National Health Assembly and Health for AllChurnrurtai KanchanachitraThailandPHA, Cape Town10 July 2012

30 years of advocacy for participatory public policy

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Are we there yet?

Wrong deeds in public policy decision and how to go over

•Lack of knowledge

•Lack of wide-scale participation

•Lack of morality

Prof. Dr.Prawase Wasi

•Technical process

•Social process

•Moral process

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National Health Act B.E 2550 (2007)•Major turning point in the Thai health

system •Expand from the medical and public

health sector to all sectors•“All for Health and Health for All” “Health

system Governance” is a major component in directing and monitoring the health system in a more desirable direction

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“The Triangle that Moves the Mountain” Strategy

Knowledge (K)

Social (S)

Political Involvement (P)

NHA

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Three types of Assemblies•National Health Assembly

▫Agenda on health and related▫Annual basis

•Area-based Assembly▫Agenda related to area▫No particular time limit

•Issue-based Assembly▫Agenda on specific issues▫No particular time limit

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National Health Assembly•Involve in all policy development process from agenda setting to implementation and evaluation

•Deliberative democracy

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President of NHA comes from 3 sectors

National Health Assembly is a year-long process

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National Health Assembly is soft power on policy formulation—no legal binding

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Proposed from 200 constituencies—government, academic, civil society, community

Draft resolution and tech doc, adopt in NHA (more than 1,200 attended), submit resolutions to Cabinet

Ministries, communities

Committee on monitoring

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Agenda setting, policy formulation and implementation– 3 cases

•Participation in FTA negotiation process (1)

•Equity in access to essential health care (1)

•Medical Hub (3)

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Participation in FTA negotiation process (1)

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Equity in access to essential health care (1)

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Medical Hub (3)

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2 dimensions, 4 values, 5 strategies

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Participatory healthy public policy

Social empowerment

Participatory Democracy

Interactive Learning through

action

Participatory

healthy public policy

process

Social Movement

5 StrategiesIncrease participation from all 3 sectors and

build ownershipDevelop the Assembly System that are

systematic with clear pattern but with flexibilityUse inclusive approach to involve all

stakeholdersSupport downstream process to bring policy to

implementationLink National Health Assembly to Thailand

Reform Assembly and Assembly at International level

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Please visit our website at

http.en.nationalhealth.or.th

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We are the leaves of one treeThe time has come for all to live

as oneWe are the leaves of one tree