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National Health Assembly and Health for AllChurnrurtai KanchanachitraThailandPHA, Cape Town10 July 2012
30 years of advocacy for participatory public policy
10/07/55
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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
10/07/55
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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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10/07/55
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