Você está na página 1de 120

The Happy Year of Happiness Promotion

Annual Report 2008


Thai Health Promotion Foundation (ThaiHealth)
The Happy Year of Happiness Promotion

Annual Report 2008


Thai Health Promotion Foundation (ThaiHealth)
For 7 years…
The Thai Health Promotion Foundation (ThaiHealh) has been part of a the movements
to develop the health system of Thailand through the principle of “Building health is better
than being on the mend”. To achieve the goal, ThaiHealth is functioning to provide a new
model of government agencies that emphasizes compactness and flexibility.
...
Over time,
ThaiHealth has been gradually growing, gaining knowledge and experiences, expanding
its networks of friends and partners and focusing on its goal, “the good health” for Thai
people amidst crises and challenges as described in this Annual Report 2008.
Table of Contents
รายงานประจำปี สสส.

Part 1 : ThaiHealth and the Well-beiang of Thai People 1

• Introducing ThaiHealth 2

• The Health Situations of Thailand in 2008 4

Part 2 : Performances 9

• Executive Summary 11

• Performances in Fund Management 17

• Performances towards the 6 Goals 23

Performances in 7 Years (2001-2008) 94

Part 3 : Evaluation and Audit 101

• Evaluation Report 103

• The Report of the Internal Audit Sub-committee 111


“Promoting happiness and joy” is our task.


Message from the Chairman
The government is determined to proceed with the development of Thailand’s health system as
announced in its public health policy by stating that it “will right away implement measures to promote
good health and reduce the risk factors that jeopardize health and lead to chronic illnesses.”

The World Health Organization defines health as a state of complete physical, mental and social
well-being. The National Health Act of 2007 and the Thai Health Promotion Foundation Act of 2001 of
Thailand are based on this international principle. Thailand has expanded its definition of health from
medicine and public health to the complete “well-being”. In other words, it covers not only the treat-
ment of “illnesses” but also factors for the development of “man”.

At present, there are many signs of serious concerns about the future of society. They include
crimes, narcotics, gambling, cigarettes, liquor, carelessly sexual intercourses, vices, misleading
interests , pornographic media, temptations, pregnancy and abortion among teenagers, divorces,
the number of the children who do not live with their parents, and the time that children waste with
television and the Internet. Some of these factors are not be the direct cause of illnesses but all of
them have impacts on the development of Thai people and society.

The government seriously sees the importance of social development. Especially I, as the prime
minister, intend to devote myself to social development as much as I do to the development in eco-
nomic and other matters.

The Thai Health Promotion Foundation (ThaiHealth) is certainly an important mechanism that must
work together with other relevant mechanisms. I am glad to know that ThaiHealth is determined to
cooperate with its partners and I support this collaboration so that all parties can achieve their goals.
Besides, ThaiHealth is able to contribute to many other organizations that already have their own bud-
gets. ThaiHealth’s sponsorships are seriously aimed at increasing their efficiency, not funding other’s
routine work.

As the chairman of the Thai Health Promotion Foundation, I would like to assure that ThaiHealth
will carry out its various missions, continuously review and improve its operations, and continue to be
a governmental organization in which people can trust.

Prime Minister
Chairman of the Board of the Thai Health Promotion Foundation
Message from the Chairman
of the Evaluation Committee
The evaluation of operations by the Thai Health Promotion
Foundation (ThaiHealth) in the 2008 fiscal year (between October
2007 and September 2008) included a wider area than previous
annual evaluations had coverd. The Evaluation Committee focused on
the implementation of the major plans of ThaiHealth, the operational
results evaluated with the performance indicators that ThaiHealth
agreed upon with the Evaluation Committee, the management of the
fund of the Foundation and efficiency in enabling partners to control
the consumption of tobacco and alcoholic drinks and to prevent road
accidents.

It can be concluded generally that ThaiHealth carried out its as-


signed missions well and continuously had impacts on society, the
public and relevant parties. Especially it raised the public awareness
of what is harmful to health and launched more health-promoting
measures and activities. However, threats to public health will keep
changing and growing unless society is ready to watch out for, pre-
vent and tackle them. Therefore, ThaiHealth must adjust to cope with
such threats in a timely manner, emphasizing proactive measures and
creativity that the Evaluation Committee will monitor into the future.

Prof. Dr. Kraisit Tantisirin


Chairman of the Evaluation Committee
Thai Health Promotion Foundation
Message from the Manager
The Thai Health Promotion Foundation has been functioning as
the secretariat of the board of the Foundation and implementing the
policies of the board.

ThaiHealth has been doing its best to support government


measures, mobilize and support the power of civil organizations and
campaign for the reduction of risk factors harmful to health, which has
produced good results in some cases as described in this report. For
example, the number of smokers has steadily declined, from 10.57
million in 2001 to 9.53 million in 2006. The number of drinkers had
dropped as well, from 16.2 million in 2004 to 14.9 million in 2007.
While the statistics on well-being are improving in some aspects, the
problems of ill-being in other aspects still cause concerns, especially
when it comes to Thai youths whose lives are at risk. For example,
the rate of pregnancy among female teenagers aged under 19 keeps
increasing. In 2008, it was estimated that as many as 77,000 teen-
agers gave births. The number of arrests of children and youths for
criminal offenses grows every year. In 2007, there were 51,128 such
cases, rising by as much as 41.71% from those in 2005, and there
were as many as 1.3 million families of single parents.

In the 2008 fiscal year, ThaiHealth’s budgetary allocations for


health promotion projects rose by 20.11% from 2007, from 2,656
million baht to 3,190 million baht. There were 1,260 health promotion
projects, up by 29.76% from 971 projects in the 2007 fiscal year.
They covered research and development, the expansion of prototype
areas of project implementation, the development of health promo-
tion personnel, the production of prototype media and evaluated
campaigns. These media and other campaigns produced satisfac-
tory results in terms of the number of people reached audience and
public awareness as described in this annual report.
“happiness”
Four petals are slowly revealing
The pollen that is appealing.
The smile that’s so superior
Belongs to nothing else but you, Cattleya
Part1
ThaiHealth and the
Well-beiang of Thai People
Introducing ThaiHealth

Vision
The sustainable well-being of Thai people health promotion, and integrate and
collectively develop work skills of work as
Commitment members of the networks that share same
ideals and goals.
To support and develop the health promotion • The force of policies : It expands the area
processes that lead to the well-being of Thai of participation in public policies that are the
people and society important elements of health promotion
because they have extensive and long
ThaiHealth is a small agency with a huge task. standing impacts on the general public.
It must improve the quality of life of Thai people.
It works together with all groups, organizations Work Improvement in the Past Year
and agencies in society that form the “health ThaiHealth improved many areas of its work
system”. The system covers not only hospitals, in the past year.
the Ministry of Public Health and agencies
under other ministries, but also local agencies, • Project Development
community organizations, charity organizations It improved the quality of proposals,
and private organizations. ThaiHealth manages plans and projects by regularly organizing the
the health promotion fund that is raised with forums where project proposers and ThaiHealth
contributions from liquor and tobacco taxes. personnel learned to improve their capabilities
The contributions that equal 2% of all the taxes so that they are able to cooperate efficiently to
collected are transformed into a wide range of work out project proposals with clear goals, lay
operations to promote the health of Thai people down the strategies that guarantee success,
nationwide. determine the stages of progress that can predict
the “outcomes” of their projects, and include
Strategy evaluation plans and implementation stimuli in
their project proposals.
ThaiHealth uses the strategy of “tri-
forces” that harmoniously drives the process
of changes. Three forces are as follows.
• The force of wisdom : It expands the areas
of wisdom where all parties in society
supply their knowledge and develop new
knowledge to catch up with situations and
be able to handle various target groups,
contexts and tasks.
• The force of society: It expands the areas
of society where social partners join forces
to continuously campaign for and monitor

 Annual Report 2008


Figure 1 Elements of and relations between ThaiHealth and organizations
in the health system of Thailand

The
Parliament

The Advisory The


Council The NESDB cabinet

• Suggest health-
related policies
and strategies NHC/NHCO The Ministry Thai • Run the
• The Charter of Public Health Health Health
on the National and other health-related promotion
Health System ministries Fund
• The Health NHSO
Assembly • Run the HSRI
health • Develop systematic
promotion HA • Run the EMIT knowledge
Health
The networks Security
of civil societies Fund
and health Academic
partners and
Regional agencies professional
networks

Local administration
Media organizations
networks
Other networks

Source: The National Health Commission Office of Thailand

• Project Audit
ThaiHealth has developed an extra audit project implementation. The guidance covers
system that covers not only the conventional project proposal development, management,
financial audit but also project progress. Auditors supervision, audit, evaluation and other important
were trained to advise project implementers to actions such as the management and prevention
properly prepare project-related documents. of conflicts of interest in the process of project
scrutiny and approval.
• Project Implementation
with Efficiency and Transparency
To ensure that its fund awardees implement
projects in line with proper procedures and their
project implementation is subject to transparency
and accountability, ThaiHealth has developed
its “Handbook for the Proactive Implementation
of Plans and Projects” to guide every stage of

Introducing ThaiHealth 
Health Situations
in the 2008 Fiscal Year

Major situations that happened to health prices in August 2007, the government received
promotion in Thailand in the 2008 fiscal year are more money from the tax despite the declining
as follows : number of smokers.

• Tobacco Consumption • The Consumption of Alcoholic Drinks


The declining number of frequent Operators want youths to be
smokers “new drinkers”
The National Statistical Office of From its latest survey on drinkers aged
Thailand found in its latest survey on the smoking 15 and over, the National Statistical Office
behaviors of Thai people aged 15 and over that of Thailand found that in 2007 there were 14.9
the number of Thai frequent smokers dropped million drinkers, or 29.3% of all people aged 15
steadily, from 9.53 million in 2006 to 9.49 million and over. The number dropped from 16.2 million
in 2007, or from 18.94% of the Thai population drinkers in 2004 who accounted for 32.7% of all
aged 15 and over in 2006 to 18.54% in 2007. the people. The percentage of drinkers among
The decrease happened among both males and males (51%) was higher than that among females
females. (8.8%).

With regard to the economic status of Of all drinkers, 3.8% drank every day. More
smokers, declining smoking habits happened drinkers lived outside municipalities (31%),
among to both the poor and the rich. However, compared with those living inside municipalities
the poor smoked more than the rich did. (25.4%).

Regarding the ages of frequent smokers, However, the percentage of frequent drinkers
the lion’s share of frequent smokers were 41-59 rose from 17.8% in 2004 to 20.2% in 2007
years of age, followed by the group of smokers while the percentage of non-frequent drinkers
aged 25-40 years old. All age groups showed dropped from 14.9% in 2004 to 9.7% in 2007.
the continuous declines in smoking except for Real concerns rested with teenagers. A survey
for young people from 15-24 between 2006 under the Child Watch project of Ramjitti Institute
and 2007 when smoking increased slightly. This on children and youths from the fifth grade of
reflects that young people are at risk and are the secondary school up to the college level in 2007
new smokers who are the most important group found that liquor was the youths’ first choice of
of people deserving close watch. addictive substances, followed by cigarettes and
marijuana.
While smoking dropped, income from the
excise tax on cigarettes that the government
collected rose from 35,642 million baht in 2006 to
41,823 million baht in 2007. Because the excise
tax on cigarettes was raised to 80% of the retail

 Annual Report 2008


In the past year, some liquor products were belonged to those aged 15-24. The third highest
introduced just to woo youths. They included percentage rested with old people aged 60
lao pan – liquor blended with crushed ice, juice and over. People at their working ages, 25-59
and syrup – that features pleasant scents and years old, posted the lowest proportion of only
sweet tastes. These kinds of drinks are the first 19.7%.
step for the people who will become “drinkers”.
They are available in areas crowded with young Venues and facilities for exercises were
people like shopping centers and the vicinities developed continuously. At present, there are
of universities in Bangkok and other provinces. sufficiently equipped stadiums which can serve
Such drinks were even delivered in bottles for international sports events in all 76 provinces
buyers’ convenience. of the country. There are also a wide range
of places in nationwide communities where
• Road Accidents people can work out. They include 50,768 sports
Thai roads were safer than they had fields and 12,880 public parks and recreational
been sites. Besides, all educational institutes and
The number of road accidents in the first 6 government agencies allow the general public to
months of 2008 and during the Songkran (Thai use their sports fields for exercises.
New Year) festival declined continuously and
made a new low since 2004 thanks to joint road • Sex-related Risks
safety campaigns by relevant agencies in the Youths are at risk from their sexual
government and the private sectors. values and behaviors
Surveys conducted in the past year found
Main causes of road accidents in the past that Thai youths accepted sexual relationships
year were everyday traffic violations such as without marriage. Opinion surveys on young
breaching speed limits, cutting in, chasing, illegally people aged 15-22 in 11 provinces by a network
overtaking and drunk driving. of Thai youths against AIDS found that 48.8% of
Thai youths accepted sexual relationships without
• Exercises marriage and 39.1% considered swinging as a
People at working ages still lack normal behavior of teenagers.
exercises
The National Statistical Office of In addition, more youths suffered from
Thailand found in its surveys that between 2004 sexually transmitted diseases. The Bureau of
and 2007 the percentage of Thai people aged Epidemiology under the Department of Disease
11 and over who exercised rose from 29.2% to Control reported that the biggest group of people
29.6%. However, the percentages of those who who sought treatment for sexually transmitted
exercised varied by age groups. The percentage diseases in 2007 and whose number grow
was the highest (73.1%) among people aged steadily were young people aged between 15
11-14. The second highest percentage (45.4%) and 24. Thai youths are still at increasing risk. The

Introducing ThaiHealth 
pregnancy rate among female youths aged under • Food
19 keeps growing. In 2008, it was estimated that All Thai people suffer from unsafe and
as many as 77,000 teenagers gave births. The more expensive foods
number of offences in which children and youths Food safety is a major issue. It significantly
are arrested grows every year. In 2007, there c o n c e r n s i m p o r t s f ro m C h i n a t h a t w e re
were 51,128 such cases, rising by as much as contaminated with toxic chemicals such as
41.71% from those in 2005 and there were as agricultural products contaminated with pesticides
many as 1.3 million families of single parents. and melamine contamination in infant milk powder,
foods, sweets, etc. The contamination affects
The HIV infection rate is falling in general a number of people because contaminated
according to the Bureau of Epidemiology under products are cheap and thus popular among a
the Department of Disease Control, the Ministry lot of people who believed that these products
of Public Health. However, the infection rates of should have already passed tests by agencies
HIV and other sexually transmitted diseases are responsible for the standards of imported products
going up among young people because they and foods.
risk infection due to their behaviors, especially
unprotected sex. Another issue is that low-income earners
tend to have worse foods because food prices
• Mass Media soared in accordance with the fuel prices that
Harmful media develop new channels to continuously rose from early 2008. Although fuel
reach the youth prices dropped in the second half of 2008, the
Studies found the increasing use of prices of most foods in markets did not decrease
pornographic media such as pornographic clips, accordingly.
video compact discs and websites among college
people.

Besides, some media open up channels for


gambling, especially football gambling on the
Internet. Internet cafés in all provinces provide
football gambling websites. Consequently football
gambling becomes popular among children and
youths including female ones. Gambling has not
only economic impacts but also health-related
ones including severe tension and depression,
according to the KASIKORN RESEARCH CENTER.

 Annual Report 2008


References
The National Statistical Office of Thailand (2008) :
a preliminary report on smoking and drinking behaviors of Thai people in 2007
Tobacco Control Research and Knowledge Management Center (2008) :
the situations of tobacco consumption among Thai people between 1991 and 2007
Center for Alcohol Studies (2008) :
drinking situations in Thailand in 2008
A plan to promote exercises and sports for health (ThaiHealth) :
the situations of exercises and sports between 2004 and 2007
The Office of the National Economic and Social Development Board :
(monthly and quarterly) reports on social conditions from November 2007 to October 2008
The Child Watch project by Ramjitti Institute

Introducing ThaiHealth 
“happiness”
The plum’s smile’s charming.
To all, it is impressing.
The smile is of maximum,
Reflecting the happy plum.
Part2
Performance
Executive Summary

Executive Summary

The year 2008 was the 7th year of operations • Budgetary Allocation to Support Health
of the Thai Health Promotion Foundation (Thai- Promotion Projects
Health) and its important operations in the year In the 2008 fiscal year, ThaiHealth allocated
are as follows. its budgets to various areas of health promotion.
The lion’s share – 859 million baht or 31.13% – of
1) Budgetary Allocation its totally disbursed budgets went to projects to
reduce primary risk factors. Of that amount, 319
• Budgetary Approval and Disbursement million baht went to alcohol control, 201 million
In the 2008 fiscal year, ThaiHealth approved baht to road safety campaigns, 150 million baht
3,190 million baht to support new projects. The to tobacco control, and 189 million baht to cam-
sponsorship increased by 20.11% from 2,656 paigns for exercises. The disbursement for the
million baht that was approved in the 2007 reduction of primary risk factors rose by 36.78%
fiscal year. from the amount disbursed for the same purpose
in the previous fiscal year.
Budgetary disbursement for both new and
ongoing projects amounted to 2,759 million baht • The Number of Health Promotion
in the 2008 fiscal year, rising by 35.58% from Projects that ThaiHealth Sponsored
2,035 million baht in the previous fiscal year. In 2008, ThaiHealth sponsored 1,260 health
promotion projects, an increase of 29.76% from
971 projects that it had sponsored in the 2007
fiscal year.

Amount : project
+ 20.11%
3,190

+ 35.58%
2,759

Increasing by
2,656

289 projects
or 29.76%
2,035

+ 29.90%
1.260
870

Amount : million baht


2007 2008 2007 2008 2007 2008
The amount allocated to The amount disbursed for The amount of spon-
new projects new and ongoing projects sored projects

14 Annual Report 2008


Amount : million baht + 35.74% 2007

319
2008
• The Areas of Projects That Won More
Budgetary Support + 6.35%
+ 47.66%

235
In the 2008 fiscal year, budgets were spent

201
+ 97.37%

189

189
not only on the reduction of primary risk factors

150
but also on other areas of work. The areas of

128
work for which disbursed amounts increased by

76
50% and over compared with the budgetary sup-
port in the previous fiscal year were nutrition and
the reduction of overweight status, the reduc- 4 risk factors
tion of sex-related risks, the environment, overall Tobacco Control on Road Campaigns
health and academic work. control alcoholic safety for
drinks campaigns exercises

2) Operational Results
• The Introduction of the Public Policies That Promote Health
It can be stated that the past year was “the year of progress in the development of the poli-
cies that promote health” because ThaiHealth and its partners took part in developing and translat-
ing into effect 36 health promotion policies at the national level, up from 10 policies in the 2007 fiscal
year.

1 policy
2 policies
1 policy Consumer protection policies
1 policy
5 policies Media-for-well-being policies
Health promotion policies for children and youths
Policies to control alcoholic drinks
9 policies Food safety policies
Health promotion policies for organizations/communities
Polices to prevent violence in society
4 policies Policies to develop health systems
4 policies Polices for sexual well-being
1 policy
Policies to promote exercises
2 policies 4 policies Policies to reduce road accidents
4 policies
1 policy Tobacco control policies
5 policies
1 policy 1 policy

2007 2008

Executive Summary 15
• The Development of the Surroundings
That Promote Organizational Health

300

251
270
In the past year, the plans that ThaiHealth
sponsored promoted health in the following orga-
nizations.
• The government organizations that were
able to conduct health promotion ativities increased

90
in amount from 270 in 2007 to 300 in 2008.
• The private organizations that were able
to conduct health promotion activities increased 2007 2008 2007 2008
in amount from 90 in 2007 to 151 in 2008.
• The educational institutes that produced Governmental Private
health personnel and were able to conduct health organizations organizations
promotion activities numbered 97 in 2008.

• Campaigns for Health Values among


the Public
ThaiHealth supported the development of 88.1
strategies to create all possible channels and Non-smoking in public places 88.9
media for public relations, to apply marketing for
the social interest, and to use sponsorships to 88.5
campaign for health values among the general Alcoholic drinks 87.1
public through major festivals throughout the year
and through everyday routines of people nation- 86.3
wide. Then ThaiHealth conducted field surveys to Road accidents 84.5
evaluate its support for these areas. The surveys
100
found that 77.6% of target groups acknowledged
and understood health promotion. Among them, Understanding
89% had attitudes that should lead to health Acceptance and behavioral changes
improvement. among the people who understand

• The Empowerment of Communities in


Terms of Health Promotion
ThaiHealth implemented plans to support
organizations directly and indirectly. That led to
the development of mechanisms to incorporate
health promotion into local activities and ben- 57 provinces
efited the empowerment of communities in terms
of health promotion as described below. and Tambon (
• Mechanisms to incorporate health
ies
gro
lit
municipa

promotion into activities at the provincial


ups o illages)

104
level were installed in 57 provinces.
communities
fv

• Mechanisms to incorporate health


,1 226

promotion into activities at the level of local


administration organizations were installed in
1,226 such organizations.
• Mechanisms to incorporate health
promotion into activities at the level of com-
munities were installed in 104 communities.

16 Annual Report 2008


• Researches and Conferences to Develop
Knowledge

168
The number of completed health promotion
researches that ThaiHealth sponsored rose from
40 in 2007 to 168 in the past year or soared by
about 4 times.

Besides, the research centers on tobacco,


alcoholic drinks and road safety, of which Thai-

40
Health sponsored the establishment, took part
in organizing national and international academic
2007 2008
conferences to present new information about the
prevention of the 3 primary risk factors every year. The amount of completed
health promotion researches
• The Reduction of Risk Factors and the Development of the Well-being of Children
and Youths
ThaiHealth’s sponsorships for plans and projects in the past year resulted in the development of
the public policies that led to 9 issues in relation to the reduction of health risk factors and the promo-
õćóìĊęĪ ĒÿéÜÝĈîüîîē÷ïć÷ÿćíćøèąđóČęĂÖćøúéðŦÝÝĆ÷đÿĊę÷ÜĒúąóĆçîćÿč×õćüąđéĘÖĒúąđ÷ćüßî
tion of health for children and youths. The 9 accomplishments in 2008 were as follows.
 ìĊęÿÿÿøŠüöóĆçîćĒúąñúĆÖéĆîĔĀšđÖĉé×ċĚîĔîðŘÜïðøąöćèóýģĦĦġģĦĦĢ

3
1
5IF

2
DBCJOFUSFTPMWFE
5IF PO0DUPCFS  
(PWFSONFOU UPDIFDLSFMFWBOU
5IF TZTUFNTUPHVBSBOUFF
1VCMJD3FMBUJPOT 0GųDFPGUIF#BTJD
%FQBSUNFOUJTTVFEBO ijUIFTBGFUZPGĴ
&EVDBUJPO$PNNJTTJPO DIJMESFOĴT
BOOPVODFNFOUEBUFE 0#&$
JTTVFEBMFUUFSPO
'FCSVBSZ  UPDPOUSPM UPZT
.BZ  UPBTLUIF
UIFSBEJPBOEUFMFWJTJPO NBOBHFNFOUPGFEVDBUJPOBM
DPNNFSDJBMTUIBUBGGFDU
4
[POFTOBUJPOXJEFUPTVQQPSU
DIJMESFOBOE DBNQBJHOTGPSTDIPPMTUPTUPQ
ZPVUIT TFMMJOHTPEBT DSJTQZTOBDLT 5IF
BOETVHBSSJDI .JOJTUSZPG
GPPET &EVDBUJPOBOEUIF
/BUJPOBM)FBMUI'PVOEBUJPO
/)'
XJUIUIFTQPOTPSTIJQPG
5IBJ)FBMUITFBMFEBO
BHSFFNFOUPO/PWFNCFS 
 UPKPJOUMZ
QSPNPUFWJPMFODFGSFF
TDIPPMT

5
5IBJ)FBMUI
TQPOTPSFEOBUJPOBM
ZPVUITQPSUTFWFOUTUP
9
SFEVDFUIFJOŴVFODFT
PGMJRVPSBOE
UPCBDDP
7 3BUJOH57
BEWFSUJTFNFOUT 5IBJ)FBMUI
BOEVOJWFSTJUJFT
TJHOFEBOBHSFFNFOU
UPDPNNJUUIFN
UPIFBMUI
5IF QSPNPUJPO
DBCJOFU
"MM
8
SFTPMWFEPO+BOVBSZ
  UPJOUSPEVDF FEVDBUJPOBM
JOTUJUVUFTTUBSUFE
6
SFHVMBUJPOTPO
DIJMESFOBOE UPBQQMZUFTUTBOE
ZPVUIT DSJUFSJBPOQIZTJDBM
ųUOFTT

Executive Summary 17
18 Annual Report 2008

Performances
in Fund Management

Executive Summary 19
Performances
in Fund Management

Overall Budgetary Spending


In the 2008 fiscal year, ThaiHealth spent 2,915 million baht in 2 parts as follows.

• Sponsorships for health promotion projects amounted to 2,759 million
baht.

• Spending on office operations amounted to 156 million baht or 5.65% of


project sponsorships. The percentage of the spending on office operations decreased
from 6.39% of project sponsorships in the 2007 fiscal year.
2,759
2,035

Project sponsorships
Spending on office operations

5.9% 5.3%
130 156

2007 2008

20 Annual Report 2008


The Allocation of Sponsorships for
Health Promotion Projects
• Allocation by Plans In the 2008 fiscal
year, funds were disbursed for new and Others
Supporting systems 1.74% Cigarettes,
ongoing projects.When the disbursement 8.81% alcohol, acci-
i s c a t e g o r i z e d b y p l a n s , t h e l i o n ’s dents, exercises
Service
share of budgets, or 859 million baht, went systems 31.13%
to plans related to the prevention of primary 7.79%
risk factors. They dealt with tobacco General
control, drinking control, road safety, accident projects
prevention, and campaigns for exercises 6.20%
a n d s p o r t s t o p ro m o t e h e a l t h . T h e
disbursement on other plans in descending
Social
order of amounts of money went to social marketing
marketing plans (405 million baht), 14.68%
plans to reduce other health risk factors
(380 million baht),plans to develop supportive Organizational
systems and mechanisms for health well-being
3.88% Risk factors
promotion (243 million baht), plans Learning 13.77%
Communities
to improve health through health service 6.05% 5.94%
systems (215 million baht), plans to support
general projects and innovations (171
million baht), plans to promote learning on
well-being (167 million baht), plans to Budgetary disbursement not only sponsored
develop well-being in localities and projects to reduce primary risk factors but also
communities (164 million baht), and plans to supported other areas of work. The six other
develop organizational well-being (107 areas of work that won the most of the remaining
million baht). budgets were projects to improve overall well-be-
ing (619 million baht), control of the consumption
of alcoholic drinks (326 million baht), academic
support (295 million baht), campaigns to reduce
619

accidents and promote safety (214 million baht),


campaigns for exercises (162 million baht), and
the reduction of food consumption risks (158
million baht).
Amount : million baht
326

295
214

158
162
160

143
117
72

65

41

36
34

19

Tobacco Alcohol Accidents Exercises Overall Food Sex Mental Consumer Addictive Health Environment Policy Academic Evaluation
consumption well- consumption health protection substances media development support
being

Performances in Fund Management 21


• Allocation by Areas The amounts of funds allocated to regions were close to one another. The
Central Plain received 642 million baht or 25.18%, the North 533 million baht or 20.90%, the
Northeast 524 million baht or 20.55%, Bangkok 454 million baht or 17.88%, and the South 395
million baht or 15.49%.

Amount : million baht


584

๒๕๑

533
524
525

456
425

401

406
395
298
2007 2008 2007 2008 2007 2008 2007 2008 2007 2008
The Central Plain The Northeast The North The South Bangkok

• Allocation by Areas of Activities In the 2008 fiscal year, the lion’s share of disbursed funds
went to activities in the areas of partners (937 million baht or 40.32%). The rest were allocated in
descending order of amounts to communities – temples and villages – (623 million baht or
26.81%), educational institutes/schools (407 million baht or 17.51%), clinics/hospitals (161 million
baht or 6.93%), mass media (126 million baht or 5.42%), and enterprises (70 million baht or
3.01%).

Amount : million baht


937
754
632
481
407
355

161
160

126
82
81
70

2007 2008 2007 2008 2007 2008 2007 2008 2007 2008 2007 2008
Educational Clinics/ Enterprises Communities Mass media Partners
institutes/ hospitals (temples and
schools villages)

22 Annual Report 2008


• Allocation by the Nature of Organizations ThaiHealth allocated budgets to organizations and
agencies to support their health promotion projects. In the 2008 fiscal year, most of its funds
went to foundations including religious places (994 million baht). The rest were allocated to gov-
ernment agencies including local administration organizations as well as communities’ and
people’s organizations (566 million baht), educational institutes (547 million baht), private agencies
(356 million baht), groups of people (237 million baht), professional organizations (171 million
baht), associations (163 million baht), and individuals (156 million baht).

Professional organizations 5.36%


(171 million baht)
Associations 5.11%
(163 million baht)

Foundations 31.16% Groups of people 7.43%


(237 million baht)
(994 million baht)

Individuals 4.89%
(156 million baht)

Educational institutes 15-17%


(547 million baht)

Government agencies 17.74%


(566 million baht)
Private agencies 11.16%
(356 million baht)

Performances in Fund Management 23


Performances
towords the 6 Goals
The objectives of the foundation of ThaiHealth according
to the Thai Health Promotion Foundation Act of 2001 have
been translated into the 6 goals of operations. The goals
that guide the operations of ThaiHealth are:
1. to reduce primary risk factors;
2. to develop necessary mechanisms to reduce secondary
risk factors;
3. to develop processes, prototypes and mechanisms to
improve the overall well-being of organizations, locali-
ties and groups of young people
4. to increase innovations and opportunities for innova-
tions related to the promotion of well-being
5. to create the culture of sustainable well-being develop-
ment in Thai society
6. to increase the capabilities of health systems and well-
being service systems by developing knowledge, the
capabilities of personnel, and necessary infrastructures.

Operations in the 2008 fiscal year (October 2007-Septem-


ber 2008) will be presented in accordance with the 6 goals.

All operational outcomes result from the “Movement


to Create Happiness” style of work of ThaiHealth. In other
words, ThaiHealth acts as a catalyst that encourages
groups, organizations and agencies in society to show their
potential and combine their various expertise to help one
another in a way that leads to all forms of initiatives and op-
erations to improve the health of people of all sexes and ages
throughout Thailand.

Goal No. 1 :
To Reduce Primary Risk Factors
ThaiHealth uses resources intensively to reduce the 4 primary risk factors :
smoking, drinking, traffic accidents and lack of exercises.

Overview
Operations towards the goal no. 1 to reduce • Service systems were deveoped to sup-
primary risk factors in 2008 brought about the port attempts to quit smoking and drinking.
following important developments. Counselinghotlin sand the rehabilitation facili
• ThaiHealth took part in realizing policies, ties of the government sector, the private
laws and measures to promote health at sector and communities were improved to
the national level, which concern the reduc treat people nationwide.
tion of primary risk factors. A total of19 such • The networks of partners that help re
policies, laws and measures won approval duce the 4 primary risks expanded. They
from the legislature and relevant agencies also had their capabilities improved so must
and took effect in the 2008 fiscal year (Octo that they were also able to continuously watch
ber 2007-September 2008). for possible risks and lead health promotion.
• Knowledge was broadened to support • ThaiHealth campaigned to build public
the control of the 4 primary risk factors. demands and social values for the reduc
The development of the knowledge resulted tion of the 4 primary risk factors. The
from improved researches, the creation of campaigns were launched through all kinds
the databases and the information exchange of media through out the year
systems that meet academic needs, the
formulation of strategies, planning, and the
management of knowledge of primary risk
factors at national, regional and global levels
to support the development of public policies
and operations that lead to the effective
eduction of the 4 primary risk factors.

26 Annual Report 2008


19 New Policies in the 2008 Fiscal Year
1. The 13th Announcement of the Ministry 7. The 222/2551 Resolution of the 10/2551
of Public Health of 2007 (according to the Meeting of the Sangha Supreme Council
Tobacco Product Control Act of 1992) on Cri declares temples off limits to alcohol con-
teria, Methods and Conditions for the Presen sumption and sale according to the Act to
tation of Labels, Pictures and Warnings Control the Consumption of Alcoholic Drinks
against the Dangers of Cigars requires five of 2008.
4-color pictures to be shown on labels to 8. The cabinet resolution reached on July 8,
gether with warnings against the dangers of 2008, declares the Khao Phansa Day (the
cigars in the ratio of 1 picture to 50 cigar packs. first day of the Buddhist Lent) the National
2. The Announcement of the Ministry of Public Non-Drinking Day.
Health of 2007 (according to the Tobacco 9. The Department of Local Administration
ProductControl Act of 1992) on Criteria, Meth- issued a policy for nationwide local adminis-
ods and Conditions for the Presentation of tration organizations to campaign against
Labels, Pictures and Warnings against the alcoholic drinks during the Buddhist Lent in
Dangers of Tobacco requires 2 black-and- 2008.
white pictures to be shown on labels together 10. The 8th Land Traffic Act of 2008 prohibits
with warnings against the dangers of tobacco drivers from using mobile phones unless they
in the ratio of 1 picture to 500 tobacco packs. use mobile phone accessories.
3. The Announcement of the Ministry of Public 11. The Land Traffic Act imposes harsher punish-
Health of 2007 (according to the Act to Pro- ment against drunk drivers.
tect the Health of Non-smokers of 1992) on 12. The rights of passengers of public vehicles
the Conditions and Aspects of Smoke-free were announced.
Zones requires the presentation of smoke- 13. The Disaster Prevention and Mitigation Act
free zone signs as specified by the Ministry of of 2007
Public Health and the absence of smoking 14. Polices to promote exercises for health were
and any equipment or facilities for smoking. announced in 30 provinces in conjunction
4. The 14th Announcement of the Ministry of with the Ministry of Tourism and Sports.
Public Health of 2007 (according to the To- 15. Local administration organizations and the
bacco Product Control Act of 1992) on Crite- Department of Local Administration an-
ria, Methods and Conditions for the Presen nounced policies to promote exercises for
tation of Pictures and Information on Dan- health at the local level.
gers, Dates and Places of Manufacturing, 16. The Bangkok Metropolitan Administration
and Availability only in the Kingdom of Thai announced policies to promote exercises for
land requires such pictures and information health in public parks and communities.
on the labels of cigarettes and cigars. 17. Policies to promote exercises for health were
5. The 18th Announcement of the Ministry of announced in conjunction with 17 sports
Public Health of 2007 (according to the Act associations under the Sports Authority of
to Protect the Health of Non-smokers of Thailand.
1992) on the Names and Types of Public 18. All educational institutes have and apply tests
Places requires “all the places where foods, and standards of physical fitness.
beverages, and foods and beverages are 19. ThaiHealth supported the policies of the
sold and all party venues” to be smoke-free government to reduce the influences of alco-
zones (including entertainment venues). hol and cigarette advertisements by spon-
6. The Act to Control the Consumption of Alco- soring national sports activities in place of
holic Drinks of 2008. such advertisements.

Performances towards the 6 Goals 27


Public parks were among the places covered by

1.1
the Act to Control the Consumption of Alcoholic
Drinks of 2008’s ban on the sale and consumption
of alcoholic drinks imposed last year.

Tobacco Control
Important achievements that resulted • The Announcement of the Ministry of


from collaboration between ThaiHealth
and tobacco control partners in the


Public Health of 2007 (by virtue of the
Tobacco Product Control Act of 1992) on
Criteria, Methods and Conditions for the
2008 fiscal year are as follows : Presentation of Labels, Pictures and Warn
ings against the Dangers of Tobacco
requires 2 black-and-white pictures to be
The Development of Public Policies

shown on labels together with warnings
against the dangers of tobacco in the ratio
• Support for 2 Ministerial Regulations to of 1 picture to 500 tobacco packs. The
Expand Smoke-free Zones ThaiHealth m i n i s t e r i a l re g u l a t i o n t o o k e ff e c t o n
assisted the secretariat of the National December 19, 2007, and the products that
Tobacco Control Commission under the comply with the regulation have been
Department of Disease Control, the Ministry marketed since early 2008.
of Public Health, in improving laws and • The 18th Announcement of the Ministry
policies.That assistance led to the amendment and of Public Health of 2007 (by virtue of the
enforcement of these 2 improved ministerial Act to Protect the Health of Non-smok-
regulations : ers of 1992) on the Names and Types of
Public Places requires “all the places where

28 Annual Report 2008


Table 1 Progress in the development of the public policies to promote health
 XJUIUPCBDDPDPOTVNQUJPODPOUSPMJOUIFųTDBMZFBSUIBU5IBJ)FBMUI
 KPJOUMZTVQQPSUFE
Pending consideration Approved Enforcement
International level

Support for Thailand to act as the world’s leader in observing


the Framework Convention on Tobacco Control of the World
)FBMUI0SHBOJ[BUJPO as an international law to control the trade
BOEDPOTVNQUJPOPGUPCBDDPDPOUJOVPVTMZGSPNJUTSBUJųDBUJPO
in 2004 until the present
Regional level

The Southeast Asia Tobacco Control Alliance (SEATCA)


coordinated the development of public policies to control
tobacco in Southeast Asia and -VBOH1ISBCBOH$JUZPGUIF-BP
People’s Democratic Republic became a smoke-free world
heritage site in 2008

Tax improvement : Tobacco product control : The government sector :


The improvement of the The Announcement of the Support for law enforce-
Tobacco Act of 1966 .JOJTUSZPG1VCMJD)FBMUIPG NFOUCZDPODFSOFE
2007 agencies.
National level

)FBMUIQSPUFDUJPOGPS The civil sector : The


non-smokers : establishment of a
The 18th Announcement of center to receive
UIF.JOJTUSZPG1VCMJD DPNQMBJOUTBOETVQQMZ
)FBMUIPG information on the laws
that control the
consumption of tobacco
and alcoholic drinks.

Table 2 Thailand’s tobacco control laws that took effect in 2008


The names of the laws Commencement dates Major progress
The Announcement of December 19, 2007 The pictures and warnings on cigarette packs
the Ministry of Public Health were improved to better communicate the
of 2007 health hazards of cigarettes.

The 18th Announcement of February 11, 2007 “Smoke-free zones in public places” were
the Ministry of Public Health expanded to cover the places where foods
of 2007 and beverages are sold, party venues,
entertainment venues and many other kinds
of public places.

Performances towards the 6 Goals 29


foods, beverages, and foods and beverages • Support for Thailand to Act as the World’s
are sold and all party venues” (including Leader in Observing the Framework
entertainment venues) to be smoke-free Convention on Tobacco Control of the
zones.The regulation took effect on February World Health Organization as an Interna-
11, 2008. tional Law to Control Tobacco continu-
ously. In 2008, ThaiHealth started a process
• Campaigns for the Public to Watch to arrange for the Tobacco Control Research
for Legal Violations and Knowledge Management Center (TRC)
• ThaiHealth supported the Ministry of of Mahidol University to act as the WHO
Public Health’s establishment of the center Collaborating Center for Tobacco Control
to receive complaints and supply (WHO-CCTC). The process was set to take
information on the laws that control 2 years.
the consumption of tobacco and
alcoholic drinks to the public around the • Support for the Introduction of Policies
clock by phone and the Internet. It serves and Laws to Control Tobacco in South-
over 15,000 calls per month. east Asia. ThaiHealth and the Rockefeller
• ThaiHealth supported the non-governmen- Foundation support the Southeast Asia
tal organization namely the Action on Tobacco Control Alliance (SEATCA) in act
Smoking and Health Foundation to in ing as a coordination center to push for the
implementing a project to watch for development of policies, laws and knowledge
legal violations by cigarette companies. related to tobacco control in the region,
Under the project, training sessions were especially in the neighboring countries of
organized and media materials were produced Thailand. Law development made significant
to update partners and the general public on progress and resulted in the prototype smoke-
illegal actions. free tourist destination of Luang Phrabang
city in Lao People’s Democratic Republic,
which won praise from the World Health
Organization in August 2008.

Cigarette packs were marketed with warning pictures


and messages in 2008.

30 Annual Report 2008


One of some 2,400 drug stores in Thailand
that joined the “100% smoke-free drug
store” project to encourage people in local
communities to quit smoking.

The Development of Knowledge


• Support for Researches to Develop • a b a n o n t h e i m p o r t o f e l e c t ro n i c
Policies ThaiHealth supported academic cigarettes;
agencies including the Tobacco Control • researches on the situation and tendency
Research and Knowledge Management of the consumption of roll-ups; and
Center (TRC) and various academic institutes • the situations, behaviors and tendency of
in doing researches to improve tobacco smoking in children, youths and women.
control. In the meantime, it worked with
agencies to develop and apply the knowledge • The Development of Curricula ThaiHealth
of tobacco control to swiftly cope with new campaigned for the following curricula
issues. In the past year, improved knowledge • the smoke-free school curricula that were
resulted in the following important awareness tested at 11 schools and were published
and measures: into handbooks distributed to schools
• awareness about the impacts of smoking nationwide; and
in entertainment venues; • tobacco control curricula for students
• the tax measures that support tobacco at colleges of public health.
control
• instructions to quit smoking and the intro- The Development of Networks
duction of a nationwide quit-smoking hotline
• a ban on the production, import and sale ThaiHealth continued to sponsor existing
of flavored cigarettes networks of health professionals, supported the
• free-trade agreements and tobacco formation of new networks to control tobacco,
products and encouraged them to cooperate.
• campaigns for tobacco control policies
in localities and communities

Performances towards the 6 Goals 31


Figure 2.3.1 The tobacco control networks that ThaiHealth
sponsored and their important achievements in 2008
The network of doctors Deans and deputy deans of medical
schools from 17 institutes developed the curriculum on
“Tobacco Consumption Control” and proposed it to the 8th
National Medical Education Forum in 2008.

The network of dentists “The Quit-Smoking Dental Clinic Network”


expanded to 600 private clinics.

The network of nurses The network of nurse students who


control tobacco was developed in 65 nursing schools and
280 nurses were trained to play leading roles in
tobacco control.
The network of pharmacists The operators
of 2,398 drug stores joined the “100%
smoke-free drug store” project to
promote tobacco control in communities.
The network of therapists The network and
its database were created for interested
therapists to join and exchange their
experiences in tobacco control.

The network of teachers The network of


teachers who campaign against smoking was
expanded. It has 320 members whose capabilities
were developed with training on how to help
students quit smoking and make them non-smoking
campaigners.

The network of non-smoking artists Activities with


children and youths expanded to cover both
urban and rural areas.
The network of regional
campaigners The
prototype non-smoking
campaign that was
conducted successfully
in clinics was introduced
to hospitals and nursing
schools nationwide.

32 Annual Report 2008


1

1 Measures to protect youths by refraining from selling


cigarettes and liquor to minors were intensified and
instituted with wider coverage.
2 Smoke-free zones were instituted by law at restaurants
and shops in communities nationwide and both cigarette
sales and smoking are prohibited there.

3 ThaiHealth sponsored a wide range of activities to prevent


youths from trying smoking.


3

Performances towards the 6 Goals 33


Services Accessible to the Public Fostering Values and Campaigning for
the Public
ThaiHealth sponsored the establishment
of the Thailand National Quitline to assist ThaiHealth supported all kinds of communi-
people who want to quit smoking with easy cations to inform the public of the wider cover-
access to advice. age of smoke-free zones according to a relevant
announcement of the Ministry of Public Health. It
also continuously campaigned for family members
to be aware of the impacts of cigarette smoke
in their houses and to help counter smoking in
houses and public places to bring an end to
smoking.

Figure 2.3.2 The places that ThaiHealth promoted as smoke-free zones in 2008

Drug
Store

VETERINARY Toilet

Shopping

CLINIC
Massage & Spa
LIB
RA
RY

“Smoke-free zones” according to the Announcement of the Ministry of Public Health of 2008
expanded to many public places namely entertainment venues, government agencies, temples,
zoos, railway stations, bus stops, public phone booths, toilets, movie theaters, libraries, meeting
rooms, drug stores, human and animal clinics, massage parlors, spas, fitness clubs, amphitheaters,
playgrounds, day care centers for young children, schools, museums, department stores, barber-
shops and computer shops.

The evaluation report by Dr. Kitti Kanphai, a lecturer of the Faculty of Communica-
tion Arts at Chulalongkorn University, and others in 2008 stated that 88.1% of people had
knowledge about second hand cigarette smoke and, of the people, 88.9% and 86.9% were
ready to quit smoking in public places and houses respectively.

34 Annual Report 2008


Figure 2.3.3 The prototype smoke-free places that
ThaiHealth took part in promoting in 2008

In the past year, ThaiHealth took part


in various forms of campaigns for
“prototype smoke-free places” to Sm
oke
support the enforcement of non-smokers’ pol -free
health protection laws that imposed sta ice
tion
smoke-free zones in public places. s
5IBUCFOFųUFEUIFIFBMUIPG
smokers and the general public and ple
s
provided the foundation for the et
em
expansion of smoke-free zones Smoke-free ke-fre
otel mo
in society. hospitals
e-fre
eh S
Smok

S
en mok
ter e-f
rke e

pri ree
ma e-fre

ses
ts
ok
Sm

Smoke-free temples
expanded nationwide in parallel with campaigns for “liquor-free temples”.

Smoke-free markets
were introduced at 7 crowded markets in Bangkok and Chiang Mai.

Smoke-free police stations


were supported by the Royal Thai Police that agrees to make police stations
nationwide smoke-free zones.
Smoke-free enterprises were a campaign of the Association for the Development
of Environmental Quality that urged entrepreneurs to make their premises
smoke-free zones.
Smoke-free hospitals were promoted by the Action on Smoking and Health
Foundation that produced and distributed guidelines, compiled from successful
smoke-free campaigns at 5 prototype hospitals, to hospitals nationwide.

Smoke-free hotels were promoted by the Thai Hotels Association that wanted
300 hotels in Thailand to be smoke-free.

Performances towards the 6 Goals 35


1.2
Over 2,500 Buddhist temples in Thailand
comply with the 10/2551 resolution of the Sangha
Supreme Council that declares temples as “areas
free of consuming and selling alcoholic drinks” so
that temples are the peaceful places that truly
promote Buddhism.

Alcoholic Drink
Contorl

Important achievements that resulted from collabora-
The attempt was successful in 2008 when
tion between ThaiHealth and its alcohol control part-
Thailand passed the first law to this effect. It
ners in the 2008 fiscal year are as follows.
is the Alcoholic Drink Control Act of 2008.
• Support for the Enforcement of the Alco-
holic Drink Control Act.As Thailand has its
new law to control alcoholic drinks, Thai
Health encouraged all concerned parties to
The Development of Public Policies acknowledge, comply with and enforce the
law.
• Support for Thailand’s First Law to Con- • The Government Introduced the “Na-
trol Alcoholic Drinks. Since 2006, Thai tional Liquor-free Day”. Since 2003, Thai
Health has been the organization that has Health has sponsored campaigns for the
called for a law to control the consumption of public to refrain from alcoholic drinks
and reduce the impacts of alcoholic drinks. during the Buddhist Lent One continuous

36 Annual Report 2008


Table 3 Progress in the development of public policies to control the consumption
of alcoholic drinks in 2008, which ThaiHealth took part in promoting
Pending consideration Approved Enforcement
The development of tax measures : Ļ The Act to Control the The government sector :
Amendment to the Liquor Act of Consumption of Alcoholic Concerned agencies were
1950 Drinks of 2008 encouraged to enforce
Ļ The 10/2551 resolution of the the law.
Sangha Supreme Council
National level

Ļ The cabinet resolution on The civil sector : A center


July 8, 2008 was established to receive
Ļ Policies of the Department complaints, supply
of Local Administration information on the laws
that control the
consumption of tobacco
and alcoholic drinks, and
publicize new laws.

campaign was for peple’s organizations to


call on the government to declare the first
day of the Buddhist Lent the National Liquor-
free Day. The request was successful last year
as the cabinet resolved on July 8, 2008, to
intro duce the National Liquor-free Day on the
first day of the Buddhist Lent.
Public parks were among the places covered by the Act to
Control the Consumption of Alcoholic Drinks of 2008’s ban
• Support for Tax Measures to Control the on the sale and consumption of alcoholic drinks imposed
Consumption of Alcoholic Drinks.Thai last year.
Health supported amendment to the Liquor
Act of 1950 to impose the tax measures that
promote public health and generate more
income for the state. In 2008, the draft
measures won approval from thecabinet
and were proposed to the parliament.

Performances towards the 6 Goals 37


Table 4 The laws that control alcoholic drinks in Thailand and took effect in 2008
The names of the laws Commencement date Major progress
The Act to Control the February 14, 2008 Ļ The minimum age of alcohol drinkers
Consumption of Alcoholic and buyers was increased to 20 to
Drinks of 2008 protect minors.
Ļ 5IBJMBOE GPSUIFųSTUUJNF BOOPVODFE
areas free of alcohol sale and consumption
to reduce the impacts of alcohol
consumption.
Ļ Alcohol consumption control committees
were formed at the provincial level to
effectively enforce measures to control
the consumption and the impacts in
respective provinces and adjust the
measures to suit provincial contexts.

The 222/2551 Resolution of The resolution was Buddhist temples were declared the “zones
the 10/2551 Meeting of the reached on April 21, free of liquor consumption and sale”.
Sangha Supreme Council 2008.

The cabinet resolution 5IFųSTUEBZPGUIF 5IFųSTUEBZPGUIF#VEEIJTU-FOUFWFSZZFBS


on July 8, 2008 #VEEIJTU-FOUJO is the Ķ/BUJPOBM-JRVPSGSFF%BZķ.

A policy of the Department 5IF#VEEIJTU-FOUJO The department issued the policy to urge all
PG-PDBM"ENJOJTUSBUJPO 2008 local administration organizations to
campaign against alcohol consumption
EVSJOHUIF#VEEIJTU-FOU



Support for Local Administration Or-
ganizations in Developing and Imposing
The Development of Knowledge
Measures to Control Alcoholic Drinks at ThaiHealth supported the development of
the Local Level They include the municipal knowledge about alcohol control to improve
 laws and the policies that affect local people. policies, academic networks, campaigns and the
Such measures were piloted in 2 municipali- dissemination of information about situations and
ties and areas under the jurisdiction of 8 Tam updates to the public. The support happened
bon administration organizations. The De in 3 main forms: researches, national academic
partment of Local Administration also issued conferences and regular meetings where Thai
a policy to urge all local administration orga academics could exchange information with
nizations to campaign against alcohol foreign counterparts in the past year.
consumption during the Buddhist Lent in
2008.

38 Annual Report 2008


Figure 2.3.4 The process of developing knowledge leading to alcohol control
that ThaiHealth sponsored in 2008
ThaiHealth supported academic agencies including
the Center for Alcohol Studies (CAS) and various
academic institutes in doing the researches that
were free of any interests to gather the information
UIBUCFOFųUFEBMDPIPMDPOUSPMXIJMFEFWFMPQJOH
cooperation with parties to promote the develop Launching researches
ment and application of knowledge about tobacco
control to swiftly cope with changing situations.
to develop policies

Sponsoring national
Since 2006, ThaiHealth has sponsored the annual academic conferences
National Alcohol Conference which creates oppor
tunities to present and exchange new information
to stimulate and support the processes of develop
ing knowledge about the alcohol control that is Supporting knowledge
swift and matches the context of Thailand. The
2008 conference titled “Stop the Liquor Crisis
exchange between
XJUI-BXTķTBXBCPVU QBSUJDJQBOUTa Thailand and
other countries

In the past year, ThaiHealth continuously sponsored


academic conferences and activities related to
alcohol control in regional and international levels
to improve knowledge together with international
parties.

&GųDJFOU The public


policies are educated
Strong &GųDJFOU and updated.
academic campaigns
networks

Performances towards the 6 Goals 39


Figure 2.3.5 The local and international networks that cooperated with ThaiHealth
to control the consumption of alcohol in 2008

Thailand
ThaiHealth supported its alcohol control partners in expanding their networks and participating in all aspects
of alcohol control covering the development of policies, laws, measures, knowledge and social campaigns.
In 2008, ThaiHealth cooperated with 264 organizations. Besides, it supported its partners in developing
UIFJSLOPXMFEHFBOEQSBDUJDBMTLJMMTTPUIBUUIFZCFDPNFJNQPSUBOUGPSDFTUPFOIBODFJEFBTBOEPQFSBUJPOT
to promote the health of people throughout Thailand.

International network
In 2002, ThaiHealth joined UIF(MPCBM"MDPIPM1PMJDZ"MMJBODF ("1"
and it has been cooperating with the
network since then.

"TJB1BDJųDOFUXPSLGPSBMDPIPMDPOUSPM
ThaiHealth supported the establishment of UIF"TJB1BDJųD"MDPIPM1PMJDZ"MMJBODF. Thailand acts
as the coordination center for the member states of the regional network.

ThaiHealth supported a DPOGFSFODFPG4PVUIFBTU"TJBOZPVUIMFBEFSTon international campaigns


against liquor and narcotics. Youth leaders from 9 nations attended the meeting.

40 Annual Report 2008


Figure 2.3.6 Local partners that cooperated with ThaiHealth
on alcohol consumption control in 2008

k
wor
th net
A you

An
In the past year, alcohol control a
ne lcoh
activities that resulted from tw ol-
ork fre A network of
communities
e
collaboration between Non
-viole
nce
netw
ThaiHealth and its partners orks

happened nationwide.
The followings
are examples.
f
ko
v es
or

Ar
etw

cu t i

elig
en

exe

iou
y
Th

rsit
unive

sn
etw
An alcohol-free network

ork
ThaiHealth together with people in provinces
organized campaigns against liquor throughout
the year and monitored the observance of
the Alcoholic Drink Control Act of 2008.

A youth network
ThaiHealth took part in developing policies and campaigned for the observance of the laws
that protect the youth from alcoholic drinks.

Non-violence networks
The Friends of Women Foundation and a network to quit drinking and stop violence that
consists of 12 communities from all regions organized campaigns to raise the awareness of
liquor as the cause of domestic and social violence.

The network of university executives


Deputy rectors f or students’ affairs from 82 universities surveyed the sources of alcoholic
drinks in the vicinities of their universities.

A religious network
The network of liquor-free temples emerged and consisted of 2,564 temples in Nakhon
Ratchasima, Surin, Nong Khai and Bangkok. ThaiHealth also joined campaigns all year long.
For example, it launched a campaign on “Liquor-free Kathin” (liquor-free ceremonies to give
robes to monks) in which it asked the organizers and the participants of the ceremonies not
to drink in the activities.

A network of communities
ThaiHealth and the Bank for Agriculture and Agricultural Cooperatives (BAAC) campaigned
for people to stop drinking and save. The campaigns done through over 30,000 BAAC staff
and customers resulted in villages proceeding with campaigns against alcoholic drinks nationwide.

Performances towards the 6 Goals 41


Young people are among the partners who participated in campaigns for national policies and measures to strictly control alcoholic drinks.

Services Accessible to the Public


• Alcohol Help Line ThaiHealth supported the
operations of the Alcohol Help Line. In the
past year, the hotline served 1,944 people,
of whom 798 were drinkers, 1,139 were
affected people and the rest sought information
including that about centers for alcoholism
rehabilitation.
1

1 The 4th National Alcohol Conference was the important


annual forum where academics and health promotion activists
exchanged information, reports on situations and new
knowledge.
2 “Liquor-free Gift Baskets” is one of the projects that
ThaiHealth and partners have been campaigning for.
Since its launch in 2006, the campaign has increasingly
received a warm welcome from society. A survey during
the 2008 New Year festival found that 51% of gift baskets
in markets were liquor-free.
2

42 Annual Report 2008


Annual traditional activities nationwide receive sponsorships
from ThaiHealth that intends to see them as the opportunities
of joyful activities and the conservation of local traditions be-
ing done constructively without any addictive substances.

• Call Centers to Receive Complaints for supporting law enforcement. In the past year,
the Sake of Law Enforcement ThaiHealth 240 people contacted the call centers to
supported the operations of 13 call centers in inquire about relevant laws and 132 filed
receiving complaints for the sake of law en complaints about legal violations. Actions
forcement to control the consumption of have been taken on 60% of the complaints.
tobacco and alcoholic drinks. The call centers
in Bangkok and other provinces are aimed
at allowing the public to take part in

Figure 2.3.7 The festivals that included social campaigns for the reduction
in alcohol consumption according to the concept of “Cultures Can
Bring About Pleasure without Alcohol”, which ThaiHealth sponsored
in 2008

Ma
June
Hazing ceremonies

k Krathong Ŵ
L oy o
y

ha

at
Da

sit
tran ion
fes
Puc
e’s

ar
tival
h
Valentin

a Day

Ye

Febuary
New

March November

December
Songkra

Kathin robe-
er

April
tob

January
Ne

Ye
w

Oc

ar ,
fest Day
n fe

ival , Children’s
giving
st

ber
iva
l

Septem
ceremonies

May s
July August
m onie Buddhist Lent Mother’s Day
cer e
g
Hazin

Performances towards the 6 Goals 43


3
1

1 ThaiHealth supports Thai people in organizing


traditional activities without alcoholic drinks in
line with Buddhism.

2 - 4 Campaign messages raise the public awareness
of impacts and persuade people to reduce and
even stop the consumption of alcoholic drinks.
Such messages are broadcast in communities
nationwide to create the value of health promotion 4
in general. Fostering Values and Campaigning for
the Public

Fostering Values and Campaigning for campaigns created significant changes in


the Public values such as the alcohol-free Buddhist Lent,
the alcohol-free Songkran festival, the liquor-free
T h a i H e a l t h l a u n c h e d a n d s p o n s o re d New Year festival and liquor-free gift baskets.
campaigns through all kinds of media to reach
the general public and target groups of people There were also campaigns for the reduction
on all occasions, especially during important or the end of alcohol consumption to improve
festivals and traditional activities to raise the health and save money as well as communications
public awareness of the merits of reducing and and campaigns for the public to acknowledge
stopping the consumption of alcoholic drinks and comply with the Alcoholic Drink Control Act
under the concept of “Cultures Can Bring of 2008.
About Pleasure without Alcohol”. The

Dr. Kitti Kanphai et al concluded that in the past year as many as 86.3-90.0% of people
received and understood reports about the control of alcoholic drinks (campaigns against
drunk drivers, sleepy drivers and the drivers who use phones). Of those surveyed, 84.5%
agreed to and were ready to change their driving behaviors to ensure safety and abide by
laws.

44 Annual Report 2008


Efforts of ThaiHealth and its road safety partners that
have continued for more than 5 whole years were

1.3
successful when Thailand imposed the new law on De-
cember 30, 2007, which intensifies punishment in both
criminal and civil aspects on drunk drivers.

The

Prevention
of Road Accidents
Important achievements that resulted accidents. The attempt was successful to one
extent as on December 30, 2007, the
from collaboration between ThaiHealth amended (7th) Land Traffic Act of 2007 was im
and its road safety partners in the 2008 posed with harsher punishment in both
fiscal are as follows. criminal and civil aspects on drunk drivers.
• Support for a Complete Review of Traffic-
The Development of Public Policies related Laws ThaiHealth supported the
• Intensified Punishment of Drunk Drivers Ministry of Justice in reviewing all traffic
Since 2003, ThaiHealth has been an agency related laws for the effectiveness in the
that takes part in calling for harsher punish prevention and reduction of road accidents.
ment of the drivers who consume alcoholic
drinks because this is a major cause of road

Performances towards the 6 Goals 45


Table 5 Progress in the development of public policies for road safety

Pending consideration Approved Enforcement


3FWJFXPGBMMUSBGųDSFMBUFEMBXT Ļ Amendment to the (7th) Land Ļ JODSFBTFJO
 5SBGųD"DUPG  DIFDLQPJOUTJO
Ļ Addition to Section 43 of the provinces
 -BOE5SBGųD"DUPG Ļ The policy of “365
dangerous days :
reducing road
 BDDJEFOUTXJUIUSBGųD
disciplines”
Ļ Public relations on the
 BNFOEFEUSBGųDMBX
imposing harsher
punishment on drunk
drivers and drivers who
use mobile phones.

Table 6 The road safety laws that took effect in 2008


The names of the laws Commencement date Important progress
5IF UI
-BOE5SBGųD"DU December 30, 2007 Harsher criminal and civil punishment for
of 2007 drunk driving

4FDUJPOPGUIF-BOE5SBGųD May 5, 2008 Drivers are prohibited from using mobile


"DUPG phones unless they use an accessory that
facilitates conversation.

• enforcing traffic rules in taking enforcement


Support for the “Don’t Call and Drive” Law
seriously through the following projects.
In 2008, the Ministry of Transport included
Section 43 into the Land Traffic Act of • Deploying officers to enforce the laws
to reduce road accidents Checkpoints
2008 to prohibit drivers from using a mobile
phone unless they use an accessory that were increased by 30% for 1 year from
August 2008 in 10 pilot provinces namely
facilitates conversation. The ban took effect
Bangkok, Saraburi, Chon Buri, Nakhon
on May 8, 2008, and ThaiHealth’s partners
Ratchasima, Khon Kaen, Chiang Mai, Phit
took part in pushing for relevant policies and
raising the public awareness of the ban. sanulok, Suphan Buri, Nakhon Si Tham
marat and Songkhla.
• Support for the Enforcement of Traffic • The Royal Thai Police issued the policy of
Laws In the past year, ThaiHealth supported “365 dangerous days : reducing road
the Royal Thai Police which is a key agency accidents with traffic disciplines”.

46 Annual Report 2008


1

1 In the lead-up to important festive periods when there


would be a number of travelers, ThaiHealth sponsored in-
tensive campaigns on accident-prone locations nationwide.

2 For 5 years, ThaiHealth has supported integrated road


safety projects at the provincial level. In the past year,
the projects expanded to 69 provinces and proved to reduce
injuries, death and damages thanks to cooperation from all
parties at the provincial level.

• Support for Policies and Action Plans in


Provinces ThaiHealth supported, through
provincial road safety plans, integrated road
safety projects at the provincial level in 64 provinces.
This resulted in the road safety policies and
m e a s u re s t h a t m a t c h e d l o c a l c o n t e x t s
nationwide and consequently road accidents
declined.

Performances towards the 6 Goals 47


Figure 2.3.8 The elements and progress that resulted from the sponsorships
of ThaiHealth in relation to the development of knowledge to
 QSFWFOUSPBEBDDJEFOUTJOUIFųTDBMZFBS
Research
Research to develop policies and plans ThaiHealth supported academic agencies including
to develop the Road Safety Thai Center and academic institutes in doing independent researches to
policies and
plans develop knowledge to support the creation of road policies and plans. The knowledge
development was conducted through many channels such as researches, public forums,
academic conferences, and the translation of practical experiences into instructions. This
is aimed at the development, management and application of knowledge to launch the
road safety campaigns that respond swiftly to changing situations.

The
development of
The development of an information exchange system ThaiHealth, through the Road Safety
an information Thai Center, supported an information exchange system to prevent road accidents in parallel
exchange
system with the development of the personnel who manage the database to work out effective
solutions

Support for national and international academic conferences Since 2005, ThaiHealth has
Support for national supported Thai academics in attending national and international academic conferences
and international
academic conferences on accidents to allow them to present and exchange ideas that will lead to the develop-
ment of knowledge about accident prevention. Important conferences included the 8th
National Academic Conference on Accidents on “Safe Localities, Communities and Roads”
that was organized on October 10-12, 2007. The session that drew about 3,000 participants
saw the presentation of new situations, researches and recommendations on the prevention
BOETPMVUJPOPGUSBGųDBDDJEFOUTCBTFEPOUIFQBSUJDJQBUJPOPGMPDBMQFPQMF

The
development
of evaluation The development of evaluation tools ThaiHealth supported the King Prajadhipok’s Institute
tools in developing performance indicators to gather information for the integrated development
of road safety at the provincial level. The development is based on the 5Es1 strategy
that ThaiHealth has promoted as the guideline for accident prevention since 2003.

The development
The development of innovations ThaiHealth’s
of innovations support for the integrated road safety projects that
expanded to 69 provinces in 2007 resulted in road Research
to develop
The
development
safety innovations in 9 provinces and these policies and of an
information
plans
innovations can be applied in other areas. exchange
system

The
development
of evaluation
tools Support for national
and international
academic conferences
The development
of innovations

1 The 5Es strategy consists of (1) Enforcement;


(2) Engineering; (3) Education, public relations and
participation; (4) Emergency medical services;
(5) Evaluation and information exchange.

48 Annual Report 2008


The Development of Networks
ThaiHealth supported the creation of networks in the government and the private sectors to
take part in the prevention of road accidents. Road safety campaigns happened continuously in the
forms of policy and knowledge development and the promotion of the “safe driving” value throughout
2008.

Figure 2.3.9 The road safety networks that ThaiHealth sponsored and important
  BDIJFWFNFOUTJOUIFųTDBMZFBS

People’s
Academics’ networks
In the past year,
networks ThaiHealth continuously
supported groupings and
activities in the civil sector to
reduce road accidents.

Don’t Drive
People’s Drunk Foundation
networks It played important roles
in recommending legal
amendment for various
aspects of road safety and
campaigning for road safety
during important
festivals.

Groups of people affected Groups of


by road accidents people affected by
road accidents
( Moral Center)
They played an active roles in
Moral Center calling for better road safety
Academics’ laws and campaigning for road
networks safety during important
After urging provincial festivals.
authorities to implement
integrated road safety projects,
ThaiHealth encouraged about Accident
100 accident academics to form a Prevention
working group to give advice Network (APN)
to the provinces that The Sema Songserm Silatham
joined the moral center and the Mohanamai
projects. (doctors of government clinics)
association watched
out for accidents in dangerous
areas nationwide during
festive periods.

Performances towards the 6 Goals 49


1

1 A survey found that “Don’t Ride be-


hind Drunks” which was among the
road safety campaigns that ThaiHealth
sponsored and took part in developing
won acknowledgement and approval
from 87% of all respondents.

2 In the lead-up to important festive pe-


riods when there would be a number
of travelers, ThaiHealth sponsored in-
tensive campaigns on accident-prone 2
locations nationwide.

Services Accessible to the Public


• The Creation of Teams of “Tambon Rescue
Workers” ThaiHealth supported the Disaster Prevention
and Mitigation Academy in developing 530 “Tambon
Rescue Workers” for effective search and rescue missions
to help victims of disasters and accidents. In 2008, the
personnel development was piloted in 5 provinces. It will
later expand to other areas with support from the Tambon
health fund of the National Health Security Office that
cooperates with 2,806 local administration organizations
nationwide.

50 Annual Report 2008


Fostering Values and Campaigning for the Public
ThaiHealth supported the continuous use of local and nationwide media to raise the public
awareness for safety. Its sponsorships for the campaigns are as follows :

Figure 2.3.10 The campaigns that ThaiHealth sponsored for the reduction of road
 BDDJEFOUTJOUIFųTDBMZFBS

Collected EBZT
before in danger
rolling

Drunks
Don’t
%SJWF Jan Feb .BS April
Don’t

.BZ
ride
behind
drunks

June
+VMZ Beware
PG/FX:FBS
accidents
Aug

Sep
Oct
/PW Don’t
Call and
Dec %SJWF

Continuous campaigns 5ISPVHIPVU 5IBJ)FBMUIUPHFUIFSXJUIUIF3PBE4BGFUZ$FOUFSBOESFMFWBOU


BHFODJFTJODMVEJOHUIF%FQBSUNFOUPG%JTBTUFS1SFWFOUJPOBOE.JUJHBUJPO UIF3PZBM5IBJ1PMJDF UIF%FQBSUNFOU
of Land Transport and networks, launched campaigns through a wide range of media to raise the public awareness
PGTBGFESJWJOH5IFDBNQBJHOT GPSFYBNQMF BHBJOTUESVOLESJWFST QIPOJOHESJWFSTBOEGBTUESJWFSTXFSFFNQIBTJ[FE
JOUIFQSPWJODFTUIBUIBEJOUFHSBUFESPBETBGFUZQMBOT

$BNQBJHOTEVSJOHJNQPSUBOUGFTUJWFQFSJPET5IBJ)FBMUIUPHFUIFSXJUISPBETBGFUZBHFODJFTBOEOFUXPSLT
DBNQBJHOFEGPSUIFQVCMJDBXBSFOFTTPGSPBETBGFUZEVSJOHUIFGFTUJWFQFSJPETXIFOUIFSFXFSFBOVNCFSPG
USBWFMFSTBOESPBEBDDJEFOUSJTLTEVFUPBMDPIPMDPOTVNQUJPO TVDIBTEVSJOH/FX:FBSBOE4POHLSBO 5IBJ/FX
:FBS
GFTUJWBMT

Performances towards the 6 Goals 51


Road safety campaigns took place not only during festive seasons because ThaiHealth, the Royal Thai Police and partners campaigned for
road safety to happen nationwide every day.

ThaiHealth, through provincial road safety plans, has supported the integrated road safety projects
at the provincial level since early 2003. The projects expanded to 69 provinces and resulted in the
road safety policies and measures that match local contexts nationwide. Consequently the number of
road accidents noticeably dropped in 2008. ๙๓๗
70.60


60.14

Amount : per 100,000 people



15.90

13.54
13.12

12.20


2007 2008 2007 2008 2007 2008
Accidents Serious injury Deaths

52 Annual Report 2008


Students, and people in general, were the “traffic volunteers” who helped campaign for road safety actively in the past year. ThaiHealth
supports the projects that encourage public participation in the reduction of the primary risk factors.

A survey under the plan for road safety at the provincial level on the use of safety
gear in 69 provinces before and after the implementation of the plan found that:

• the number of the provinces where over 70% of motorcyclists wore crash helmets
increased from 10 provinces to 25 provinces; and
• the number of the provinces where over 70% of drivers and front seat passengers
fastened their safety belts rose from 5 provinces to 13 provinces.

Performances towards the 6 Goals 53


The exercise innovation that was increasingly
popular and was being promoted by ThaiHealth
was the “floating cage for swimmers”. This cheap
but effective swimming aid is expected to play an

1.4
important roles in protecting Thai children from
drowning, which is the top cause of deaths among
Thai children aged under 15.

Exercises


Important achievements that resulted • Support for Policies to Promote Exercises
from collaboration between ThaiHealth in Communities ThaiHealth encouraged
government agencies at the national level,
and exercise partners in the 2008 fiscal local administration organizations, academic
year are as follows. organizations and sports associations to be
its partners to promote exercises and sports
activities for good health. Consequently
The Development of Public Policies policies to promote exercises were launched
at the provincial level in 29 provinces and at
In the past year, ThaiHealth supported the the local level in areas under the jurisdiction of
development of the following public policies 57 local administration organizations.
that provided all Thai people with chances to
exercise.

54 Annual Report 2008


Figure 2.3.11 ThaiHealth’s support for developing the knowledge of exercises
 JOUIFųTDBMZFBS
The Development of Knowledge

Support for innovations


*OUIFQBTUZFBS 5IBJ)FBMUI
supported exercise-related
innovations that are useful and
TVJUEJGGFSFOUMJGFTUZMFT*UBMTP
developed instructions on the
useful exercises and disseminated
them to the general public.

Support
for innovations
Suppor
fo t
knowr lneew develTohe
dge of cur pment
ricula

Support for new knowledge and the


development of a database of exercises
5IBJ)FBMUITVQQPSUFESFTFBSDIFT TVSWFZT UIF
production of exercise instructions to promote The development of curricula
IFBMUIBNPOHUIFQVCMJD BOEUIFEFWFMPQNFOU 5IBJ)FBMUIDPOUJOVPVTMZTQPOTPSFE
of a database useful for the promotion of projects to develop the curricula for
exercises. The knowledge development included QIZTJDBMFEVDBUJPOJOUIFQBTUZFBS
UIFTVSWFZTPGXBMLXBZTBOECJDZDMFSPVUFTBOE
researches on the factors that can encourage Thai
people to exercise.

Performances towards the 6 Goals 55


ThaiHealth supported the innovations and promotion of new kinds of exercises for people of all ages and groups to choose.

The Development of Networks


• There were about 200 networks to promote health
oriented exercises nationwide. Their potential was
continuously enhanced so that they can play
important roles in promoting exercises.

Services Accessible to the Public


• In the past year, ThaiHealth together with local
administration organizations nationwide as well as
several agencies used public areas easily
accessible to people like public parks, vacant areas
under elevated expressways and activity grounds in
communities to invite everyone to exercise regularly.

• Together with partners, ThaiHealth introduced new


kinds of exercises to the public. They suit the needs
of target groups and communities’ lifestyles such
as Buddhism-based exercises, dance sessions for
the elderly and exercises for Buddhist monks.
With support from ThaiHealth, the Bangkok Metropolitan
Administration, municipalities and local administration
organizations, empty grounds in both urban and rural
communities were developed into sports fields to let people
exercise regularly and economically.

56 Annual Report 2008


In 2008, public parks in Bangkok functioned not only as the “lungs”
of the metropolis but also as the excellent venues to exercise lungs
as the Bangkok Metropolitan Administration (BMA) and ThaiHealth
announced to support of exercises in all public parks of the capital.

ThaiHealth supported the making of policies to promote exercises


in all provinces so that various kinds of exercise activities were
organized regularly throughout the year.

In the past year, ThaiHealth sponsored over 20 projects to improve


the curricula of physical education after successfully pushing for the
increase in physical education hours at schools from 1 hour to 2 hours
a week in 2005.

Performances towards the 6 Goals 57


Figure 2.3.12 5IBJ)FBMUIĴTTQPOTPSTIJQTJOUIFųTDBMZFBSUPVSHF
 5IBJQFPQMFUPFYFSDJTFSFHVMBSMZ

Find
new partners
through sponsorships
ThaiHealth wants to see more
TQPSUTFWFOUTUIBUBSFGSFFPGBMDPIPM
BOEDJHBSFUUFT*OUIFQBTUZFBS 
OBUJPOBMBOEDJHBSFUUFGSFFTQPSUTFWFOUT
SFDFJWFEJUTTQPOTPSTIJQT5IFZJODMVEFE
UIF/BUJPOBM(BNFT UIF/BUJPOBM:PVUI
(BNFT BOEUIF/BUJPOBM6OJWFSTJUZ
(BNFT"CPVUTQPSUTBTTPDJBUJPOT
WPXFEOPUUPSFDFJWFBTQPOTPSTIJQ
GSPNMJRVPSBOEUPCBDDP
DPNQBOJFT

Campaign
UISPVHIBMMDIBOOFMT
*OUIFQBTUZFBS 5IBJ)FBMUITQPOTPSFEDBNQBJHOT
GPSUIFQVCMJDUPTFFUIFJNQPSUBODFPGSFHVMBSFYFSDJTFT
.BKPSDBNQBJHOTBSFBTGPMMPXT

"KPJOUQSPKFDUXJUIBHFODJFTJOUIFHPWFSONFOU
BOEUIFQSJWBUFTFDUPSTBOEUIFNBTTNFEJBUPMBVODI
BMMZFBSMPOHDBNQBJHOTGPSFYFSDJTFT
XBTBJNFEBUXPPJOHTVQQPSUGSPNQFPQMFOBUJPOXJEFBOESFBDIJOHaWBSJPVT
UBSHFUHSPVQTUISPVHIFYFSDJTFBDUJWJUJFTUISPVHIPVUUIFZFBS5IFQSPKFDUESFX
BCPVU QBSUJDJQBOUT
/BUJPOBMDBNQBJHOTXFSFMBVODIFE
UPSBJTFQVCMJDBXBSFOFTTBOEVSHFUIFHFOFSBMQVCMJDUPFYFSDJTF5IFZ
JODMVEFEUIFBOOVBMTQPSUTGFTUJWBMPO.BZ UIF$PSPOBUJPO%BZ BOEUIF
DBNQBJHOGPSDPNNVUFSTUPSJEFCJDZDMFTPOUIF$BS'SFF%BZ 4FQUFNCFS
 

.FEJBXFSFVTFEUPDPOWJODF
UIFHFOFSBMQVCMJD that ĶUIFSFBSFBMXBZTDIBODFTUP
FYFSDJTFķ and ĶUPNPWFFRVBMTUPFYFSDJTFķ

58 Annual Report 2008


Part of ThaiHealth’s sponsorships went to the sports events that were intended to promote health rather than competition.

Evaluation of the 2 exercise promotion projects – “to move equals to exercise”


and “there are always chances to exercise” – of which ThaiHealth was the
major sponsor, found that both projects were popular as 72% of all targeted people
acknowledged them.

Performances towards the 6 Goals 59


Goal No. 2 :
To Develop Necessary Mechanisms
to Reduce Secondary Risk Factors
ThaiHealth will invest in what are necessary ares with great impacts
such as what concern foods, unsafe sex, mental health, narcotics and the
risk factors that have considerable impacts on the groups of people with
particular characteristics.

Overview
Operations towards the goal no. 2 to reduce • Knowledge and databases useful for
health risk factors in 2008 brought about the fol- health promotion and control of health
lowing important developments : risk factors were further improved.
• The networks that support the reduction
• The public policies that had nationwide o f h e a l t h r i s k f a c t o r s e x p a n d e d
impacts on the reduction of secondary horizontally to all groups of people and
risk factors were announced in the 2008 vertically to local levels in all regions
fiscal year and concerned 8 points. • Campaigns to develop the tide and value
• Thai children and youths were protected of reducing health risk factors continued
with several new policies, laws and through sponsorships, all kinds of media
measures from the media that were in and various kinds of activities throughout
tended to limit excessive consumption the year.
and eating unhealthy foods.
• People, as consumers, enjoyed more
efficient protection from the “Product
Liability Act”.
Eight New Policies in the 2008
Fiscal Year educational zones to support the measure
for schools to be free of soda and the sale of
The public policies for the reduction of crispy snacks and sugar-rich foods;
secondary risk factors that were introduced in 5. the cabinet resolution reached on October
the 2008 fiscal year are as follows: 30, 2007, to order the reviews of the
1. the Product Liability Act of 2007; safety of children’s toys;
2. t h e a n n o u n c e m e n t o f t h e P u b l i c 6. the agreement that the Ministry of Educa
Relations Department of control over the tion signed with the National Health
radio and television commercials that Foundation on November 30, 2007, call
affect children and youths; ing for violence-free schools;
3. the bill on reproductive hygiene and the 7. the cabinet resolution reached on
well-being of Thai people drafted together December 11, 2007, demanding a draft
with the Department of Health and part PM’s Office regulation on the develop
ners; ment of Thai preschool children; and
4. the written request of the Office of the 8. the cabinet resolution reached on
Basic Education Commission (OBEC) January 8, 2008, approving the 2008
u r g i n g a u t h o r i t i e s o f n a t i o n w i d e regulation on children and youths.
Today information technology has influences on
the learning and attitudes, both positive and nega-
tive, of young people. ThaiHealth and partners
have developed the “White Internet” to protect
young people from the risks that exist on the Inter-
net. The “White Internet” is introduced through the
Internet cafés where young people gather.
To Develop
Necessary Mechanisms to
Reduce Secondary Risk Factors

The Development of Public Policies


Government agencies imposed the following • The Announcement of the Public
policies and laws that could control risk factors Relations Department Dated January
and were pushed for by ThaiHealth, partners and 18, 2008, on criteria and times for the
networks. commercials and the business services
• The Product Liability Act of 2008 took that affect children through television
effect on February 20, 2009. took effect on February 17, 2008.1

1 Today the announcement has no effects due to the promulgation of the Broadcasting Act of 2008
on March 5, 2008.

62 Annual Report 2008


Table 7 The policies and laws that are intended to reduce health risk factors
 BOEXFSFBOOPVODFEPSUPPLFGGFDUJOUIFųTDBMZFBS
The names of the laws Commencement date Major progress
5IF1SPEVDU-JBCJMJUZ"DUPG 'FCSVBSZ   The trial of consumer-related lawsuits
2008 prioritizes the interests of consumers.

5IF"OOPVODFNFOUPGUIF 'FCSVBSZ  Criteria and times were imposed to control


Public Relations Department the commercials and the business services
EBUFE+BOVBSZ  that affect children through television.

5IFUI"OOPVODFNFOU %FDFNCFS  Children’s 5 favorite kinds of snacks


PGUIF.JOJTUSZPG1VCMJD OBNFMZDSJTQZGSJFEPSCBLFEQPUBUPFT 
Health DSJTQZGSJFEPSCBLFEQPQDPSO DSJTQZSJDFPS
DSJTQZCBLFEBOETXPMMFOGPPET DSJTQZ
CSFBEPSDSBDLFSTPSCJTDVJUT BOEXBGFST
XJUITUVGųOHNVTUCFNBSLFUFEXJUI
nutrition labels on their packages indicating
UIFRVBOUJUJFTPGDBMPSJFT TVHBS BOE
sodium and the warning recommending
limited consumption and exercises.

5IFMFUUFSGSPNUIF0GųDF - Request for the management of


of the Basic Education educational zones nationwide to support
Commission (OBEC) dated DBNQBJHOTGPSTDIPPMTUPTUPQTFMMJOHTPEBT 
.BZ  DSJTQZTOBDLTBOETVHBSSJDIGPPET

5IFDJWJMTPDJFUZJO1ISBF - *OTUSVDUJPOGPSBMMTDIPPMTBOEDIJMEEBZ
province announced care centers to be free of soda and useless
provincial public policies in snacks
2008.

Measures to reduce risk - 300 local administration organizations


GBDUPSTCZMPDBMBENJOJTUSB- joined forces to implement measures to
tion organizations QSFWFOUMJGFTUZMFSFMBUFEEJTFBTFT#FTJEFT 
over 30 such organizations supported
policies and measures to reduce other risk
factors at the local level such as the
reduction of children’s consumption of
TXFFUT UIFDPOTFSWBUJPOPGUIFGPPE
SFTPVSDFCBTF QSPNPUJPOGPSUIFQSPEVD-
UJPOBOETBMFPGTBGFWFHFUBCMFTBOEGPPET 
IFBMUIQSPNPUJPOGPSUIFEJTBCMFE BOE
welfare protection for informal labor.

Performances towards the 6 Goals 63


The plan to promote health among Thai Muslims con-
sisted of various activities to encourage Muslims to reduce
health risk factors.

• The 305 th Announcement of the


Ministry of Public Health took effect
on December 19, 2007. It requires
children’s 5 favorite kinds of snacks
namely crispy fried or baked potatoes,
crispy fried or baked popcorn, crispy
rice or crispy baked and swollen foods,
crispy bread or crackers or biscuits, and
wafers with stuffing to be marketed
with nutrition labels on their packages
indicating the quantities of calories,
sugar, and sodium and a warning
recommending limited consumption
and exercises.
• The letter from the Office of the
Basic Education Commission
(OBEC) dated May 29, 2008 asked
the management of educational
zones nationwide to support campaigns
One area of work that ThaiHealth has been actively promoting is the reduction
for schools to stop selling sodas, crispy
of risk factors among the elderly by developing knowledge and networks and snacks and sugar-rich foods.
supporting local administration organizations in seriously providing the elderly
nationwide with health welfare and services.

64 Annual Report 2008


In 2008, the “Thai Children Do Not Eat Sweets” project expanded
to all regions in Thailand. ThaiHealth asked local administration
organizations nationwide to issue policies and measures related to
foods and nutrition.

• The civil society in Phrae province


announced provincial public policies in
2008 for al l schools and child day care centers
to be free of soda and useless snacks.
• 300 local administration organizations
joined the campaign for “Thai people
without potbellies”. Besides, over 30 such The Development of Knowledge
organizations supported policies and measures
to reduce other risk factors at the local level ThaiHealth supported government and
such as the reduction of children’s consumption private agencies as well as academics from
of sweets and sodas, the conservation of the several sectors in researching and developing
food resource base, promotion of the produc the new knowledge that will lead to the creation
tion and sale of safe vegetables and foods, and promotion of new policies, measures, systems,
health promotion for the disabled, and welfare mechanisms and operations to reduce health risk
protection for informal labor. factors in a timely manner.

Performances towards the 6 Goals 65


Figure 2.3.13 The networks to reduce health risk factors that ThaiHealth helped
 TQPOTPSJOUIFųTDBMZFBS

The network of Thai people The network to promote breastfeeding


without potbellies It expanded to private nurseries and hospitals
5IBJ)FBMUIQSFTFOUFENPEFMTBOEQSPNPUFEųUOFTT nationwide and groups of ĶWPMVOUBSZNPUIFSTķ
in conjunction with members of several were formed in Bangkok.
organizations and agencies including medical and
public health personnel, armed forces personnel
and families, and members of local
administration organizations.

The network of The network to improve sexual well-being


local administration organizations It operated in line with plans to improve sexual
*OUIFQBTUZFBS PWFSMPDBMBENJOJTUSBUJPO well-being. Activities and networking were
organizations took part in developing policies conducted among the groups of people who
and measures to reduce food-related risk factors incurred risks and those whose health was affected
and improve the health of target groups such as CZTFYVBMBUUJUVEFTBOETFYVBMJOUFSDPVSTFJOPSEFS
UIFEJTBCMFE UIFFMEFSMZBOEJOGPSNBMMBCPS to promote right thoughts and preventive
cooperation in general.

Services Accessible to the Public • Improved Well-being for the Disabled


ThaiHealth contacted and encouraged agen
• The Promotion of Safe Foods Several cies in Bangkok and other provinces to develop
forms of nationwide activities were conducted facilities for the disabled and sought support
continuously to provide people with the from local administration organizations on
knowledge of production processes and the the issue.
know-how to choose nutritional and safe • Improved Well-being for Thai Muslims
foods. The activities ranged from training In the past year, ThaiHealth organized activities
sessions to real-life exercises, campaigns to promote the reduction of health risk factors
through media and exhibitions. among Thai Muslims. The activities included
• Mental Health Promotion ThaiHealth and well-being training for community leaders,
the Department of Mental Health worked out the development of prototype health-conscious
plans to strengthen the mental health of communities, training for the caretakers of
children, youths and families through education, the elderly, support for the development of
the presentation of role models and cooperation young children, training on food hygiene in
with educational institutes nationwide. urban areas, exercises, and campaigns
against drugs and cigarettes.

66 Annual Report 2008


The network of “Thai people without potbellies” campaigned all Plans for consumers’ health protection expanded to campaigns
year long for the reduction of health risk factors that resulted from against reused cooking oil. The campaigns included education, dem-
improper food consumption and insufficient exercises. The campaigns onstrations of tests for reused cooking oil, and the distribution of test
were intensified during festive seasons. kits for cooks and consumers to avoid carcinogens.

Fostering Values and Campaigning for


the Public • Breastfeeding ThaiHealth supported the
Thai Breastfeeding Center in jointly campaign
• Campaigns against Sweets among ing with other agencies throughout the year
Children The nationwide campaigns were for breastfeeding and arranging for facilities
aimed at preventing Thai children from the for breastfeeding in places.
excessive consumption of sweets. ThaiHealth • Health Improvement for the Father Thai
sponsored the campaigns at the levels of local Health supported the Ministry of Public
administration organizations, schools, nurseries Health in nationwide health promotion
and communities. campaigns that urged the public to do good deeds
• Campaigns for “Thai People without for the Father simply by keeping themselves
Potbellies” for Appropriate Consumption healthy. The campaigns encouraged people
ThaiHealth produced media and organized to take care of their own health with proper
campaigns throughout the year, especially consumption and exercises.
during the New Year festival when there are • Campaigns for Sexual Well-being
parties and sweet and oily foods are served ThaiHealth supported agencies in campaigning
and presented as gifts. for the knowledge and understanding of
• Campaigns for the Better Life of the sexual well-being.
Disabled ThaiHealth organized campaigns • Campaigns for the Quality of Life of the
and communicated through media so that Elderly ThaiHealth supported campaigns for
Thai people would know and understand the the modification of buildings and places such
situations of the disabled and seriously reduce as temples, markets and public parks to
the obstacles to the disabled in the way that welcome the elderly. The campaigns focused
the disabled can live a normal life as the on the provision of facilities that guarantee
general public can. The general public was urged convenience and safety for the elderly.
to have positive attitudes towards the disabled
and provide them easy to use facilities.

Performances towards the 6 Goals 67


Goal No. 3 :
To Develop Prototype Societies of Well-being
ThaiHealth will develop processes, prototypes and mechanisms to
improve the overall well-being of organizations, localities and
groups of young people.

Overview
Operations in 2008 towards the goal no. 3 to ensure sustainable operations without having
develop prototype societies of well-being resulted to depend on sponsorships from ThaiHealth.
in the prototypes that supported the learning of • Prototype persons in relation to health
well-being and also created the mechanisms and promotion were searched to represent different
processes that promoted the development and aspects of health promotion. They communi
expansion of prototype societies of well-being as cated their ideas and methods to other people.
follows. • Prototype media to promote the knowledge
of well-being emerged in many forms to
• Prototype areas in relation to the preven- inspire learning about well-being and spread
tion of primary risk factors namely control the knowledge. They included television pro
on tobacco and alcohol, the prevention of grams for children and families, series, outdoor
accidents, the promotion of exercises and performances, books, and spots.
the promotion of safe and nutritional foods • Mechanisms and processes to promote
increasingly varied and expanded. well-being among communities happened
• Prototype areas in relation to health pro in all regions of the country
motion management like schools, work
places, houses and communities amounted
to over 2,600 and developed systems to

(Right) ThaiHealth, partners and local administration organizations


nationwide developed 120 prototype areas to demonstrate the reduction
of health risk factors through many areas of work such as food safety, the
conservation of the food resource base, nutrition, labor protection, the care
of the disabled, the well-being of Thai Muslim communities, consumer pro-
tection, the prevention of chronic diseases and the care of chronic patients.
68 Annual Report 2008
In the past year, 130 “Tambon (groups of villages) of
well-being” developed well-being learning centers
to expand the knowledge of well-being to 186 nearby
Tambon.

The Development of Prototype


Societies of Well-being

The Development of Public Policies


• At the National Level • At the Local Level ThaiHealth supported
• ThaiHealth in conjunction with the Ministry cooperation with local administration orga
of Agriculture and Cooperatives, the Ministry nizations to initiate projects to develop public
of Public Health and 16 partners established health policies at the local level. They included
the “Council for Cooperation and Network projects to rehabilitate rivers and canals,
ing on Food Safety and Security” to develop projects to empower communities to cope
and implement public policies on food with natural disasters, and pilot courses to
safety in line with the principle of sufficiency improve the potential of TAO officials in
economy. managing health projects in communities.
• The Ministry of Finance approved in principle
the inclusion of budgets for the health pro
motion of personnel into the regular budgets
of government agencies.

70 Annual Report 2008


Figure 2.3.14 The prototype areas of well-being promotion that ThaiHealth
 TQPOTPSFEJOUIFųTDBMZFBS

Prototype areas free of cigarettes emerged in over 1,500 locations including


entertainment venues, markets, bus terminals, public parks, hotels, police
stations and schools.

Prototype areas free of alcoholic drinks emerged in over 2,500 locations.

Prototype areas on road safety covered 64 provinces where integrated


road safety projects and innovations were pioneered.

Prototype areas to protect children from accidents emerged in the


form of 28 safe schools and communities and 23 safe day care centers for
children.

Prototype areas where Thai children do not eat sweets and the
No Sugar Day campaign were expanded to 1,139 schools and 717 child
development centers in 19 provinces.

Prototype areas for health-oriented exercises emerged in 19 provinces


and 57 localities.

Prototype areas for the consumption of nutritional foods covered


60 provinces where the “Thai People without Potbellies” project was promoted.

Performances towards the 6 Goals 71


1 3

1 Cherishing love and understanding among family mem-


bers and searching for good examples for society are the
activities that ThaiHealth always seriously promotes.

2 ThaiHealth supports the nationwide expansion of health-
The Learning of Well-being conscious premises which already include 300 smoke-
free hotels in Thailand.

ThaiHealth supported communities in 3 The “Health-conscious Universities” project was launched
communicating their good stories and health at Thammasat University, which was one of the universi-
issues through 150 community radio stations. ties where health promotion campaigns were piloted.
Such campaigns are likely to expand to other campuses
The information was gathered and processed later.
into the databases through which people can
develop their proposals for well-being policies. 4 In the past year, the Royal Thai Air Force implemented
the policy to “improve the health of Air Force person-
nel”. That led to new health promotion projects within
The Expansion of Health the Air Force.
Promotion Activities


ThaiHealth developed its network of cooperation
with 370 local administration organizations and
community organizations through its sponsor
ships for constructive activities to promote well-
being.

72 Annual Report 2008


'JHVSF 5IFQSPUPUZQFBSFBTPGIFBMUIQSPNPUJPOUIBUFNFSHFEUIBOLTUP
 TQPOTPSTIJQTGSPN5IBJ)FBMUIJOUIFųTDBMZFBS

'BNJMJFT5IFQSPUPUZQFTPG 6OJWFSTJUJFT)FBMUIQSPNPUJPO
TUSPOHGBNJMJFTFNFSHFEJO XBTQJMPUFEBUVOJWFSTJUJFT
QSPWJODFT5IFJEFBPGTUSPOH
GBNJMJFTXBTQSPNPUFEUISPVHI
MFBSOJOHDFOUFST

4DIPPMT5IFDIBSBDUFSJTUJDTPG Mosques 5IFOFUXPSLPG


QSPUPUZQFTVOEFSUIFĶRVBMJUZ QSPUPUZQFNPTRVFTXJUI
TDIPPMTXJUIHPPETZTUFNTķ XFMMCFJOHXBTQSPNPUFEJO
QSPKFDUXFSFQSPNPUFEBNPOH #BOHLPLBOEUIF$FOUSBM1MBJO
TDIPPMTUISPVHIPVU5IBJMBOE

Communities
Ļ1SPWJODFT
5IFSFXFSFQSPUPUZQFNPWFNFOUTUPESJWFUIFQSPDFTTPGEFWFMPQJOHXFMMCFJOH
BUUIFQSPWJODJBMMFWFMJOQSPWJODFT5IFTFJODMVEFEQPMJDJFTUPJODPSQPSBUF
IFBMUIQMBOTJOUPUIFQMBOTPGMPDBMBENJOJTUSBUJPOPSHBOJ[BUJPOTBUBMMMFWFMT
  BOEQPMJDJFTUPBMMPDBUFCVEHFUTUPTPDJBMXFMGBSFTFSWJDFT
 5IFSFXFSFQSPUPUZQFBSFBTPGXFMMCFJOHJOQSPWJODFT
- $BNQBJHOTGPSCFIBWJPSBMDIBOHFTUPQSFWFOUDISPOJDEJTFBTFTXFSFQJMPUFE
  JOQSPWJODFT
- The Ķ$IJMESFOĴT4USFFUTķQSPKFDUXIJDIXBTQBSUPGTUSBUFHJFTUPXBSETQSPQFS
UPXOTGPSDIJMESFOBOEZPVUITXBTJNQMFNFOUFEJOQSPWJODFTBOEBSFBT
  VOEFSUIFKVSJTEJDUJPOPGMPDBMBENJOJTUSBUJPOPSHBOJ[BUJPOT

Performances towards the 6 Goals 73


Goal No. 4 :
To Increase Opportunities for Innovations
ThaiHealth will increase innovations and opportunities
for innovations related to the promotion of well-being.

Overview
Operations towards the goal no. 4 to increase opportunities for innovations in 2008 resulted in in-
novations and considerably increasing opportunities for the development of innovations for the public
interest. That fueled the movements of health promotion as follows.

• Health-promoting innovations happened • New operations were piloted in organiza


in various forms such as inventions, practices tions and communities through 877 projects.
and new ideas that should benefit society. • Lessons, knowledge and innovations
• There were “new health promoters”. Sixty related to health promotion were commu
percent of the organizations that received nicated to people and society through all
sponsorships for their projects received kinds of media.
sponsorships for the first time.

(Right) Stay and keep fit. The bicycle-powered water pump is the work and pride of Pol Sen Sgt Maj Watcharapol
Watanasajjanukul of the Huay Ma police station in Phrae province, who really loves exercises. A knee injury from a
football game caused him to undergo a surgery and he can never exercise in the way he likes anymore. So he built
this pump under his “use and safety” concept and also received support from ThaiHealth to introduce his idea to
exercise areas and farms in Ban Pong Sri village of Tambon Ban Thin in Muang district of Phrae province. Today,
bicycle-powered water pumps exist in communities nationwide.

74 Annual Report 2008




Economical but excellent Every family can make an elastic
rope for exercises. Elastic bands that are normally used to
fasten food bags can be strung together to make an elastic
rope that can be used for exercises to strengthen tendons,
joints and muscles in all parts of the body. Elastic ropes
made from elastic bands were invented and introduced by
Assoc Prof Charoen Krabuanrat of Kasetsart University. Thai-
Health sponsored the introduction of such elastic ropes to its

Increasing health promotion partners and the public.

Opportunities for Innovations


Increasing Opportunities for
Innovations

In the past year, ThaiHealth supported and • a project to improve intellectual health;
developed various innovative projects to let • a project of learning through music, poetry
people of all ages take part in creating health- and singing;
promoting innovations that suited their skills or • an acting project to improve the intellectual
interest. They included: health of the youth;
• a project for communities to cope with • the “Happy Home” project to develop health-
natural disasters; promoting universities;
• a project to rehabilitate rivers and canals;
• a meditation therapy project;

76 Annual Report 2008


Figure 2.3.16 The percentage of the general projects and the innovation projects
that ThaiHealth sposored out of all the projects and the innovations
that were proposed to win its sponsorships in 2007 and 2008

The number of projects *OUIFųTDBMZFBS 5IBJ)FBMUI


70 66% sponsored 66% of all the general
projects and the innovation
60 projects proposed for its sponsor-
ships. The percentage rose from
50% 50% in 2007 mainly because
50
ThaiHealth improved its system to
develop the capabilities of project
40 owners in the past year.

30

20

10

0
2007 2008 year

Figure 2.3.17 The proportion of new sponsorship recipients to old ones

s
a t ion ated
z e
r g ani g rep s 40% As ThaiHealth intends to increase health
O ivin ship QSPNPUJPOPSHBOJ[BUJPOT UIFQFSDFOUBHFPGUIF
e r
rec onso organizations that received its sponsorships for
sp UIFųSTUUJNFSPTFGSPNJOUIFųTDBM
s s
a t ionorship ZFBSUPPGBMMUIFPSHBOJ[BUJPOTUIBU
z
r g ani sponsNF received its sponsorships for their general
O ing TUUJ projects and innovation projects in the 2008
eiv ųS ųTDBMZFBS
rec SUIF
GP

Performances towards the 6 Goals 77


Good media by the youth Secondary school students at Regina Coeli
College in Chiang Mai province were enjoying creating a wide range
of health promotion media including cartoons, plays, short films
and spots. The production resulted in learning and health media by
people of the new generation, which could be presented to youths in
nearby schools and communities.

Standard weekly markets As weekly markets have more influences


on rural people, public health authorities in Wachira Baramee district of
Phitsanulok province tried to ensure that such “mobile” markets were
free of goods and foods harmful to health. They, in conjunction with local
agencies and market owners, successfully developed market standards and
a standard market.

78 Annual Report 2008


Happiness in prison The prison of Lom Sak district, Phetchabun province, initiated a health promotion project for inmates. Under the project,
everyday routines of prisoners were developed to promote inmate physical, mental and social health. They were also encouraged to share
their ideas and feelings in a friendly manner.

Handmade lung strength-testing device Community medicine of- Lose weight out of self-love “I Feel So Good” is the weight loss
ficials of Khuntan Hospital in Chiang Rai province were developing program that the Faculty of Nursing, Chiang Mai University, devel-
ways and tools to improve the efficiency of their work outside their oped using psychological principles. The program was created with
hospital. Among the tools that they developed for those who suf- the belief that effective and sustainable weight loss must begin with
fered from the chronic obstructive pulmonary disease was a lung positive thoughts towards oneself, and be supported by club-styled
testing device that is easily portable and user-friendly and truly groupings for the sake of long-term behavioral changes.
reflects independence and sufficiency.

Performances towards the 6 Goals 79


Innovation partners For 7 years, ThaiHealth has welcomed
projects from all groups of people to encourage the creativity
and the innovative operations that lead to health improvement.
ThaiHealth also continuously promotes such innovations in
general and cooperates with these “innovative developers and
operators”, considering these people as the “health promotion
volunteers” who take part in keeping health promotion work
developing.

80 Annual Report 2008


Though being disabled, they are able to develop The people
in Chiang Rai province, whose children are disabled, met with
happiness and hope. It is difficult for human traffickers to reach
their children because a project was implemented to create a
network of families and volunteers to develop and rehabilitate
disabled children in rural areas. Parents in remote communities
were trained to develop and take good care of their children.

• a project to develop health-promoting univer local administration organizations at the


sities; and Tambon level that used to work on well-being
• support for innovations to promote the well- development to building on their past work to
being of local communities. Since June 2008, create local innovations.
ThaiHealth has supported a project of poverty
alleviation, social development and well-being
that was implemented in 20 provinces.In
addtion a project to dvelop health promotion
net works in 14 provinces has supported the

Figure 2.3.18 5IFCFOFųDJBSJFTPGUIFIFBMUIQSPNPUJPOJOOPWBUJPOQSPKFDUT


 UIBU5IBJ)FBMUITQPOTPSFEJOUIFųTDBMZFBS

The 5IFIFBMUIQSPNPUJPOJOOPWBUJPOQSPKFDUTUIBU
FMEFSMZ 5IBJ)FBMUITQPOTPSFEJOUIFųTDBMZFBS
15% XFSFNPTUMZJNQMFNFOUFEXJUIQFPQMFPG
$IJMESFO
BOEZPVUIT XPSLJOHBHFT ZFBSTPME
XIPBDDPVOUFEGPS
36% PGBMMCFOFųDJBSJFT0UIFSHSPVQTPGQFPQMF
CFOFųUJOHGSPNUIFQSPKFDUTXFSFDIJMESFOBOE
ZPVUIT BHFEVOEFS
XIPBDDPVOUFEGPS
1FPQMF PGCFOFųDJBSJFT BOEUIFFMEFSMZ ZFBSTPME
PGXPSLJOHBHFT BOEPWFS
XIPDPOTUJUVUFEPGUPUBM
49% CFOFųDJBSJFT

Performances towards the 6 Goals 81


Goal No. 5 :
To Foster New Awareness
and Values in Society

ThaiHealth will create the culture and lifestyle of


sustainable well-being development in Thai society
harmoniously with other goals.

Overview
Operations towards the goal no. 5 to foster new awareness and values
in Thai society in 2008 brought about the following important develop
ments.
• ThaiHealth sponsored campaigns through various channels to
foster the values that will lead society to good health and well-
being. They included campaigns to reduce health risk factors,
promote social contribution to create a society of well-being, live
a happy life with sufficiency economy and stop violence against
women and children. These values were acknowledged,
accepted and approved by 80% of the people surveyed
nationwide. Over 500,000 people participated in the campaign
activities that ThaiHealth organized in the past year.
• The media materials for health promotion produced through
ThaiHealth sponsorship the prduction were recognized by
national and international organizations as excellent social
marketing media.

82 Annual Report 2008


In the past year, ThaiHealth supported the production of prototype media to publicize health promotion information and constructive lifestyles
through various channels. They included the campaign spots and the TV programs that reached millions of people nationwide like ‘Paen Din
Thai’ (land of freedom), ‘Khabuankan Rai Phoong’ (potbelly-free movement) and ‘Polamuang Dek’ (very young citizen) which received a warm
welcome from the public.
Fostering New Awareness
and Values in Society
One of the important values for which ThaiHealth campaigns
through all channels of media is the value of a “volunteer”
mind and doing good deeds for the public interest, something
that everyone can do in his dalily life.

To foster the values of well-being society, ThaiHealth applies social marketing. It supports this
mission through major channels as follows :

Campaign Projects shows, each of which had about 1 million viewers


on average.
Throughout the past year, ThaiHealth The campaign projects were implemented
supported campaign projects to reduce health through all forms of media, both the mass media
risk factors in all festivals. It seriously considered and the direct media that reached people’s lives.
proper campaigns for the target groups that were They included proposals on new practices such
the primary risk groups of each risk factor. In the as the presentation of liquor-free gift baskets
past year, there were 16 campaign projects on in festivals, more body movements in everyday
5 major issues implemented through the mass routines, and public participation in monitoring
media and a new form of campaigns : 4 reality and ending violence against women.

84 Annual Report 2008


The spots of campaigns for the reduction of risk factors and the development of health promotion values that ThaiHealth sponsored were
publicized throughout 2008. Many spots won praise from institutes and associations of professionals related to communications. They included
the series of 8 spots campaigning for sustainable well-being based on sufficiency economy, which won an Adman Award for excellent marketing
communications.

The evaluation of the overall outcomes that resulted from the publicized media
and the campaign media produced by sipnsorship form ThaiHealth in fiscal yera
2008 leads to the following findings.

• Of the target groups, 77.6% acknowledged, were aware of and accepted


the communicated points of health promotion and 89.6% of the people with
message acknowledgement had developed attitudes indicatings a tendency to
behavioral changes towards health improvement.
• The prototype TV programs of which ThaiHealth sponsored the development
and production for dissemination ranked well from fourth to sixth on television
ratings and were broadcast during prime time.
• Seventy percent of the target groups of people who took part in campaign
activities and activities to produce constructive cultural media such as music for
happiness, and plays for happiness understood and were able to apply their
developed knowledge to help expand the networks of well-being.

Performances towards the 6 Goals 85


Her Royal Highness Bhajara Kittiyabha was the presenter for the non-
violence campaign which captured special attention from the general
public in 2008.

The Production of Media in


Various Forms
ThaiHealth supports the production of all
kinds of media to present the values of well-being
society. This is to expand opportunities for the
dissemination of useful information and reports to
all groups of people. It also tries to cooperate with
the producers of media including printed media,
television and radio programs, movies, websites,
outdoor performances, musical performances,
plays, new media and alternative media.

Sponsorship
Sponsorship for the agencies and the organiza
tions that conduct activities is an important channel
to present the values of well-being society and a
way to commit organizers to make their activities
free of liquor and cigarettes in both short and long
terms. Health campaigns were incorporated into
the activities that reached groups of people ef-
fectively. These activities included:
• artistic and cultural activities such as
plays, music, arts, local media, short films,
sports competitions, training and skill
development sessions;
ThaiHealth places importance on the production of the media that
• activities at schools such as hazing touch people’s lifestyles to emphasize the value of health promotion
ceremonies and sports competitions in every step of life.
among institutes; and

86 Annual Report 2008


• campaign exhibitions organized in the Educational TV Station (ETV) and local cable
events in which many people of targeted television stations. ThaiHealth also expanded its
groups participated. network of producers of media for children to find
more quality producers.
The Development of Constructive
Media for Children, Youths and Families Besides, in the past year ThaiHealth
supported projects to campaign for and train
ThaiHealth and the producers of television families to cope with media, encourage children,
and radio programs produced 32 programs with youths and families to take part in media, and
the contents that suited the development of promote reading and the culture of reading as a
children and youths of various ages. The programs national agenda.
were broadcast on Thai Public Broadcasting
Service (the Thai PBS television station),

ThaiHealth supported all forms of media production and artistic activities to promote the values of health promotion among all groups of
people.

Performances towards the 6 Goals 87


Goal No. 6 :
To Increase the Capabilities
of Health Systems and Well-being
Service Systems
ThaiHealth will increase the capabilities of health
systems and health service systems by developing knowledge,
the capabilities of personnel and necessary infrastructures.

Overview
Operations towards the goal no. 6 to increase the capabilities of health
systems and health service systems in 2008 brought about the following
important developments.
• The legal measure promoting a national health systems that is up to
standard and can cope with changing situations that ThaiHealth supported
was passed and promulgated. It is the Emergency Medicine Act of
2008.
• New mechanisms to improve health systems according to the
National Health Act of 2007 were supported and introduced to meet
the intention of the law.
• Health systems and health service systems were continuously
developed and facilitated the health promotion of the public. An
example was the improved capabilities of the health security systems
at the Tambon level.
• Health personnel in health systems at all levels from those in
educational institutes to workers in communities nationwide had
their capabilities improved and became major forces for the development
of health-promoting operations.
• Studies, researches and development on information and
information exchange systems were improved for the sake of health
promotion.

88 Annual Report 2008


In 2008, the National Health Assembly as required by the National Health Act of 2007 was organized for the first time at the United Nations
Conference Center in Bangkok. The assembly was the pride of all concerned parties that have, for a decade, jointly pushed for the development
of health systems in line with the concept of “Building health is better than being on the mend”.
ThaiHealth supports the development of rescue systems at
the Tambon level to reduce health damages that results
from emergency cases.
Increasing the Capabilities
of Health Systems and
Well-being Service Systems

The Development of Mechanisms to


Improve Health Systems • the creation of the first National Charter for
Health Systems of Thailand; and
• The development of emergency medical • the 1st National Health Assembly in
systems ThaiHealth supported the introduction which all parties in society reported health
of strategies for emergency medical services situations and worked out policy proposals
and the Emergency Medical Bill that was passed that were forwarded to the government so
into law and took effect on March 7, 2008. that it will develop public health policies
• Support for the development of new that are mainly based on health promotion.
mechanisms according to the National
Health Act of 2007 The development consisted
of:

90 Annual Report 2008


The Development of Knowledge to indigenous medicine and alter native
Improve the Mechanisms of Health medicine between 2005 and 2007, and the
Systems “Ton Khid – Phuen Khu Khid Mitr Sang
Suk” newsletter.
• ThaiHealth reported overall health situations • ThaiHealth supported the 4th round of
to the public. They included a report on the surveys on the health of Thai people
health of Thai people in 2008, a report on through checkups. The nationwide
public health operations of Thailand survey was aimed at monitoring risky behav
between 2005 and 2007, a report on the iors and health improvement among Thai
status of Thai traditional medicine, people of all ages.

Figure 2.3.19 The operations to develop personnel in health systems that


 5IBJ)FBMUITQPOTPSFEJOUIFųTDBMZFBS

Ļ Support for “Routine to Research” ThaiHealth


developed a network of community hospitals in
four regions to let their personnel exchange know-
ledge developed from researches on their routine
work in order that they could develop right solutions
for changing health problems in their local areas.
The development of curricula at medical
and public health schools
Ļ ThaiHealth developed the Thailand Quality
Award (TQA) standard which is an important
tool to determine the performance indicators
of medical schools. The development was done
through its support for cooperation between the
Medical Schools for Health Promotion Plan and
the Thailand Productivity Institute.
Ļ The faculty of pharmacy of at least 3 educational
institutes included health promotion in their
courses and had their students undergo practical
training on health promotion.
Ļ The number of nursing schools in the government
and the private sectors that played important
roles in developing community nurses rose from
18 schools in 2006 to 33 schools in 2007.

Performances towards the 6 Goals 91


• ThaiHealth supported the Health Interven
tion and Technology Assessment Program
(HITAP) to study the cost-effectiveness of
health promotion investment to facilitate
decisions on public health protection policies.
For example, cost-effectiveness was evaluated
for 4 medicines: Insulin analogue, Recombinant
Human Erythropoietin, the cholesterol-lowering
drugs in the group of HMG-CoA reductase
inhibitor or Statin, and osteoporosis drugs.
The findings were considered in the process
of improving the National List of Essential
Medicines of 2008.
• ThaiHealth together with 9 educational
institutes nationwide worked out a project to
study public policies in line with a guideline of
power decentralization to develop health
security in 880 pilot areas of the National
Health Security Office (NHSO).

The Development of Information and


Information Exchange Systems
• ThaiHealth through a committee on safe and
constructive media and a committee on
child protection pushed for measures to protect
children from dangers in cyberspace. It also
introduced ratings on websites and regulations
on Internet cafés, compiled a list of improper
websites and took legal actions against
computer-related offences.
• ThaiHealth developed a central database
on public health personnel with all depart
ments of the Ministry of Public Health. They
combined their information for mutual use.
 This database is expanding to 6 professional
councils.
• ThaiHealth developed a health information
exchange system through its health
An important element for the development of health systems is the
research that is conducted simultaneously with the routine operations information system development plan to
(Routine to Research) of the local public health agencies that are the follow up updates that will bring about
closest to people’s problems. effectiveness in the development of strategies
and action plans as well as health promotion
decisions.
• ThaiHealth supported the compilation of
research-oriented information and the
observation of violent situations in the 3
southern border provinces.

92 Annual Report 2008


Reviving local wisdom on health promotion is
another important task in developing an independent
health system for Thailand.

The Development of Health


Promotion Systems in Communities
introduced throughout the country and leads
• ThaiHealth supported the plan to produce to the following results.
nurses “of communities, by communities, • The Ministry of Public Health pushed for
for communities.” The plan caused cooperation a similar process to produce nurses to meet
among three parties: (442) local administra demands in the 3 southern border provinces
tion organizations, (155) community-based and for another process of nurse production
hospitals and (28) educational institutes. In 4 at nursing schools under the jurisdiction of
years, there will be 629 community-based the Praboromarajchanok Institute. Seats at the
nurses to take care of public health in these nursing schools are reserved for students
communities or Tambons. Local administra sponsored by local administration organizations.
tion organizations are paying for this nurse
education. It is a “prototype” plan that is being

Performances towards the 6 Goals 93


The production of “community-based nurses” with the participation of local organizations is an important element of the development of
health systems for communities.

• The Department of Local Administration • The National Health Security Office


through the associations of TAO (Tambon (NHSO) increased the production of community
administration organizations) and PAO (provincial based nurses to support the community
administration organization) presidents based health systems that welcome public
supported developme of local health personnel participation. The increase was aimed at
and operations. producing enough nurses for enough
• The networks of educational institutes communities to make a difference. Among other
in the government and the private sectors operations, the NHSO allocated funds
improved their process of teaching and through the Thailand Nursing and Midwifery
improving the capabilities of nurses. Council under “the project to produce
• The Thailand Nursing and Midwifery community-basednurses to develop health
Council applied knowledge and information systems for communities”.
to improve the standard of nursing services • International organizations like the World
and education and laid down production, Health Organization (WHO) and the International
development and workforce management Council of Nurses considered this as a case
plans to meet the health demands of people study on the development of professional
and communities. nursing.

94 Annual Report 2008


Information useful for health promotion that resulted from
compilation, studies, and researches due to the implementation
of the health information system development plan was publi-
cized continuously in various forms.

The Development of Health Pro-


motion at the International Level
• In the past year, ThaiHealth acted as the
secretariat to the International Network
of Health Promotion Foundation
(INHPF) for the second term that lasted
4 years from 2005.
• for the Global Conference on Health
Promotion that will be organized in
Nairobi, Kenya, in 2009, ThaiHealth had
been chosen by international health
promotion organizations to be a party to
present experiences about its establishment
and work in its capacity as a national
health promotion organization.

Performances towards the 6 Goals 95


• ThaiHealth took part in creating 36 policies, laws and
measures related to health promotion at national and
local levels. They included 19 policies on the reduction
of primary risk factors that were approved by the legislature

7 Years
• ThaiHealth took part in pushing for 10 and relevant agencies and took effect in the 2008 fiscal
public policies on health promotion as year (between October 2007 and September 2008).
follows.
(1) The cabinet resolved to set up a • Systems to support people in stopping smoking and
constructive media committee to drinking, in the forms of telephone counseling and
ensure the production of the media rehabilitation services of the government, the private
that promotes the well-being of sector and communities, were developed to serve
• The Board of Thai people nationwide.

of Health Promotion in Thailand


society.
Health issued the (2) The cabinet ordered a 2007 agenda
first annual agenda, for children and youths that covered • The number of completed researches on health promotion
• Thailand hosted an international “60 years, 60 million that resulted from ThaiHealth-sponsored projects
5 topics, and assigned 5 relevant
conference on health promotion. good deeds begin increased from 40 in 2007, by about 4 times, to 168.
ministries to realize it.
• ThaiHealth successfully prompted with the youth.”
• The Ministry of Public Health (3) The Public Relations Department
Since Thailand set up its “Sin Tax Fund” in late 2001, the Thai Health the Ministry of Public Health to • The research centers on tobacco, alcohol and road safety
imposed illustrated warnings required television broadcasters to
ban cigarette advertisements at • T h a i H e a l t h c a m that were established due to ThaiHealth’s support took
Promotion Foundation (ThaiHealth) has played roles in “inspiring” and on cigarette packs from March rate television programs.
points of sale and Thailand the paigned for govern part in organizing national and international academic
25, 2005. (4) The Ministry of Public Health banned
“catalyzing” health promotion in a way that it grows and becomes part • The World Health Organiza
was only third country in the world ment agencies to the distribution of samples of breast conferences annually for the presentation of updates on
where such a ban takes effect. be smoke-free zones the prevention of the 3 primary risk factors.
of the lives of Thai people throughout the country. In conjunction with all tion asked ThaiHealth to advise milk substitutes to newly born babies
• Income from the excise tax on according to the Act
Southeast Asian nations on at hospitals nationwide.
parties, ThaiHealth has been determined to develop good systems, poli- alcoholic drinks that had kept to Protect the Health • The networks that supported the reduction of 4 primary
the establishment of peer (5) The Office of the Basic Education
cies and prototypes for the growth of health promotion for 7 years. increasing started to drop in the of Non-smokers. risk factors expanded and were developed to continuously
organizations. Commission issued a policy to require
2005 fiscal year and income The campaign was watch for risks and lead new developments on health
• The liquor-free Buddhist Lent schools to be free of sodas.
from the excise tax on tobacco piloted by 29 govern promotion.
campaign saw the percentage (6) The Sangha Supreme Council
dropped by 6.8% while the tax ment agencies.
of the drinkers who agreed to required all festivals and fairs at all
rates remained the same. • Campaigns supporting the movment and values for reducing
suspend drinking during temples nationwide to be free of
• ThaiHealth pushed for the • The “ETV” television 4 primary risk factors were continuously launched via all
theperiod rising to 48.9%, and alcoholic drinks.
privilege of the national health station for children, kinds of media throughout the year.
84.1% of people acknowledged (7) The Royal Thai Armed Forces issued
security system to cover the
information about the campaign. policies and a master plan for the
circumcision of Thai children. youths and fami • Through several new policies, laws and measures, Thai
• Total 229,979 people signed health promotion of their workforces.
• ThaiHealth took part in pushing for the • T h a i H e a l t h s u p p o r t e d t h e children and youths were protected from the media
their names to make a vow to lies was launched All armed forces were ordered to develop
establishment of the Road Safety Center. Ministry of Education in requiring message that tried to stimulate excessive and nuhealthy
refrain from alcoholic drinks to reach target down and implement their action
• ThaiHealth successfully pushed for a educational institutes nationwide food consumption.
during the Buddhist Lent. groups at 20,000 plans to support the master plan.
cabinet resolution to ban alcohol spots to be free of alcohol sales and
• The Food and Drug Admini schools and over (8) The cabinet ordered concerned
on radio and television after 10pm and consumption. • People, as consumers, enjoyed better protection thanks
stration approved a ban on 2,000,000 families agencies to control the marketing
alcohol advertisement billboards near • ThaiHealth encouraged the to the Product Liability Act.
sugar content in milk for infants that had local cable of children’s snacks.
educational institutes. Ministry of Education to increase
and young children. TV services nation (9) Section 61 of the Constitution of 2007
• ThaiHealth campaigned for the liquor- the duration of physical education • The networks that support the reduction of health risk
• All national sports competitions wide. calls for the establishment of an
free Buddhist Lent for the first year. Of classes from 1 hour to 2 hours a factors expanded horizontally to all groups of people and
were announced to be free independent organization for
drinkers, 40.4% suspended drinking week. vertically to local levels in all regions.
of alcohol and 14 sports asso consumers and Sections 30 and
during the period and 84.7% of people • ThaiHealth’s campaign media
ciations stopped receiving 54 deal with the rights of the disabled.
acknowledged information about the won 26 local and international • Campaigns for the tide and values of reducing health
The board of the Thai Health Promotion sponsorships from alcohol (10) T h e O f f i c e o f t h e C o n s u m e r
campaign. awards. risk factors were implemented continuously through
Foundation approved the first strategic enterprises. Protection Board announced a the
• The cabinet ordered television programs sponsorships given to all kinds of media and various
plan and endorsed a 9.5-million-baht • The number of alcohol drinkers standard for drinking water coolers
for children and families during prime time. forms of activities all year long.
budget to be spent as far as it was declined. In 2004, the percen and prohibited schools from using
deemed necessary. tage of drinkers was 32.7%, the coolers that were assembled
dropping from 38.6% in 2003. with lead-welding.

2002 2003 2004 2005 2006 2007 2008


Cigarettes Alcohol Accidents
The continuous development of measures to protect the youth from alcoholic drinks Reducing risks from “drunk driving”
The cabinet resolved on July 29, 2003:
2001 2003 • to limit alcohol commercials on television and radio between 5am and 10pm to reduce impacts 2002
on children and youths; • Thailand Development Research Institute stated
• to ban advertisement boards near schools ; and that the accidents that resulted from “drinking”
2003 • to prohibit alcohol businesses from sponsoring sports competitions in schools.
Alcohol caused damages worth million baht.

• ThaiHealth hosted a conference for the Global Alcohol


2004 • The National University Games were free of cigarettes and alcoholic drinks. Policy Alliance (GAPA) and alcohol control agencies
• Over 40,000 university students joined a network to campaign against the in Thailand. The meeting reached the conclusion that
2004
consumption of alcoholic drinks. the prevention of “drunk driving” was an important
strategy for health promotion.

• Afterwards, ThaiHealth intensively and continuously


supported the development of laws, measures,

2006
2006 Educational institutes moved to ban alcohol sales in their vicinities and
prohibited “drinking” in their hazing ceremonies.
Law knowledge and values so that Thai society rejected
“drunk driving”.

2007
• Groups of youths participated in supporting the Alcoholic Drink
Control Bill.
2007-2008
2008 2008
2007 • The Alcoholic Drink Control Act of 2008 prohibits the sales of • Thailand imposed the (7th) Amended Land Traffic Act of 2007 that intensified civil and criminal punishments
alcoholic drinks to children and young people aged under 20. against drunk drivers. Police checked alcohol levels in drivers nationwide to enforce the law that limits alcohol
• Representatives of Thai youths jointed a global network of youths levels in drivers.
to push for policies and campaigns to control liquor. • Since 2005, the network of moral centers and the Mohanamai (doctors of government clinics) Foundation have
been watching out for the accidents that result from drunk driving at petrol stations and accident-prone areas
during New Year and Songkran (Thai New Year) festivals.
The “Liquor-free Buddhist Lent” campaign project developed into the • The network of “drunk driving victims” has been launching various forms of campaigns to raise the public
“National Liquor-free Day” awareness of the impacts of drunk driving since 2003.
2001 • The “Drunks Don’t Drive” value was acknowledged and accepted by the general public. Surveys found that
Thai smokers light fewer cigarettes • The percentage of Thai people who refrained from alcohol control during the Buddhist Lent was 86.3-90% of people knew and understood reports on alcohol control (about campaigns against drunk driving,
The number of smoked cigarettes per 11.5%. sleepy driving and using mobile phones while driving) and 84.5% agreed and were ready to refrain from reckless
smoker decreased from 10.61 a day in • ThaiHealth and partners launched the “Liquor-free Buddhist Lent” campaign project and wrote and illegal driving behaviors.
2001 to 10.27 a day in 2007. to the government to propose the first day of the Buddhist Lent to become the “National Liquor
-free Day”.

The percentage of Thai frequent smokers out of the


2006 Reduction in damages from road accidents
total population between 1991 and 2007 • The percentage of Thai people who refrained from alcohol control during the Buddhist Lent rose
Declining death tolls Increasing the “provinces of
from 40% in 2003 to 63%. road safety”
• ThaiHealth and partners continued to year
percent of the total population
campaign for the “Liquor-free Buddhist
percent According to informa-
80
40
Lent” every year. 63 65.2 14,063 2003 tion gathered from the
30.46
60 56
As ThaiHealth took provinces that joined
30 part in various cam- 13,766 2004
22.47 2008 40 provinces integrated road safety
Houses are safer from cigarette smoke 19.47
40 paigns for road safety, 2004 20 projects, the number
20 25.36 18.59 • The percentage of Thai people who 12,871 2005
Thanks to the “Cigarette-free House” cam- death tolls were de- of the provinces with
refrained from alcohol control during 20
creasing.
paign by tobacco control networks, the
18.94 the
Buddhist 11.5 12,693 2006 low road accident rates
10 Lent the Buddhist Lent rose to 65.2%. 0 year deaths 2007 12
percentage of smokers who smoke in their • O n J u l y 8 , 2 0 0 8 , t h e g o v e r n m e n t Before 2001 2003 2005 2006 2008 (25-50 accidents per
houses dropped from 85.76% in 2001 to 0 year
declared the first day of the Buddhist 100,000 people) nearly
1991 1996 2001 2004 2006 2007
59.07% in 2007. Lent the National Liquor-free Day. doubled in 3 years.
The percentage of those who refrained from liquor year
during the Buddhist Lent from before 2001 to 2008
Source : Tobacco Control Research
and Knowledge Management Center (TRC)

“happiness”
What are you whispering,
Dear lotuses while you’re bending?
The smiles that you wear
Reflect the happiness that you share.
Part3
Evaluation and Audit
102 Annual Report 2008
Evaluation Report on the
Performances of the Thai
Health Promotion Foundation
in the 2008 Fiscal Year

By virtue of Section 37 of the Thai Health Promotion


Foundation Act of 2001, the cabinet resolved to form the
Committee to Evaluate the Performances of the Thai Health
Promotion Foundation (ThaiHeath). The committee is
authorized to evaluate the policies, activities and operations
of the foundation and is required to report the results of the
operations of the Foundation and recommendations to the
Board of the Thai Health Promotion Foundation on a yearly
Evaluation Report

In the 2008 fiscal year, the Committee Apart from the mentioned information, the
to Evaluate the Performances of the Thai Evaluation Committee also received additional
Health Promotion Foundation (ThaiHeath) set information from the Thai Health Promotion
its evaluation on 4 areas : Foundation and relevant officials and worked
1. performances in line with the performance out the Evaluation Report on the performances of
indicators that ThaiHealth pledged to the Evalua- the Thai Health Promotion Foundation as follows.
tion Committee;
2. performances in line with 9 major plans; 1. Performances in line with
3. performances in relation to the ThaiHealth performance indicators in the 2008
management; and fiscal year
4. performances in managing its partners
and networks in relation to control of the T h e T h a i H e a l t h P ro m o t i o n F o u n d a -
consumption of tobacco, the consumption of tion pledged 4 performance indicators to the
alcoholic drinks of road accidents. Evaluation Committee. They are 1) achievements
on policy campaigns, campaign communications,
The Evaluation Committee based its work on the research and development of prototypes,
information from the following sources: and the empowerment of organizations and
• the report of performances in line with communities at various levels in health promotion;
performance indicators in the 2008 fiscal 2) annual performances on the number of new
year; sponsorship recipients, the development and
• the report on performances in line with the evaluation of partners, and the degree of success
9 major plans; in plan implementation; 3) office management
• the minutes of the Board of the Thai Health that concerns the management of personnel,
Promotion Foundation; information technology, finance, and risks and
• the minutes of 7 plan-implementing the operations of the Board of the Thai Health
committees; Promotion Foundation; and 4) innovations and
• the report of the Internal Audit Sub- initiatives in management and health promotion.
committee;
• the report of the management of partners The Evaluation Committee found the
and networks in relation to control of the achievements were good, annual perfor
 consumption of tobacco, the consumption mances was excellent, office management
of alcoholic drinks and of road accidents; and was rather good, and innovations and
• other relevant information and documents initiatives were good.
as well as remarks on some issues.

104 Annual Report 2008


However, ThaiHealth should improve some accidents and the environment; 2) the category
small but important issues to make achievements of plans to promote health in localities, organiza
as planned. For example, 1) ThaiHealth should tions and communities; and 3) the category
develop clear objectives, goals and methods to of the supportive plans that apply marketing
integrate its work to empower local administration communications and develop systems. These
organizations and communities to promote health, plans support one another.
and 2) its information technology operations were
behind schedule. ThaiHealth has 7 committees to manage
the plans. They share responsibilities for the
2. Performances in line with 9 major plan management. There are the programs and
plans projects that suit the purposes of the respective
plans. Partners and networks in the government
ThaiHealth acts as an “inspirer”, a “lubricant” and the private sectors, charity organizations,
and a “catalyst” to support the processes of and the individuals who are health promoters or
health promotion through 12 major plans. In the academics receive sponsorships from ThaiHealth
2007 fiscal year, the implementation of 3 major to implement those programs and projects. They
plans was evaluated. They are the plan to control include the Department of Health, the Royal Thai
the consumption of tobacco, the plan to control Armed Forces, the Federation of Thai Industries,
the consumption of alcoholic drinks and the plan the Friends of Women Foundation, community
to promote the prevention of road accidents and leaders and university lecturers.
disasters.
2.1 Partners
In 2008, the implementation of the remaing Increase in the number and types of
9 plans was evaluated. They are 1) the plan to partners Initially ThaiHealth did not have many
control health risk factors, 2) the plan to promote partners and its partners were not diverse. It then
well-being in localities and communities, 3) the gradually sought and invited more partners to
plan to promote well-being learning, 4) the plan participate in its work and as of 2007 it had 3,058
to promote well-being in organizations, 5) the partners. ThaiHealth supported its partners in
plan to promote health-oriented exercises and the government sector in pushing for and
sports, 6) the plan of social marketing, 7) the plan implementing the policies that promoted well-
to support general projects and innovations, 8) being. For example, the Department of Health
the plan to promote health through health service implemented a policy to campaign for Thai people
systems, and 9) the plan to develop the systems without potbellies and the Sangha Supreme
and mechanisms that support health promotion. Council implemented policies for temples to be
The evaluation covered the implementation of the liquor-free zones and the centers to promote the
plans from 2005 to early 2008. happiness of communities. ThaiHealth supported
sports associations and clubs as well as
The 12 mentioned plans can fall into 3 communities
categories: 1) the category of plans concerning
such issues as tobacco, alcohol, foods, exercises,

Evaluation Report 105


in promoting exercises and supported health ties, communities and organizations. It also
promoters and university lecturers in trying and supported other plans to facilitate its
developing the knowledge of health promotion. approach towards localities.

ThaiHealth supports organizations and However, as the approach towards organiza


individuals in working for health promotion tions, communities and target groups of people
through about 1,000 projects annually and this has just started, it has not achieved the goals that
creates new partners every year. In 2008, there ThaiHealth set, especially the goal to enable local
were 768 new partners. Although old partners administration organizations and communities to
renew their requests for sponsorships, ThaiHealth promote health independently.
still welcomes new partners to maintain its thrust.
Initially ThaiHealth did not have enough partners R e g a r d i n g i t s a p p r o a c h t o w a r d s
to help carry out its missions but after 2007 it organizations, ThaiHealth successfully convinced
developed clearer directions of work and more schools, universities, the Royal Thai Armed Forces
appropriate criteria for the selection of its partners. and private enterprises to act as happiness-
In 2008, 1,330 local administration organizations promoting organizations. However, there were
and communities cooperated with ThaiHealth. still a few approaches towards other civil service
Yet, their cooperation has not brought about any agencies. Besides, ThaiHealth started to use
clear results. temples as bases to promote well-being in
communities although the temples that it approached
In supporting and developing partners, were still a small part of all existing temples.
ThaiHealth continuously improved the health
promotion capabilities of its plan implemen Regarding health-oriented exercises,
tation partners. The improvement happened campaigns for exercises were launched in a
in the forms of, for example, the provision of number of areas and in various forms that better
information and knowledge that facilitated suited the cultures of different localities. That
the development of directions and policies, encouraged a number of people to participate in
partial sponsorships from ThaiHealth, the activities. Many exercise campaign projects
connections and knowledge exchange at the regional level enjoyed good cooperation
among ThaiHealth’s networks of partners, from local organizations.
experiences in project management, and
campaigns and activities in relation to health Regarding social marketing, it was
promotion. These resulted in the obvious designed and communicated effectively for
achievements of many partners including particular target groups, ensured high levels
the partners that campaigned for control of of acknowledgment and covered the general
liquor, cigarettes and accidents and those public in the way that people developed
working for the protection of children and awareness and were ready to change some
families, and in mass communications. behaviors. For example, they stopped smoking
in public places and at home and refrained from
2.2 Work with organizations, drunk driving.
communities and target groups of people
ThaiHealth applied the knowledge, lessons Regarding support for projects at the
and experiences that it gained from initial grass roots level that expanded to all regions,
o p e r a t i o n s t o d e v e l o p i t s w o r k w i t h ThaiHealth supported over 700 projects yearly.
organizations, communities and localities About 80% of them produced good (achieve-
to ensure that its work would truly ben- ments, produced health promoters in communities
efit people. ThaiHealth approached communi- and improved the capabilities of communities in
ties mainly through the implementation of solving problems properly and systematically.
its plans to promote well-being in locali-

106 Annual Report 2008


2.3 Outcomes and impacts 63 local administration organizations included
This report will describe the outcomes and guidelines on family activities in their community
impacts of the 9 major plans, excluding the plan development plans.
to control the consumption of tobacco, the plan
to control the consumption of alcoholic drinks The efforts of ThaiHealth and partners
and the plan to promote the prevention of road to create knowledge, laws and policies
accidents and disasters, the outcomes and influenced organizations to play a greater roles
impacts of which were already described in the in health promotion and prompted changes
Evaluation Report on the performances of Thai- in people’s behaviors and the environment
Health in the 2007 fiscal year. that facilitated well-being and better quality
The important outcomes and impacts of life. The changes resulted in better family ties,
that ThaiHealth and partners jointly realized more exercises, constructive activities among
are as follows. children, child-friendly public media, safe
A number of documents to disseminate playgrounds, better child development centers,
knowledge were produced. They included safe foods, pleasant workplaces, guaranteed
research reports, instructions developed on rights for the disabled, and better consumer
experiences in project implementation, books protection. There was insufficient information
and magazines. In 2008, there were 420 items to evaluate the degrees of the improvement;
of such documents which were disseminated therefore, there must be specific researches.
through various channels including information This is different from the cases of control on the
technologies. consumption of tobacco and alcoholic drinks
and the prevention of road accidents as there
Campaigns were carried out successfully were studies and information about the results
and led to policies, laws and regulations of of changes as described in the 2007 Evaluation
national importance. They included the 2007 Report.
Constitution that requires the establishment of an
independent organization for consumers and the
2.4 Recommendations
rights of the disabled, children and youths; the on plan management
Act to Protect the Victims of Domestic Violence • ThaiHealth should improve the integration
of 2007; the Emergency Medicine Act of 2008; of operations under plans or programs by
the Office of the Prime Minister’s Regulation on same sections, the integration of operations
the Development of Young Children of the Nation; by different sections of ThaiHealth, the
integration of operations between Thai
the Office of the Prime Minister’s Regulation on the
Health and other agencies that work towards
Promotion and Coordination of the Institution of the
the same goals and in the same areas, and
Family the Nation of 2008; ministerial regulations
on the safe installation of recreational equipment the integration of their operations that
on playgrounds; and announcements of agencies support one another.
• Although there were very good systems
at the national level on, for example, breastfeeding,
soda-free schools, warning labels on children’s to monitor and report the outcomes of
snacks, a ban on drinking water coolers some plans, ThaiHealth should develop
assembled with lead-welding at schools, and the mechanisms to monitor and report the
rating of the television programs and commercials outcomes of other plans and projects for the
that affect children. sake of higher efficiency and effectiveness.
• Although ThaiHealth was successful in its
Laws and policies at the national level not indiscriminate campaigns with target
only caused compliance by agencies, but also groups, it should clearly separate and
resulted in changes to the regulations of analyze different target groups in order to
organizations and local authorities. For example, plan efficient and effective approaches for

Evaluation Report 107


different target groups, especially the In general, ThaiHealth had meticulous
groups that face high risks who cannot be easily systems and mechanisms to manage, moni
approached with normal methods and tor and examine its financial and accounting
need special methods. operations. Internal auditors recommended
• ThaiHealth should improve its capabilities improvement only on some points. For example,
for communications in targeted areas to it should increase efficiency in analyzing the
facilitate its plans and projects in order to budgets of plans and projects.
enhance marketing communications and
better reach target groups in the field. 3.3 The performances of committees
• ThaiHealth should study and analyze existing ThaiHealth took serious actions to prevent
research results and knowledge and find conflicts of interest in line with established
w a y s t o i n c re a s e t h e i r v a l u e s a n d regulations and procedures.
applications.
• ThaiHealth should increasingly and rapidly In 2008, committees had regular meetings
encourage local administration organiza and nearly full, 77-90%, attendance and
tions to cooperate and take responsibility their agendas reflected their roles, duties and
for attempts to improve the health and responsibilities.
quality of life of people in their areas in order
to guarantee the sustainability of health 3.4 Responses to the recommendations
promotion. of the parliament
ThaiHealth provided additional informa
3. The management of ThaiHealth tion and improved its work to respond to
reservations from the parliament. Those
3.1 Personnel management included its response to the important issue
ThaiHealth improved the capabilities of of the development and solutions to the
its personnel more systematically. All staff mem problems of children, youths and families.
bers were required to have annual development In this case, ThaiHealth paid more attention and
plans for themselves and consequently increased offered more support by forming a particular unit
their capabilities. It outsourced the work that did to take responsibility for the issues of children,
not require high knowledge and capabilities but youths and families. Another issue was the
was time-consuming. prevention of and control on such chronic
diseases as obesity, diabetes, cardiovascular
3.2 Financial and budgetary management diseases and strokes. ThaiHealth took more
In the 2008 fiscal year, ThaiHealth received a actions to encourage changes to the behaviors
total income of 2,881 million baht, higher than its that are the major factors of these illnesses. The
estimate by 12%, and posted a total expense of changes called for exercises, nutrition, emotional
2,918 million baht, lower than expected by 9%. control, and non-smoking. ThaiHealth campaigned
ThaiHealth approved 1,260 contracts in which it for these changes through mass communications
allocated 3,190 million baht to sponsor new and field operations launched widely at the levels
projects, higher than the target that it had set of provinces, organizations and communities.
earlier in the year at 2,910 billion baht. The campaign for Thai people without potbellies
was among the attempts.
The Board of ThailHealth laid down policies
to maintain its liquidity and the amount of its fund
reserves at proper levels and to suitably manage
the funds that have not reached their disbursement
schedules to reap reasonable benefits. However,
ThaiHealth had a large amount of fund reserves in
2008 as it reserved funds for tied-over budgets.

108 Annual Report 2008


3.5 Responses to the recommendations with the management of projects, knowledge and
of the Evaluation Committee in 2007 communications.
ThaiHealth improved its operations in
response to these 4 recommendations. 1) 4.2 Partners for control on alcohol con
Regarding invitations for local administration sumption
organizations to be its partners or actively and These partners were quite strong but depended
increasingly implement its projects, ThaiHealth much on the budgets of ThaiHealth. Although
made various attempts but did not achieve its they made good achievements, they were not so
goals because the goals were very ambitious. experienced. They cooperated closely with the
2) Regarding the establishment of the goals of partners that worked for the prevention of road
performance indicators, ThaiHealth gradually accidents but the networking between partners
developed proper performance indicators. 3) in Bangkok and those in other provinces was not
Regarding the empowerment of its partners, good enough and consequently resulted in the
ThaiHealth already improved the capabilities of unnecessary losses of opportunities and money.
its partners in terms of accounting, finance and These partners expected ThaiHealth’s support
evaluation by outcome mapping. However, Thai- for the serious improvement of the capabilities of
Health must also improve the capabilities of its their personnel.
partners in other aspects, especially capabilities
for planning and project management. 4) 4.3 Partners for the prevention of road
Regarding the development of an information accidents
exchange system, ThaiHealth sought help from These partners were quite strong but were
outside advisors and experts but the development obstructed with bureaucracy because same of
was still behind schedule. them were in the government sector. All these
partners had personnel limitations in terms of
4. The outcome of the management both quantity and quality. ThaiHealth played
of partners in relation to control on animportant roles, through sponsorship and co
tobacco and alcohol consumption and ordination, in pushing for the formation of many
the prevention of road accidents agencies to take responsibility for the preven
tion of road accidents. These partners expected
To achieve its goals, ThaiHealth must depend support for the serious development of their
on the work of its partners that it sponsors. personnel especially in relation to campaigns for
Therefore, ThaiHealth’s good management of the behavioral changes of motorists.
partners should lead to the success of its missions.
In 2008, the Evaluation Committee arranged The recommendations of the
for a study on the management of ThaiHealth’s Evaluation Committee
partners in relation to control on tobacco and
alcohol consumption and the prevention of road ThaiHealth is the fund organization that
accidents. The study led to the following findings. wants “Thai people to be sustainably healthy”
and is committed to inspiring, stimulating and
4.1 Partners for control on tobacco con supporting the development of health systems
sumption and public health promotion by focusing on the
These partners were strong and experienced reduction of risk factors and the creation of the
and their performances were recognized locally factors that boost health. ThaiHealth supports
and internationally. However, the partners had not and enables its partners’ work to develop
worked actively in the field. Almost all support that knowledge, campaign for policies and introduce
ThaiHealth offered to the partners was financial. health promotion in organizations, communities
The partners were satisfied with that and did not and localities.
expect support for personnel development. If any To improve its strength and efficiency in the
additional support should happen, it should deal mentioned missions, ThaiHealth should place
importance on the followings :

Evaluation Report 109


1. It should promote monitoring and evalu evaluators for qualitative and quantitative
ation to be accepted and implemented and evaluation to support its operations. Thai
become part of its cultures, and should Health should support educational institutes
include monitoring and evaluation in all in training evaluators to evaluate health
projects from their early stage of imple promotion and may assign some institutes
mentation. Project proposals should detail to manage monitoring and evaluation on
outputs, outcomes and impacts to guarantee its behalf.
efficient monitoring and evaluation. 6. ThaiHealth should emphasize integrated
2. It should develop the information system work in localities and enable local agencies
that covers important information and suits and communities to develop true and sus
its main work process and should apply tainable well-being for people in their respec
information technology to manage project tive areas. In this case, its support should
information from the stage of approving go especially to the local administration
project sponsorships to the reports of project organizations that have legal authority and
outcomes and project conclusions. duties, are accepted by people and have
3. Concerned persons at all levels from project budgets to fund well-being development.
managers and implementers to plan mana If ThaiHealth improves the capabilities of
gers, the executives of the Thai Health local administration organizations, most
Promotion Foundation, plan management of which are inexperienced in managing
committees and the Board of the Thai health promotion, this will certainly lead to
Health Promotion Foundation should regularly the improvement of health and quality of
receive and use monitoring and evaluation life of local people.
reports.
4. ThaiHealth should improve the monitoring
and evaluation capabilities of its personnel
and the partners that are seeking sponsor
ships for their projects.
5. To strengthen evaluation in the long run,
ThaiHealth should support the development
of the communities and networks of enough

110 Annual Report 2008


The Report
of the
Internal Audit
Sub-committee
The Report of the
Internal Audit Sub-committee

The Internal Audit Sub-committee fully served assets in the 2007 fiscal year by the Office
its 3-year term on January 24, 2008, but the of the Auditor General (OAG), the interim
Board of the Thai Health Promotion Foundation financial statement of the 2008 fiscal year
resolved in its 2/2551 meeting on February 29, and ThaiHealth’s fund management system.
2008, that the sub-committee stayed in office 2) The audit found that the overall financial
until September 2008 for the sake of work statement and its important contents were
continuation. Then the Board of the Thai Health in line with rules, regulations and generally
Promotion Foundation reached a resolution in accepted principles of accounting. The
its 7/2551 meeting and signed the 8/2551 Thai statement provided sufficient and reliable
Health Promotion Foundation order dated July information. There are a few recommenda
25, 2008, to extend the term of the same Inter- tions for improvement to increase efficiency
nal Audit Sub-committee for another term from in the internal control of the Thai Health
September 1, 2008. Promotion Foundation.

The Internal Audit Sub-committee works 2. Supervision


with transparency and gives remarks and The sub-committee gave advice on the audit
recommendations independently so that Thai- plan and examined the report of the internal audit
Health can achieve its goals legally. In the 2008 section that had been sent to ThaiHealth. The
fiscal year, the Internal Audit Sub-committee sub-committee also monitored the operations
worked in compliance with the Regulation of the of which it had proposed the improvement to
Thai Health Promotion Foundation on the Internal ensure that management complies with the regu
Audit of Finance, Accounting and Material of lations of ThaiHealth and is more efficient. The
2005. The sub-committee had 11 meetings and monitoring covered:
met ThaiHealth executives to assure that Thai 1) the investment management of Thai
Health had a transparent, accountable and Health;
efficient audit system. The sub-committee also met 2) the study on “Approval for Projects and
external auditors for discussions and recommen Budget Disbursement for Sponsored
dations and concluded and reported its findings to Projects in the 2007 Fiscal Year”;
the Board of the Thai Health Promotion Foundation 3) the study on “The Projects Terminated
quarterly to inform the board of progress of work between 2002 and 2007” of the Thai Health
according to roles and duties. The work of the Promotion Foundation (the 1st Phase); and
sub-committee is concluded as follows. 4) examination of ThaiHealth’s system that
governs sponsorship agreements and
1. Financial statement audit contracts.
1) The audit covered ThaiHealth’s accounts
and financial statement, the Evaluation
Report on ThaiHealth’s spending and

112 Annual Report 2008


3. The audit of the internal control system 2) ThaiHealth continuously produced and
and the management of the process of improved handbooks for the proactive
sponsorship consideration implementation of projects. It let sponsor
The Internal Audit Sub-committee acknow ship recipients take part in the handbook
ledged and gave opinions and recommenda production and improvement to develop
tions on the process of sponsorship consid good ties and cooperation.
eration of the “Health Promotion and Second 3) ThaiHealth followed up the improvement
ary Risk Factor Reduction” section and of its information exchange systems to
the“Open Grants” section. That was to accelerate the improvement to boost
increase managerial efficiency in relation to efficiency and facilitate its operations.
the improvement of report systems and
methods, cooperation with local people, The Internal Audit Sub-committee thinks
approach for new partners in the government that ThaiHealth has reasonably suitable
and the private sectors to expand areas of management has continuously and swiftly
health promotion, and increase in public improved itssystems of work in accordance with
relations on campaigns and activities through present situations.
mass media to achieve the goals of the
organization.

4. The Inter nal Audit Sub-committee


followed up improvement by ThaiHealth with
regard to its previous recommendations. The
follow-ups led to the following findings.
1) Regarding the planning of the inspection
of plans/projects, and the development
of sponsored partners, ThaiHealth trained
inspectors to improve the capabilities of
and introduce a standard system for the
reporting of sponsorship recipients. It also
Supol Khunaporn
organized training and gave advice to help
Chairman of the Internal Audit
solve the problems of partners.
Sub-committee

Evaluation Report 113


The Evaluation Committee found that ThaiHealth performed well in accordance with
performance indicators. With regard to the in-depth evaluation of its attempts to develop
the capabilities of partners, ThaiHealth proved to help improve the capabilities of workers
continuously and thus contributed to health promotion in the country in the long run.

The board of the Foundation has set future directions and called for serious actions in the
following issues.

• Main targets are children, youths, families, community organizations and un-
derprivileged people. Children and youths are the groups of people who significantly deter-
mine the future of the nation. Community organizations are the basic social units that should
be collectively developed and be the foundations for the independence of Thai people.

• Health promotions are integrated. The projects that have similar contents and tar-
get groups or are planned for close areas will be seriously integrated so that they can boost
the efficiency of one another.

• Management, follow-ups and evaluation will benefit from a better database so that
follow-ups and evaluation can facilitate the verifications of performances, public accountabil-
ity, learning and work improvement.

The board of the Foundation also places importance in responses to the current affairs that
draw public attention or the public issues that may lead to a crisis of well-being. ThaiHealth
should find its ways to take part in proposing the constructive solutions that will guarantee
sustainable well-being. This is the highest goal of the missions of the Thai Health Promotion
Foundation.

Dr Supakorn Buasai
Manager of the Thai Health Promotion Foundation