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Faculty of Public Health Mahidol University Bangkok, Thailand Health Challenges of South-East Asia by Assoc. Prof. Dr. Nawarat Suwannapong Deputy Dean, Faculty of Public Health, Mahidol University, Thailand I. Health challenges related to Health Management

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slide2

Faculty of Public Health

Mahidol University

Bangkok, Thailand

slide3

Health Challenges

of

South-East Asia

by

Assoc. Prof. Dr. Nawarat Suwannapong

Deputy Dean, Faculty of Public Health,

Mahidol University, Thailand

slide4

I. Health challenges related to Health Management

  • Urbanization: Pollution, crime, drug abuse, commercial sex worker, etc.
  • Ecological imbalance: Landslide, flood, ecological and environmental issues are neglected, low priority, etc.
  • Changing social structures: Increased elderly population, increased stress,etc.
  • Globalization: Trans-boundary diseases, SARS, Free Trade Area (FTA)
  • Quality Health Care
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I. Health challenges related to Health Management (contd)

  • Healthy public policies and decentralization
  • Equity in health care
  • Lack of emphasis on health promotion/prevention
  • Lack of coordinated information for basing policy decisions
  • Confusion about the control of communicable diseases
  • Poor capacity of health authorities to evaluate the outcome
  • Professional ethics and human right
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II. Public Health System

  • Lack of popular support to public health

e.g. India, political support and technical commitment were lacking

  • Leadership crisis e.g. Most of health administrators are clinician
  • Violation of National Health Policy

e.g. Environmental health was outside the domain of health authorities

  • Outdated organization of health ministries and departments e.g. Integration of public health and medical services had disintegrated the public health system
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II. Public Health System (contd)

  • Professional inadequacy and apathy

e.g. Health authorities took away ad hoc actions with inadequate technical insight and competence, India -- one doctor: 20,000 population

  • Conservative bureaucratic administration: there was a tendency to maintain the status quo
  • Financial constraints e.g. The limited financial resources available were spent wrongly, misconduct
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III. Infectious Diseases

  • Malaria:
    • Mapping of Malaria risk
    • Monitoring of drug resistance
    • Development of combination therapies and new methods of administering medications
    • Use of Insecticide-treated materials for personal protection
    • Improvement of responses to malaria epidemics
    • Gender issues in diagnosis, treatment and prevention
    • Home and community-based action to reduce malaria burden
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III. Infectious Diseases (contd)

  • Emergence of new diseases and new epidemics

e.g. Avian Flu

  • Measles: a re-emerging disease, exhibited a new strain virus that attacks kidney
  • TB: Indonesia, Bangladesh, Myanmar, India,
  • HIV/AIDS: India, Myanmar, Thailand
  • DHF: e.g.Thailand, Indonesia
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Health Challenges of Thailand

  • Changes of lifestyle – pattern of morbidity and mortality changed
  • Non-Communicable Diseases
    • Cerebrovascular Diseases
    • Carcinoma: all forms
    • Accidents
    • Diabetes
    • Overweight and Obesity
slide11

Health Challenges of Thailand

(contd)

  • Infectious Diseases
    • DHF
    • AIDS
    • TB (re-emerging)
    • Severe diarrhea
    • Malaria (re-emerging)
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Universal coverage(30 Baht policy)Hospital AccreditationTobacco banned policy Drunk don’t drive Healthy Thailandetc.