Top 10 headlines of Universal Health Coverage (UHC) for Thai people in 2018
Top 10 headlines of Universal Health Coverage (UHC) for Thai people in 2018: increasing UCS fund in 2019 to guarantee minimum rate of payment for In-patient services at THB8,050 per AdjRW (Adjusted Related Weight) and to revise guideline to support one-day surgery services, expanding benefit package, promoting accessibility of other invulnerable groups, recognizing Thailand's UHC by the WHO, delivering antidotes to safe patient in Nigeria, receiving capital management award from the ministry of finance, discussing with IMF on using Thailand’s UHC data in regional economic evaluation, celebrating 10-year achievement of PD first policy, celebrating “investing in health, leave no one behind” at the UHC day 2018 event, collaborating private hospitals in active health promotion in 2019.
Top 10 news reports related in UCS fund management by The National Health Security Office (NHSO) in 2018 had been summarized as follow:
1. Increasing UCS fund in 2019 to guarantee minimum rate of payment for In-patient services at THB8,050 per AdjRW (Adjusted Related Weight) and to revise guideline to support one-day surgery services
The government has approved fiscal budget to the UCS fund by adjusting with inflation rate, increasing rat of salary of public providers, and new benefit package. In fiscal year 2019, the government has approved budget as proposed by the NHSO, i.e., THB181,584,093,700 of total budget or THB6,024 increased from 2018. This includes THB166,445.22 for capitation at THB3,426.56 per head increased THB143.45 per head from last year.
UCS fund management in 2018, the NHSO had prepared additional THB100 of the central budget to compensate for in-patient services in order to guarantee minimum rate of payment for the services at THB8,050 per AdjRW.
Revising payment guideline to support one-day surgery services is vital to reduce hospital congestion. As a result, one-day surgery services based on 11 groups of diseases had been reimbursed during Jan. – Sep. 2018 was 2,176 times and had reduced 3,826 of hospital days.
2. Expanding benefit package in medicines and colostomy bag
In 2018, the NHSO national board has approved new benefit package to improve accessibility in drugs and instruments. New approved drugs added to the E(2) categorry drug list of the National List of Eessential Medicines (NLEM) are Raltegravir for mother-to-child transmission of HIV (PMTCT) prevention, Bevacizumab for central retinal vein occlusion treatment, two Gonadotropin-releasing hormone agonist or GnRHas (Leuprorelin 11.25 mg inj. and Triptorelin 11.25 mg inj.) for central precocious puberty (CPP) treatment, HLA Genotyping before starting Carbamazepine in epilepsy patients to reduce Steven-John syndrome (SJS) from severe cutaneous adverse drug reactions (SCARs)
Benefit package on colostomy bag for colon cancer patients has been achieved from research and collaboration among the PTT Global Chemical Public Company Limited (PTTGC), Faculty of Medicine at Prince of Songkla University, and Plastics Institute of Thailand. Specific properties of compound linear low-density polyethelene (LLDPE) that has high tensile strength and high impact and puncture resistance are suitable for colostomy bag. As a result, the colostomy bay is not only reduced cost from imported bag and promoted local innovation but also increase quality of life of the patients.
3. Promoting accessibility of other invulnerable groups
According to the 4th National Health Coverage Strategy of the NHSO for 2017 – 2021, all residents including invulnerable groups in Thailand are assured under the Universal Health Coverage, the NHSO and other related government agencies have expanded health coverage for all Thai citizens as follow:
“Mani”: Three fifths (313 in 500) of “Mani”, an ethic group living in the Southern of Thailand, has finally received their personal identification card and registered to the UCS scheme for health benefits because of collaboration between the department of provincial administration, Ministry of interior, and Region 12 of the NHSO. After registered to the UCS scheme, they can access to any nearest health facilities.
Prisoner: Improving health service system in prisons have been discussed among the Department of corrections, Ministry of Justice, Ministry of Public Health and the NHSO starting from basic survey, registration, health screening, treatment, and rehabilitation in order to promote not only accessibility to quality of health care but also capacity of health facilities in prisons as well as referral system.
Monk: The National Health Assembly for Monks has been announced in 2017. In 2018, one of key policies of the NHSO is to promote accessibility to quality of health service for monks. Central and regional working groups has been set to collaborate and promote registration to the UCS scheme. Discussion with local health security funds to find appropirate actions and movements in the areas have also be continued.
4. Recognizing Thailand's UHC by the WHO
Seventeen years of experiences in universal health coverage of Thailand has been internationally recognized by proving that promoting accessibility to healthcare and protecting families from poverty from healthcare cost can be achieved. After observing the NHSO’s CAPD service at Phra Jen community in Bangkok, Dr. Tedros Adhanom Ghebreyesus, Director-General of the WHO, said he was so inspired by what he had seen he wanted to pass the story of Thailand to other nations to improve the quality of life for kidney patients around the world. The WHO has urged all nations to support Universal Health Coverage policy to achieve Sustainable Development Goals (SDGs) by 2030, and praised Thailand’s achievement in UHC. Thailand has proved that health for all can be achieved regardless of country’s income level.
In August 2018, Dr. Soumya Swaminathan, Associate Director-General of the WHO visited Thailand to discuss on collaboration to share Thailand’s experiences in UHC to other countries.
5. Thailand delivered antidotes to safe patient in Nigeria
Accessibility to essential drugs is one of key role in Universal Health Coverage policy in Thailand. The “Antidote-Network”, a collabaration network on Orphan drugs and antidotes, of Ramathibodi hospital has been developed under collaboration with the NHSO and other hospitals to deliver essentials orphan drugs and antidotes to the needed areas in Thailand. In January 2018, the network however had a chance to safe two patients from Botulinum toxin in Nigeria through contacted from the WHO and the Thailand’s Government Phamaceutical Organization (GPO) so the antidote could be sent to Nigeria within 3 days.
6. The NHSO receives capital management award from the ministry of finance.
The universal coverage scheme (UCS) fund management of the NHSO has won award as the organization with best working capital management from the ministry of finance for almost ten consecutive years since FY2008, except FY2017. In FY2018, the NHSO has won two categories of the award included “Outstanding performance award” and “Outstanding efficiency management award.” The award has guaranteed efficiency in financial management of the NHSO since the award is aimed to promote high efficiency of fund managers in financing, operations, responding to stakeholders’ needs, and development and management of working capital.
7. The IMF discussed on using Thailand’s UHC data in regional economic evaluation.
UHC policy not only promote accessibility to healthcare as need but also reduce healthcare financial burden of families which in turn will impact family’s and country’s economy. In 2018, the IMF (International Monetary Fund: IMF) by Mr.Manrique Saenz a Senior Economist of ADP (Asia and Pacific Department), Mr.Yiqun Wu an Economist) of the ADP, and Mr.Kaweevudh Sumawong a Senior Advisor of Southeast Asia Voting Group Office of the Executive Director visted the NHSO to discuss about appling Thailand’s UHC data from all key public schemes, including the Universal Coverage Scheme (UCS), Civil Servant Medical Benefit Scheme (CSMBS), and Social Security Scheme (SSS), to regional economic evaluation of the IMF. The evaluation may include spending behavior, consumer behavior, saving behavior both before and after achieving the UHC policy.
8. Celebrating 10-year achievement of PD first policy
The Peritoneal Dialysis (PD) First Policy has been established since FY2008. To celebrate 10-year achievement of the PD first policy, key stakeholders in PD first policy implementation include the Nephrology Society of Thailand, the Ministry of Public Health (MOPH), Thai Nephrology Nurses Society, Thai Pediatric Nephrology Association, Thai Dietetic Association, and the NHSO have host the National conference on “Ten Years of Thailand PD First Policy “Dialysis for All, no one left behind”, 2018” during June 22 – 24, 2018 at Impact Exhibition and Convention Center, Bangkok.
The number patients using CAPD has been increased from 1,198 cases in 2008 when starting this policy, to 24,244 cases in 2018. Results of this policy include improve quality of life, reduce hospital stay and reduce fatality rate of the patients. Falatility rate has been reduced to less than 9.2% annually. Strong collaboration and support from stakeholders has been prove to solve all challenges from management, attitude, and budget to promote accessibility for all chronic kidney disease.
9. Celebrating “investing in health, leave no one behind” at the UHC day 2018 event
On 12 December 2017, UNGA proclaimed 12 December as International Universal Health Coverage Day (UHC Day) by resolution, making it an official UN-designated day. UHC Day aims to raise awareness of the need for strong and resilient health systems and universal health coverage which is one of the Sustainable Development Goals by 2030. The theme for UHC movement in 2018 is “UNITE FOR UNIVERSAL HEALTH COVERAGE: Now is the time for collective action”
Although Thailand has achieved UHC with evidence bases results, continuous improvement would be required for sustainable development. In 2018, all stakeholders in Thailand have Celebrated “investing in health, leave no one behind” at the UHC day event to urge all stakeholders to sustain its UHC. Furthermore, this year event has also joined other partners in health community network to celebrate with the 11th National Health Assembly.
10. Improving health promotion service in 2019 through public-private collaboration
The 5th working group of the national integrated strategic budget committee to consider health insurance development chaired by General Chatchai Sarikulya, Deputy prime minister has agreed to increase integrated budget to improve accessibility to health promotion and prevention services for all population in 2019 by revising fee schedule payment guideline for 8 items of promotion and prevention services including
1. Antenatal services, 2. Thalasemia screening in pregnancy women and spouses, 3. Down syndrome screening in pregnancy women, 4. Tyroid deficiency screening in newborns, 5. Contraceptive implant and intrauterine device birth control in adolesents 16-20 years of age, 6. Contraceptive implant and intrauterine device birth control in adults 20-59 years of age, 7. Prevent unsafe abortion, and 8. Cervix cancer screening for early detection in women 30-59 years of age to reduce disease burdens and cost of care in long-term treatment.
All population can access to the services free of charges. In order to achieve these goals, the NHSO in collaboration with the social security office (SSO) to invite 78 private hospitals in the SSS scheme (40 are non-registered UCS providers) to jointly provide the services for all Thais. This is another step to integrate health services for everyone regardless to their health insurance status.
Top 10 news reports related in UCS fund management by The National Health Security Office (NHSO) in 2018 had been summarized as follow:
1. Increasing UCS fund in 2019 to guarantee minimum rate of payment for In-patient services at THB8,050 per AdjRW (Adjusted Related Weight) and to revise guideline to support one-day surgery services
The government has approved fiscal budget to the UCS fund by adjusting with inflation rate, increasing rat of salary of public providers, and new benefit package. In fiscal year 2019, the government has approved budget as proposed by the NHSO, i.e., THB181,584,093,700 of total budget or THB6,024 increased from 2018. This includes THB166,445.22 for capitation at THB3,426.56 per head increased THB143.45 per head from last year.
UCS fund management in 2018, the NHSO had prepared additional THB100 of the central budget to compensate for in-patient services in order to guarantee minimum rate of payment for the services at THB8,050 per AdjRW.
Revising payment guideline to support one-day surgery services is vital to reduce hospital congestion. As a result, one-day surgery services based on 11 groups of diseases had been reimbursed during Jan. – Sep. 2018 was 2,176 times and had reduced 3,826 of hospital days.
2. Expanding benefit package in medicines and colostomy bag
In 2018, the NHSO national board has approved new benefit package to improve accessibility in drugs and instruments. New approved drugs added to the E(2) categorry drug list of the National List of Eessential Medicines (NLEM) are Raltegravir for mother-to-child transmission of HIV (PMTCT) prevention, Bevacizumab for central retinal vein occlusion treatment, two Gonadotropin-releasing hormone agonist or GnRHas (Leuprorelin 11.25 mg inj. and Triptorelin 11.25 mg inj.) for central precocious puberty (CPP) treatment, HLA Genotyping before starting Carbamazepine in epilepsy patients to reduce Steven-John syndrome (SJS) from severe cutaneous adverse drug reactions (SCARs)
Benefit package on colostomy bag for colon cancer patients has been achieved from research and collaboration among the PTT Global Chemical Public Company Limited (PTTGC), Faculty of Medicine at Prince of Songkla University, and Plastics Institute of Thailand. Specific properties of compound linear low-density polyethelene (LLDPE) that has high tensile strength and high impact and puncture resistance are suitable for colostomy bag. As a result, the colostomy bay is not only reduced cost from imported bag and promoted local innovation but also increase quality of life of the patients.
3. Promoting accessibility of other invulnerable groups
According to the 4th National Health Coverage Strategy of the NHSO for 2017 – 2021, all residents including invulnerable groups in Thailand are assured under the Universal Health Coverage, the NHSO and other related government agencies have expanded health coverage for all Thai citizens as follow:
“Mani”: Three fifths (313 in 500) of “Mani”, an ethic group living in the Southern of Thailand, has finally received their personal identification card and registered to the UCS scheme for health benefits because of collaboration between the department of provincial administration, Ministry of interior, and Region 12 of the NHSO. After registered to the UCS scheme, they can access to any nearest health facilities.
Prisoner: Improving health service system in prisons have been discussed among the Department of corrections, Ministry of Justice, Ministry of Public Health and the NHSO starting from basic survey, registration, health screening, treatment, and rehabilitation in order to promote not only accessibility to quality of health care but also capacity of health facilities in prisons as well as referral system.
Monk: The National Health Assembly for Monks has been announced in 2017. In 2018, one of key policies of the NHSO is to promote accessibility to quality of health service for monks. Central and regional working groups has been set to collaborate and promote registration to the UCS scheme. Discussion with local health security funds to find appropirate actions and movements in the areas have also be continued.
4. Recognizing Thailand's UHC by the WHO
Seventeen years of experiences in universal health coverage of Thailand has been internationally recognized by proving that promoting accessibility to healthcare and protecting families from poverty from healthcare cost can be achieved. After observing the NHSO’s CAPD service at Phra Jen community in Bangkok, Dr. Tedros Adhanom Ghebreyesus, Director-General of the WHO, said he was so inspired by what he had seen he wanted to pass the story of Thailand to other nations to improve the quality of life for kidney patients around the world. The WHO has urged all nations to support Universal Health Coverage policy to achieve Sustainable Development Goals (SDGs) by 2030, and praised Thailand’s achievement in UHC. Thailand has proved that health for all can be achieved regardless of country’s income level.
In August 2018, Dr. Soumya Swaminathan, Associate Director-General of the WHO visited Thailand to discuss on collaboration to share Thailand’s experiences in UHC to other countries.
5. Thailand delivered antidotes to safe patient in Nigeria
Accessibility to essential drugs is one of key role in Universal Health Coverage policy in Thailand. The “Antidote-Network”, a collabaration network on Orphan drugs and antidotes, of Ramathibodi hospital has been developed under collaboration with the NHSO and other hospitals to deliver essentials orphan drugs and antidotes to the needed areas in Thailand. In January 2018, the network however had a chance to safe two patients from Botulinum toxin in Nigeria through contacted from the WHO and the Thailand’s Government Phamaceutical Organization (GPO) so the antidote could be sent to Nigeria within 3 days.
6. The NHSO receives capital management award from the ministry of finance.
The universal coverage scheme (UCS) fund management of the NHSO has won award as the organization with best working capital management from the ministry of finance for almost ten consecutive years since FY2008, except FY2017. In FY2018, the NHSO has won two categories of the award included “Outstanding performance award” and “Outstanding efficiency management award.” The award has guaranteed efficiency in financial management of the NHSO since the award is aimed to promote high efficiency of fund managers in financing, operations, responding to stakeholders’ needs, and development and management of working capital.
7. The IMF discussed on using Thailand’s UHC data in regional economic evaluation.
UHC policy not only promote accessibility to healthcare as need but also reduce healthcare financial burden of families which in turn will impact family’s and country’s economy. In 2018, the IMF (International Monetary Fund: IMF) by Mr.Manrique Saenz a Senior Economist of ADP (Asia and Pacific Department), Mr.Yiqun Wu an Economist) of the ADP, and Mr.Kaweevudh Sumawong a Senior Advisor of Southeast Asia Voting Group Office of the Executive Director visted the NHSO to discuss about appling Thailand’s UHC data from all key public schemes, including the Universal Coverage Scheme (UCS), Civil Servant Medical Benefit Scheme (CSMBS), and Social Security Scheme (SSS), to regional economic evaluation of the IMF. The evaluation may include spending behavior, consumer behavior, saving behavior both before and after achieving the UHC policy.
8. Celebrating 10-year achievement of PD first policy
The Peritoneal Dialysis (PD) First Policy has been established since FY2008. To celebrate 10-year achievement of the PD first policy, key stakeholders in PD first policy implementation include the Nephrology Society of Thailand, the Ministry of Public Health (MOPH), Thai Nephrology Nurses Society, Thai Pediatric Nephrology Association, Thai Dietetic Association, and the NHSO have host the National conference on “Ten Years of Thailand PD First Policy “Dialysis for All, no one left behind”, 2018” during June 22 – 24, 2018 at Impact Exhibition and Convention Center, Bangkok.
The number patients using CAPD has been increased from 1,198 cases in 2008 when starting this policy, to 24,244 cases in 2018. Results of this policy include improve quality of life, reduce hospital stay and reduce fatality rate of the patients. Falatility rate has been reduced to less than 9.2% annually. Strong collaboration and support from stakeholders has been prove to solve all challenges from management, attitude, and budget to promote accessibility for all chronic kidney disease.
9. Celebrating “investing in health, leave no one behind” at the UHC day 2018 event
On 12 December 2017, UNGA proclaimed 12 December as International Universal Health Coverage Day (UHC Day) by resolution, making it an official UN-designated day. UHC Day aims to raise awareness of the need for strong and resilient health systems and universal health coverage which is one of the Sustainable Development Goals by 2030. The theme for UHC movement in 2018 is “UNITE FOR UNIVERSAL HEALTH COVERAGE: Now is the time for collective action”
Although Thailand has achieved UHC with evidence bases results, continuous improvement would be required for sustainable development. In 2018, all stakeholders in Thailand have Celebrated “investing in health, leave no one behind” at the UHC day event to urge all stakeholders to sustain its UHC. Furthermore, this year event has also joined other partners in health community network to celebrate with the 11th National Health Assembly.
10. Improving health promotion service in 2019 through public-private collaboration
The 5th working group of the national integrated strategic budget committee to consider health insurance development chaired by General Chatchai Sarikulya, Deputy prime minister has agreed to increase integrated budget to improve accessibility to health promotion and prevention services for all population in 2019 by revising fee schedule payment guideline for 8 items of promotion and prevention services including
1. Antenatal services, 2. Thalasemia screening in pregnancy women and spouses, 3. Down syndrome screening in pregnancy women, 4. Tyroid deficiency screening in newborns, 5. Contraceptive implant and intrauterine device birth control in adolesents 16-20 years of age, 6. Contraceptive implant and intrauterine device birth control in adults 20-59 years of age, 7. Prevent unsafe abortion, and 8. Cervix cancer screening for early detection in women 30-59 years of age to reduce disease burdens and cost of care in long-term treatment.
All population can access to the services free of charges. In order to achieve these goals, the NHSO in collaboration with the social security office (SSO) to invite 78 private hospitals in the SSS scheme (40 are non-registered UCS providers) to jointly provide the services for all Thais. This is another step to integrate health services for everyone regardless to their health insurance status.
IN DEPTH
Top 10 headlines of Universal Health Coverage (UHC) for Thai people in 2018
Top 10 headlines of Universal Health Coverage (UHC) for Thai people in 2018: increasing UCS fund in 2019 to guarantee minimum rate of payment for In-patient services at THB8,050 per AdjRW (Adjusted Related Weight) and to revise guideline to support one-day surgery services, expanding benefit package, promoting accessibility of other invulnerable groups, recognizing Thailand's UHC by the WHO, delivering antidotes to safe patient in Nigeria, receiving capital management award from the ministry of finance, discussing with IMF on using Thailand’s UHC data in regional economic evaluation, celebrating 10-year achievement of PD first policy, celebrating “investing in health, leave no one behind” at the UHC day 2018 event, collaborating private hospitals in active health promotion in 2019.
Top 10 news reports related in UCS fund management by The National Health Security Office (NHSO) in 2018 had been summarized as follow:
1. Increasing UCS fund in 2019 to guarantee minimum rate of payment for In-patient services at THB8,050 per AdjRW (Adjusted Related Weight) and to revise guideline to support one-day surgery services
The government has approved fiscal budget to the UCS fund by adjusting with inflation rate, increasing rat of salary of public providers, and new benefit package. In fiscal year 2019, the government has approved budget as proposed by the NHSO, i.e., THB181,584,093,700 of total budget or THB6,024 increased from 2018. This includes THB166,445.22 for capitation at THB3,426.56 per head increased THB143.45 per head from last year.
UCS fund management in 2018, the NHSO had prepared additional THB100 of the central budget to compensate for in-patient services in order to guarantee minimum rate of payment for the services at THB8,050 per AdjRW.
Revising payment guideline to support one-day surgery services is vital to reduce hospital congestion. As a result, one-day surgery services based on 11 groups of diseases had been reimbursed during Jan. – Sep. 2018 was 2,176 times and had reduced 3,826 of hospital days.
2. Expanding benefit package in medicines and colostomy bag
In 2018, the NHSO national board has approved new benefit package to improve accessibility in drugs and instruments. New approved drugs added to the E(2) categorry drug list of the National List of Eessential Medicines (NLEM) are Raltegravir for mother-to-child transmission of HIV (PMTCT) prevention, Bevacizumab for central retinal vein occlusion treatment, two Gonadotropin-releasing hormone agonist or GnRHas (Leuprorelin 11.25 mg inj. and Triptorelin 11.25 mg inj.) for central precocious puberty (CPP) treatment, HLA Genotyping before starting Carbamazepine in epilepsy patients to reduce Steven-John syndrome (SJS) from severe cutaneous adverse drug reactions (SCARs)
Benefit package on colostomy bag for colon cancer patients has been achieved from research and collaboration among the PTT Global Chemical Public Company Limited (PTTGC), Faculty of Medicine at Prince of Songkla University, and Plastics Institute of Thailand. Specific properties of compound linear low-density polyethelene (LLDPE) that has high tensile strength and high impact and puncture resistance are suitable for colostomy bag. As a result, the colostomy bay is not only reduced cost from imported bag and promoted local innovation but also increase quality of life of the patients.
3. Promoting accessibility of other invulnerable groups
According to the 4th National Health Coverage Strategy of the NHSO for 2017 – 2021, all residents including invulnerable groups in Thailand are assured under the Universal Health Coverage, the NHSO and other related government agencies have expanded health coverage for all Thai citizens as follow:
“Mani”: Three fifths (313 in 500) of “Mani”, an ethic group living in the Southern of Thailand, has finally received their personal identification card and registered to the UCS scheme for health benefits because of collaboration between the department of provincial administration, Ministry of interior, and Region 12 of the NHSO. After registered to the UCS scheme, they can access to any nearest health facilities.
Prisoner: Improving health service system in prisons have been discussed among the Department of corrections, Ministry of Justice, Ministry of Public Health and the NHSO starting from basic survey, registration, health screening, treatment, and rehabilitation in order to promote not only accessibility to quality of health care but also capacity of health facilities in prisons as well as referral system.
Monk: The National Health Assembly for Monks has been announced in 2017. In 2018, one of key policies of the NHSO is to promote accessibility to quality of health service for monks. Central and regional working groups has been set to collaborate and promote registration to the UCS scheme. Discussion with local health security funds to find appropirate actions and movements in the areas have also be continued.
4. Recognizing Thailand's UHC by the WHO
Seventeen years of experiences in universal health coverage of Thailand has been internationally recognized by proving that promoting accessibility to healthcare and protecting families from poverty from healthcare cost can be achieved. After observing the NHSO’s CAPD service at Phra Jen community in Bangkok, Dr. Tedros Adhanom Ghebreyesus, Director-General of the WHO, said he was so inspired by what he had seen he wanted to pass the story of Thailand to other nations to improve the quality of life for kidney patients around the world. The WHO has urged all nations to support Universal Health Coverage policy to achieve Sustainable Development Goals (SDGs) by 2030, and praised Thailand’s achievement in UHC. Thailand has proved that health for all can be achieved regardless of country’s income level.
In August 2018, Dr. Soumya Swaminathan, Associate Director-General of the WHO visited Thailand to discuss on collaboration to share Thailand’s experiences in UHC to other countries.
5. Thailand delivered antidotes to safe patient in Nigeria
Accessibility to essential drugs is one of key role in Universal Health Coverage policy in Thailand. The “Antidote-Network”, a collabaration network on Orphan drugs and antidotes, of Ramathibodi hospital has been developed under collaboration with the NHSO and other hospitals to deliver essentials orphan drugs and antidotes to the needed areas in Thailand. In January 2018, the network however had a chance to safe two patients from Botulinum toxin in Nigeria through contacted from the WHO and the Thailand’s Government Phamaceutical Organization (GPO) so the antidote could be sent to Nigeria within 3 days.
6. The NHSO receives capital management award from the ministry of finance.
The universal coverage scheme (UCS) fund management of the NHSO has won award as the organization with best working capital management from the ministry of finance for almost ten consecutive years since FY2008, except FY2017. In FY2018, the NHSO has won two categories of the award included “Outstanding performance award” and “Outstanding efficiency management award.” The award has guaranteed efficiency in financial management of the NHSO since the award is aimed to promote high efficiency of fund managers in financing, operations, responding to stakeholders’ needs, and development and management of working capital.
7. The IMF discussed on using Thailand’s UHC data in regional economic evaluation.
UHC policy not only promote accessibility to healthcare as need but also reduce healthcare financial burden of families which in turn will impact family’s and country’s economy. In 2018, the IMF (International Monetary Fund: IMF) by Mr.Manrique Saenz a Senior Economist of ADP (Asia and Pacific Department), Mr.Yiqun Wu an Economist) of the ADP, and Mr.Kaweevudh Sumawong a Senior Advisor of Southeast Asia Voting Group Office of the Executive Director visted the NHSO to discuss about appling Thailand’s UHC data from all key public schemes, including the Universal Coverage Scheme (UCS), Civil Servant Medical Benefit Scheme (CSMBS), and Social Security Scheme (SSS), to regional economic evaluation of the IMF. The evaluation may include spending behavior, consumer behavior, saving behavior both before and after achieving the UHC policy.
8. Celebrating 10-year achievement of PD first policy
The Peritoneal Dialysis (PD) First Policy has been established since FY2008. To celebrate 10-year achievement of the PD first policy, key stakeholders in PD first policy implementation include the Nephrology Society of Thailand, the Ministry of Public Health (MOPH), Thai Nephrology Nurses Society, Thai Pediatric Nephrology Association, Thai Dietetic Association, and the NHSO have host the National conference on “Ten Years of Thailand PD First Policy “Dialysis for All, no one left behind”, 2018” during June 22 – 24, 2018 at Impact Exhibition and Convention Center, Bangkok.
The number patients using CAPD has been increased from 1,198 cases in 2008 when starting this policy, to 24,244 cases in 2018. Results of this policy include improve quality of life, reduce hospital stay and reduce fatality rate of the patients. Falatility rate has been reduced to less than 9.2% annually. Strong collaboration and support from stakeholders has been prove to solve all challenges from management, attitude, and budget to promote accessibility for all chronic kidney disease.
9. Celebrating “investing in health, leave no one behind” at the UHC day 2018 event
On 12 December 2017, UNGA proclaimed 12 December as International Universal Health Coverage Day (UHC Day) by resolution, making it an official UN-designated day. UHC Day aims to raise awareness of the need for strong and resilient health systems and universal health coverage which is one of the Sustainable Development Goals by 2030. The theme for UHC movement in 2018 is “UNITE FOR UNIVERSAL HEALTH COVERAGE: Now is the time for collective action”
Although Thailand has achieved UHC with evidence bases results, continuous improvement would be required for sustainable development. In 2018, all stakeholders in Thailand have Celebrated “investing in health, leave no one behind” at the UHC day event to urge all stakeholders to sustain its UHC. Furthermore, this year event has also joined other partners in health community network to celebrate with the 11th National Health Assembly.
10. Improving health promotion service in 2019 through public-private collaboration
The 5th working group of the national integrated strategic budget committee to consider health insurance development chaired by General Chatchai Sarikulya, Deputy prime minister has agreed to increase integrated budget to improve accessibility to health promotion and prevention services for all population in 2019 by revising fee schedule payment guideline for 8 items of promotion and prevention services including
1. Antenatal services, 2. Thalasemia screening in pregnancy women and spouses, 3. Down syndrome screening in pregnancy women, 4. Tyroid deficiency screening in newborns, 5. Contraceptive implant and intrauterine device birth control in adolesents 16-20 years of age, 6. Contraceptive implant and intrauterine device birth control in adults 20-59 years of age, 7. Prevent unsafe abortion, and 8. Cervix cancer screening for early detection in women 30-59 years of age to reduce disease burdens and cost of care in long-term treatment.
All population can access to the services free of charges. In order to achieve these goals, the NHSO in collaboration with the social security office (SSO) to invite 78 private hospitals in the SSS scheme (40 are non-registered UCS providers) to jointly provide the services for all Thais. This is another step to integrate health services for everyone regardless to their health insurance status.
Top 10 news reports related in UCS fund management by The National Health Security Office (NHSO) in 2018 had been summarized as follow:
1. Increasing UCS fund in 2019 to guarantee minimum rate of payment for In-patient services at THB8,050 per AdjRW (Adjusted Related Weight) and to revise guideline to support one-day surgery services
The government has approved fiscal budget to the UCS fund by adjusting with inflation rate, increasing rat of salary of public providers, and new benefit package. In fiscal year 2019, the government has approved budget as proposed by the NHSO, i.e., THB181,584,093,700 of total budget or THB6,024 increased from 2018. This includes THB166,445.22 for capitation at THB3,426.56 per head increased THB143.45 per head from last year.
UCS fund management in 2018, the NHSO had prepared additional THB100 of the central budget to compensate for in-patient services in order to guarantee minimum rate of payment for the services at THB8,050 per AdjRW.
Revising payment guideline to support one-day surgery services is vital to reduce hospital congestion. As a result, one-day surgery services based on 11 groups of diseases had been reimbursed during Jan. – Sep. 2018 was 2,176 times and had reduced 3,826 of hospital days.
2. Expanding benefit package in medicines and colostomy bag
In 2018, the NHSO national board has approved new benefit package to improve accessibility in drugs and instruments. New approved drugs added to the E(2) categorry drug list of the National List of Eessential Medicines (NLEM) are Raltegravir for mother-to-child transmission of HIV (PMTCT) prevention, Bevacizumab for central retinal vein occlusion treatment, two Gonadotropin-releasing hormone agonist or GnRHas (Leuprorelin 11.25 mg inj. and Triptorelin 11.25 mg inj.) for central precocious puberty (CPP) treatment, HLA Genotyping before starting Carbamazepine in epilepsy patients to reduce Steven-John syndrome (SJS) from severe cutaneous adverse drug reactions (SCARs)
Benefit package on colostomy bag for colon cancer patients has been achieved from research and collaboration among the PTT Global Chemical Public Company Limited (PTTGC), Faculty of Medicine at Prince of Songkla University, and Plastics Institute of Thailand. Specific properties of compound linear low-density polyethelene (LLDPE) that has high tensile strength and high impact and puncture resistance are suitable for colostomy bag. As a result, the colostomy bay is not only reduced cost from imported bag and promoted local innovation but also increase quality of life of the patients.
3. Promoting accessibility of other invulnerable groups
According to the 4th National Health Coverage Strategy of the NHSO for 2017 – 2021, all residents including invulnerable groups in Thailand are assured under the Universal Health Coverage, the NHSO and other related government agencies have expanded health coverage for all Thai citizens as follow:
“Mani”: Three fifths (313 in 500) of “Mani”, an ethic group living in the Southern of Thailand, has finally received their personal identification card and registered to the UCS scheme for health benefits because of collaboration between the department of provincial administration, Ministry of interior, and Region 12 of the NHSO. After registered to the UCS scheme, they can access to any nearest health facilities.
Prisoner: Improving health service system in prisons have been discussed among the Department of corrections, Ministry of Justice, Ministry of Public Health and the NHSO starting from basic survey, registration, health screening, treatment, and rehabilitation in order to promote not only accessibility to quality of health care but also capacity of health facilities in prisons as well as referral system.
Monk: The National Health Assembly for Monks has been announced in 2017. In 2018, one of key policies of the NHSO is to promote accessibility to quality of health service for monks. Central and regional working groups has been set to collaborate and promote registration to the UCS scheme. Discussion with local health security funds to find appropirate actions and movements in the areas have also be continued.
4. Recognizing Thailand's UHC by the WHO
Seventeen years of experiences in universal health coverage of Thailand has been internationally recognized by proving that promoting accessibility to healthcare and protecting families from poverty from healthcare cost can be achieved. After observing the NHSO’s CAPD service at Phra Jen community in Bangkok, Dr. Tedros Adhanom Ghebreyesus, Director-General of the WHO, said he was so inspired by what he had seen he wanted to pass the story of Thailand to other nations to improve the quality of life for kidney patients around the world. The WHO has urged all nations to support Universal Health Coverage policy to achieve Sustainable Development Goals (SDGs) by 2030, and praised Thailand’s achievement in UHC. Thailand has proved that health for all can be achieved regardless of country’s income level.
In August 2018, Dr. Soumya Swaminathan, Associate Director-General of the WHO visited Thailand to discuss on collaboration to share Thailand’s experiences in UHC to other countries.
5. Thailand delivered antidotes to safe patient in Nigeria
Accessibility to essential drugs is one of key role in Universal Health Coverage policy in Thailand. The “Antidote-Network”, a collabaration network on Orphan drugs and antidotes, of Ramathibodi hospital has been developed under collaboration with the NHSO and other hospitals to deliver essentials orphan drugs and antidotes to the needed areas in Thailand. In January 2018, the network however had a chance to safe two patients from Botulinum toxin in Nigeria through contacted from the WHO and the Thailand’s Government Phamaceutical Organization (GPO) so the antidote could be sent to Nigeria within 3 days.
6. The NHSO receives capital management award from the ministry of finance.
The universal coverage scheme (UCS) fund management of the NHSO has won award as the organization with best working capital management from the ministry of finance for almost ten consecutive years since FY2008, except FY2017. In FY2018, the NHSO has won two categories of the award included “Outstanding performance award” and “Outstanding efficiency management award.” The award has guaranteed efficiency in financial management of the NHSO since the award is aimed to promote high efficiency of fund managers in financing, operations, responding to stakeholders’ needs, and development and management of working capital.
7. The IMF discussed on using Thailand’s UHC data in regional economic evaluation.
UHC policy not only promote accessibility to healthcare as need but also reduce healthcare financial burden of families which in turn will impact family’s and country’s economy. In 2018, the IMF (International Monetary Fund: IMF) by Mr.Manrique Saenz a Senior Economist of ADP (Asia and Pacific Department), Mr.Yiqun Wu an Economist) of the ADP, and Mr.Kaweevudh Sumawong a Senior Advisor of Southeast Asia Voting Group Office of the Executive Director visted the NHSO to discuss about appling Thailand’s UHC data from all key public schemes, including the Universal Coverage Scheme (UCS), Civil Servant Medical Benefit Scheme (CSMBS), and Social Security Scheme (SSS), to regional economic evaluation of the IMF. The evaluation may include spending behavior, consumer behavior, saving behavior both before and after achieving the UHC policy.
8. Celebrating 10-year achievement of PD first policy
The Peritoneal Dialysis (PD) First Policy has been established since FY2008. To celebrate 10-year achievement of the PD first policy, key stakeholders in PD first policy implementation include the Nephrology Society of Thailand, the Ministry of Public Health (MOPH), Thai Nephrology Nurses Society, Thai Pediatric Nephrology Association, Thai Dietetic Association, and the NHSO have host the National conference on “Ten Years of Thailand PD First Policy “Dialysis for All, no one left behind”, 2018” during June 22 – 24, 2018 at Impact Exhibition and Convention Center, Bangkok.
The number patients using CAPD has been increased from 1,198 cases in 2008 when starting this policy, to 24,244 cases in 2018. Results of this policy include improve quality of life, reduce hospital stay and reduce fatality rate of the patients. Falatility rate has been reduced to less than 9.2% annually. Strong collaboration and support from stakeholders has been prove to solve all challenges from management, attitude, and budget to promote accessibility for all chronic kidney disease.
9. Celebrating “investing in health, leave no one behind” at the UHC day 2018 event
On 12 December 2017, UNGA proclaimed 12 December as International Universal Health Coverage Day (UHC Day) by resolution, making it an official UN-designated day. UHC Day aims to raise awareness of the need for strong and resilient health systems and universal health coverage which is one of the Sustainable Development Goals by 2030. The theme for UHC movement in 2018 is “UNITE FOR UNIVERSAL HEALTH COVERAGE: Now is the time for collective action”
Although Thailand has achieved UHC with evidence bases results, continuous improvement would be required for sustainable development. In 2018, all stakeholders in Thailand have Celebrated “investing in health, leave no one behind” at the UHC day event to urge all stakeholders to sustain its UHC. Furthermore, this year event has also joined other partners in health community network to celebrate with the 11th National Health Assembly.
10. Improving health promotion service in 2019 through public-private collaboration
The 5th working group of the national integrated strategic budget committee to consider health insurance development chaired by General Chatchai Sarikulya, Deputy prime minister has agreed to increase integrated budget to improve accessibility to health promotion and prevention services for all population in 2019 by revising fee schedule payment guideline for 8 items of promotion and prevention services including
1. Antenatal services, 2. Thalasemia screening in pregnancy women and spouses, 3. Down syndrome screening in pregnancy women, 4. Tyroid deficiency screening in newborns, 5. Contraceptive implant and intrauterine device birth control in adolesents 16-20 years of age, 6. Contraceptive implant and intrauterine device birth control in adults 20-59 years of age, 7. Prevent unsafe abortion, and 8. Cervix cancer screening for early detection in women 30-59 years of age to reduce disease burdens and cost of care in long-term treatment.
All population can access to the services free of charges. In order to achieve these goals, the NHSO in collaboration with the social security office (SSO) to invite 78 private hospitals in the SSS scheme (40 are non-registered UCS providers) to jointly provide the services for all Thais. This is another step to integrate health services for everyone regardless to their health insurance status.
Events
Top 10 headlines of Universal Health Coverage (UHC) for Thai people in 2018
Top 10 headlines of Universal Health Coverage (UHC) for Thai people in 2018: increasing UCS fund in 2019 to guarantee minimum rate of payment for In-patient services at THB8,050 per AdjRW (Adjusted Related Weight) and to revise guideline to support one-day surgery services, expanding benefit package, promoting accessibility of other invulnerable groups, recognizing Thailand's UHC by the WHO, delivering antidotes to safe patient in Nigeria, receiving capital management award from the ministry of finance, discussing with IMF on using Thailand’s UHC data in regional economic evaluation, celebrating 10-year achievement of PD first policy, celebrating “investing in health, leave no one behind” at the UHC day 2018 event, collaborating private hospitals in active health promotion in 2019.
Top 10 news reports related in UCS fund management by The National Health Security Office (NHSO) in 2018 had been summarized as follow:
1. Increasing UCS fund in 2019 to guarantee minimum rate of payment for In-patient services at THB8,050 per AdjRW (Adjusted Related Weight) and to revise guideline to support one-day surgery services
The government has approved fiscal budget to the UCS fund by adjusting with inflation rate, increasing rat of salary of public providers, and new benefit package. In fiscal year 2019, the government has approved budget as proposed by the NHSO, i.e., THB181,584,093,700 of total budget or THB6,024 increased from 2018. This includes THB166,445.22 for capitation at THB3,426.56 per head increased THB143.45 per head from last year.
UCS fund management in 2018, the NHSO had prepared additional THB100 of the central budget to compensate for in-patient services in order to guarantee minimum rate of payment for the services at THB8,050 per AdjRW.
Revising payment guideline to support one-day surgery services is vital to reduce hospital congestion. As a result, one-day surgery services based on 11 groups of diseases had been reimbursed during Jan. – Sep. 2018 was 2,176 times and had reduced 3,826 of hospital days.
2. Expanding benefit package in medicines and colostomy bag
In 2018, the NHSO national board has approved new benefit package to improve accessibility in drugs and instruments. New approved drugs added to the E(2) categorry drug list of the National List of Eessential Medicines (NLEM) are Raltegravir for mother-to-child transmission of HIV (PMTCT) prevention, Bevacizumab for central retinal vein occlusion treatment, two Gonadotropin-releasing hormone agonist or GnRHas (Leuprorelin 11.25 mg inj. and Triptorelin 11.25 mg inj.) for central precocious puberty (CPP) treatment, HLA Genotyping before starting Carbamazepine in epilepsy patients to reduce Steven-John syndrome (SJS) from severe cutaneous adverse drug reactions (SCARs)
Benefit package on colostomy bag for colon cancer patients has been achieved from research and collaboration among the PTT Global Chemical Public Company Limited (PTTGC), Faculty of Medicine at Prince of Songkla University, and Plastics Institute of Thailand. Specific properties of compound linear low-density polyethelene (LLDPE) that has high tensile strength and high impact and puncture resistance are suitable for colostomy bag. As a result, the colostomy bay is not only reduced cost from imported bag and promoted local innovation but also increase quality of life of the patients.
3. Promoting accessibility of other invulnerable groups
According to the 4th National Health Coverage Strategy of the NHSO for 2017 – 2021, all residents including invulnerable groups in Thailand are assured under the Universal Health Coverage, the NHSO and other related government agencies have expanded health coverage for all Thai citizens as follow:
“Mani”: Three fifths (313 in 500) of “Mani”, an ethic group living in the Southern of Thailand, has finally received their personal identification card and registered to the UCS scheme for health benefits because of collaboration between the department of provincial administration, Ministry of interior, and Region 12 of the NHSO. After registered to the UCS scheme, they can access to any nearest health facilities.
Prisoner: Improving health service system in prisons have been discussed among the Department of corrections, Ministry of Justice, Ministry of Public Health and the NHSO starting from basic survey, registration, health screening, treatment, and rehabilitation in order to promote not only accessibility to quality of health care but also capacity of health facilities in prisons as well as referral system.
Monk: The National Health Assembly for Monks has been announced in 2017. In 2018, one of key policies of the NHSO is to promote accessibility to quality of health service for monks. Central and regional working groups has been set to collaborate and promote registration to the UCS scheme. Discussion with local health security funds to find appropirate actions and movements in the areas have also be continued.
4. Recognizing Thailand's UHC by the WHO
Seventeen years of experiences in universal health coverage of Thailand has been internationally recognized by proving that promoting accessibility to healthcare and protecting families from poverty from healthcare cost can be achieved. After observing the NHSO’s CAPD service at Phra Jen community in Bangkok, Dr. Tedros Adhanom Ghebreyesus, Director-General of the WHO, said he was so inspired by what he had seen he wanted to pass the story of Thailand to other nations to improve the quality of life for kidney patients around the world. The WHO has urged all nations to support Universal Health Coverage policy to achieve Sustainable Development Goals (SDGs) by 2030, and praised Thailand’s achievement in UHC. Thailand has proved that health for all can be achieved regardless of country’s income level.
In August 2018, Dr. Soumya Swaminathan, Associate Director-General of the WHO visited Thailand to discuss on collaboration to share Thailand’s experiences in UHC to other countries.
5. Thailand delivered antidotes to safe patient in Nigeria
Accessibility to essential drugs is one of key role in Universal Health Coverage policy in Thailand. The “Antidote-Network”, a collabaration network on Orphan drugs and antidotes, of Ramathibodi hospital has been developed under collaboration with the NHSO and other hospitals to deliver essentials orphan drugs and antidotes to the needed areas in Thailand. In January 2018, the network however had a chance to safe two patients from Botulinum toxin in Nigeria through contacted from the WHO and the Thailand’s Government Phamaceutical Organization (GPO) so the antidote could be sent to Nigeria within 3 days.
6. The NHSO receives capital management award from the ministry of finance.
The universal coverage scheme (UCS) fund management of the NHSO has won award as the organization with best working capital management from the ministry of finance for almost ten consecutive years since FY2008, except FY2017. In FY2018, the NHSO has won two categories of the award included “Outstanding performance award” and “Outstanding efficiency management award.” The award has guaranteed efficiency in financial management of the NHSO since the award is aimed to promote high efficiency of fund managers in financing, operations, responding to stakeholders’ needs, and development and management of working capital.
7. The IMF discussed on using Thailand’s UHC data in regional economic evaluation.
UHC policy not only promote accessibility to healthcare as need but also reduce healthcare financial burden of families which in turn will impact family’s and country’s economy. In 2018, the IMF (International Monetary Fund: IMF) by Mr.Manrique Saenz a Senior Economist of ADP (Asia and Pacific Department), Mr.Yiqun Wu an Economist) of the ADP, and Mr.Kaweevudh Sumawong a Senior Advisor of Southeast Asia Voting Group Office of the Executive Director visted the NHSO to discuss about appling Thailand’s UHC data from all key public schemes, including the Universal Coverage Scheme (UCS), Civil Servant Medical Benefit Scheme (CSMBS), and Social Security Scheme (SSS), to regional economic evaluation of the IMF. The evaluation may include spending behavior, consumer behavior, saving behavior both before and after achieving the UHC policy.
8. Celebrating 10-year achievement of PD first policy
The Peritoneal Dialysis (PD) First Policy has been established since FY2008. To celebrate 10-year achievement of the PD first policy, key stakeholders in PD first policy implementation include the Nephrology Society of Thailand, the Ministry of Public Health (MOPH), Thai Nephrology Nurses Society, Thai Pediatric Nephrology Association, Thai Dietetic Association, and the NHSO have host the National conference on “Ten Years of Thailand PD First Policy “Dialysis for All, no one left behind”, 2018” during June 22 – 24, 2018 at Impact Exhibition and Convention Center, Bangkok.
The number patients using CAPD has been increased from 1,198 cases in 2008 when starting this policy, to 24,244 cases in 2018. Results of this policy include improve quality of life, reduce hospital stay and reduce fatality rate of the patients. Falatility rate has been reduced to less than 9.2% annually. Strong collaboration and support from stakeholders has been prove to solve all challenges from management, attitude, and budget to promote accessibility for all chronic kidney disease.
9. Celebrating “investing in health, leave no one behind” at the UHC day 2018 event
On 12 December 2017, UNGA proclaimed 12 December as International Universal Health Coverage Day (UHC Day) by resolution, making it an official UN-designated day. UHC Day aims to raise awareness of the need for strong and resilient health systems and universal health coverage which is one of the Sustainable Development Goals by 2030. The theme for UHC movement in 2018 is “UNITE FOR UNIVERSAL HEALTH COVERAGE: Now is the time for collective action”
Although Thailand has achieved UHC with evidence bases results, continuous improvement would be required for sustainable development. In 2018, all stakeholders in Thailand have Celebrated “investing in health, leave no one behind” at the UHC day event to urge all stakeholders to sustain its UHC. Furthermore, this year event has also joined other partners in health community network to celebrate with the 11th National Health Assembly.
10. Improving health promotion service in 2019 through public-private collaboration
The 5th working group of the national integrated strategic budget committee to consider health insurance development chaired by General Chatchai Sarikulya, Deputy prime minister has agreed to increase integrated budget to improve accessibility to health promotion and prevention services for all population in 2019 by revising fee schedule payment guideline for 8 items of promotion and prevention services including
1. Antenatal services, 2. Thalasemia screening in pregnancy women and spouses, 3. Down syndrome screening in pregnancy women, 4. Tyroid deficiency screening in newborns, 5. Contraceptive implant and intrauterine device birth control in adolesents 16-20 years of age, 6. Contraceptive implant and intrauterine device birth control in adults 20-59 years of age, 7. Prevent unsafe abortion, and 8. Cervix cancer screening for early detection in women 30-59 years of age to reduce disease burdens and cost of care in long-term treatment.
All population can access to the services free of charges. In order to achieve these goals, the NHSO in collaboration with the social security office (SSO) to invite 78 private hospitals in the SSS scheme (40 are non-registered UCS providers) to jointly provide the services for all Thais. This is another step to integrate health services for everyone regardless to their health insurance status.
Top 10 news reports related in UCS fund management by The National Health Security Office (NHSO) in 2018 had been summarized as follow:
1. Increasing UCS fund in 2019 to guarantee minimum rate of payment for In-patient services at THB8,050 per AdjRW (Adjusted Related Weight) and to revise guideline to support one-day surgery services
The government has approved fiscal budget to the UCS fund by adjusting with inflation rate, increasing rat of salary of public providers, and new benefit package. In fiscal year 2019, the government has approved budget as proposed by the NHSO, i.e., THB181,584,093,700 of total budget or THB6,024 increased from 2018. This includes THB166,445.22 for capitation at THB3,426.56 per head increased THB143.45 per head from last year.
UCS fund management in 2018, the NHSO had prepared additional THB100 of the central budget to compensate for in-patient services in order to guarantee minimum rate of payment for the services at THB8,050 per AdjRW.
Revising payment guideline to support one-day surgery services is vital to reduce hospital congestion. As a result, one-day surgery services based on 11 groups of diseases had been reimbursed during Jan. – Sep. 2018 was 2,176 times and had reduced 3,826 of hospital days.
2. Expanding benefit package in medicines and colostomy bag
In 2018, the NHSO national board has approved new benefit package to improve accessibility in drugs and instruments. New approved drugs added to the E(2) categorry drug list of the National List of Eessential Medicines (NLEM) are Raltegravir for mother-to-child transmission of HIV (PMTCT) prevention, Bevacizumab for central retinal vein occlusion treatment, two Gonadotropin-releasing hormone agonist or GnRHas (Leuprorelin 11.25 mg inj. and Triptorelin 11.25 mg inj.) for central precocious puberty (CPP) treatment, HLA Genotyping before starting Carbamazepine in epilepsy patients to reduce Steven-John syndrome (SJS) from severe cutaneous adverse drug reactions (SCARs)
Benefit package on colostomy bag for colon cancer patients has been achieved from research and collaboration among the PTT Global Chemical Public Company Limited (PTTGC), Faculty of Medicine at Prince of Songkla University, and Plastics Institute of Thailand. Specific properties of compound linear low-density polyethelene (LLDPE) that has high tensile strength and high impact and puncture resistance are suitable for colostomy bag. As a result, the colostomy bay is not only reduced cost from imported bag and promoted local innovation but also increase quality of life of the patients.
3. Promoting accessibility of other invulnerable groups
According to the 4th National Health Coverage Strategy of the NHSO for 2017 – 2021, all residents including invulnerable groups in Thailand are assured under the Universal Health Coverage, the NHSO and other related government agencies have expanded health coverage for all Thai citizens as follow:
“Mani”: Three fifths (313 in 500) of “Mani”, an ethic group living in the Southern of Thailand, has finally received their personal identification card and registered to the UCS scheme for health benefits because of collaboration between the department of provincial administration, Ministry of interior, and Region 12 of the NHSO. After registered to the UCS scheme, they can access to any nearest health facilities.
Prisoner: Improving health service system in prisons have been discussed among the Department of corrections, Ministry of Justice, Ministry of Public Health and the NHSO starting from basic survey, registration, health screening, treatment, and rehabilitation in order to promote not only accessibility to quality of health care but also capacity of health facilities in prisons as well as referral system.
Monk: The National Health Assembly for Monks has been announced in 2017. In 2018, one of key policies of the NHSO is to promote accessibility to quality of health service for monks. Central and regional working groups has been set to collaborate and promote registration to the UCS scheme. Discussion with local health security funds to find appropirate actions and movements in the areas have also be continued.
4. Recognizing Thailand's UHC by the WHO
Seventeen years of experiences in universal health coverage of Thailand has been internationally recognized by proving that promoting accessibility to healthcare and protecting families from poverty from healthcare cost can be achieved. After observing the NHSO’s CAPD service at Phra Jen community in Bangkok, Dr. Tedros Adhanom Ghebreyesus, Director-General of the WHO, said he was so inspired by what he had seen he wanted to pass the story of Thailand to other nations to improve the quality of life for kidney patients around the world. The WHO has urged all nations to support Universal Health Coverage policy to achieve Sustainable Development Goals (SDGs) by 2030, and praised Thailand’s achievement in UHC. Thailand has proved that health for all can be achieved regardless of country’s income level.
In August 2018, Dr. Soumya Swaminathan, Associate Director-General of the WHO visited Thailand to discuss on collaboration to share Thailand’s experiences in UHC to other countries.
5. Thailand delivered antidotes to safe patient in Nigeria
Accessibility to essential drugs is one of key role in Universal Health Coverage policy in Thailand. The “Antidote-Network”, a collabaration network on Orphan drugs and antidotes, of Ramathibodi hospital has been developed under collaboration with the NHSO and other hospitals to deliver essentials orphan drugs and antidotes to the needed areas in Thailand. In January 2018, the network however had a chance to safe two patients from Botulinum toxin in Nigeria through contacted from the WHO and the Thailand’s Government Phamaceutical Organization (GPO) so the antidote could be sent to Nigeria within 3 days.
6. The NHSO receives capital management award from the ministry of finance.
The universal coverage scheme (UCS) fund management of the NHSO has won award as the organization with best working capital management from the ministry of finance for almost ten consecutive years since FY2008, except FY2017. In FY2018, the NHSO has won two categories of the award included “Outstanding performance award” and “Outstanding efficiency management award.” The award has guaranteed efficiency in financial management of the NHSO since the award is aimed to promote high efficiency of fund managers in financing, operations, responding to stakeholders’ needs, and development and management of working capital.
7. The IMF discussed on using Thailand’s UHC data in regional economic evaluation.
UHC policy not only promote accessibility to healthcare as need but also reduce healthcare financial burden of families which in turn will impact family’s and country’s economy. In 2018, the IMF (International Monetary Fund: IMF) by Mr.Manrique Saenz a Senior Economist of ADP (Asia and Pacific Department), Mr.Yiqun Wu an Economist) of the ADP, and Mr.Kaweevudh Sumawong a Senior Advisor of Southeast Asia Voting Group Office of the Executive Director visted the NHSO to discuss about appling Thailand’s UHC data from all key public schemes, including the Universal Coverage Scheme (UCS), Civil Servant Medical Benefit Scheme (CSMBS), and Social Security Scheme (SSS), to regional economic evaluation of the IMF. The evaluation may include spending behavior, consumer behavior, saving behavior both before and after achieving the UHC policy.
8. Celebrating 10-year achievement of PD first policy
The Peritoneal Dialysis (PD) First Policy has been established since FY2008. To celebrate 10-year achievement of the PD first policy, key stakeholders in PD first policy implementation include the Nephrology Society of Thailand, the Ministry of Public Health (MOPH), Thai Nephrology Nurses Society, Thai Pediatric Nephrology Association, Thai Dietetic Association, and the NHSO have host the National conference on “Ten Years of Thailand PD First Policy “Dialysis for All, no one left behind”, 2018” during June 22 – 24, 2018 at Impact Exhibition and Convention Center, Bangkok.
The number patients using CAPD has been increased from 1,198 cases in 2008 when starting this policy, to 24,244 cases in 2018. Results of this policy include improve quality of life, reduce hospital stay and reduce fatality rate of the patients. Falatility rate has been reduced to less than 9.2% annually. Strong collaboration and support from stakeholders has been prove to solve all challenges from management, attitude, and budget to promote accessibility for all chronic kidney disease.
9. Celebrating “investing in health, leave no one behind” at the UHC day 2018 event
On 12 December 2017, UNGA proclaimed 12 December as International Universal Health Coverage Day (UHC Day) by resolution, making it an official UN-designated day. UHC Day aims to raise awareness of the need for strong and resilient health systems and universal health coverage which is one of the Sustainable Development Goals by 2030. The theme for UHC movement in 2018 is “UNITE FOR UNIVERSAL HEALTH COVERAGE: Now is the time for collective action”
Although Thailand has achieved UHC with evidence bases results, continuous improvement would be required for sustainable development. In 2018, all stakeholders in Thailand have Celebrated “investing in health, leave no one behind” at the UHC day event to urge all stakeholders to sustain its UHC. Furthermore, this year event has also joined other partners in health community network to celebrate with the 11th National Health Assembly.
10. Improving health promotion service in 2019 through public-private collaboration
The 5th working group of the national integrated strategic budget committee to consider health insurance development chaired by General Chatchai Sarikulya, Deputy prime minister has agreed to increase integrated budget to improve accessibility to health promotion and prevention services for all population in 2019 by revising fee schedule payment guideline for 8 items of promotion and prevention services including
1. Antenatal services, 2. Thalasemia screening in pregnancy women and spouses, 3. Down syndrome screening in pregnancy women, 4. Tyroid deficiency screening in newborns, 5. Contraceptive implant and intrauterine device birth control in adolesents 16-20 years of age, 6. Contraceptive implant and intrauterine device birth control in adults 20-59 years of age, 7. Prevent unsafe abortion, and 8. Cervix cancer screening for early detection in women 30-59 years of age to reduce disease burdens and cost of care in long-term treatment.
All population can access to the services free of charges. In order to achieve these goals, the NHSO in collaboration with the social security office (SSO) to invite 78 private hospitals in the SSS scheme (40 are non-registered UCS providers) to jointly provide the services for all Thais. This is another step to integrate health services for everyone regardless to their health insurance status.
RESOURCE CENTER
SECRETARY-GENERAL
Top 10 headlines of Universal Health Coverage (UHC) for Thai people in 2018
Top 10 headlines of Universal Health Coverage (UHC) for Thai people in 2018: increasing UCS fund in 2019 to guarantee minimum rate of payment for In-patient services at THB8,050 per AdjRW (Adjusted Related Weight) and to revise guideline to support one-day surgery services, expanding benefit package, promoting accessibility of other invulnerable groups, recognizing Thailand's UHC by the WHO, delivering antidotes to safe patient in Nigeria, receiving capital management award from the ministry of finance, discussing with IMF on using Thailand’s UHC data in regional economic evaluation, celebrating 10-year achievement of PD first policy, celebrating “investing in health, leave no one behind” at the UHC day 2018 event, collaborating private hospitals in active health promotion in 2019.
Top 10 news reports related in UCS fund management by The National Health Security Office (NHSO) in 2018 had been summarized as follow:
1. Increasing UCS fund in 2019 to guarantee minimum rate of payment for In-patient services at THB8,050 per AdjRW (Adjusted Related Weight) and to revise guideline to support one-day surgery services
The government has approved fiscal budget to the UCS fund by adjusting with inflation rate, increasing rat of salary of public providers, and new benefit package. In fiscal year 2019, the government has approved budget as proposed by the NHSO, i.e., THB181,584,093,700 of total budget or THB6,024 increased from 2018. This includes THB166,445.22 for capitation at THB3,426.56 per head increased THB143.45 per head from last year.
UCS fund management in 2018, the NHSO had prepared additional THB100 of the central budget to compensate for in-patient services in order to guarantee minimum rate of payment for the services at THB8,050 per AdjRW.
Revising payment guideline to support one-day surgery services is vital to reduce hospital congestion. As a result, one-day surgery services based on 11 groups of diseases had been reimbursed during Jan. – Sep. 2018 was 2,176 times and had reduced 3,826 of hospital days.
2. Expanding benefit package in medicines and colostomy bag
In 2018, the NHSO national board has approved new benefit package to improve accessibility in drugs and instruments. New approved drugs added to the E(2) categorry drug list of the National List of Eessential Medicines (NLEM) are Raltegravir for mother-to-child transmission of HIV (PMTCT) prevention, Bevacizumab for central retinal vein occlusion treatment, two Gonadotropin-releasing hormone agonist or GnRHas (Leuprorelin 11.25 mg inj. and Triptorelin 11.25 mg inj.) for central precocious puberty (CPP) treatment, HLA Genotyping before starting Carbamazepine in epilepsy patients to reduce Steven-John syndrome (SJS) from severe cutaneous adverse drug reactions (SCARs)
Benefit package on colostomy bag for colon cancer patients has been achieved from research and collaboration among the PTT Global Chemical Public Company Limited (PTTGC), Faculty of Medicine at Prince of Songkla University, and Plastics Institute of Thailand. Specific properties of compound linear low-density polyethelene (LLDPE) that has high tensile strength and high impact and puncture resistance are suitable for colostomy bag. As a result, the colostomy bay is not only reduced cost from imported bag and promoted local innovation but also increase quality of life of the patients.
3. Promoting accessibility of other invulnerable groups
According to the 4th National Health Coverage Strategy of the NHSO for 2017 – 2021, all residents including invulnerable groups in Thailand are assured under the Universal Health Coverage, the NHSO and other related government agencies have expanded health coverage for all Thai citizens as follow:
“Mani”: Three fifths (313 in 500) of “Mani”, an ethic group living in the Southern of Thailand, has finally received their personal identification card and registered to the UCS scheme for health benefits because of collaboration between the department of provincial administration, Ministry of interior, and Region 12 of the NHSO. After registered to the UCS scheme, they can access to any nearest health facilities.
Prisoner: Improving health service system in prisons have been discussed among the Department of corrections, Ministry of Justice, Ministry of Public Health and the NHSO starting from basic survey, registration, health screening, treatment, and rehabilitation in order to promote not only accessibility to quality of health care but also capacity of health facilities in prisons as well as referral system.
Monk: The National Health Assembly for Monks has been announced in 2017. In 2018, one of key policies of the NHSO is to promote accessibility to quality of health service for monks. Central and regional working groups has been set to collaborate and promote registration to the UCS scheme. Discussion with local health security funds to find appropirate actions and movements in the areas have also be continued.
4. Recognizing Thailand's UHC by the WHO
Seventeen years of experiences in universal health coverage of Thailand has been internationally recognized by proving that promoting accessibility to healthcare and protecting families from poverty from healthcare cost can be achieved. After observing the NHSO’s CAPD service at Phra Jen community in Bangkok, Dr. Tedros Adhanom Ghebreyesus, Director-General of the WHO, said he was so inspired by what he had seen he wanted to pass the story of Thailand to other nations to improve the quality of life for kidney patients around the world. The WHO has urged all nations to support Universal Health Coverage policy to achieve Sustainable Development Goals (SDGs) by 2030, and praised Thailand’s achievement in UHC. Thailand has proved that health for all can be achieved regardless of country’s income level.
In August 2018, Dr. Soumya Swaminathan, Associate Director-General of the WHO visited Thailand to discuss on collaboration to share Thailand’s experiences in UHC to other countries.
5. Thailand delivered antidotes to safe patient in Nigeria
Accessibility to essential drugs is one of key role in Universal Health Coverage policy in Thailand. The “Antidote-Network”, a collabaration network on Orphan drugs and antidotes, of Ramathibodi hospital has been developed under collaboration with the NHSO and other hospitals to deliver essentials orphan drugs and antidotes to the needed areas in Thailand. In January 2018, the network however had a chance to safe two patients from Botulinum toxin in Nigeria through contacted from the WHO and the Thailand’s Government Phamaceutical Organization (GPO) so the antidote could be sent to Nigeria within 3 days.
6. The NHSO receives capital management award from the ministry of finance.
The universal coverage scheme (UCS) fund management of the NHSO has won award as the organization with best working capital management from the ministry of finance for almost ten consecutive years since FY2008, except FY2017. In FY2018, the NHSO has won two categories of the award included “Outstanding performance award” and “Outstanding efficiency management award.” The award has guaranteed efficiency in financial management of the NHSO since the award is aimed to promote high efficiency of fund managers in financing, operations, responding to stakeholders’ needs, and development and management of working capital.
7. The IMF discussed on using Thailand’s UHC data in regional economic evaluation.
UHC policy not only promote accessibility to healthcare as need but also reduce healthcare financial burden of families which in turn will impact family’s and country’s economy. In 2018, the IMF (International Monetary Fund: IMF) by Mr.Manrique Saenz a Senior Economist of ADP (Asia and Pacific Department), Mr.Yiqun Wu an Economist) of the ADP, and Mr.Kaweevudh Sumawong a Senior Advisor of Southeast Asia Voting Group Office of the Executive Director visted the NHSO to discuss about appling Thailand’s UHC data from all key public schemes, including the Universal Coverage Scheme (UCS), Civil Servant Medical Benefit Scheme (CSMBS), and Social Security Scheme (SSS), to regional economic evaluation of the IMF. The evaluation may include spending behavior, consumer behavior, saving behavior both before and after achieving the UHC policy.
8. Celebrating 10-year achievement of PD first policy
The Peritoneal Dialysis (PD) First Policy has been established since FY2008. To celebrate 10-year achievement of the PD first policy, key stakeholders in PD first policy implementation include the Nephrology Society of Thailand, the Ministry of Public Health (MOPH), Thai Nephrology Nurses Society, Thai Pediatric Nephrology Association, Thai Dietetic Association, and the NHSO have host the National conference on “Ten Years of Thailand PD First Policy “Dialysis for All, no one left behind”, 2018” during June 22 – 24, 2018 at Impact Exhibition and Convention Center, Bangkok.
The number patients using CAPD has been increased from 1,198 cases in 2008 when starting this policy, to 24,244 cases in 2018. Results of this policy include improve quality of life, reduce hospital stay and reduce fatality rate of the patients. Falatility rate has been reduced to less than 9.2% annually. Strong collaboration and support from stakeholders has been prove to solve all challenges from management, attitude, and budget to promote accessibility for all chronic kidney disease.
9. Celebrating “investing in health, leave no one behind” at the UHC day 2018 event
On 12 December 2017, UNGA proclaimed 12 December as International Universal Health Coverage Day (UHC Day) by resolution, making it an official UN-designated day. UHC Day aims to raise awareness of the need for strong and resilient health systems and universal health coverage which is one of the Sustainable Development Goals by 2030. The theme for UHC movement in 2018 is “UNITE FOR UNIVERSAL HEALTH COVERAGE: Now is the time for collective action”
Although Thailand has achieved UHC with evidence bases results, continuous improvement would be required for sustainable development. In 2018, all stakeholders in Thailand have Celebrated “investing in health, leave no one behind” at the UHC day event to urge all stakeholders to sustain its UHC. Furthermore, this year event has also joined other partners in health community network to celebrate with the 11th National Health Assembly.
10. Improving health promotion service in 2019 through public-private collaboration
The 5th working group of the national integrated strategic budget committee to consider health insurance development chaired by General Chatchai Sarikulya, Deputy prime minister has agreed to increase integrated budget to improve accessibility to health promotion and prevention services for all population in 2019 by revising fee schedule payment guideline for 8 items of promotion and prevention services including
1. Antenatal services, 2. Thalasemia screening in pregnancy women and spouses, 3. Down syndrome screening in pregnancy women, 4. Tyroid deficiency screening in newborns, 5. Contraceptive implant and intrauterine device birth control in adolesents 16-20 years of age, 6. Contraceptive implant and intrauterine device birth control in adults 20-59 years of age, 7. Prevent unsafe abortion, and 8. Cervix cancer screening for early detection in women 30-59 years of age to reduce disease burdens and cost of care in long-term treatment.
All population can access to the services free of charges. In order to achieve these goals, the NHSO in collaboration with the social security office (SSO) to invite 78 private hospitals in the SSS scheme (40 are non-registered UCS providers) to jointly provide the services for all Thais. This is another step to integrate health services for everyone regardless to their health insurance status.
Top 10 news reports related in UCS fund management by The National Health Security Office (NHSO) in 2018 had been summarized as follow:
1. Increasing UCS fund in 2019 to guarantee minimum rate of payment for In-patient services at THB8,050 per AdjRW (Adjusted Related Weight) and to revise guideline to support one-day surgery services
The government has approved fiscal budget to the UCS fund by adjusting with inflation rate, increasing rat of salary of public providers, and new benefit package. In fiscal year 2019, the government has approved budget as proposed by the NHSO, i.e., THB181,584,093,700 of total budget or THB6,024 increased from 2018. This includes THB166,445.22 for capitation at THB3,426.56 per head increased THB143.45 per head from last year.
UCS fund management in 2018, the NHSO had prepared additional THB100 of the central budget to compensate for in-patient services in order to guarantee minimum rate of payment for the services at THB8,050 per AdjRW.
Revising payment guideline to support one-day surgery services is vital to reduce hospital congestion. As a result, one-day surgery services based on 11 groups of diseases had been reimbursed during Jan. – Sep. 2018 was 2,176 times and had reduced 3,826 of hospital days.
2. Expanding benefit package in medicines and colostomy bag
In 2018, the NHSO national board has approved new benefit package to improve accessibility in drugs and instruments. New approved drugs added to the E(2) categorry drug list of the National List of Eessential Medicines (NLEM) are Raltegravir for mother-to-child transmission of HIV (PMTCT) prevention, Bevacizumab for central retinal vein occlusion treatment, two Gonadotropin-releasing hormone agonist or GnRHas (Leuprorelin 11.25 mg inj. and Triptorelin 11.25 mg inj.) for central precocious puberty (CPP) treatment, HLA Genotyping before starting Carbamazepine in epilepsy patients to reduce Steven-John syndrome (SJS) from severe cutaneous adverse drug reactions (SCARs)
Benefit package on colostomy bag for colon cancer patients has been achieved from research and collaboration among the PTT Global Chemical Public Company Limited (PTTGC), Faculty of Medicine at Prince of Songkla University, and Plastics Institute of Thailand. Specific properties of compound linear low-density polyethelene (LLDPE) that has high tensile strength and high impact and puncture resistance are suitable for colostomy bag. As a result, the colostomy bay is not only reduced cost from imported bag and promoted local innovation but also increase quality of life of the patients.
3. Promoting accessibility of other invulnerable groups
According to the 4th National Health Coverage Strategy of the NHSO for 2017 – 2021, all residents including invulnerable groups in Thailand are assured under the Universal Health Coverage, the NHSO and other related government agencies have expanded health coverage for all Thai citizens as follow:
“Mani”: Three fifths (313 in 500) of “Mani”, an ethic group living in the Southern of Thailand, has finally received their personal identification card and registered to the UCS scheme for health benefits because of collaboration between the department of provincial administration, Ministry of interior, and Region 12 of the NHSO. After registered to the UCS scheme, they can access to any nearest health facilities.
Prisoner: Improving health service system in prisons have been discussed among the Department of corrections, Ministry of Justice, Ministry of Public Health and the NHSO starting from basic survey, registration, health screening, treatment, and rehabilitation in order to promote not only accessibility to quality of health care but also capacity of health facilities in prisons as well as referral system.
Monk: The National Health Assembly for Monks has been announced in 2017. In 2018, one of key policies of the NHSO is to promote accessibility to quality of health service for monks. Central and regional working groups has been set to collaborate and promote registration to the UCS scheme. Discussion with local health security funds to find appropirate actions and movements in the areas have also be continued.
4. Recognizing Thailand's UHC by the WHO
Seventeen years of experiences in universal health coverage of Thailand has been internationally recognized by proving that promoting accessibility to healthcare and protecting families from poverty from healthcare cost can be achieved. After observing the NHSO’s CAPD service at Phra Jen community in Bangkok, Dr. Tedros Adhanom Ghebreyesus, Director-General of the WHO, said he was so inspired by what he had seen he wanted to pass the story of Thailand to other nations to improve the quality of life for kidney patients around the world. The WHO has urged all nations to support Universal Health Coverage policy to achieve Sustainable Development Goals (SDGs) by 2030, and praised Thailand’s achievement in UHC. Thailand has proved that health for all can be achieved regardless of country’s income level.
In August 2018, Dr. Soumya Swaminathan, Associate Director-General of the WHO visited Thailand to discuss on collaboration to share Thailand’s experiences in UHC to other countries.
5. Thailand delivered antidotes to safe patient in Nigeria
Accessibility to essential drugs is one of key role in Universal Health Coverage policy in Thailand. The “Antidote-Network”, a collabaration network on Orphan drugs and antidotes, of Ramathibodi hospital has been developed under collaboration with the NHSO and other hospitals to deliver essentials orphan drugs and antidotes to the needed areas in Thailand. In January 2018, the network however had a chance to safe two patients from Botulinum toxin in Nigeria through contacted from the WHO and the Thailand’s Government Phamaceutical Organization (GPO) so the antidote could be sent to Nigeria within 3 days.
6. The NHSO receives capital management award from the ministry of finance.
The universal coverage scheme (UCS) fund management of the NHSO has won award as the organization with best working capital management from the ministry of finance for almost ten consecutive years since FY2008, except FY2017. In FY2018, the NHSO has won two categories of the award included “Outstanding performance award” and “Outstanding efficiency management award.” The award has guaranteed efficiency in financial management of the NHSO since the award is aimed to promote high efficiency of fund managers in financing, operations, responding to stakeholders’ needs, and development and management of working capital.
7. The IMF discussed on using Thailand’s UHC data in regional economic evaluation.
UHC policy not only promote accessibility to healthcare as need but also reduce healthcare financial burden of families which in turn will impact family’s and country’s economy. In 2018, the IMF (International Monetary Fund: IMF) by Mr.Manrique Saenz a Senior Economist of ADP (Asia and Pacific Department), Mr.Yiqun Wu an Economist) of the ADP, and Mr.Kaweevudh Sumawong a Senior Advisor of Southeast Asia Voting Group Office of the Executive Director visted the NHSO to discuss about appling Thailand’s UHC data from all key public schemes, including the Universal Coverage Scheme (UCS), Civil Servant Medical Benefit Scheme (CSMBS), and Social Security Scheme (SSS), to regional economic evaluation of the IMF. The evaluation may include spending behavior, consumer behavior, saving behavior both before and after achieving the UHC policy.
8. Celebrating 10-year achievement of PD first policy
The Peritoneal Dialysis (PD) First Policy has been established since FY2008. To celebrate 10-year achievement of the PD first policy, key stakeholders in PD first policy implementation include the Nephrology Society of Thailand, the Ministry of Public Health (MOPH), Thai Nephrology Nurses Society, Thai Pediatric Nephrology Association, Thai Dietetic Association, and the NHSO have host the National conference on “Ten Years of Thailand PD First Policy “Dialysis for All, no one left behind”, 2018” during June 22 – 24, 2018 at Impact Exhibition and Convention Center, Bangkok.
The number patients using CAPD has been increased from 1,198 cases in 2008 when starting this policy, to 24,244 cases in 2018. Results of this policy include improve quality of life, reduce hospital stay and reduce fatality rate of the patients. Falatility rate has been reduced to less than 9.2% annually. Strong collaboration and support from stakeholders has been prove to solve all challenges from management, attitude, and budget to promote accessibility for all chronic kidney disease.
9. Celebrating “investing in health, leave no one behind” at the UHC day 2018 event
On 12 December 2017, UNGA proclaimed 12 December as International Universal Health Coverage Day (UHC Day) by resolution, making it an official UN-designated day. UHC Day aims to raise awareness of the need for strong and resilient health systems and universal health coverage which is one of the Sustainable Development Goals by 2030. The theme for UHC movement in 2018 is “UNITE FOR UNIVERSAL HEALTH COVERAGE: Now is the time for collective action”
Although Thailand has achieved UHC with evidence bases results, continuous improvement would be required for sustainable development. In 2018, all stakeholders in Thailand have Celebrated “investing in health, leave no one behind” at the UHC day event to urge all stakeholders to sustain its UHC. Furthermore, this year event has also joined other partners in health community network to celebrate with the 11th National Health Assembly.
10. Improving health promotion service in 2019 through public-private collaboration
The 5th working group of the national integrated strategic budget committee to consider health insurance development chaired by General Chatchai Sarikulya, Deputy prime minister has agreed to increase integrated budget to improve accessibility to health promotion and prevention services for all population in 2019 by revising fee schedule payment guideline for 8 items of promotion and prevention services including
1. Antenatal services, 2. Thalasemia screening in pregnancy women and spouses, 3. Down syndrome screening in pregnancy women, 4. Tyroid deficiency screening in newborns, 5. Contraceptive implant and intrauterine device birth control in adolesents 16-20 years of age, 6. Contraceptive implant and intrauterine device birth control in adults 20-59 years of age, 7. Prevent unsafe abortion, and 8. Cervix cancer screening for early detection in women 30-59 years of age to reduce disease burdens and cost of care in long-term treatment.
All population can access to the services free of charges. In order to achieve these goals, the NHSO in collaboration with the social security office (SSO) to invite 78 private hospitals in the SSS scheme (40 are non-registered UCS providers) to jointly provide the services for all Thais. This is another step to integrate health services for everyone regardless to their health insurance status.
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