Basic Info

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Nominee Information

Institutional Information

Member State Thailand
Institution Name Songkwae sub-district municipality
Institution Type Public Agency
Administrative Level Local
Name of initiative 2 Care Model
Projects Operational Years 4
Website of Institution http://www.songkwae.go.th/index.php

Question 1: About the Initiative

Is this a public sector initiative? Yes

Question 2: Categories

Is the initiative relevant to one of the UNPSA categories? Category 1: Fostering innovation to deliver inclusive and equitable services
UNPSACriteria
NoItems

Question 3: Sustainable Development Goals

Is the initiative relevant to any of the 17 SDG(s)? Yes
If you answered yes above, please specify which SDG is the most relevant to the initiative. (hold Ctrl to select multiple)
Goal 1: No Poverty
Goal 2: Zero Hunger
Goal 3: Good Health
Goal 4: Quality Education
Goal 16: Peace, Justice and Strong Institutions
Which target(s) within the SDGs specified above is the initiative relevant to? (hold Ctrl to select multiple)
1.2 By 2030, reduce at least by half the proportion of men, women and children of all ages living in poverty in all its dimensions according to national definitions
2.1 By 2030, end hunger and ensure access by all people, in particular the poor and people in vulnerable situations, including infants, to safe, nutritious and sufficient food all year round
3.4 By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being
3.8 Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all
4.7 By 2030, ensure that all learners acquire the knowledge and skills needed to promote sustainable development, including, among others, through education for sustainable development and sustainable lifestyles, human rights, gender equality, promotion of a culture of peace and non-violence, global citizenship and appreciation of cultural diversity and of culture’s contribution to sustainable development
16.7 Ensure responsive, inclusive, participatory and representative decision-making at all levels

Question 4: Implementation Date

Has the initiative been implemented for two or more years Yes
Please provide date of implemenation (dd/MM/yyyy) 01 Aug 2017

Question 5: Partners

Has the United Nations or any UN agencies been involved in this initiative? No
Which UN agency was involved? (hold Ctrl to select multiple)
Please provide details

Question 6: Previous Participation

1. Has the initiative submitted an application for consideration in the past 3 years (2017-2019)? No

Question 7: UNPSA Awards

Has the initiative already won a UNPS Award? No

Question 8: Other Awards

Has the initiative won other Public Service Awards? Yes
If yes, please specify name, organisation and year. Good Governance Awards 2021, The Office of the Permanent Secretary, Thailand

Question 9: How did you learn about UNPSA?

How did you learn about UNPSA? GOVERNMENT

Question 10: Validation Consent

I give consent to contact relevant persons and entities to inquire about the initiative for validation purpose. Yes

Nomination form

Questions/Answers

Question 1

Please briefly describe the initiative, what issue or challenge it aims to address and specify its objectives (300 words maximum)
Thailand's society is devolving into complete aging. There are 20% of senior citizens. The northern region is considered to have the highest concentration of them, with 19.88 percent, or 2,390,951 people. Song Khwae Subdistrict Municipality finds itself in a similar situation. In 2021, there will be 1,272 elderly people, or 26.77 percent of the population, indicating that society will be thoroughly aged. As the elderly population grows, the demand for public services becomes more diverse, including health care needs, the desire for family and community acceptance, the desire to develop oneself to be self-sufficient and reduce reliance on family, and the desire to earn one's own income. This can be viewed as a significant challenge in organizing the municipal eldercare system to meet the growing needs of all elderly residents. Due to budget constraints and a scarcity of personnel capable of planning and delivering such public services, the “2 Care Model” innovation was created to develop an elderly care system through the potential of local communities. The objectives are as follows: (1) to improve the quality of life of all seniors in four dimensions, namely physical, mental, social, and intellectual; (2) to improve the quality of public services provided to the elderly to respond transparently to their needs. The operation is divided into two major components: establishing a database and management system (two systems) and establishing five public service systems that cater to the unique needs of the elderly. This is accomplished through the collaboration of six sub-district departments and ten non-sub-district agencies.

Question 2

Please explain how the initiative is linked to the selected category (100 words maximum)
This corresponds to Branch 1, which focuses on innovation to provide comprehensive and equitable services to an aging population. 2 care model is designed to provide public services to all elderly groups (1,272 people), including 80 low-income elderly, 212 disability elderly, and 12 underprivileged elderly and the elderly receive customized care for enhancing quality of life. By collecting household data, the database system is created to expand service delivery channels, and care for the elderly is mapped using a GIS system. The cost of caring is reduced by establishing a collaborative network among six internal departments and ten external agencies.

Question 3

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)
SDG 3 :all seniors receive high-quality, cost-free health care by using local capital and stakeholder resources. Multidisciplinary teams and community volunteers are caring for all elderly people. Additionally, these seniors are encouraged to utilize their abilities in various fields to live happily and volunteer to care for other elderly people. SDG 2: These systems ensure that seniors receive nutritious and safe food. They have access to food at all meals and in all households. SDG1 : This innovation enables 989 elderly people to work under physical conditions. Additionally, 1,201 residents are encouraged to save money by joining community funds or financial institutions. Additionally, this assists in debt reduction and saving management. SDG 4 : promoting knowledge and developing the skills necessary for sustainable development. This is accomplished by teaching the elderly the required skills for a happy life that appropriates for their physical condition. SDG 16: 2 care model enables enables the elderly and all community sectors to participate in management and decision-making at every stage. The service provided to the elderly meets their basic needs and tailor made design service through survey household data, community research and stakeholder supply network
b. Please describe what makes the initiative sustainable in social, economic and environmental terms (100 words maximum)
Social : All elderly people live in a sharing society. It is a society where everyone takes pride in sharing and caring to their community. Economic : Elderly people are trained in vocational skills to generate income, thereby lowering the cost of care for the elderly who receive a variety of services. The campaign encouraging households to grow their own vegetables and herbs results in a decrease in consumption costs. Environment: The elderly are adapted to their living environment. This helps prevent accidents and slows the body's deterioration. Waste management activities in household helps to alleviate household waste problems.

Question 4

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)
In the Song Khwae Subdistrict area, there is an increasing number of elderly people every year. The municipality has an insufficient budget and workforce to care for this group of elderly people. The innovation called "2 Care Models" has therefore come to solve such limitations. In terms of the budget, there has been cooperation from various network partners that have the same goals. That is to provide services and improve the quality of life for the elderly in all four dimensions. It also generates volunteerism in the area. When it comes to taking care of the elderly, one volunteer can take care of up to seven elderly people. There is also a welfare fund for the elderly known as the "One THB Daily Savings Fund," with a sum of 2,826,325 baht at present. These four benefits are in addition to what the government gives them. It helps reduce the household debt of the elderly by up to 1,600,000 baht. They also grow herbs against COVID-19 in the elderly's household, and 80 percent of it is for sale. It can be said that this innovation can sustainably reduce the disparity in access to government services for the elderly.
b. Please describe how your initiative addresses gender inequality in the country context. (100 words maximum)
The innovation "2 Care Model" is focused on ensuring that all elderly people, regardless of gender, have equal access to public services, particularly elderly women who live alone and are in poor or bedridden health. This is because the average life expectancy for female seniors is approximately 80 years, compared to 73 years for male seniors. For the elderly, innovation has facilitated learning through school. Thus, this provided an opportunity for elderly women to socialize and contribute to the well-being of others in society. As a result, they will possess enhanced leadership abilities.
c. Please describe who the target group(s) were, and explain how the initiative improved outcomes for these target groups. (200 words maximum)
Improving all elder quality of life (in four dimension) is the innovation goal : Physical health: Seniors have solutions to health problems and can slow the decline of their physical condition. This is accomplished through the health care system at the family level. Each household has an adequate supply of nutritious food for each meal. Mental health: Multidisciplinary teams are formed to provide continuous care to elderly at home. As a result, the proportion of elderly people at risk of depression is reduced by 60%. Additionally, 75% of elderly people who receive training in vocational skills can earn an income and care for themselves. By engaging in these activities, the elderly's suicide rate decreases to zero. Society: This is an opportunity for senior citizens to participate in community activities. They develop a sense of pride in themselves, and 80 elderly people become role models for their community. Wisdom : Using the knowledge to take care themselves and their families and become expert speakers on a variety of learning centers including health services and health promotion, career promotion and cost reduction, welfare and assistance, a healthy living environment, leadership development and sharing value creating are the result after training.

Question 5

a. Please describe how the initiative was implemented including key developments and steps, monitoring and evaluation activities, and the chronology. (300 words)
Step 1: Creating community and elderly profile With different elderly needs , Song Kwae Subdistrict Municipality collaborated with community members, local hospitals, community and village headmen, village public health volunteers, caregiver volunteers, and students from the seniors school to conduct a community and elderly information survey using the TCNAP or Thailand Community Network Appraisal Program tool. The RECAP, or Rapid Ethnographic Assessment Process, is a tool that collects information about household members in four dimensions, including health, economic status, household environment, and participatory information about community activities and research. It enables us to understand each village's capital and the issues and needs of the elderly, the community, and the organizations or agencies that operate within the community. Step 2: Customize public service design It is the process of planning and allocating resources, such as workforce, budget, and knowledge, to create customized public services for seniors. The operating mechanism, networking, and network management are all constrained by the context and area. The public services that have been designed are classified into five categories: (1) health care, (2) mutual assistance and welfare services, (3) a favorable environment for livelihood provision; (4) occupation promotion and cost savings; and (5) leadership development and sharing society value. Step 3: Service delivery There are five major categories of services that define small activities appropriate for the three types of seniors (disable elderly, inactive elderly and active elderly) (1)Health services (23 services) (2) Welfare services (13 services) (3) Environmental services (10 services) (4) Career promotion and saving services (7 services) (5) leadership development and sharing society value creating (8 services) Step 4: Monitoring and evaluation A survey was conducted to ascertain the elderly's satisfaction, quality of service and service suggestions. The evaluation was conducted by committees comprised of members from the municipality and the people's sector.
b. Please clearly explain the obstacles encountered and how they were overcome. (100 words)
Data collection and analysis to create a community database is novel and has never been done before. Therefore, it is critical to explain the working groups (all stakeholders) how to collect and analyze data for creating community database and elderly profiles. So, the municipal administrator must convene a meeting in each village. Creating mentor teams for each steps :(1) leaders’ teams for explain why we must to do this innovation (2) academic and information managers for collecting and analyze data and created community data (3) organizers and community communicators for running the operation and creating community engagements.

Question 6

a. Please explain in what ways the initiative is innovative in the context of your country or region. (100 words maximum)
2 Care Model is a customized service design and delivery system that addresses the elderly's basic needs individually. There are innovations to improve management efficiency through creation of community database and each elderly profile in eight villages. The database consists of data in four dimensions, namely health information, financial information, household environmental information, and information on community activity participation at six levels: individual, household, social group, and community. Additionally, there is innovation in providing public services to the elderly (5 types, 23 activities, 58 services).
b. Please describe, if relevant, how the initiative drew inspiration from successful initiatives in other regions, countries and localities. (100 words maximum)
Increasing elderly people in Thailand, Chiang Mai's elderly suicide rate population is 14.61 percent. The Hua Ngom Sub-District Administrative Organization has provided elderly service care which reduces suicide rates by up to 90%. In Songkwae areas, there is a 20% chance that the elderly will develop depression, and 3.53 percent of the elderly will be unable to maintain self-sufficiency based on ADL or Activities of Daily Living. As such, 2 Care Model aims to keep elderly people who are abandoned and depressed from committing suicide and providing customize service for enhancing quality of life and developing sharing society.
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)
2 Care Model’s key technology is the creation of a database at various levels, including individual and household, social group and community organization, agency and source of interest, village, sub-district, and network, in four critical dimensions.This innovation enables them to be cognizant of the elderly's issues and unique needs. In terms of the residence, it is connected to the GIS, which allows it to deliver elderly patients who are ill so quickly that the mortality rate associated with not reaching the hospital in time is zero. The Line application is used as a means of communication between the multidisciplinary team.

Question 7

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 "2 Care Model" innovation is disseminated to agencies and individuals via various mediums, including videos and books. In 2020, numerous local administrative organizations paid a visit to the location and learned about this innovation. For instance, 80 residents of the Huai Mai Sub-district Municipality in Phrae Province learned about the innovation and expanded on the concept of providing a space for the elderly to use together. One hundred residents of Lamphun Province's Thung Hua Chang Sub-district Municipality had learned from the school for the elderly and later improved the curriculum in the Thung Hua Chang area's learning resources. Career promotion for the elderly has been tailored to the context, capital, and potential of the Thung Hua Chang Sub-district, Lamphun Province. Other agencies may also adopt the procedures and methods to be used in all areas.
b. If not yet transferred/adapted to other contexts, please describe the potential for transferability. (200 words maximum)
Innovation has a well-defined operating system. A area management system that has been developed as the primary working system with the capability of data transfer consists of the following: 1. Leaders who are responsible for setting directions, planning, managing, and supervising the system overall. The leader of all stakeholders are team members. 2. Academic and information managers are tasked with exploring, collecting, analyzing, summarizing, and reporting data. The team member come from all stakeholders. 3. Managers are accountable for overseeing workflow and budget management, coordinating work, and organizing learning support systems such as locations and food. They include members of each village's Municipal Council, volunteers, the Elderly Development Organization members, and elderly residents of each village. 4. Organizers are accountable for the organization of a training program, recreation, relationship activities, and creating a learning environment. Personnel from the municipality, Village Public Health Volunteers , Sub-district Health Promoting Hospitals, and the educational staffs. 5. The communicators are in charge of developing training materials, creating infographics, summarizing information, and disseminating information to the community. They include municipal staff, volunteers from each village, members of each village's Municipal Council, members of the village's Elderly Development Organization, elderly residents from each village, and the village headman.

Question 8

a. What specific resources (i.e. financial, human or others) were used to implement the initiative? (100 words maximum)
2 Care Model’s resources have been divided into three categories: (1) resources used to design services for the elderly, specifically district information (TCNAP) and community research (RECAP); (2) managerial resources, which included area management systems, line systems, and GIS systems; and (3) delivery resources and mechanisms, which included six government agencies provide manpower, budgeting , three educational sectors provide manpower, budgeting, knowledges and technology, seven public sector agencies manpower, budgeting and knowledge, and two non profit organizations manpower, budgeting, knowledge and technology.
b. Please explain what makes the initiative sustainable over time, in financial and institutional terms. (100 words maximum)
2 Care Model can continue to operate continuously and sustainably due to the following factors: (1) Integrated innovation to routine work and set up cross functional municipal teams. (2) Establishing a network of operations that are networked through a memorandum of understanding (MOU) with external agencies to assure public confidence in the budget for municipal services and working manpower. (3) The establishment of community funds, such as a "one-baht daily savings fund," "three-house financial institutions," and a "five-baht hospital merit pile," to supplement budgeting in provide services. "Goodwill Bank" supporting in manpower in kind of volunteer staff.

Question 9

a. Was the initiative formally evaluated either internally or externally?
Yes
b. Please describe how it was evaluated and by whom? (100 words maximum)
This innovation was evaluated by a variety of agencies : 1. The Song Khwae Sub-district Health Promoting Hospital, which is responsible for assessing the physical and mental health of elderly residents; and 2. The Department of Community Development, which is responsible for assessing the elderly's income. 3. Evaluation of learning centers by the Office of the Health Promotion Fund 4. The Department of Local Administrative Promotion in assessing the transparency of the project to develop and promote the elderly's quality of life in Song Kwae Sub-district 4. The Song Khwae Sub-district Municipality in assessing the elderly's satisfaction with service provision.
c. Please describe the indicators and tools used (100 words maximum)
The indicators used to evaluate 2 Care Model are as follows: 1. Physical health indicators using the Barthel Activities of Daily Living Index to quantify Activities of Daily Living and an individual's Care Plan. 2. Mental health indicator using the 9Q Depression Scale and the 8Q Suicide Assessment Scale were used to assess psychological indicators. And suicide rate and self-esteem of elderly people by income and saving level. 3.Social and intellectual indicators include a survey of community members' participation in the following areas: rights-related activities, participation in community forums, the number of expert speakers in learning resources, the number of elderly role models in various fields, a survey of the community's capital and potential for learning resources, and the elderly expert speakers in community learning resources.
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)
According to the health evaluation results of the "2 Care Model" innovations, the ratio of elderly people who are bedridden and able to live a sedentary lifestyle, as well as elderly people who can perform daily activities independently, was at level four of all elderly people. Psychological and social outcomes following the provision of such public services revealed no elderly people with depression, despite an increase in the elderly. Additionally, it was discovered that 989 elderly people are in good physical condition to work and earn money to pay off debt totaling 1,600,000 baht, or 80 percent of the total debt. Regarding the social dimension, 1,115 elderly people, or 90%, participated in community activities. In comparison to all volunteers, elderly volunteers accounted for 30.60 percent of the total. The elderly also use their acquired knowledge to take care of their health, strengthening their physical capacities through consumer behaviors and exercise changes. As a result, hospitalization rates are lower. The total number of elderly people who became expert speakers in all sub-district learning resources was 278. Additionally, the elderly expressed a level of satisfaction with receiving services of up to 89 percent.

Question 10

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 following organizations have been established to support the implementation of the "2 Care Model" innovation: 1. Song Khwae Sub-district Elderly Development Organization; This organization is a juristic person recognized by Chiang Mai Province's Department of Social Development and Human Security. It evolved from the elderly club, which is a gathering of the area's senior citizens. It contributes to the elderly's quality of life by assisting those who are frail and strengthening their capacity. It is critical as a leader to contribute to the elderly's empowerment. It is a firm that contributes to the operation of 23 activities and 61 services. This organization is capable of preparing budget requests to the government for twelve projects involving elderly care. 2. Goodwill bank is a volunteer-run organization affiliated with the Elderly Development Organization. 3. The establishment of three Community Welfare Funds; the fund's total capitalization of 12,000,000 baht enables the activities in the services to be budgeted for continuous operation. 4. Establishing a service network: health and wellness promotion (23 services), welfare assistance (11 services), supportive living environment (10 services), occupational promotion and expense reduction (7 services), and a network dedicated to the advancement of leadership and social support (7 services).

Question 11

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)
2 Care Model is an innovation that was raised out of open listening among stakeholders involved in the care of the elderly across all sectors. Participation in activities ranging from researching the basic needs of the elderly and their families to learning about the local government agencies that care for the elderly. After obtaining the survey data, The Municipality reviewed it in each village. In addition to the previously mentioned stakeholders, 1,954 households or 100% family members of the elderly participated in the operation's design, execution, and joint performance assessment. Each the stakeholders provide service as follows :Ban Sam Lang Health Promoting Hospital and Doi Lo Hospital (44 services each), village health volunteers, community organization council, Chiang Mai Provincial Social Development and Human Security Office, members of the Municipal Council volunteer, Elderly Development Organization (61services each), Caregiver (55 services), Official for non-formal and informal education (51 services), Health Promotion Foundation and academic support center for network management Upper North Area (38 services), Wat Khong Khao Witthaya School (16 services), Walailak Institute of Thai Traditional Medicine Clinic (10 services), Phoomphaya Sanpatong Group (7 services), and the Faculty of Political Science and Public Administration, Chiang Mai University (6 Services).

Question 12

Please describe the key lessons learned, and how your organization plans to improve the initiative. (200 words maximum)
The critical lessons learned from driving the "2 Care Model" innovation are as follows: (1) It is an open space that allows anyone to participate in data collection and analysis, designing service and activity formats, participating in service delivery, and evaluating performance. It is critical to foster community engagement and a sense of ownership over information and location and share the benefits with the community. Because these activities and services are unique, they do not replicate existing activities in the area. On the other hand, these activities are carried out in accordance with the community's way of life. (2) The collaborative of new ways of working together This includes the establishment of five networks, the formation of three cooperating organizations, the formation of three operational funds, and targeted cross-functional work. This overcomes budget and manpower constraints by decentralizing and collaborating in novel ways, giving those who were previously burdened the ability to continue working.

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