Please briefly describe the initiative, what issue or challenge it aims to address and specify its objectives (300 words maximum)
The Coronavirus Disease 2019 (Covid-19) outbreak started at the end of 2019 and has since expanded across the world, generating panic and damaging people's health, society, and economy. So there was a pandemic at the start of January 2020, which was a quickly spreading infection all over the world. According to the World Health Organization, the global population had 213,417,403 infections and 4,451,318 deaths as of November 4, 2021, as of March 11, 2020.
At the end of the first round of the COVID-19 virus outbreak in Thailand, as of April 8, 2020, the infection rate in Thailand was 2,369 people, with 30 deaths. Beginning at the end of December 2020, this second wave of outbreaks is different from the first wave of outbreaks in many aspects, such as the number of infected people. It has spread to many provinces. It is estimated that the second round of outbreaks will not go away as quickly as the first. In Thailand, a committee of the Center for Management of the COVID-19. The Centre for the Administration of the Situation due to the Outbreak of the Communicable Disease COVID-19 has been established, chaired by the Prime Minister. Thailand has declared a state of emergency for Thailand to increase access to services and reduce medical disparities, including to treat and prevent the spread of infection, set up a system to support treatment, reduce the risk of infection, and be a model for health system operations as well as jointly manage and develop resources in the situation of COVID-19 in various fields.
Please explain how the initiative is linked to the selected category (100 words maximum)
The Department of Medical Services is responsible for regulating medical practice in the country as well as promoting and supporting academic and service excellence in medicine. It is the main care unit that is called upon when a crisis occurs. Thailand is a pioneer in academic networking and a hub for supplying medical resources (tools, materials, equipment, funds) in the face of the COVID-19 outbreak. Both the governmental and private sectors are contributing to the provision of key resources. It also aids in the development of appropriate guidelines, as well as the communication, monitoring, and response to changing conditions.
a. Please specify which SDGs and target(s) the initiative supports and describe concretely how the initiative has contributed to their implementation (200 words maximum)
This committee's activity focuses on providing quality medical care in a timely and comprehensive manner in response to the outbreak. Patients have access to a full range of services. It aligns with the Medical Department's commitment to do our best for everyone, as well as the SDG 3.4, SDG 3.8, and SDG 10.3 goals of lowering mortality rates through acquiring high-quality medications and treatments without prejudice through development and innovation. Recommendations for creating Specialized Hospitals (Hospitels), For example, the Ministry of Public Health of Thailand established a Pre-Admission Center and Referral Center, guidelines for building field hospitals, guidelines for medical staff in providing advice to patients, and guidelines for medical personnel in offering treatment and providing services for patients with COVID-19 (Home Isolation, Community Isolation), establishing a Pre-Admission Center and Referral Center, Ministry of Public Health, service arrangement medical via telemedicine system, and Central Vaccination Center.
b. Please describe what makes the initiative sustainable in social, economic and environmental terms (100 words maximum)
The IMPACT Exhibition and Convention Center, Muang Thong Thani, has provided assistance for the facility to be used as a field hospital under the name "Busarakham Hospital," Ministry of Tourism and Sports. to use the Nimibutr Sports Building as the "First pick-up and forwarding center"
The corporate and public sectors, such as Charoen Pokphand Foods Company, Saha Pathanapibul Company, and Singha Corporation, support food and drinks.
Management funding and medical equipment are both needed. The WHO, NHSO, the business sector, and the people's sector all support it.
a. Please explain how the initiative has addressed a significant shortfall in governance, public administration or public service within the context of a given country or region. (200 words maximum)
The Department of Medicine is an academic unit have a role in the academic field. With the crisis situation, the Department of Medical Services had to restructure its working roles. By cooperating with government sector partners such as the Ministry of Public Health, the Bangkok Hospital Network Group of the Institute of Medicine of Thailand (UHosNet), the army, and a significant number of private networks, and taking proactive action on a continual basis. The only way to be constant and keep up with the dynamic growing epidemic condition is to develop and innovate. This entails developing a new service model to help with the epidemic, as well as accumulating information and experience working with network partners. To be a model for various agencies to apply appropriately according to the context of the area by preparing a book that combines outstanding results of health service units under the Medical Department that enhance the quality of work in Coping with COVID-19 This will lead to the development of diverse public health jobs. and maximize benefits for people who receive services.
b. Please describe how your initiative addresses gender inequality in the country context. (100 words maximum)
Everyone is treated equally by the Department of Medical Services. According to the evaluation results, the bed management system is arranged using the CO-Link program. Biased case management based on ethnicity, religion, political philosophy, or gender Only the accuracy and suitability of public health standards shall be considered in medical treatment, home isolation, immunization, and so forth. Gender, State, and Gender Discrimination Take into account the patient's dignity, security, and comfort.
c. Please describe who the target group(s) were, and explain how the initiative improved outcomes for these target groups. (200 words maximum)
Phase 1: There are two measures that contribute to the efficiency of care: 1) networking and 2) reducing the spread of infection in hospitals. 3) Requirements 4) creating patient support systems, 5) research studies, 6) management systems, 7) personnel care, and 8) communication and public relations, which is still happening by developing integration with important public and private sector agencies.
Phase 2: Operating parameters known as the 4S (Structure, System, Staff, and Service) were employed to establish an outbreak response system for management and service continuity. This is a continuation of the previously implemented steps. adverse repercussions People continue to receive services in the same manner as before.
Phase 3: The new wave is larger and faster than the previous one. However, the sickness is less severe, and there are fewer strict safeguards in place. It has an impact on both medical and public health. Although the development of a vaccine or immunization has become more visible, there is also resource management and development. Set up a treatment support system to treat and prevent the transmission of infection. This reduces the risks of infection and speeds up the healing process.
a. Please describe how the initiative was implemented including key developments and steps, monitoring and evaluation activities, and the chronology. (300 words)
1. Creating a Brainstorming Network plan to integrate resource sharing and treatment approaches Bed management and referral system.
2. Reduction of congestion in hospitals. Prepare guidelines to reduce congestion in hospitals. Pick up the medicine at the nearest drugstore, deliver the medicine by mail. Increase the number of drugs to reduce the frequency of coming to the hospital for non-emergency surgery appointments.
3. Developing Guideline to create guidelines for treating COVID-19 patients and various medical practices.
4. Health service system management, set up Airborne Infection Isolation Room (AIIR), prepare AIIR, Cohort ward, Hospitel, Intensive Care Unit.
5. Management system
a. Prepare a self-diagnostic filter For those suspected of COVID-19.
b. DMS Program: COVID-19: Patient Care Resource Management System.
c. Sabai Tee Bot Progra: Satbot, a registration system where PUI enters the information manually to reduce the waiting time for service.
d. Hotline 1668 Department of Medical Services Hotline.
6. Research studies on COVID-19
a. Conduct clinical trials for the development of drug formulations for the
treatment of COVID-19.
b. Collaborating with the World Health Organization to perform COVID-19 therapy
c. Development of a three-dimensional cell culture model of an expanded lung.
d. COVID-19 research experiments using robot assistance.
7. Medical workers serving COVID-19 patients at all levels.
a. Creating an insurance policy to protect against COVID-19 infection
b. Management and Procurement of Personal Protective Equipment (PPE)
8. Creating Situation Awareness for COVID-19
a. Make the public aware of the COVID-19 problem.
b. Create your own screening as
b. Please clearly explain the obstacles encountered and how they were overcome. (100 words)
The workforce rate is insufficient in terms of personnel. The expertise of COVID-19 management is insufficient, resulting in ineffective manpower management Important guidelines should be developed and communicated to operators. It will be periodically monitored, assessed, and changed to fit the scenario.
Inadequate medical supplies As a result, one executive was assigned to determine the use and control of disbursement. and keep in touch with the job site while keeping the dangers in mind by the use of evidence-based practices, the focus is on safety and appropriateness. Encourage the reuse of equipment and seek out extra resources from other agencies.
a. Please explain in what ways the initiative is innovative in the context of your country or region. (100 words maximum)
The following developments were developed in collaboration with network partners:
- A bed management coordination system for COVID-19 or 1668 afflicted patients
- The first receiving and forwarding center is established.
- Hospital and Field Hospital
- Center for Vaccination
- Isolation at home service
- Isolation in the community
b. Please describe, if relevant, how the initiative drew inspiration from successful initiatives in other regions, countries and localities. (100 words maximum)
c. If emerging and frontier technologies were used, please state how those were integrated into the initiative and/or how the initiative embraced digital government. (100 words maximum)
As the agency in charge of establishing COVID-19 patient care recommendations, the Department of Medical Services must use technology to gather and evaluate data. In order to acquire data that may be utilized to develop measures that are appropriate for each situation, The Department of Medical Services has implemented the following major technologies: informatic platform, big data, Artificial Intelligence (AI), information technology (IT) infrastructure and network, and IT security, resulting in an integrated digital eco-system and increasing efficiency. Capable of managing the country's medical academic information.
a. Has the initiative been transferred and/or adapted to other contexts (e.g. other cities, countries or regions) to your organization’s knowledge? If yes, please explain where and how. (200 words maximum)
The Department of Medical Services has acquired expertise working with network partners to provide as a model for other agencies to adapt to their specific needs. This resulted in various policies as follows:
Hotline 1668, Home Isolation, Community Isolation Setting up the first reception and forwarding facility (Pre-Admission Center MOPH) Hospitel, field hospital, The vaccination centre at Bang Sue Grand Station in Bangkok, Examination room prototype and negative pressure capsule Laboratory SARS Cov Dental safety barrier screening innovation Ezy module.
b. If not yet transferred/adapted to other contexts, please describe the potential for transferability. (200 words maximum)
a. What specific resources (i.e. financial, human or others) were used to implement the initiative? (100 words maximum)
The Department of Medical Services has mobilized workers from all of its departments, bringing the total number of people involved in the operation to nearly 18,000. Other external agencies, as well as the private sector, contributed to its success. In Thailand's financial sector, civil society and the public sector will always place a premium on public health. The amount of budget obtained by the Ministry of Health, which is at the top of all ministries, demonstrates this. In addition, in order to support the COVID-19 situation, the government has required other government agencies to reduce budgets to support public health.
b. Please explain what makes the initiative sustainable over time, in financial and institutional terms. (100 words maximum)
The medical department's operations are crucial to economic recovery. The Phuket Sandbox Policy, which permits tourists to receive full immunization doses, exemplifies this. For a period of 14 days, visitors will be able to enter Thailand without being subjected to quarantine, with Phuket serving as a test case. It will spread to other provinces if the response is positive. Thailand has opened the country when there are fewer than 10,000 cases per day in the country and fewer than 100 deaths per day. Strict Protection is running concurrently, producing a loss of trust among Thais and foreigners.
a. Was the initiative formally evaluated either internally or externally?
b. Please describe how it was evaluated and by whom? (100 words maximum)
Using a global comparison with the COVID-19 issue, the Department of Medical Services evaluated the management of the COVID-19 situation. Thailand has 1,943,424 cases and 19,462 deaths as of November 4, 2021, accounting for 1.00 percent of the global total, while the world had 213,417,403 cases and 4,451,318 deaths, accounting for 2.09 percent.
c. Please describe the indicators and tools used (100 words maximum)
1. Success rate in preparing for and responding to the new coronavirus disease 2019 (COVID-19) outbreak
2. The overall mortality rate of coronavirus disease 2019 (COVID-19) patients in the United States.
d. What were the main findings of the evaluation (e.g. adequacy of resources mobilized for the initiative, quality of implementation and challenges faced, main outcomes, sustainability of the initiative, impacts) and how this information is being used to inform the initiative’s implementation. (200 words maximum)
Various data will be collected, evaluated, and synthesized through the digital eco-system as a result of the integration of the following indicators above, providing the Department to use such data as input data for forecasting. The epidemic condition is an example of something that could happen in the future. This allows for the formulation of appropriate coping policies.
Please describe how the initiative is inscribed in the relevant institutional landscape (for example, how it was situated with respect to relevant government agencies, and how the institutional relationships with those have been operating). (200 words maximum)
The Department of Medicine, as the main agency responsible for the country's medical affairs and its main host In coordinating with network partners to formulate guidelines for the care of patients with Covid-19, she has focused on creating Cooperation with various departments as follows:
1. The Ministry of Public Health establishes policies and budgets to support them.
2. Determine operational policies in the area, as well as support and participate in the facilitation of activities.
3. Professional groups take part in important operations including planning meetings. System design knowledge exchange brainstorming
4. Both public and private hospitals are available.
Put the model you've established into action.
5. Public health volunteers, community leaders, and religious leaders support and cooperate in the operation.
6. Office of the Health Promotion Fund Increase knowledge to change behavior, resulting in improved people's health.
7. World Health Organization (WHO) supports operations and budgets to bring the benefits of new medicine to the world. presented to the people of Thailand.
The 2030 Agenda for Sustainable Development puts emphasis on collaboration, engagement, partnerships, and inclusion. Please describe which stakeholders were engaged in designing, implementing and evaluating the initiative and how this engagement took place. (200 words maximum)
Throughout the COVID-19 pandemic, the Department has mobilized all available resources to address the crisis. It has also gained support from a variety of other organizations, including the government, the corporate sector, and civil society. and the public sector to form "Team Thailand," which has a lot of promise in Thailand. He has been involved in all aspects of the Medical Department's activities, including the establishment of field hospitals and waiting centers. Locations can be found in a variety of formats. It doesn't matter if you're in the hospital or not. Sports grounds, schools, and even the temple pavilion can be converted into field hospitals in the buildings of various government and commercial institutions. Despite the fact that a large number of people are involved, including doctors, nurses, and numerous support departments, the Thai people's friendliness is an important aspect of their identity. The influx of gifts continued unabated, both in the form of labor from various volunteers working on "Pid Thong Lang Phra" and in the shape of material and monetary donations, particularly in the fiefdom.
Please describe the key lessons learned, and how your organization plans to improve the initiative. (200 words maximum)
The structure increases the capacity of service areas to reduce congestion and prevent infection. To prevent and decrease the transmission of infection, use medical equipment and supplies. There should be more convenient and safer (2P safety) technologies available.
On the system side, there is an EOC COVID-19 committee incident commander system in real time with the director and deputy medical director as the commanders. There is a COVID-19 vaccine management team ready to prevent disease. Organize the service system to be a one-stop service; develop the pick-up Telemedicine, mail, or drive through medicine service.
On the personnel side, there is preparation of personnel to prevent the infection of COVID-19 and planning of the manpower rate. Review of safety measures guidelines There is a continuous rotation of personnel to perform their duties. There is a business continuity plan (BCP) working group.
On the service side, there are proactive services to open service channels. Appointments for follow-up visits with communication technology have also been scheduled, and the area has been remodeled to meet the standards. Construct a field hospital, manage a hospitel, start a COVID-19 testing service, and administer a vaccination program.