liquor as the cause of domestic and social violence.
The network of university executives
Deputy rectors f or students’ affairs from 82 universities surveyed the sources of alcoholic drinks in the vicinities of their universities.
A religious network
The network of liquor-free temples emerged and consisted of 2,564 temples in Nakhon Ratchasima, Surin, Nong Khai and Bangkok. ThaiHealth also joined campaigns all year long. For example, it launched a campaign on “Liquor-free Kathin” (liquor-free ceremonies to give robes to monks) in which it asked the organizers and the participants of the ceremonies not to drink in the activities.
A network of communities
ThaiHealth and the Bank for Agriculture and Agricultural Cooperatives (BAAC) campaigned for people to stop drinking and save. The campaigns done through over 30,000 BAAC staff and customers resulted in villages proceeding with campaigns against alcoholic drinks nationwide.
Performances towards the Goals 1
Young people are among the partners who participated in campaigns for national policies and measures to strictly control alcoholic drinks.
Services Accessible to the Public
• Alcohol Help Line ThaiHealth supported the operations of the Alcohol Help Line. In the past year, the hotline served 1,944 people, of whom 798 were drinkers, 1,139 were affected people and the rest sought information including that about centers for alcoholism rehabilitation.
1
1 The 4th National Alcohol Conference was the important annual forum where academics and health promotion activists exchanged information, reports on situations and new knowledge. 2
“Liquor-free Gift Baskets” is one of the projects that ThaiHealth and partners have been campaigning for. Since its launch in 2006, the campaign has increasingly received a warm welcome from society. A survey during the 2008 New Year festival found that 51% of gift baskets in markets were liquor-free.
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Annual Report 2008
Annual traditional activities nationwide receive sponsorships from ThaiHealth that intends to see them as the opportunities of joyful activities and the conservation of local traditions being done constructively without any addictive substances.
•
Call Centers to Receive Complaints for the Sake of Law Enforcement ThaiHealth supported the operations of 13 call centers in receiving complaints for the sake of law en forcement to control the consumption of tobacco and alcoholic drinks. The call centers in Bangkok and other provinces are aimed at allowing the public to take part in
supporting law enforcement. In the past year, 240 people contacted the call centers to inquire about relevant laws and 132 filed complaints about legal violations. Actions have been taken on 60% of the complaints.
Figure 2.3.7 The festivals that included social campaigns for the reduction in alcohol consumption according to the concept of “Cultures Can Bring About Pleasure without Alcohol”, which ThaiHealth sponsored in 2008
Valentin e’s Da y
Ma k
June
Hazing ceremonies
L oy
Ye
Krathong
o
h Puc ha
a Day
at
ar
sit tran ion
tival fes
Febuary
New
March
November
December
Songkra n fe st
Kathin robegiving
Ye ar
Septem
ber
fest ival
, Day , Children’s
Oc
July August
Buddhist Lent Mother’s Day
January
April
May
g Hazin
cer
ies mon e
Performances towards the Goals 3
tob er
w Ne
iva
l
ceremonies
3 1
2 1 2 - 4
ThaiHealth supports Thai people in organizing traditional activities without alcoholic drinks in line with Buddhism. Campaign messages raise the public awareness of impacts and persuade people to reduce and even stop the consumption of alcoholic drinks. Such messages are broadcast in communities nationwide to create the value of health promotion in general. Fostering Values and Campaigning for the Public
4
campaigns created significant changes in values such as the alcohol-free Buddhist Lent, the alcohol-free Songkran festival, the liquor-free T h a i H e a l t h l a u n c h e d a n d s p o n s o re d New Year festival and liquor-free gift baskets. campaigns through all kinds of media to reach the general public and target groups of people There were also campaigns for the reduction on all occasions, especially during important or the end of alcohol consumption to improve festivals and traditional activities to raise the health and save money as well as communications public awareness of the merits of reducing and and campaigns for the public to acknowledge stopping the consumption of alcoholic drinks and comply with the Alcoholic Drink Control Act under the concept of “Cultures Can Bring of 2008. About Pleasure without Alcohol”. The Dr. Kitti Kanphai et al concluded that in the past year as many as 86.3-90.0% of people received and understood reports about the control of alcoholic drinks (campaigns against drunk drivers, sleepy drivers and the drivers who use phones). Of those surveyed, 84.5% agreed to and were ready to change their driving behaviors to ensure safety and abide by laws.
Fostering Values and Campaigning for the Public
Annual Report 2008
1.3
Efforts of ThaiHealth and its road safety partners that have continued for more than 5 whole years were successful when Thailand imposed the new law on December 30, 2007, which intensifies punishment in both criminal and civil aspects on drunk drivers.
The Prevention of Road Accidents
Important achievements that resulted from collaboration between ThaiHealth and its road safety partners in the 2008 fiscal are as follows.
accidents. The attempt was successful to one extent as on December 30, 2007, the amended (7th) Land Traffic Act of 2007 was im posed with harsher punishment in both criminal and civil aspects on drunk drivers. • Support for a Complete Review of Traffic- related Laws ThaiHealth supported the The Development of Public Policies Ministry of Justice in reviewing all traffic • Intensified Punishment of Drunk Drivers Since 2003, ThaiHealth has been an agency related laws for the effectiveness in the that takes part in calling for harsher punish prevention and reduction of road accidents. ment of the drivers who consume alcoholic drinks because this is a major cause of road
Performances towards the Goals
Table 5
Progress in the development of public policies for road safety Approved
Amendment to the (7th) Land Addition to Section 43 of the provinces The policy of “365 dangerous days : reducing road disciplines” Public relations on the imposing harsher punishment on drunk drivers and drivers who use mobile phones.
Pending consideration
Enforcement
Table 6 The road safety laws that took effect in 2008 The names of the laws Commencement date Important progress
of 2007 December 30, 2007 Harsher criminal and civil punishment for drunk driving Drivers are prohibited from using mobile phones unless they use an accessory that facilitates conversation.
May 5, 2008
•
• Support for the Enforcement of Traffic Laws In the past year, ThaiHealth supported the Royal Thai Police which is a key agency
Support for the “Don’t Call and Drive” Law In 2008, the Ministry of Transport included Section 43 into the Land Traffic Act of 2008 to prohibit drivers from using a mobile phone unless they use an accessory that facilitates conversation. The ban took effect on May 8, 2008, and ThaiHealth’s partners took part in pushing for relevant policies and raising the public awareness of the ban.
enforcing traffic rules in taking enforcement seriously through the following projects. • Deploying officers to enforce the laws to reduce road accidents Checkpoints were increased by 30% for 1 year from August 2008 in 10 pilot provinces namely Bangkok, Saraburi, Chon Buri, Nakhon Ratchasima, Khon Kaen, Chiang Mai, Phit sanulok, Suphan Buri, Nakhon Si Tham marat and Songkhla. • The Royal Thai Police issued the policy of “365 dangerous days : reducing road accidents with traffic disciplines”.
Annual Report 2008
1 1
In the lead-up to important festive periods when there would be a number of travelers, ThaiHealth sponsored intensive campaigns on accident-prone locations nationwide. For 5 years, ThaiHealth has supported integrated road safety projects at the provincial level. In the past year, the projects expanded to 69 provinces and proved to reduce injuries, death and damages thanks to cooperation from all parties at the provincial level.
2
2
• Support for Policies and Action Plans in Provinces ThaiHealth supported, through provincial road safety plans, integrated road safety projects at the provincial level in 64 provinces. This resulted in the road safety policies and m e a s u re s t h a t m a t c h e d l o c a l c o n t e x t s nationwide and consequently road accidents declined.
Performances towards the Goals
Figure 2.3.8
The elements and progress that resulted from the sponsorships of ThaiHealth in relation to the development of knowledge to
Research to develop policies and plans ThaiHealth supported academic agencies including the Road Safety Thai Center and academic institutes in doing independent researches to develop knowledge to support the creation of road policies and plans. The knowledge development was conducted through many channels such as researches, public forums, academic conferences, and the translation of practical experiences into instructions. This is aimed at the development, management and application of knowledge to launch the road safety campaigns that respond swiftly to changing situations. The development of an information exchange system ThaiHealth, through the Road Safety Thai Center, supported an information exchange system to prevent road accidents in parallel with the development of the personnel who manage the database to work out effective solutions
Research to develop policies and plans
The development of an information exchange system
Support for national and international academic conferences
Support for national and international academic conferences Since 2005, ThaiHealth has supported Thai academics in attending national and international academic conferences on accidents to allow them to present and exchange ideas that will lead to the development of knowledge about accident prevention. Important conferences included the 8th National Academic Conference on Accidents on “Safe Localities, Communities and Roads” that was organized on October 10-12, 2007. The session that drew about 3,000 participants saw the presentation of new situations, researches and recommendations on the prevention
The development of evaluation tools
The development of evaluation tools ThaiHealth supported the King Prajadhipok’s Institute in developing performance indicators to gather information for the integrated development of road safety at the provincial level. The development is based on the 5Es1 strategy that ThaiHealth has promoted as the guideline for accident prevention since 2003.
The development of innovations
The development of innovations ThaiHealth’s support for the integrated road safety projects that expanded to 69 provinces in 2007 resulted in road safety innovations in 9 provinces and these innovations can be applied in other areas.
The development of evaluation tools
Research to develop policies and plans
The development of an information exchange system
The development of innovations
Support for national and international academic conferences
1 The 5Es strategy consists of (1) Enforcement; (2) Engineering; (3) Education, public relations and participation; (4) Emergency medical services; (5) Evaluation and information exchange.
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Annual Report 2008
ThaiHealth supported the creation of networks in the government and the private sectors to take part in the prevention of road accidents. Road safety campaigns happened continuously in the forms of policy and knowledge development and the promotion of the “safe driving” value throughout 2008.
The Development of Networks
Figure 2.3.9 The road safety networks that ThaiHealth sponsored and important
Academics’ networks
People’s networks
In the past year, ThaiHealth continuously supported groupings and activities in the civil sector to reduce road accidents.
People’s networks
It played important roles in recommending legal amendment for various aspects of road safety and campaigning for road safety during important festivals.
Don’t Drive Drunk Foundation
Groups of people affected by road accidents
Moral Center
After urging provincial authorities to implement integrated road safety projects, ThaiHealth encouraged about 100 accident academics to form a working group to give advice to the provinces that joined the projects.
Academics’ networks
They played an active roles in calling for better road safety laws and campaigning for road safety during important festivals.
Groups of people affected by road accidents ( Moral Center)
The Sema Songserm Silatham moral center and the Mohanamai (doctors of government clinics) association watched out for accidents in dangerous areas nationwide during festive periods.
Accident Prevention Network (APN)
Performances towards the Goals
1 1
A survey found that “Don’t Ride behind Drunks” which was among the road safety campaigns that ThaiHealth sponsored and took part in developing won acknowledgement and approval from 87% of all respondents.
2
In the lead-up to important festive periods when there would be a number of travelers, ThaiHealth sponsored intensive campaigns on accident-prone locations nationwide.
2
Services Accessible to the Public
• The Creation of Teams of “Tambon Rescue Workers” ThaiHealth supported the Disaster Prevention and Mitigation Academy in developing 530 “Tambon Rescue Workers” for effective search and rescue missions to help victims of disasters and accidents. In 2008, the personnel development was piloted in 5 provinces. It will later expand to other areas with support from the Tambon health fund of the National Health Security Office that cooperates with 2,806 local administration organizations nationwide.
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Annual Report 2008
Fostering Values and Campaigning for the Public
ThaiHealth supported the continuous use of local and nationwide media to raise the public awareness for safety. Its sponsorships for the campaigns are as follows :
Figure 2.3.10
The campaigns that ThaiHealth sponsored for the reduction of road
Collected before rolling
in danger
Drunks Don’t
Jan
Feb
Don’t ride behind drunks
April June
Aug Sep Oct Dec
Beware accidents
Don’t Call and
Continuous campaigns
of Land Transport and networks, launched campaigns through a wide range of media to raise the public awareness
Performances towards the Goals 1
Road safety campaigns took place not only during festive seasons because ThaiHealth, the Royal Thai Police and partners campaigned for road safety to happen nationwide every day.
ThaiHealth, through provincial road safety plans, has supported the integrated road safety projects at the provincial level since early 2003. The projects expanded to 69 provinces and resulted in the road safety policies and measures that match local contexts nationwide. Consequently the number of road accidents noticeably dropped in 2008.
0.0
0.1
Amount : per 100,000 people
1.0
13.12
13.
200 2008 Accidents
200 2008 Serious injury
200 2008 Deaths
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Annual Report 2008
12.20
๙๓๗
Students, and people in general, were the “traffic volunteers” who helped campaign for road safety actively in the past year. ThaiHealth supports the projects that encourage public participation in the reduction of the primary risk factors.
A survey under the plan for road safety at the provincial level on the use of safety gear in 69 provinces before and after the implementation of the plan found that: • • the number of the provinces where over 70% of motorcyclists wore crash helmets increased from 10 provinces to 25 provinces; and the number of the provinces where over 70% of drivers and front seat passengers fastened their safety belts rose from 5 provinces to 13 provinces.
Performances towards the Goals 3
1.4
Exercises
Important achievements that resulted from collaboration between ThaiHealth and exercise partners in the 2008 fiscal year are as follows.
The exercise innovation that was increasingly popular and was being promoted by ThaiHealth was the “floating cage for swimmers”. This cheap but effective swimming aid is expected to play an important roles in protecting Thai children from drowning, which is the top cause of deaths among Thai children aged under 15.
The Development of Public Policies
In the past year, ThaiHealth supported the development of the following public policies that provided all Thai people with chances to exercise.
•
Support for Policies to Promote Exercises in Communities ThaiHealth encouraged government agencies at the national level, local administration organizations, academic organizations and sports associations to be its partners to promote exercises and sports activities for good health. Consequently policies to promote exercises were launched at the provincial level in 29 provinces and at the local level in areas under the jurisdiction of 57 local administration organizations.
Annual Report 2008
Figure 2.3.11
ThaiHealth’s support for developing the knowledge of exercises
The Development of Knowledge
Support for innovations
supported exercise-related innovations that are useful and developed instructions on the useful exercises and disseminated them to the general public.
for innovations
Support
t for knowlnew edge
Support for new knowledge and the development of a database of exercises
production of exercise instructions to promote of a database useful for the promotion of exercises. The knowledge development included researches on the factors that can encourage Thai people to exercise.
Suppor
develThe of cuopment rricula
The development of curricula
projects to develop the curricula for
Performances towards the Goals
ThaiHealth supported the innovations and promotion of new kinds of exercises for people of all ages and groups to choose.
The Development of Networks
• There were about 200 networks to promote health oriented exercises nationwide. Their potential was continuously enhanced so that they can play important roles in promoting exercises.
• •
Services Accessible to the Public
In the past year, ThaiHealth together with local administration organizations nationwide as well as several agencies used public areas easily accessible to people like public parks, vacant areas under elevated expressways and activity grounds in communities to invite everyone to exercise regularly. Together with partners, ThaiHealth introduced new kinds of exercises to the public. They suit the needs of target groups and communities’ lifestyles such as Buddhism-based exercises, dance sessions for the elderly and exercises for Buddhist monks.
With support from ThaiHealth, the Bangkok Metropolitan Administration, municipalities and local administration organizations, empty grounds in both urban and rural communities were developed into sports fields to let people exercise regularly and economically.
Annual Report 2008
In 2008, public parks in Bangkok functioned not only as the “lungs” of the metropolis but also as the excellent venues to exercise lungs as the Bangkok Metropolitan Administration (BMA) and ThaiHealth announced to support of exercises in all public parks of the capital.
ThaiHealth supported the making of policies to promote exercises in all provinces so that various kinds of exercise activities were organized regularly throughout the year.
In the past year, ThaiHealth sponsored over 20 projects to improve the curricula of physical education after successfully pushing for the increase in physical education hours at schools from 1 hour to 2 hours a week in 2005.
Performances towards the Goals
Figure 2.3.12 Find new partners through sponsorships
ThaiHealth wants to see more
Campaign
and
that
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Annual Report 2008
Part of ThaiHealth’s sponsorships went to the sports events that were intended to promote health rather than competition.
Evaluation of the 2 exercise promotion projects – “to move equals to exercise” and “there are always chances to exercise” – of which ThaiHealth was the major sponsor, found that both projects were popular as 72% of all targeted people acknowledged them.
Performances towards the Goals
Goal No. 2 :
To Develop Necessary Mechanisms to Reduce Secondary Risk Factors
ThaiHealth will invest in what are necessary ares with great impacts such as what concern foods, unsafe sex, mental health, narcotics and the risk factors that have considerable impacts on the groups of people with particular characteristics.
Overview
Operations towards the goal no. 2 to reduce health risk factors in 2008 brought about the fol- lowing important developments : • The public policies that had nationwide impacts on the reduction of secondary risk factors were announced in the 2008 fiscal year and concerned 8 points. • Thai children and youths were protected with several new policies, laws and measures from the media that were in tended to limit excessive consumption and eating unhealthy foods. • People, as consumers, enjoyed more efficient protection from the “Product Liability Act”. • • • Knowledge and databases useful for health promotion and control of health risk factors were further improved. The networks that support the reduction o f h e a l t h r i s k f a c t o r s e x p a n d e d horizontally to all groups of people and vertically to local levels in all regions Campaigns to develop the tide and value of reducing health risk factors continued through sponsorships, all kinds of media and various kinds of activities throughout the year.
The public policies for the reduction of secondary risk factors that were introduced in the 2008 fiscal year are as follows: 1. the Product Liability Act of 2007; 2. t h e a n n o u n c e m e n t o f t h e P u b l i c Relations Department of control over the radio and television commercials that affect children and youths; 3. the bill on reproductive hygiene and the well-being of Thai people drafted together with the Department of Health and part ners; 4. the written request of the Office of the Basic Education Commission (OBEC) u r g i n g a u t h o r i t i e s o f n a t i o n w i d e
Eight New Policies in the 2008 Fiscal Year
5. 6. 7.
educational zones to support the measure for schools to be free of soda and the sale of crispy snacks and sugar-rich foods; the cabinet resolution reached on October 30, 2007, to order the reviews of the safety of children’s toys; the agreement that the Ministry of Educa tion signed with the National Health Foundation on November 30, 2007, call ing for violence-free schools; the cabinet resolution reached on December 11, 2007, demanding a draft PM’s Office regulation on the develop ment of Thai preschool children; and 8. the cabinet resolution reached on January 8, 2008, approving the 2008 regulation on children and youths.
To Develop Necessary Mechanisms to Reduce Secondary Risk Factors
The Development of Public Policies
Government agencies imposed the following policies and laws that could control risk factors and were pushed for by ThaiHealth, partners and networks. • The Product Liability Act of 2008 took effect on February 20, 2009. •
Today information technology has influences on the learning and attitudes, both positive and negative, of young people. ThaiHealth and partners have developed the “White Internet” to protect young people from the risks that exist on the Internet. The “White Internet” is introduced through the Internet cafés where young people gather.
The Announcement of the Public Relations Department Dated January 18, 2008, on criteria and times for the commercials and the business services that affect children through television took effect on February 17, 2008.1
1 Today the announcement has no effects due to the promulgation of the Broadcasting Act of 2008 on March 5, 2008.
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Annual Report 2008
Table 7
The policies and laws that are intended to reduce health risk factors
Commencement date Major progress
The trial of consumer-related lawsuits prioritizes the interests of consumers.
The names of the laws
2008
Public Relations Department
Criteria and times were imposed to control the commercials and the business services that affect children through television. Children’s 5 favorite kinds of snacks
Health
nutrition labels on their packages indicating sodium and the warning recommending limited consumption and exercises.
of the Basic Education Commission (OBEC) dated
-
Request for the management of educational zones nationwide to support
province announced provincial public policies in 2008. Measures to reduce risk tion organizations -
-
care centers to be free of soda and useless snacks 300 local administration organizations joined forces to implement measures to over 30 such organizations supported policies and measures to reduce other risk factors at the local level such as the reduction of children’s consumption of welfare protection for informal labor.
-
Performances towards the Goals 3
The plan to promote health among Thai Muslims consisted of various activities to encourage Muslims to reduce health risk factors.
One area of work that ThaiHealth has been actively promoting is the reduction of risk factors among the elderly by developing knowledge and networks and supporting local administration organizations in seriously providing the elderly nationwide with health welfare and services.
• The 305 th Announcement of the Ministry of Public Health took effect on December 19, 2007. It requires children’s 5 favorite kinds of snacks namely crispy fried or baked potatoes, crispy fried or baked popcorn, crispy rice or crispy baked and swollen foods, crispy bread or crackers or biscuits, and wafers with stuffing to be marketed with nutrition labels on their packages indicating the quantities of calories, sugar, and sodium and a warning recommending limited consumption and exercises. • The letter from the Office of the Basic Education Commission (OBEC) dated May 29, 2008 asked the management of educational zones nationwide to support campaigns for schools to stop selling sodas, crispy snacks and sugar-rich foods.
Annual Report 2008
In 2008, the “Thai Children Do Not Eat Sweets” project expanded to all regions in Thailand. ThaiHealth asked local administration organizations nationwide to issue policies and measures related to foods and nutrition.
• •
The civil society in Phrae province announced provincial public policies in 2008 for al l schools and child day care centers to be free of soda and useless snacks. 300 local administration organizations joined the campaign for “Thai people without potbellies”. Besides, over 30 such organizations supported policies and measures to reduce other risk factors at the local level such as the reduction of children’s consumption of sweets and sodas, the conservation of the food resource base, promotion of the produc tion and sale of safe vegetables and foods, health promotion for the disabled, and welfare protection for informal labor.
The Development of Knowledge
ThaiHealth supported government and private agencies as well as academics from several sectors in researching and developing the new knowledge that will lead to the creation and promotion of new policies, measures, systems, mechanisms and operations to reduce health risk factors in a timely manner.
Performances towards the Goals
Figure 2.3.13
The networks to reduce health risk factors that ThaiHealth helped
The network of Thai people without potbellies
in conjunction with members of several organizations and agencies including medical and public health personnel, armed forces personnel and families, and members of local administration organizations.
It expanded to private nurseries and hospitals nationwide and groups of were formed in Bangkok.
The network to promote breastfeeding
The network of local administration organizations
organizations took part in developing policies and measures to reduce food-related risk factors and improve the health of target groups such as
It operated in line with plans to improve sexual well-being. Activities and networking were conducted among the groups of people who incurred risks and those whose health was affected to promote right thoughts and preventive cooperation in general.
The network to improve sexual well-being
Services Accessible to the Public
• • The Promotion of Safe Foods Several forms of nationwide activities were conducted continuously to provide people with the knowledge of production processes and the know-how to choose nutritional and safe foods. The activities ranged from training sessions to real-life exercises, campaigns through media and exhibitions. Mental Health Promotion ThaiHealth and the Department of Mental Health worked out plans to strengthen the mental health of children, youths and families through education, the presentation of role models and cooperation with educational institutes nationwide.
• •
Improved Well-being for the Disabled ThaiHealth contacted and encouraged agen cies in Bangkok and other provinces to develop facilities for the disabled and sought support from local administration organizations on the issue. Improved Well-being for Thai Muslims In the past year, ThaiHealth organized activities to promote the reduction of health risk factors among Thai Muslims. The activities included well-being training for community leaders, the development of prototype health-conscious communities, training for the caretakers of the elderly, support for the development of young children, training on food hygiene in urban areas, exercises, and campaigns against drugs and cigarettes.
Annual Report 2008
The network of “Thai people without potbellies” campaigned all year long for the reduction of health risk factors that resulted from improper food consumption and insufficient exercises. The campaigns were intensified during festive seasons.
Plans for consumers’ health protection expanded to campaigns against reused cooking oil. The campaigns included education, demonstrations of tests for reused cooking oil, and the distribution of test kits for cooks and consumers to avoid carcinogens.
Fostering Values and Campaigning for the Public
• • • Campaigns against Sweets among Children The nationwide campaigns were aimed at preventing Thai children from the excessive consumption of sweets. ThaiHealth sponsored the campaigns at the levels of local administration organizations, schools, nurseries and communities. Campaigns for “Thai People without Potbellies” for Appropriate Consumption ThaiHealth produced media and organized campaigns throughout the year, especially during the New Year festival when there are parties and sweet and oily foods are served and presented as gifts. Campaigns for the Better Life of the Disabled ThaiHealth organized campaigns and communicated through media so that Thai people would know and understand the situations of the disabled and seriously reduce the obstacles to the disabled in the way that the disabled can live a normal life as the general public can. The general public was urged to have positive attitudes towards the disabled and provide them easy to use facilities.
• • • •
Breastfeeding ThaiHealth supported the Thai Breastfeeding Center in jointly campaign ing with other agencies throughout the year for breastfeeding and arranging for facilities for breastfeeding in places. Health Improvement for the Father Thai Health supported the Ministry of Public Health in nationwide health promotion campaigns that urged the public to do good deeds for the Father simply by keeping themselves healthy. The campaigns encouraged people to take care of their own health with proper consumption and exercises. Campaigns for Sexual Well-being ThaiHealth supported agencies in campaigning for the knowledge and understanding of sexual well-being. Campaigns for the Quality of Life of the Elderly ThaiHealth supported campaigns for the modification of buildings and places such as temples, markets and public parks to welcome the elderly. The campaigns focused on the provision of facilities that guarantee convenience and safety for the elderly.
Performances towards the Goals
Goal No. 3 :
To Develop Prototype Societies of Well-being
ThaiHealth will develop processes, prototypes and mechanisms to improve the overall well-being of organizations, localities and groups of young people.
Overview
Operations in 2008 towards the goal no. 3 to develop prototype societies of well-being resulted in the prototypes that supported the learning of well-being and also created the mechanisms and processes that promoted the development and expansion of prototype societies of well-being as follows. • • Prototype areas in relation to the preven- tion of primary risk factors namely control on tobacco and alcohol, the prevention of accidents, the promotion of exercises and the promotion of safe and nutritional foods increasingly varied and expanded. Prototype areas in relation to health pro motion management like schools, work places, houses and communities amounted to over 2,600 and developed systems to • • • ensure sustainable operations without having to depend on sponsorships from ThaiHealth. Prototype persons in relation to health promotion were searched to represent different aspects of health promotion. They communi cated their ideas and methods to other people. Prototype media to promote the knowledge of well-being emerged in many forms to inspire learning about well-being and spread the knowledge. They included television pro grams for children and families, series, outdoor performances, books, and spots. Mechanisms and processes to promote well-being among communities happened in all regions of the country
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Annual Report 2008
(Right) ThaiHealth, partners and local administration organizations nationwide developed 120 prototype areas to demonstrate the reduction of health risk factors through many areas of work such as food safety, the conservation of the food resource base, nutrition, labor protection, the care of the disabled, the well-being of Thai Muslim communities, consumer protection, the prevention of chronic diseases and the care of chronic patients.
The Development of Prototype Societies of Well-being
The Development of Public Policies
• At the National Level • ThaiHealth in conjunction with the Ministry of Agriculture and Cooperatives, the Ministry of Public Health and 16 partners established the “Council for Cooperation and Network ing on Food Safety and Security” to develop and implement public policies on food safety in line with the principle of sufficiency economy. • The Ministry of Finance approved in principle the inclusion of budgets for the health pro motion of personnel into the regular budgets of government agencies. •
In the past year, 130 “Tambon (groups of villages) of well-being” developed well-being learning centers to expand the knowledge of well-being to 186 nearby Tambon.
At the Local Level ThaiHealth supported cooperation with local administration orga nizations to initiate projects to develop public health policies at the local level. They included projects to rehabilitate rivers and canals, projects to empower communities to cope with natural disasters, and pilot courses to improve the potential of TAO officials in managing health projects in communities.
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Annual Report 2008
Figure 2.3.14
The prototype areas of well-being promotion that ThaiHealth
Prototype areas free of cigarettes emerged in over 1,500 locations including
entertainment venues, markets, bus terminals, public parks, hotels, police stations and schools.
Prototype areas free of alcoholic drinks emerged in over 2,500 locations.
Prototype areas on road safety covered 64 provinces where integrated
road safety projects and innovations were pioneered.
Prototype areas to protect children from accidents emerged in the form of 28 safe schools and communities and 23 safe day care centers for children. Prototype areas where Thai children do not eat sweets and the No Sugar Day campaign were expanded to 1,139 schools and 717 child
development centers in 19 provinces.
Prototype areas for health-oriented exercises emerged in 19 provinces
and 57 localities.
Prototype areas for the consumption of nutritional foods covered
60 provinces where the “Thai People without Potbellies” project was promoted.
Performances towards the Goals 1
1
3
2 4
1
Cherishing love and understanding among family members and searching for good examples for society are the activities that ThaiHealth always seriously promotes. ThaiHealth supports the nationwide expansion of healthconscious premises which already include 300 smokefree hotels in Thailand. The “Health-conscious Universities” project was launched at Thammasat University, which was one of the universities where health promotion campaigns were piloted. Such campaigns are likely to expand to other campuses later. In the past year, the Royal Thai Air Force implemented the policy to “improve the health of Air Force personnel”. That led to new health promotion projects within the Air Force.
The Learning of Well-being
ThaiHealth supported communities in communicating their good stories and health issues through 150 community radio stations. The information was gathered and processed into the databases through which people can develop their proposals for well-being policies.
2 3
4
The Expansion of Health Promotion Activities
ThaiHealth developed its network of cooperation with 370 local administration organizations and community organizations through its sponsor ships for constructive activities to promote wellbeing.
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Annual Report 2008
Mosques
Communities
- The
Performances towards the Goals 3
Goal No. :
To Increase Opportunities for Innovations
ThaiHealth will increase innovations and opportunities for innovations related to the promotion of well-being.
Overview
Operations towards the goal no. 4 to increase opportunities for innovations in 2008 resulted in innovations and considerably increasing opportunities for the development of innovations for the public interest. That fueled the movements of health promotion as follows. • Health-promoting innovations happened in various forms such as inventions, practices and new ideas that should benefit society. • There were “new health promoters”. Sixty percent of the organizations that received sponsorships for their projects received sponsorships for the first time. • • New operations were piloted in organiza tions and communities through 877 projects. Lessons, knowledge and innovations related to health promotion were commu nicated to people and society through all kinds of media.
(Right) Stay and keep fit. The bicycle-powered water pump is the work and pride of Pol Sen Sgt Maj Watcharapol Watanasajjanukul of the Huay Ma police station in Phrae province, who really loves exercises. A knee injury from a football game caused him to undergo a surgery and he can never exercise in the way he likes anymore. So he built this pump under his “use and safety” concept and also received support from ThaiHealth to introduce his idea to exercise areas and farms in Ban Pong Sri village of Tambon Ban Thin in Muang district of Phrae province. Today, bicycle-powered water pumps exist in communities nationwide.
Annual Report 2008
Increasing Opportunities for Innovations
In the past year, ThaiHealth supported and developed various innovative projects to let people of all ages take part in creating healthpromoting innovations that suited their skills or interest. They included: • a project for communities to cope with natural disasters; • a project to rehabilitate rivers and canals; • a meditation therapy project;
Economical but excellent Every family can make an elastic rope for exercises. Elastic bands that are normally used to fasten food bags can be strung together to make an elastic rope that can be used for exercises to strengthen tendons, joints and muscles in all parts of the body. Elastic ropes made from elastic bands were invented and introduced by Assoc Prof Charoen Krabuanrat of Kasetsart University. ThaiHealth sponsored the introduction of such elastic ropes to its health promotion partners and the public.
Increasing Opportunities for Innovations
• • • •
a project to improve intellectual health; a project of learning through music, poetry and singing; an acting project to improve the intellectual health of the youth; the “Happy Home” project to develop health- promoting universities;
Annual Report 2008
Figure 2.3.16
The percentage of the general projects and the innovation projects that ThaiHealth sposored out of all the projects and the innovations that were proposed to win its sponsorships in 2007 and 2008
66% sponsored 66% of all the general projects and the innovation projects proposed for its sponsorships. The percentage rose from 50% in 2007 mainly because ThaiHealth improved its system to develop the capabilities of project owners in the past year.
The number of projects 70 60 50 40 30 20 10 0 2007 50%
2008
year
Figure 2.3.17
The proportion of new sponsorship recipients to old ones
ns d atiopeate % niz 0 rga ing re ips 4 O iv sh e r rec onso sp
As ThaiHealth intends to increase health organizations that received its sponsorships for received its sponsorships for their general projects and innovation projects in the 2008
r
ns ips atio sorsh niz n rga g spo O in iv ece
Performances towards the Goals
Good media by the youth Secondary school students at Regina Coeli College in Chiang Mai province were enjoying creating a wide range of health promotion media including cartoons, plays, short films and spots. The production resulted in learning and health media by people of the new generation, which could be presented to youths in nearby schools and communities.
Standard weekly markets As weekly markets have more influences on rural people, public health authorities in Wachira Baramee district of Phitsanulok province tried to ensure that such “mobile” markets were free of goods and foods harmful to health. They, in conjunction with local agencies and market owners, successfully developed market standards and a standard market.
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Annual Report 2008
Happiness in prison The prison of Lom Sak district, Phetchabun province, initiated a health promotion project for inmates. Under the project, everyday routines of prisoners were developed to promote inmate physical, mental and social health. They were also encouraged to share their ideas and feelings in a friendly manner.
Handmade lung strength-testing device Community medicine officials of Khuntan Hospital in Chiang Rai province were developing ways and tools to improve the efficiency of their work outside their hospital. Among the tools that they developed for those who suffered from the chronic obstructive pulmonary disease was a lung testing device that is easily portable and user-friendly and truly reflects independence and sufficiency.
Lose weight out of self-love “I Feel So Good” is the weight loss program that the Faculty of Nursing, Chiang Mai University, developed using psychological principles. The program was created with the belief that effective and sustainable weight loss must begin with positive thoughts towards oneself, and be supported by club-styled groupings for the sake of long-term behavioral changes.
Performances towards the Goals
Innovation partners For 7 years, ThaiHealth has welcomed projects from all groups of people to encourage the creativity and the innovative operations that lead to health improvement. ThaiHealth also continuously promotes such innovations in general and cooperates with these “innovative developers and operators”, considering these people as the “health promotion volunteers” who take part in keeping health promotion work developing.
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Annual Report 2008
Though being disabled, they are able to develop The people in Chiang Rai province, whose children are disabled, met with happiness and hope. It is difficult for human traffickers to reach their children because a project was implemented to create a network of families and volunteers to develop and rehabilitate disabled children in rural areas. Parents in remote communities were trained to develop and take good care of their children.
• a project to develop health-promoting univer sities; and • support for innovations to promote the well- being of local communities. Since June 2008, ThaiHealth has supported a project of poverty alleviation, social development and well-being that was implemented in 20 provinces.In addtion a project to dvelop health promotion net works in 14 provinces has supported the
local administration organizations at the Tambon level that used to work on well-being development to building on their past work to create local innovations.
Figure 2.3.18
The 15% 36%
49%
Performances towards the Goals 81
Goal No. :
To Foster New Awareness and Values in Society
ThaiHealth will create the culture and lifestyle of sustainable well-being development in Thai society harmoniously with other goals.
Operations towards the goal no. 5 to foster new awareness and values in Thai society in 2008 brought about the following important develop ments. • ThaiHealth ponsored ampaigns hrough arious hannels o s c t v c t foster the values that will lead society to good health and well- being. They included campaigns to reduce health risk factors, promote social contribution to create a society of well-being, live a happy life with sufficiency economy and stop violence against women and children. These values were acknowledged, accepted and approved by 80% of the people surveyed nationwide. Over 500,000 people participated in the campaign activities that ThaiHealth organized in the past year. • The media materials for health promotion produced through ThaiHealth sponsorship the prduction were recognized by national and international organizations as excellent social marketing media.
Overview
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Annual Report 2008
In the past year, ThaiHealth supported the production of prototype media to publicize health promotion information and constructive lifestyles through various channels. They included the campaign spots and the TV programs that reached millions of people nationwide like ‘Paen Din Thai’ (land of freedom), ‘Khabuankan Rai Phoong’ (potbelly-free movement) and ‘Polamuang Dek’ (very young citizen) which received a warm welcome from the public.
Fostering New Awareness and Values in Society
One of the important values for which ThaiHealth campaigns through all channels of media is the value of a “volunteer” mind and doing good deeds for the public interest, something that everyone can do in his dalily life.
To foster the values of well-being society, ThaiHealth applies social marketing. It supports this mission through major channels as follows :
Throughout the past year, ThaiHealth supported campaign projects to reduce health risk factors in all festivals. It seriously considered proper campaigns for the target groups that were the primary risk groups of each risk factor. In the past year, there were 16 campaign projects on 5 major issues implemented through the mass media and a new form of campaigns : 4 reality
Campaign Projects
shows, each of which had about 1 million viewers on average. The campaign projects were implemented through all forms of media, both the mass media and the direct media that reached people’s lives. They included proposals on new practices such as the presentation of liquor-free gift baskets in festivals, more body movements in everyday routines, and public participation in monitoring and ending violence against women.
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Annual Report 2008
The spots of campaigns for the reduction of risk factors and the development of health promotion values that ThaiHealth sponsored were publicized throughout 2008. Many spots won praise from institutes and associations of professionals related to communications. They included the series of 8 spots campaigning for sustainable well-being based on sufficiency economy, which won an Adman Award for excellent marketing communications.
The evaluation of the overall outcomes that resulted from the publicized media and the campaign media produced by sipnsorship form ThaiHealth in fiscal yera 2008 leads to the following findings. • • • Of the target groups, 77.6% acknowledged, were aware of and accepted the communicated points of health promotion and 89.6% of the people with message acknowledgement had developed attitudes indicatings a tendency to behavioral changes towards health improvement. The prototype TV programs of which ThaiHealth sponsored the development and production for dissemination ranked well from fourth to sixth on television ratings and were broadcast during prime time. Seventy percent of the target groups of people who took part in campaign activities and activities to produce constructive cultural media such as music for happiness, and plays for happiness understood and were able to apply their developed knowledge to help expand the networks of well-being.
Performances towards the Goals 8
Her Royal Highness Bhajara Kittiyabha was the presenter for the nonviolence campaign which captured special attention from the general public in 2008.
The Production of Media in Various Forms
ThaiHealth supports the production of all kinds of media to present the values of well-being society. This is to expand opportunities for the dissemination of useful information and reports to all groups of people. It also tries to cooperate with the producers of media including printed media, television and radio programs, movies, websites, outdoor performances, musical performances, plays, new media and alternative media.
Sponsorship
Sponsorship for the agencies and the organiza tions that conduct activities is an important channel to present the values of well-being society and a way to commit organizers to make their activities free of liquor and cigarettes in both short and long terms. Health campaigns were incorporated into the activities that reached groups of people effectively. These activities included: • artistic and cultural activities such as plays, music, arts, local media, short films, sports competitions, training and skill development sessions; ThaiHealth places importance on the production of the media that • activities at schools such as hazing touch people’s lifestyles to emphasize the value of health promotion ceremonies and sports competitions in every step of life. among institutes; and
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Annual Report 2008
The Development of Constructive Media for Children, Youths and Families
• campaign exhibitions organized in the Educational TV Station (ETV) and local cable events in which many people of targeted television stations. ThaiHealth also expanded its groups participated. network of producers of media for children to find more quality producers. Besides, in the past year ThaiHealth supported projects to campaign for and train families to cope with media, encourage children, youths and families to take part in media, and promote reading and the culture of reading as a national agenda.
ThaiHealth and the producers of television and radio programs produced 32 programs with the contents that suited the development of children and youths of various ages. The programs were broadcast on Thai Public Broadcasting Service (the Thai PBS television station),
ThaiHealth supported all forms of media production and artistic activities to promote the values of health promotion among all groups of people.
Performances towards the Goals 8
Goal No. :
To Increase the Capabilities of Health Systems and Well-being Service Systems
ThaiHealth will increase the capabilities of health systems and health service systems by developing knowledge, the capabilities of personnel and necessary infrastructures.
Overview
Operations towards the goal no. 6 to increase the capabilities of health systems and health service systems in 2008 brought about the following important developments. • The legal measure promoting a national health systems that is up to standard and can cope with changing situations that ThaiHealth supported was passed and promulgated. It is the Emergency Medicine Act of 2008. • New mechanisms to improve health systems according to the National Health Act of 2007 were supported and introduced to meet the intention of the law. • Health systems and health service systems were continuously developed and facilitated the health promotion of the public. An example was the improved capabilities of the health security systems at the Tambon level. • Health personnel in health systems at all levels from those in educational institutes to workers in communities nationwide had their capabilities improved and became major forces for the development of health-promoting operations. • Studies, researches and development on information and information exchange systems were improved for the sake of health promotion.
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Annual Report 2008
In 2008, the National Health Assembly as required by the National Health Act of 2007 was organized for the first time at the United Nations Conference Center in Bangkok. The assembly was the pride of all concerned parties that have, for a decade, jointly pushed for the development of health systems in line with the concept of “Building health is better than being on the mend”.
Increasing the Capabilities of Health Systems and Well-being Service Systems
The Development of Mechanisms to Improve Health Systems
• • The development of emergency medical systems ThaiHealth supported the introduction of strategies for emergency medical services and the Emergency Medical Bill that was passed into law and took effect on March 7, 2008. Support for the development of new mechanisms according to the National Health Act of 2007 The development consisted of:
ThaiHealth supports the development of rescue systems at the Tambon level to reduce health damages that results from emergency cases.
• the creation of the first National Charter for Health Systems of Thailand; and • the 1st National Health Assembly in which all parties in society reported health situations and worked out policy proposals that were forwarded to the government so that it will develop public health policies that are mainly based on health promotion.
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Annual Report 2008
The Development of Knowledge to Improve the Mechanisms of Health Systems
• ThaiHealth reported overall health situations to the public. They included a report on the health of Thai people in 2008, a report on public health operations of Thailand between 2005 and 2007, a report on the status of Thai traditional medicine,
indigenous medicine and alter native medicine between 2005 and 2007, and the “Ton Khid – Phuen Khu Khid Mitr Sang Suk” newsletter. • ThaiHealth supported the 4th round of surveys on the health of Thai people through checkups. The nationwide survey was aimed at monitoring risky behav iors and health improvement among Thai people of all ages.
Figure 2.3.19
The operations to develop personnel in health systems that
The development of curricula at medical and public health schools
developed a network of community hospitals in four regions to let their personnel exchange knowledge developed from researches on their routine work in order that they could develop right solutions for changing health problems in their local areas.
Support for “Routine to Research” ThaiHealth
ThaiHealth developed the Thailand Quality Award (TQA) standard which is an important tool to determine the performance indicators of medical schools. The development was done through its support for cooperation between the Medical Schools for Health Promotion Plan and the Thailand Productivity Institute. The faculty of pharmacy of at least 3 educational institutes included health promotion in their courses and had their students undergo practical training on health promotion. The number of nursing schools in the government and the private sectors that played important roles in developing community nurses rose from 18 schools in 2006 to 33 schools in 2007.
Performances towards the Goals 1
•
ThaiHealth supported the Health Interven tion and Technology Assessment Program (HITAP) to study the cost-effectiveness of health promotion investment to facilitate decisions on public health protection policies. For example, cost-effectiveness was evaluated for 4 medicines: Insulin analogue, Recombinant Human Erythropoietin, the cholesterol-lowering drugs in the group of HMG-CoA reductase inhibitor or Statin, and osteoporosis drugs. The findings were considered in the process of improving the National List of Essential Medicines of 2008. • ThaiHealth together with 9 educational institutes nationwide worked out a project to study public policies in line with a guideline of power decentralization to develop health security in 880 pilot areas of the National Health Security Office (NHSO).
The Development of Information and Information Exchange Systems
• • • • ThaiHealth through a committee on safe and constructive media and a committee on child protection pushed for measures to protect children from dangers in cyberspace. It also introduced ratings on websites and regulations on Internet cafés, compiled a list of improper websites and took legal actions against computer-related offences. ThaiHealth developed a central database on public health personnel with all depart ments of the Ministry of Public Health. They combined their information for mutual use. This database is expanding to 6 professional councils. ThaiHealth developed a health information exchange system through its health information system development plan to follow up updates that will bring about effectiveness in the development of strategies and action plans as well as health promotion decisions. ThaiHealth supported the compilation of research-oriented information and the observation of violent situations in the 3 southern border provinces.
An important element for the development of health systems is the research that is conducted simultaneously with the routine operations (Routine to Research) of the local public health agencies that are the closest to people’s problems.
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Annual Report 2008
Reviving local wisdom on health promotion is another important task in developing an independent health system for Thailand.
The Development of Health Promotion Systems in Communities
• ThaiHealth supported the plan to produce nurses “of communities, by communities, for communities.” The plan caused cooperation among three parties: (442) local administra tion organizations, (155) community-based hospitals and (28) educational institutes. In 4 years, there will be 629 community-based nurses to take care of public health in these communities or Tambons. Local administra tion organizations are paying for this nurse education. It is a “prototype” plan that is being
•
introduced throughout the country and leads to the following results. The Ministry of Public Health pushed for a similar process to produce nurses to meet demands in the 3 southern border provinces and for another process of nurse production at nursing schools under the jurisdiction of the Praboromarajchanok Institute. Seats at the nursing schools are reserved for students sponsored by local administration organizations.
Performances towards the Goals 3
The production of “community-based nurses” with the participation of local organizations is an important element of the development of health systems for communities.
• The Department of Local Administration • through the associations of TAO (Tambon administration organizations) and PAO (provincial administration organization) presidents supported developme of local health personnel and operations. • The networks of educational institutes in the government and the private sectors improved their process of teaching and improving the capabilities of nurses. • The Thailand Nursing and Midwifery Council applied knowledge and information to improve the standard of nursing services • and education and laid down production, development and workforce management plans to meet the health demands of people and communities.
The National Health Security Office (NHSO) increased the production of community based nurses to support the community based health systems that welcome public participation. The increase was aimed at producing enough nurses for enough communities to make a difference. Among other operations, the NHSO allocated funds through the Thailand Nursing and Midwifery Council under “the project to produce community-basednurses to develop health systems for communities”. International organizations like the World Health Organization (WHO) and the International Council of Nurses considered this as a case study on the development of professional nursing.
Annual Report 2008
Information useful for health promotion that resulted from compilation, studies, and researches due to the implementation of the health information system development plan was publicized continuously in various forms.
The Development of Health Promotion at the International Level
• • In the past year, ThaiHealth acted as the secretariat to the International Network of Health Promotion Foundation (INHPF) for the second term that lasted 4 years from 2005. for the Global Conference on Health Promotion that will be organized in Nairobi, Kenya, in 2009, ThaiHealth had been chosen by international health promotion organizations to be a party to present experiences about its establishment and work in its capacity as a national health promotion organization.
Performances towards the Goals
7 Years
of Health Promotion in Thailand
Since Thailand set up its “Sin Tax Fund” in late 2001, the Thai Health Promotion Foundation (ThaiHealth) has played roles in “inspiring” and “catalyzing” health promotion in a way that it grows and becomes part of the lives of Thai people throughout the country. In conjunction with all parties, ThaiHealth has been determined to develop good systems, policies and prototypes for the growth of health promotion for 7 years.
• • The Ministry of Public Health imposed illustrated warnings on cigarette packs from March 25, 2005. The World Health Organiza tion asked ThaiHealth to advise Southeast Asian nations on the establishment of peer organizations. The liquor-free Buddhist Lent campaign saw the percentage of the drinkers who agreed to suspend drinking during theperiod rising to 48.9%, and 84.1% of people acknowledged information about the campaign. Total 229,979 people signed their names to make a vow to refrain from alcoholic drinks during the Buddhist Lent. The Food and Drug Admini stration approved a ban on sugar content in milk for infants and young children. All national sports competitions were announced to be free of alcohol and 14 sports asso ciations stopped receiving sponsorships from alcohol enterprises. The number of alcohol drinkers declined. In 2004, the percen tage of drinkers was 32.7%, dropping from 38.6% in 2003.
•
• •
•
The board of the Thai Health Promotion Foundation approved the first strategic plan and endorsed a 9.5-million-baht budget to be spent as far as it was deemed necessary.
•
ThaiHealth took part in pushing for the establishment of the Road Safety Center. ThaiHealth successfully pushed for a cabinet resolution to ban alcohol spots on radio and television after 10pm and alcohol advertisement billboards near educational institutes. ThaiHealth campaigned for the liquorfree Buddhist Lent for the first year. Of drinkers, 40.4% suspended drinking during the period and 84.7% of people acknowledged information about the campaign. The cabinet ordered television programs for children and families during prime time.
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•
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• Thailand hosted an international conference on health promotion. • ThaiHealth successfully prompted the Ministry of Public Health to ban cigarette advertisements at points of sale and Thailand the was only third country in the world where such a ban takes effect. • Income from the excise tax on alcoholic drinks that had kept increasing started to drop in the 2005 fiscal year and income from the excise tax on tobacco dropped by 6.8% while the tax rates remained the same. • ThaiHealth pushed for the privilege of the national health security system to cover the circumcision of Thai children. • ThaiHealth supported the Ministry of Education in requiring educational institutes nationwide to be free of alcohol sales and consumption. • ThaiHealth encouraged the Ministry of Education to increase the duration of physical education classes from 1 hour to 2 hours a week. • ThaiHealth’s campaign media won 26 local and international awards.
• The Board of Thai Health issued the first annual agenda, “60 years, 60 million good deeds begin with the youth.” • ThaiHealth cam paigned for govern ment agencies to be smoke-free zones according to the Act to Protect the Health of Non-smokers. The campaign was piloted by 29 govern ment agencies. • The “ETV” television station for children, youths and fami lies was launched to reach target groups at 20,000 schools and over 2,000,000 families that had local cable TV services nation wide.
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• ThaiHealth took part in pushing for 10 public policies on health promotion as follows. (1) The cabinet resolved to set up a constructive media committee to ensure the production of the media that promotes the well-being of society. (2) The cabinet ordered a 2007 agenda for children and youths that covered 5 topics, and assigned 5 relevant ministries to realize it. (3) The Public Relations Department required television broadcasters to rate television programs. (4) The Ministry of Public Health banned the distribution of samples of breast milk substitutes to newly born babies at hospitals nationwide. (5) The Office of the Basic Education Commission issued a policy to require schools to be free of sodas. (6) The Sangha Supreme Council required all festivals and fairs at all temples nationwide to be free of alcoholic drinks. (7) The Royal Thai Armed Forces issued policies and a master plan for the health promotion of their workforces. All armed forces were ordered to develop down and implement their action plans to support the master plan. (8) The cabinet ordered concerned agencies to control the marketing of children’s snacks. (9) Section 61 of the Constitution of 2007 calls for the establishment of an independent organization for consumers and Sections 30 and 54 deal with the rights of the disabled. (10) T h e O f f i c e o f t h e C o n s u m e r Protection Board announced a the standard for drinking water coolers and prohibited schools from using the coolers that were assembled with lead-welding.
• ThaiHealth took part in creating 36 policies, laws and measures related to health promotion at national and local levels. They included 19 policies on the reduction of primary risk factors that were approved by the legislature and relevant agencies and took effect in the 2008 fiscal year (between October 2007 and September 2008). • Systems to support people in stopping smoking and drinking, in the forms of telephone counseling and rehabilitation services of the government, the private sector and communities, were developed to serve people nationwide. • The number of completed researches on health promotion that resulted from ThaiHealth-sponsored projects increased from 40 in 2007, by about 4 times, to 168. • The research centers on tobacco, alcohol and road safety that were established due to ThaiHealth’s support took part in organizing national and international academic conferences annually for the presentation of updates on the prevention of the 3 primary risk factors. • The networks that supported the reduction of 4 primary risk factors expanded and were developed to continuously watch for risks and lead new developments on health promotion. • Campaigns supporting the movment and values for reducing 4 primary risk factors were continuously launched via all kinds of media throughout the year. • Through several new policies, laws and measures, Thai children and youths were protected from the media message that tried to stimulate excessive and nuhealthy food consumption. • People, as consumers, enjoyed better protection thanks to the Product Liability Act. • The networks that support the reduction of health risk factors expanded horizontally to all groups of people and vertically to local levels in all regions. • Campaigns for the tide and values of reducing health risk factors were implemented continuously through sponsorships given to all kinds of media and various forms of activities all year long.
2002
2003
2004
2005
2006
2007
2008
Cigarettes
2001
Alcohol
2003 2004
The continuous development of measures to protect the youth from alcoholic drinks
Reducing risks from “drunk driving”
Accidents
2002 • Thailand Development Research Institute stated that the accidents that resulted from “drinking” caused damages worth million baht. • ThaiHealth hosted a conference for the Global Alcohol Policy Alliance (GAPA) and alcohol control agencies in Thailand. The meeting reached the conclusion that the prevention of “drunk driving” was an important strategy for health promotion. Afterwards, ThaiHealth intensively and continuously supported the development of laws, measures, knowledge and values so that Thai society rejected “drunk driving”.
The cabinet resolved on July 29, 2003: 2003 • to limit alcohol commercials on television and radio between 5am and 10pm to reduce impacts on children and youths; • to ban advertisement boards near schools ; and • to prohibit alcohol businesses from sponsoring sports competitions in schools.
Alcohol
2004
• •
The National University Games were free of cigarettes and alcoholic drinks. Over 40,000 university students joined a network to campaign against the consumption of alcoholic drinks. •
2006
2006 Educational institutes moved to ban alcohol sales in their vicinities and prohibited “drinking” in their hazing ceremonies. 2007 • Groups of youths participated in supporting the Alcoholic Drink Control Bill.
Law
2007-2008
2007
2008 • The Alcoholic Drink Control Act of 2008 prohibits the sales of alcoholic drinks to children and young people aged under 20. • Representatives of Thai youths jointed a global network of youths to push for policies and campaigns to control liquor.
Thai smokers light fewer cigarettes The number of smoked cigarettes per smoker decreased from 10.61 a day in 2001 to 10.27 a day in 2007.
The percentage of Thai frequent smokers out of the total population between 1991 and 2007
percent of the total population 40 30.46 30
The “Liquor-free Buddhist Lent” campaign project developed into the “National Liquor-free Day” 2001 • The percentage of Thai people who refrained from alcohol control during the Buddhist Lent was 11.5%. • ThaiHealth and partners launched the “Liquor-free Buddhist Lent” campaign project and wrote to the government to propose the first day of the Buddhist Lent to become the “National Liquor -free Day”. 2006 • The percentage of Thai people who refrained from alcohol control during the Buddhist Lent rose from 40% in 2003 to 63%. • ThaiHealth and partners continued to percent campaign for the “Liquor-free Buddhist 80 63 65.2 Lent” every year.
60 56 40
2008 • Thailand imposed the (7th) Amended Land Traffic Act of 2007 that intensified civil and criminal punishments against drunk drivers. Police checked alcohol levels in drivers nationwide to enforce the law that limits alcohol levels in drivers. • Since 2005, the network of moral centers and the Mohanamai (doctors of government clinics) Foundation have been watching out for the accidents that result from drunk driving at petrol stations and accident-prone areas during New Year and Songkran (Thai New Year) festivals. • The network of “drunk driving victims” has been launching various forms of campaigns to raise the public awareness of the impacts of drunk driving since 2003. • The “Drunks Don’t Drive” value was acknowledged and accepted by the general public. Surveys found that 86.3-90% of people knew and understood reports on alcohol control (about campaigns against drunk driving, sleepy driving and using mobile phones while driving) and 84.5% agreed and were ready to refrain from reckless and illegal driving behaviors.
Reduction in damages from road accidents
Declining death tolls
year
Increasing the “provinces of road safety”
Houses are safer from cigarette smoke Thanks to the “Cigarette-free House” campaign by tobacco control networks, the percentage of smokers who smoke in their houses dropped from 85.76% in 2001 to 59.07% in 2007.
22.47 25.36 19.47 18.94 year 18.59 the Buddhist Lent 2007
20 10 0
1991
1996
2001
2004
2006
2008 • The percentage of Thai people who refrained from alcohol control during the Buddhist Lent rose to 65.2%. • On July 8, 2008, the government declared the first day of the Buddhist Lent the National Liquor-free Day.
40 20 0 11.5 Before 2001
As ThaiHealth took part in various campaigns for road safety, death tolls were decreasing.
14,063 13,766 12,871 12,693
deaths
2003 2004 2005 2006 2004 2007
provinces
20 12
2003
2005
2006 2008
year
Source : Tobacco Control Research and Knowledge Management Center (TRC)
The percentage of those who refrained from liquor during the Buddhist Lent from before 2001 to 2008
year
According to information gathered from the provinces that joined integrated road safety projects, the number of the provinces with low road accident rates (25-50 accidents per 100,000 people) nearly doubled in 3 years.
“happiness”
What are you whispering, Dear lotuses while you’re bending? The smiles that you wear Reflect the happiness that you share.
Evaluation and Audit
Part3
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Annual Report 2008
Evaluation Report on the Performances of the Thai Health Promotion Foundation in the 2008 Fiscal Year
By virtue of Section 37 of the Thai Health Promotion Foundation Act of 2001, the cabinet resolved to form the Committee to Evaluate the Performances of the Thai Health Promotion Foundation (ThaiHeath). The committee is authorized to evaluate the policies, activities and operations of the foundation and is required to report the results of the operations of the Foundation and recommendations to the Board of the Thai Health Promotion Foundation on a yearly
Evaluation Report
In the 2008 fiscal year, the Committee to Evaluate the Performances of the Thai Health Promotion Foundation (ThaiHeath) set its evaluation on 4 areas : 1. performances in line with the performance indicators that ThaiHealth pledged to the Evaluation Committee; 2. performances in line with 9 major plans; 3. performances in relation to the ThaiHealth management; and 4. performances in managing its partners and networks in relation to control of the consumption of tobacco, the consumption of alcoholic drinks of road accidents. The Evaluation Committee based its work on information from the following sources: • the report of performances in line with performance indicators in the 2008 fiscal year; • the report on performances in line with the 9 major plans; • the minutes of the Board of the Thai Health Promotion Foundation; • the minutes of 7 plan-implementing committees; • the report of the Internal Audit Sub- committee; • the report of the management of partners and networks in relation to control of the consumption of tobacco, the consumption of alcoholic drinks and of road accidents; and • other relevant information and documents as well as remarks on some issues. Apart from the mentioned information, the Evaluation Committee also received additional information from the Thai Health Promotion Foundation and relevant officials and worked out the Evaluation Report on the performances of the Thai Health Promotion Foundation as follows.
T h e T h a i H e a l t h P ro m o t i o n F o u n d a tion pledged 4 performance indicators to the Evaluation Committee. They are 1) achievements on policy campaigns, campaign communications, the research and development of prototypes, and the empowerment of organizations and communities at various levels in health promotion; 2) annual performances on the number of new sponsorship recipients, the development and evaluation of partners, and the degree of success in plan implementation; 3) office management that concerns the management of personnel, information technology, finance, and risks and the operations of the Board of the Thai Health Promotion Foundation; and 4) innovations and initiatives in management and health promotion. The Evaluation Committee found the achievements were good, annual perfor mances was excellent, office management was rather good, and innovations and initiatives were good.
1. Performances in line with performance indicators in the 2008 fiscal year
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However, ThaiHealth should improve some small but important issues to make achievements as planned. For example, 1) ThaiHealth should develop clear objectives, goals and methods to integrate its work to empower local administration organizations and communities to promote health, and 2) its information technology operations were behind schedule.
accidents and the environment; 2) the category of plans to promote health in localities, organiza tions and communities; and 3) the category of the supportive plans that apply marketing communications and develop systems. These plans support one another. ThaiHealth has 7 committees to manage the plans. They share responsibilities for the plan management. There are the programs and projects that suit the purposes of the respective plans. Partners and networks in the government and the private sectors, charity organizations, and the individuals who are health promoters or academics receive sponsorships from ThaiHealth to implement those programs and projects. They include the Department of Health, the Royal Thai Armed Forces, the Federation of Thai Industries, the Friends of Women Foundation, community leaders and university lecturers. 2.1 Partners Increase in the number and types of partners Initially ThaiHealth did not have many partners and its partners were not diverse. It then gradually sought and invited more partners to participate in its work and as of 2007 it had 3,058 partners. ThaiHealth supported its partners in the government sector in pushing for and implementing the policies that promoted wellbeing. For example, the Department of Health implemented a policy to campaign for Thai people without potbellies and the Sangha Supreme Council implemented policies for temples to be liquor-free zones and the centers to promote the happiness of communities. ThaiHealth supported sports associations and clubs as well as communities
ThaiHealth acts as an “inspirer”, a “lubricant” and a “catalyst” to support the processes of health promotion through 12 major plans. In the 2007 fiscal year, the implementation of 3 major plans was evaluated. They are the plan to control the consumption of tobacco, the plan to control the consumption of alcoholic drinks and the plan to promote the prevention of road accidents and disasters. In 2008, the implementation of the remaing 9 plans was evaluated. They are 1) the plan to control health risk factors, 2) the plan to promote well-being in localities and communities, 3) the plan to promote well-being learning, 4) the plan to promote well-being in organizations, 5) the plan to promote health-oriented exercises and sports, 6) the plan of social marketing, 7) the plan to support general projects and innovations, 8) the plan to promote health through health service systems, and 9) the plan to develop the systems and mechanisms that support health promotion. The evaluation covered the implementation of the plans from 2005 to early 2008. The 12 mentioned plans can fall into 3 categories: 1) the category of plans concerning such issues as tobacco, alcohol, foods, exercises,
2. Performances in line with major plans
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in promoting exercises and supported health ties, communities and organizations. It also promoters and university lecturers in trying and supported other plans to facilitate its developing the knowledge of health promotion. approach towards localities. ThaiHealth supports organizations and individuals in working for health promotion through about 1,000 projects annually and this creates new partners every year. In 2008, there were 768 new partners. Although old partners renew their requests for sponsorships, ThaiHealth still welcomes new partners to maintain its thrust. Initially ThaiHealth did not have enough partners to help carry out its missions but after 2007 it developed clearer directions of work and more appropriate criteria for the selection of its partners. In 2008, 1,330 local administration organizations and communities cooperated with ThaiHealth. Yet, their cooperation has not brought about any clear results. However, as the approach towards organiza tions, communities and target groups of people has just started, it has not achieved the goals that ThaiHealth set, especially the goal to enable local administration organizations and communities to promote health independently.
R e g a r d i n g i t s a p p r o a c h t o w a r d s organizations, ThaiHealth successfully convinced schools, universities, the Royal Thai Armed Forces and private enterprises to act as happiness- promoting organizations. However, there were still a few approaches towards other civil service agencies. Besides, ThaiHealth started to use temples as bases to promote well-being in communities although the temples that it approached In supporting and developing partners, were still a small part of all existing temples. ThaiHealth continuously improved the health promotion capabilities of its plan implemen Regarding health-oriented exercises, tation partners. The improvement happened campaigns for exercises were launched in a in the forms of, for example, the provision of number of areas and in various forms that better information and knowledge that facilitated suited the cultures of different localities. That the development of directions and policies, encouraged a number of people to participate in partial sponsorships from ThaiHealth, the activities. Many exercise campaign projects connections and knowledge exchange at the regional level enjoyed good cooperation among ThaiHealth’s networks of partners, from local organizations. experiences in project management, and campaigns and activities in relation to health Regarding social marketing, it was promotion. These resulted in the obvious designed and communicated effectively for achievements of many partners including particular target groups, ensured high levels the partners that campaigned for control of of acknowledgment and covered the general liquor, cigarettes and accidents and those public in the way that people developed working for the protection of children and awareness and were ready to change some families, and in mass communications. behaviors. For example, they stopped smoking in public places and at home and refrained from 2.2 Work with organizations, drunk driving. communities and target groups of people ThaiHealth applied the knowledge, lessons Regarding support for projects at the and experiences that it gained from initial grass roots level that expanded to all regions, o p e r a t i o n s t o d e v e l o p i t s w o r k w i t h ThaiHealth supported over 700 projects yearly. organizations, communities and localities About 80% of them produced good (achieveto ensure that its work would truly ben- ments, produced health promoters in communities efit people. ThaiHealth approached communi- and improved the capabilities of communities in ties mainly through the implementation of solving problems properly and systematically. its plans to promote well-being in locali-
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Annual Report 2008
2.3 Outcomes and impacts This report will describe the outcomes and impacts of the 9 major plans, excluding the plan to control the consumption of tobacco, the plan to control the consumption of alcoholic drinks and the plan to promote the prevention of road accidents and disasters, the outcomes and impacts of which were already described in the Evaluation Report on the performances of ThaiHealth in the 2007 fiscal year. The important outcomes and impacts that ThaiHealth and partners jointly realized are as follows. A number of documents to disseminate knowledge were produced. They included research reports, instructions developed on experiences in project implementation, books and magazines. In 2008, there were 420 items of such documents which were disseminated through various channels including information technologies.
63 local administration organizations included guidelines on family activities in their community development plans.
The efforts of ThaiHealth and partners to create knowledge, laws and policies influenced organizations to play a greater roles in health promotion and prompted changes in people’s behaviors and the environment that facilitated well-being and better quality of life. The changes resulted in better family ties, more exercises, constructive activities among children, child-friendly public media, safe playgrounds, better child development centers, safe foods, pleasant workplaces, guaranteed rights for the disabled, and better consumer protection. There was insufficient information to evaluate the degrees of the improvement; therefore, there must be specific researches. This is different from the cases of control on the consumption of tobacco and alcoholic drinks and the prevention of road accidents as there Campaigns were carried out successfully were studies and information about the results and led to policies, laws and regulations of of changes as described in the 2007 Evaluation national importance. They included the 2007 Report. Constitution that requires the establishment of an independent organization for consumers and the 2.4 Recommendations rights of the disabled, children and youths; the on plan management Act to Protect the Victims of Domestic Violence • ThaiHealth should improve the integration of 2007; the Emergency Medicine Act of 2008; of operations under plans or programs by the Office of the Prime Minister’s Regulation on same sections, the integration of operations the Development of Young Children of the Nation; by different sections of ThaiHealth, the the Office of the Prime Minister’s Regulation on the integration of operations between Thai Promotion and Coordination of the Institution of the Health and other agencies that work towards Family the Nation of 2008; ministerial regulations the same goals and in the same areas, and on the safe installation of recreational equipment the integration of their operations that on playgrounds; and announcements of agencies support one another. • Although there were very good systems at the national level on, for example, breastfeeding, soda-free schools, warning labels on children’s to monitor and report the outcomes of snacks, a ban on drinking water coolers some plans, ThaiHealth should develop assembled with lead-welding at schools, and the mechanisms to monitor and report the rating of the television programs and commercials outcomes of other plans and projects for the sake of higher efficiency and effectiveness. that affect children. • Although ThaiHealth was successful in its Laws and policies at the national level not indiscriminate campaigns with target only caused compliance by agencies, but also groups, it should clearly separate and resulted in changes to the regulations of analyze different target groups in order to plan efficient and effective approaches for organizations and local authorities. For example,
Evaluation Report 10
• • •
different target groups, especially the groups that face high risks who cannot be easily approached with normal methods and need special methods. ThaiHealth should improve its capabilities for communications in targeted areas to facilitate its plans and projects in order to enhance marketing communications and better reach target groups in the field. ThaiHealth should study and analyze existing research results and knowledge and find w a y s t o i n c re a s e t h e i r v a l u e s a n d applications. ThaiHealth should increasingly and rapidly encourage local administration organiza tions to cooperate and take responsibility for attempts to improve the health and quality of life of people in their areas in order to guarantee the sustainability of health promotion.
In general, ThaiHealth had meticulous systems and mechanisms to manage, moni tor and examine its financial and accounting operations. Internal auditors recommended improvement only on some points. For example, it should increase efficiency in analyzing the budgets of plans and projects. 3.3 The performances of committees ThaiHealth took serious actions to prevent conflicts of interest in line with established regulations and procedures. In 2008, committees had regular meetings and nearly full, 77-90%, attendance and their agendas reflected their roles, duties and responsibilities. 3.4 Responses to the recommendations of the parliament ThaiHealth provided additional informa tion and improved its work to respond to reservations from the parliament. Those included its response to the important issue of the development and solutions to the problems of children, youths and families. In this case, ThaiHealth paid more attention and offered more support by forming a particular unit to take responsibility for the issues of children, youths and families. Another issue was the prevention of and control on such chronic diseases as obesity, diabetes, cardiovascular diseases and strokes. ThaiHealth took more actions to encourage changes to the behaviors that are the major factors of these illnesses. The changes called for exercises, nutrition, emotional control, and non-smoking. ThaiHealth campaigned for these changes through mass communications and field operations launched widely at the levels of provinces, organizations and communities. The campaign for Thai people without potbellies was among the attempts.
3.1 Personnel management ThaiHealth improved the capabilities of its personnel more systematically. All staff mem bers were required to have annual development plans for themselves and consequently increased their capabilities. It outsourced the work that did not require high knowledge and capabilities but was time-consuming. 3.2 Financial and budgetary management In the 2008 fiscal year, ThaiHealth received a total income of 2,881 million baht, higher than its estimate by 12%, and posted a total expense of 2,918 million baht, lower than expected by 9%. ThaiHealth approved 1,260 contracts in which it allocated 3,190 million baht to sponsor new projects, higher than the target that it had set earlier in the year at 2,910 billion baht. The Board of ThailHealth laid down policies to maintain its liquidity and the amount of its fund reserves at proper levels and to suitably manage the funds that have not reached their disbursement schedules to reap reasonable benefits. However, ThaiHealth had a large amount of fund reserves in 2008 as it reserved funds for tied-over budgets.
3. The management of ThaiHealth
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Annual Report 2008
3.5 Responses to the recommendations of the Evaluation Committee in 2007 ThaiHealth improved its operations in response to these 4 recommendations. 1) Regarding invitations for local administration organizations to be its partners or actively and increasingly implement its projects, ThaiHealth made various attempts but did not achieve its goals because the goals were very ambitious. 2) Regarding the establishment of the goals of performance indicators, ThaiHealth gradually developed proper performance indicators. 3) Regarding the empowerment of its partners, ThaiHealth already improved the capabilities of its partners in terms of accounting, finance and evaluation by outcome mapping. However, ThaiHealth must also improve the capabilities of its partners in other aspects, especially capabilities for planning and project management. 4) Regarding the development of an information exchange system, ThaiHealth sought help from outside advisors and experts but the development was still behind schedule.
with the management of projects, knowledge and communications. 4.2 Partners for control on alcohol con sumption These partners were quite strong but depended much on the budgets of ThaiHealth. Although they made good achievements, they were not so experienced. They cooperated closely with the partners that worked for the prevention of road accidents but the networking between partners in Bangkok and those in other provinces was not good enough and consequently resulted in the unnecessary losses of opportunities and money. These partners expected ThaiHealth’s support for the serious improvement of the capabilities of their personnel.
4.3 Partners for the prevention of road accidents These partners were quite strong but were obstructed with bureaucracy because same of them were in the government sector. All these partners had personnel limitations in terms of both quantity and quality. ThaiHealth played animportant roles, through sponsorship and co ordination, in pushing for the formation of many agencies to take responsibility for the preven tion of road accidents. These partners expected To achieve its goals, ThaiHealth must depend support for the serious development of their on the work of its partners that it sponsors. personnel especially in relation to campaigns for Therefore, ThaiHealth’s good management of the behavioral changes of motorists. partners should lead to the success of its missions. In 2008, the Evaluation Committee arranged for a study on the management of ThaiHealth’s partners in relation to control on tobacco and alcohol consumption and the prevention of road ThaiHealth is the fund organization that wants “Thai people to be sustainably healthy” accidents. The study led to the following findings. and is committed to inspiring, stimulating and 4.1 Partners for control on tobacco con supporting the development of health systems and public health promotion by focusing on the sumption These partners were strong and experienced reduction of risk factors and the creation of the and their performances were recognized locally factors that boost health. ThaiHealth supports and internationally. However, the partners had not and enables its partners’ work to develop worked actively in the field. Almost all support that knowledge, campaign for policies and introduce ThaiHealth offered to the partners was financial. health promotion in organizations, communities The partners were satisfied with that and did not and localities. To improve its strength and efficiency in the expect support for personnel development. If any additional support should happen, it should deal mentioned missions, ThaiHealth should place importance on the followings :
. The outcome of the management of partners in relation to control on tobacco and alcohol consumption and the prevention of road accidents
The recommendations of the Evaluation Committee
Evaluation Report 10
1. It should promote monitoring and evalu ation to be accepted and implemented and become part of its cultures, and should include monitoring and evaluation in all projects from their early stage of imple mentation. Project proposals should detail outputs, outcomes and impacts to guarantee efficient monitoring and evaluation. 2. It should develop the information system that covers important information and suits its main work process and should apply information technology to manage project information from the stage of approving project sponsorships to the reports of project outcomes and project conclusions. 3. Concerned persons at all levels from project managers and implementers to plan mana gers, the executives of the Thai Health Promotion Foundation, plan management committees and the Board of the Thai Health Promotion Foundation should regularly receive and use monitoring and evaluation reports. 4. ThaiHealth should improve the monitoring and evaluation capabilities of its personnel and the partners that are seeking sponsor ships for their projects. 5. To strengthen evaluation in the long run, ThaiHealth should support the development of the communities and networks of enough
evaluators for qualitative and quantitative evaluation to support its operations. Thai Health should support educational institutes in training evaluators to evaluate health promotion and may assign some institutes to manage monitoring and evaluation on its behalf. 6. ThaiHealth should emphasize integrated work in localities and enable local agencies and communities to develop true and sus tainable well-being for people in their respec tive areas. In this case, its support should go especially to the local administration organizations that have legal authority and duties, are accepted by people and have budgets to fund well-being development. If ThaiHealth improves the capabilities of local administration organizations, most of which are inexperienced in managing health promotion, this will certainly lead to the improvement of health and quality of life of local people.
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The Report of the Internal Audit Sub-committee
The Report of the Internal Audit Sub-committee
The Internal Audit Sub-committee fully served its 3-year term on January 24, 2008, but the Board of the Thai Health Promotion Foundation resolved in its 2/2551 meeting on February 29, 2008, that the sub-committee stayed in office until September 2008 for the sake of work continuation. Then the Board of the Thai Health Promotion Foundation reached a resolution in its 7/2551 meeting and signed the 8/2551 Thai Health Promotion Foundation order dated July 25, 2008, to extend the term of the same Internal Audit Sub-committee for another term from September 1, 2008. The Internal Audit Sub-committee works with transparency and gives remarks and recommendations independently so that ThaiHealth can achieve its goals legally. In the 2008 fiscal year, the Internal Audit Sub-committee worked in compliance with the Regulation of the Thai Health Promotion Foundation on the Internal Audit of Finance, Accounting and Material of 2005. The sub-committee had 11 meetings and met ThaiHealth executives to assure that Thai Health had a transparent, accountable and efficient audit system. The sub-committee also met external auditors for discussions and recommen dations and concluded and reported its findings to the Board of the Thai Health Promotion Foundation quarterly to inform the board of progress of work according to roles and duties. The work of the sub-committee is concluded as follows. 1. Financial statement audit 1) The audit covered ThaiHealth’s accounts and financial statement, the Evaluation Report on ThaiHealth’s spending and assets in the 2007 fiscal year by the Office of the Auditor General (OAG), the interim financial statement of the 2008 fiscal year and ThaiHealth’s fund management system. The audit found that the overall financial statement and its important contents were in line with rules, regulations and generally accepted principles of accounting. The statement provided sufficient and reliable information. There are a few recommenda tions for improvement to increase efficiency in the internal control of the Thai Health Promotion Foundation.
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2. Supervision The sub-committee gave advice on the audit plan and examined the report of the internal audit section that had been sent to ThaiHealth. The sub-committee also monitored the operations of which it had proposed the improvement to ensure that management complies with the regu lations of ThaiHealth and is more efficient. The monitoring covered: 1) the investment management of Thai Health; 2) the study on “Approval for Projects and Budget Disbursement for Sponsored Projects in the 2007 Fiscal Year”; 3) the study on “The Projects Terminated between 2002 and 2007” of the Thai Health Promotion Foundation (the 1st Phase); and 4) examination of ThaiHealth’s system that governs sponsorship agreements and contracts.
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Annual Report 2008
3. The audit of the internal control system 2) ThaiHealth continuously produced and and the management of the process of improved handbooks for the proactive implementation of projects. It let sponsor sponsorship consideration The Internal Audit Sub-committee acknow ship recipients take part in the handbook ledged and gave opinions and recommenda production and improvement to develop tions on the process of sponsorship consid good ties and cooperation. eration of the “Health Promotion and Second 3) ThaiHealth followed up the improvement ary Risk Factor Reduction” section and of its information exchange systems to the“Open Grants” section. That was to accelerate the improvement to boost efficiency and facilitate its operations. increase managerial efficiency in relation to the improvement of report systems and The Internal Audit Sub-committee thinks methods, cooperation with local people, approach for new partners in the government that ThaiHealth has reasonably suitable and the private sectors to expand areas of management has continuously and swiftly health promotion, and increase in public improved itssystems of work in accordance with relations on campaigns and activities through present situations. mass media to achieve the goals of the organization. 4. The Inter nal Audit Sub-committee followed up improvement by ThaiHealth with regard to its previous recommendations. The follow-ups led to the following findings. 1) Regarding the planning of the inspection of plans/projects, and the development of sponsored partners, ThaiHealth trained inspectors to improve the capabilities of and introduce a standard system for the reporting of sponsorship recipients. It also organized training and gave advice to help solve the problems of partners.
Supol Khunaporn Chairman of the Internal Audit Sub-committee
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The Evaluation Committee found that ThaiHealth performed well in accordance with performance indicators. With regard to the in-depth evaluation of its attempts to develop the capabilities of partners, ThaiHealth proved to help improve the capabilities of workers continuously and thus contributed to health promotion in the country in the long run. The board of the Foundation has set future directions and called for serious actions in the following issues. • Main targets are children, youths, families, community organizations and underprivileged people. Children and youths are the groups of people who significantly determine the future of the nation. Community organizations are the basic social units that should be collectively developed and be the foundations for the independence of Thai people. • Health promotions are integrated. The projects that have similar contents and target groups or are planned for close areas will be seriously integrated so that they can boost the efficiency of one another. • Management, follow-ups and evaluation will benefit from a better database so that follow-ups and evaluation can facilitate the verifications of performances, public accountability, learning and work improvement. The board of the Foundation also places importance in responses to the current affairs that draw public attention or the public issues that may lead to a crisis of well-being. ThaiHealth should find its ways to take part in proposing the constructive solutions that will guarantee sustainable well-being. This is the highest goal of the missions of the Thai Health Promotion Foundation.
Dr Supakorn Buasai Manager of the Thai Health Promotion Foundation
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