Public sector preparedness for ASEAN Community Watchai Charunwatthana Bureau of Health Administration Office of Permanent Secretary Ministry of Public Health 1
ASEAN Community One Vision, One Identity, One Community 3 Pillars ASEAN Political - Security Community APSC ASEAN Economic Community AEC ASEAN Socio-Cultural Community ASCC 2
ASEAN Political and Security Community - APSC Action lines under ASEAN Political-Security Blueprint Health A. A Rules-based Community of Shared Values and Norms A.1. Cooperation in Political Development A.2. Shaping and Sharing of Norms B. A Cohesive, Peaceful and Resilient Region with Shared Responsibility for Comprehensive Security B.1. Conflict Prevention/Confidence Building Measures B.2. Conflict Resolution and Pacific Settlement of Disputes B.3. Post-Conflict Peace-building B.4. Non-Traditional Security Issues B.5. Strengthen ASEAN Cooperation on Disaster Management and Emergency Response* B.6. Effective and timely response to urgent issues or crisis situations affecting ASEAN C. A Dynamic and Outward-looking Region in An Increasingly Integrated and Interdependent World C.1. Strengthening ASEAN Centrality in Regional Cooperation and Community Building C.2. Promoting enhanced ties with External Parties C.3. Strengthening Consultations and Cooperation on Multilateral Issues of Common Concern 3
ASEAN Economic Community - AEC Action lines under ASEAN Economic Community Blueprint A. Single Market and Production Base A1. Free flow of goods A2. Free flow of services A3. Free flow of investment A4. Freer flow of capital A5. Free flow of skilled labour A6. Priority Integration Sectors A7. Food, Agriculture and Forestry B. Competitive Economic Region B1. Competition Policy B2. Consumer Protection B3. Intellectual property rights (IPR) B4. Infrastructure Development B5. Taxation B6. E-Commerce C. Equitable Economic Development C1. SME development C2. Initiative for ASEAN Integration (IAI) D. Integration into the Global Economy D1. Coherent Approach towards External Economic Relations D2. Enhanced participation in global supply networks Health 4
ASEAN Socio-cultural Community - ASCC Action lines under ASEAN Socio-Cultural Community Blueprint Health A. Human Development A.1. Advancing and prioritising education A.2. Investing in human resource development A.3. Promotion of decent work A.4. Promoting Information and Communication Technology (ICT) A.5. Facilitating access to applied Science and Technology (S&T) A.6. Strengthening entrepreneurship skills for women, youth, elderly and persons with Disabilities A.7. Building civil service capability B. Social Welfare and Protection B.1. Poverty Alleviation B.2. Social safety net and protection from the negative impacts of integration and globalization B.3. Enhancing food security and safety B.4. Access to healthcare and promotion of healthy lifestyles B.5. Improving capability to control communicable diseases B.6. Ensuring a drug-free ASEAN B.7. Building disaster-resilient nations and safer communities C. Social Justice and Rights C.1 Promotion and protection of the rights and welfare of women, children, the elderly, and persons with disabilities C.2. Protection and promotion of the rights of migrant workers C.3 Promoting Corporate Social Responsibility (CSR) 5
ASEAN Socio-cultural Community ASCC Action lines under ASEAN Socio-Cultural Community Blueprint D. Ensuring Environmental Sustainability D.1. Addressing global environmental issues D.2. Managing and preventing trans-boundary environmental pollution D.3. Promoting sustainable development through environmental education and public participation D.4. Promoting Environmentally Sound Technology (EST) D.5. Promoting quality living standards in ASEAN cities/urban areas D.6. Harmonizing environmental policies and databases D.7. Promoting the sustainable use of coastal and marine environment D.8. Promoting Sustainable Management of Natural Resources and Biodiversity D.9. Promoting the Sustainability of Freshwater Resource D.10. Responding to Climate Change and addressing its impacts D.11. Promoting Sustainable Management (SFM) E. Building ASEAN Identity E.1. Promotion of ASEAN awareness and a sense of community E.2. Preservation and promotion of ASEAN cultural heritage E.3. Promotion of Cultural Creativity and Industry E.4. Engagement with the community F. Narrowing the Development Gap สาธารณส ข 6
Health Cooperation mechanism for ASEAN 3 Levels Health Ministers Meeting HMM Senior Officer Meeting on Health Development (SOMHD) Subsidiary Bodies and Task Forces HMM SOMH D Task forces Task Task forces Task forces Task forces Task forces Task forces forces
SOMHD Subsidiary Bodies and Task Forces ASEAN Task Force on AIDS (ATFOA) ASEAN Focal Point on Tobacco Control (AFPTC) ASEAN Expert Group on Food Safety (AEGFS) ASEAN Expert on Communicable Diseases (AEGCD) ASEAN Plus Three Field Epidemiology ASEAN Training Network (ASEAN Plus Three FETN) ASEAN Working Group on Pandemic Preparedness and Response (WGPPR) ASEAN Working group on Pharmaceutical Development (AWGPD) ASEAN Task Force on Traditional Medicine (ATFTM) ASEAN Task Force on Maternal and Child Health (ATFMCH) ASEAN Task Force on Non Communicable Disease (ATFNCD) ASEAN Mental Health Task Force (AMT) 8
Areas in Health without Subsidiary Bodies 1. Increases Access to Health Services for ASEAN People 2. Migrant Health 3. Health Impact Assessment (HIA)
Population Movement into Thailand 905,573 72.56% 106,970 8.57% 235,521 18.87% Total Registration Dec. 2011 1,248,064 Source : Office of Foreign workers Administration, MoL
Healthy Thailand? WITH THE ILL AND POOR MIGRANTS?
6 Health Strategy for ASEAN community Establish Healthcare City Enhance competitive ness in goods, services and investment Develop quality of life and social protection Vision : Healthy Thailand, Healthy ASEAN Strengthen Social safety Develop law and regulation Develop human resources
Enhance competitive advantage for - Thai massage and SPA Expand market (65) Strategy 1 Enhance competitiveness in goods, services and investment (2250.9) 3. Marketing (60) 2. Strengthen potential of health product and service (575.9) Create Thai Brand and Image for Healthcare product - Hi- Tech &Hi-Touch (Hospitality & Thainess) Increase efficiency of production (127.9) - Thai herb - Skill of Thai massage personnel Enhance healthcare standard (448) - Thai massage - Thai herb product (Product Champion) - External Expert consultation system
Strategy 2 Enhance hospital capacity and capability for healthcare service provision in healthcare city Healthcare city (3375) - Enhance academic capability for 5 regional hospitals - Develop medical center of excellence in dental, ophthalmological, olfactory and dermatological practice - establish development and accreditation center for healthcare service and support standard - promote healthcare organization for accreditation - strengthen capacity and capability for small and medium size hospital along the border
Develop disease control and prevention system for communicable disease across border - Surveillance center and network (50) - Establish one stop Service health checkpoint and IHR standard and Develop data communication and linkage (1529) Develop cooperation network to create proactive role establish learning center (30) Surveillance system development for non-standard goods (220) - develop officer for surveillance - Establish Standard and Best Practice - Information system 1 Social protection and welfare (105) 4. Establishment of Health Impact Evaluation and surveillance system (175.5) Strategy 3 Develop Social Protection (1294) Promote academic research (58.5) - develop new research - exchange research knowledge and researcher 2. Consumer protection and Control for goods across the border (220) 3. Strengthen healthcare system for migrant worker (847.5) Develop body of knowledge and information system for research (55) Develop policy researcher and expert Master and PhD degree (62) Increase access to care - enhance health insurance system - Health insurance fund - friendly service mind, translator and language literacy
Strategy 4 Promoting Social Safety (3.78) Prevention and Control for drug addiction Create cooperation network among associated firms for drug addition and trafficking - cooperation in monitoring precursor and chemical substrate for illegal drug - establish method and procedure for monitoring and permission for controlled drug and substance - Data sharing measure
Preparedness for skilled healthcare worker (70) - improve skill and competency - Mutual Recognition Agreement Public-Private partnership in (167) - improve skill and competency/ workforce production - expert for innovation in Western medicine/ Thai herb/ cosmetics - Manger and executive for medicine innovation and investment 1. Healthcare worker and entrepreneur (237) Strategy 5 Develop Human Resources (243.8 ) 2. Public officer (6.8) Preparedness for knowledge and healthcare worker public officer (6.8) - traditional Thai medicine - language literacy
Strategy 6: Develop Law and Regulation (300) 1. Establish standard and implement (300) 1.1 establish consumer protection mechanism and develop standard and Thai herb products (60) 1.4 develop registration and audit system of patent and intellectual right for Thai traditional medicine (150) 1.2 establish consumer protection standard for alternative medicine (50) 1.3 establish standard for development for Thai folk health practice (40)