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Date:
1977-1981
Source:
Office of the Prime Minister, National Economic and
Social Development Board, Bangkok, Thailand
Subject:
health services, communicable diseases, health
centres
Text:
2.3
Measures and Methods of Implementation
Measures and methods of implementing health services which have been
reorganized and incorporated into the Fourth Plan include the following:
2.3.1
In Rural Areas
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Health services will be integrated so that medical care and treatment can
be provided to the rural population in conjunction with preventive measures. The
Government will consider proposals for increasing the number of medical and
health centres and midwifery centres. The organization of village health
volunteers and communicators will be included in the health service system.
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Manpower at various levels will be strengthened through training courses
and refresher courses. Special arrangements will be made to train para-medical
personnel for treating illnesses in rural areas.
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Health volunteers and communicators will be selected and trained to
provide primary medical care and treatment. These volunteers will also be
responsible for collecting health information and relaying household remedies to
the villagers. These volunteers will act as coordinators between villagers and
local authorities. There should be at least one volunteer to each village.
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Efforts will be made to provide supplies of potable water to every
village.
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A radio communications system will be used to facilitate the transference
of inhabitants of remote areas who are sick to various health centres. This to
an extent can be done through the communications network of the Ministry of the
Interior or by setting up a new system.
2.3.2
In Urban Areas (including Bangkok)
The principal guidelines include the following:
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Medical care services and treatment will be expanded and improved by
reorganizing administrative procedures, for example, treatment time can be
reduced to allow a more rapid discharge of patients from hospital. At the same
time, hospitals in the Central region will be strengthened so that they can
provide technical support to provincial hospitals.
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Private hospitals will be encouraged to provide supplementary medical
care and treatment. This can be done through the tax reductions on medical
equipment or the provision of credit to this sector to stimulate investment in
this area.
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The work of local health service centres will be improved and the
community health programme in low-income area will be expanded.
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Health programmes for workers will be initiated, starting with programmes
for factory workers.
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Priority will be given to environmental development, especially
sanitation aspects, such as sewage disposal, garbage disposal, food sanitation
and the conservation of water resources as well as public parks.
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