Basic Info

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Información del nominado

Información institucional

País Tailandia
Nombre de la Institución Department of Health Service Support
Tipo de Institución Ministerio
Tipo de Ministerio Ministerio de Salud
Nivel administrativo Nacional
Nombre de la Iniciativa “Suksala” Cooperative Mechanisms for Increasing Accessibility to Primary Health Care
Años operacionales del proyecto 11
Página web de la institución http://suksala.hss.moph.go.th/

Pregunta 1: Acerca de la iniciativa

¿Se trata de una iniciativa del sector público? Si

Pregunta 2: Categorías

¿Es la iniciativa relevante para una de las categorías de UNPSA? Categoría 1: Fomentando la innovación para ofrecer servicios inclusivos y equitativos para todos
UNPSACriteria
No se encontraron artículos

Pregunta 3: Objetivos de Desarrollo Sostenible

¿La iniciativa es relevante para alguno(s) de los 17 ODS? Si
¿Para cuáles de los Objetivos de Desarrollo Sostenible (ODS) y de sus metas es más relevante la iniciativa?
1 No Pobreza
2 Hambre Cero
3 Salud y Bienestar
6 Agua limpia y Saneamiento
10 Reducción de las desigualdades
¿Para qué meta(s) de los ODS especificados anteriormente es relevante la iniciativa?
1.4 Para 2030, garantizar que todos los hombres y mujeres, en particular los pobres y los vulnerables, tengan los mismos derechos a los recursos económicos, así como acceso a los servicios básicos, la propiedad y el control de las tierras y otros bienes, la herencia, los recursos naturales, las nuevas tecnologías apropiadas y los servicios financieros, incluida la microfinanciación
1.5 Para 2030, fomentar la resiliencia de los pobres y las personas que se encuentran en situaciones vulnerables y reducir su exposición y vulnerabilidad a los fenómenos extremos relacionados con el clima y otras crisis y desastres económicos, sociales y ambientales
1.a Garantizar una movilización importante de recursos procedentes de diversas fuentes, incluso mediante la mejora de la cooperación para el desarrollo, a fin de proporcionar medios suficientes y previsibles a los países en desarrollo, en particular los países menos adelantados, para poner en práctica programas y políticas encaminados a poner fin a la pobreza en todas sus dimensiones
1.b Crear marcos normativos sólidos en los planos nacional, regional e internacional, sobre la base de estrategias de desarrollo en favor de los pobres que tengan en cuenta las cuestiones de género, a fin de apoyar la inversión acelerada en medidas para erradicar la pobreza
2.1 Para 2030, poner fin al hambre y asegurar el acceso de todas las personas, en particular los pobres y las personas en situaciones vulnerables, incluidos los lactantes, a una alimentación sana, nutritiva y suficiente durante todo el año
2.2 Para 2030, poner fin a todas las formas de malnutrición, incluso logrando, a más tardar en 2025, las metas convenidas internacionalmente sobre el retraso del crecimiento y la emaciación de los niños menores de 5 años, y abordar las necesidades de nutrición de las adolescentes, las mujeres embarazadas y lactantes y las personas de edad
3.1 Para 2030, reducir la tasa mundial de mortalidad materna a menos de 70 por cada 100.000 nacidos vivos
3.2 Para 2030, poner fin a las muertes evitables de recién nacidos y de niños menores de 5 años, logrando que todos los países intenten reducir la mortalidad neonatal al menos hasta 12 por cada 1.000 nacidos vivos, y la mortalidad de niños menores de 5 años al menos hasta 25 por cada 1.000 nacidos vivos
3.3 Para 2030, poner fin a las epidemias del SIDA, la tuberculosis, la malaria y las enfermedades tropicales desatendidas y combatir la hepatitis, las enfermedades transmitidas por el agua y otras enfermedades transmisibles
3.4 Para 2030, reducir en un tercio la mortalidad prematura por enfermedades no transmisibles mediante la prevención y el tratamiento y promover la salud mental y el bienestar
3.5 Fortalecer la prevención y el tratamiento del abuso de sustancias adictivas, incluido el uso indebido de estupefacientes y el consumo nocivo de alcohol
3.7 Para 2030, garantizar el acceso universal a los servicios de salud sexual y reproductiva, incluidos los de planificación de la familia, información y educación, y la integración de la salud reproductiva en las estrategias y los programas nacionales
3.8 Lograr la cobertura sanitaria universal, en particular la protección contra los riesgos financieros, el acceso a servicios de salud esenciales de calidad y el acceso a medicamentos y vacunas seguros, eficaces, asequibles y de calidad para todos
3.9 Para 2030, reducir sustancialmente el número de muertes y enfermedades producidas por productos químicos peligrosos y la contaminación del aire, el agua y el suelo
3.c Aumentar sustancialmente la financiación de la salud y la contratación, el desarrollo, la capacitación y la retención del personal sanitario en los países en desarrollo, especialmente en los países menos adelantados y los pequeños Estados insulares en desarrollo
6.1 De aquí a 2030, lograr el acceso universal y equitativo al agua potable a un precio asequible para todos
6.2 De aquí a 2030, lograr el acceso a servicios de saneamiento e higiene adecuados y equitativos para todos y poner fin a la defecación al aire libre, prestando especial atención a las necesidades de las mujeres y las niñas y las personas en situaciones de vulnerabilidad
10.2 De aquí a 2030, potenciar y promover la inclusión social, económica y política de todas las personas, independientemente de su edad, sexo, discapacidad, raza, etnia, origen, religión o situación económica u otra condición

Pregunta 4: Fecha de Implementacióm

¿Se ha implementado la iniciativa durante dos años o más? Si
Proporcione la fecha de implementación 01 oct. 2006

Pregunta 5: Socios

¿Las Naciones Unidas o algún organismo de las Naciones Unidas ha participado en esta iniciativa? No
¿Qué agencia de Naciones Unidas estuvo involucrada?
Por favor proporcione detalles

Pregunta 6: Participación previa

1. ¿Ha presentado la iniciativa una solicitud para su consideración en los últimos 3 años (2017-2019)? No

Pregunta 7: Premios UNPSA

¿La iniciativa ha ganado ya un Premio de Naciones Unidas al Servicio Público? No

Pregunta 8: Otros Premios

¿Ha ganado la iniciativa algún otro Premio al Servicio Público? No

Pregunta 9: ¿Cómo se enteró de UNPSA?

¿Cómo se enteró de UNPSA? GOVERNMENT

Pregunta 10: Consentimiento de validación

Doy mi consentimiento para contactar personas y entidades relevantes para preguntar sobre la iniciativa con fines de validación. Si

Nomination form

Questions/Answers

Pregunta 1

Describa brevemente la iniciativa, qué situación o reto aborda y especificar los objetivos. (Máximo 300 palabras)
“Suksala” - Cooperative Mechanisms for Increasing Accessibility to Primary Health Care or The Suksala Project - is an innovation focused on enhancing capabilities of first aid rooms of border patrol police schools, childcare centers, and non-formal and informal education centers, and developing them to become primary health care stations. Each station is called a “Suksala”. It is a medical and public health service that is not under the Ministry of Public Health and aims to increase accessibility to public health services for all people in the areas. Suksalas help all tribal people, stateless people, vulnerable people, underprivileged people, and people in various areas such as special areas with security issues, along the borders, in backcountry areas, and from neighboring countries to have access to quality basic medical services and primary health care. Suksalas aim to reduce inequality and create stability and sustainability of health and society, to provide telemedicine system for medical treatment, patient referral, and health communication, and to apply local wisdom and traditional medicine for health promotion and disease prevention for all people and communities. Moreover, the collaboration from the organizational network helps Suksalas create health and community security and sustainability which are fundamental factors of the country’s development.

Pregunta 2

Explicar cómo está alineada la iniciativa con la categoría seleccionada (Máximo 100 palabras)
The Suksala Project is an innovation aimed to increase accessibility to quality primary health care for all individuals, including underprivileged groups, vulnerable groups in remote areas, backcountry areas, border areas, and special areas with security issues to be able to access standardized health services by developing personnel’s skills and capabilities of medical treatment, health promotion, and with resource integration from organizational networks, such as personnel, budget, location, knowledge and management systems, results in technology utilization which enhances the quality of medical services.

Pregunta 3

a. Verificar a qué ODS y meta(s) apoya esta iniciativa y describa concretamente cómo esta iniciativa ha contribuido a la implementación del ODS indicado. (Máximo 200 palabras)
- SDG 3 : Suksalas provide family planning services, health promotion for mothers and infants, child development and nutrition promotion for children aged 0-5 years, local diseases prevention, and health literacy for students and community. - SDG 10 : 83.3% of Suksalas are located in backcountry or border areas. 16.7% are located in special areas having insecurity concerns. Therefore, the establishment of Suksalas increase more accessibility to health services, reduce social and health care inequality by providing services for people of every age, gender, religion, and nationality. - SDG 2 : Suksalas prevent malnutrition in children and community by teaching methods on how to grow vegetables, raise farm animals, bring their meat to cook food, and put an emphasize on food with high protein to reduce malnutrition in children, families, and communities. - SDG 6 : Toilets are built in every family, and proper, hygienic usage is taught to prevent feces from contaminating water sources. - SDG 1 : Every health services provided at Suksala is free, reducing health expenses and other related expenses on travel, accommodation, food, and reducing wasted vocational time and opportunities.
b. Describa qué hace que esta iniciativa sea sostenible en término social, económico y del medio ambiente. (Máximo 100 palabras)
Social Term: The personnel are encouraged to receive training in primary health care. Village health volunteers help provide public health services, local administrative organizations and the private sector are responsible for the budgets and resources. Economic Term: They earn extra income and reduce food costs by growing vegetables and raising animals. With medical services provided in Suksalas, they can reduce travel expenses and living expenses outside the communities. Environmental Term: Most Suksalas use sunlight as a source of electricity. Water sources for consumption are managed, and waste is separated and disposed of properly.

Pregunta 4

a. Explicar cómo la iniciativa ha abordado un déficit significativo en la gobernanza, la administración pública o el servicio público en el contexto de un de país o región. (Máximo 200 palabras)
Suksalas provide health services that are universal, inclusive, and equal to every individual without any discrimination on races, religions and ethnicities in backcountry areas, border areas and special areas with security issues by providing and developing primary health care with health service standard. Suksalas improve the quality of many medical aspects such as public health services, health promotion, disease prevention, rehabilitation, and consumer protection. Information technology is utilized to enhance the efficiency of medical services, such as telemedicine, communication via social media platforms, and medical and health records in electronic medical records. The Suksala Project develops the governance and administration systems, develop the consultant and mentor system which takes care of various medical and public health services management and provision. For instance, district hospitals are responsible for directing, monitoring, and mentoring on medical treatment, patient referrals, and personnel capability development. Subdistrict health promoting hospitals and the medical division of the Border Patrol Police are responsible for supervising, monitoring, evaluating and serving as mentors on health promotion and environmental management in each area. Local administrative organizations and the private sector support budgets and other resources.
b. Describa cómo su iniciativa aborda la desigualdad de género en el contexto del país. (Máximo 100 palabras)
For service recipients, Suksalas provide primary health care services to people of all genders, all age groups, both inside and outside the places. They focus on maternal and child health promotion especially the care of women after childbirth and newborns, which can reduce maternal and infant mortality and low birth weight. They provide home health care for the elderly, handicapped, vulnerable and disadvantaged in the community. For personnel, Suksalas provide opportunities for all genders with the required qualifications to apply for various positions such as nurses, Suksala health workers, village health volunteers, etc.
c. Describa quiénes fueron los grupos receptores a beneficiarse de la iniciativa, y explicar cómo la iniciativa mejoró las condiciones de estos grupos. (Máximo 200 palabras)
The service recipient group: Since 2008-2021, they had provided medical treatment for patients and other health care services 294,378 cases, which the average of 21,027 cases per year. In addition to primary health care, the services provided were: - Patient referrals 1,952 cases. - Family planning 9,778 cases. - Maternal and child health promotion 1,945 cases, deliveries 244 cases. - Measuring and promoting growth and development of children. – Health checkup for students twice a year – Promoting and demonstrating vegetable cultivation and animal husbandry for students and community. - Campaigning for health promotion, disease prevention and environment management in the community. The service providers and network groups. - All local administrative organizations have supported the budget and resources for patient referrals and health promotion and disease prevention. - Village health volunteers, student’s health leaders and community leaders are responsible for health service provision, jointly establish health learning centers and transfer knowledge to the communities, and be role models for having good health.

Pregunta 5

a. Describir cómo se implementó la iniciativa incluyendo desarrollos y pasos clave, actividades de monitoreo y evaluación y la cronología. (300 palabras)
Guidelines and procedures: 1. Prepare and develop policies and strategies 2. Prepare and develop the standard of public primary health care services in Suksala which covers primary health care service, community health and resource management. 3. Develop the capabilities of personnel and co-workers by providing training courses to restore knowledge and practice on medical treatment and community health management, and encourage them to studying in health science courses such as nursing assistants or public health. 4. Encourage and support partners for co-providing services and management. For example, village health volunteers and student’s health leaders do primary health screening for service recipients and housewives cook food for students. 5. Follow and evaluate the performance in order to provide quality and standardized health care services to people. 6.Monitoring and evaluation by: - Subdistrict health promoting hospitals: Monthly evaluation of primary health care services, administration of drugs and other supplies. - District hospitals and their networks: Quarterly monitoring and evaluation on the resource management, personnel development, customer satisfaction and network participation. - Health Service Quality Assessment Committee: Certifying the performance once a year. - Administrative Committees: monitoring and evaluation twice a year for policies impact and the quality of life of service providers and recipients. 7. Arrange knowledge management to allow personnel from each Suksala to share their experiences and to make their knowledge and experiences benefit other personnel.
b. Explicar claramente los obstáculos encontrados y cómo se solucionaron. (100 palabras)
- Obstacles about belief and communication are solved by selecting staff who live in the area, develop students to become health leaders and encouraging village health volunteers to engage in daily health service provision. - For cases that patients cannot be referred by ambulance, the district hospitals will arrange the referral by a helicopter. - For patients with symptoms that exceed the capacity of personnel, they will consult a doctor through telemedicine system. - For lack of communication signal and electric power, the organizational network will support the satellite communication system and electricity from solar energy.

Pregunta 6

a. Explicar de qué manera(s) la iniciativa es innovadora en el context de su país o region. (Máximo 100 palabras)
“Suksala” is a collaborative innovation between organizations to develop the potential for first aid rooms of border patrol police schools to provide medical treatments and manage community’s health by standards, as well as providing health care services to students and local people and being a healthcare learning centers in the communities. The Border Patrol Police manages areas and personnel, while the Department of Health Service Support allocates budget and manages the health system, and the other organizations support communication systems and solar energy electricity equipment.
b. Describa, si fuere relevante, cómo la iniciativa se inspiro en iniciativas exitosas de otras regions, países o localidades. (Máximo 100 palabras)
The project was inspired by the concerns about the development of children and youths in the backcountry areas of Thailand, and about fulfilling the duty of the teachers who provide health care services and first aid care to students at the first aid rooms in border patrol police schools in the backcountry areas, and concerns about maternal and child health and local communicable diseases. Therefore, it became the idea of developing the potential of nursing teachers, providing adequate medicine, medical supplies, materials and instruments, and creating health systems and coordination.
c. Si se utilizó tecnología de frontera, favor detallar cómo ésta fue integrada en la iniciativa y/o cómo la iniciativa adoptó el gobierno digital. (máximo 100 palabras)
- Telemedicine is used for consultation about treatments that are beyond nursing teachers and the personel’s capabilities, for patient referrals, for health learning and for coordinating. - There is online medical recording, drug and medical supplies administration through web sites. - Solar cells are used for generating electric power from sunlight.

Pregunta 7

a. ¿Su organización tiene conocimiento si la iniciativa ha sido transferida y/o adaptada a otros contextos (por ejemplo: otras ciudades, países o regiones)? Si así fuera, favor explicar dónde y cómo. (Máximo 200 palabras)
The target areas of “Suksala” are backcountry, border and special areas with security issues. Currently, there are 24 Suksalas. In 2006: there were 9 established in border patrol police schools (6 in the western border and 3 in special areas with security issues of the southern region of Thailand). In 2014, 7 more Suksalas were established (4 in remote areas of the northern border and 2 in the western border and 1 in the southern region). In 2017 - 2021, 8 more Suksalas were established (5 in remote areas of the northern border, 3 in the western Border). There were 2 Suksalas established in 2018 that were not in border patrol police schools; each in a child development center under Nan’s local administrative organization, and in Mae Fah Luang non-formal and informal education center. In addition, the Suksala model was adopted to establish 4 foreign Suksalas to provide health services to neighboring population along the border in Umphang District, Tak Province.
b. Si la iniciativa aún no ha sido transferida/adaptada a otros contextos, favor describir el potencial de transferencia.
-

Pregunta 8

¿Qué recursos específicos (financieros, humanos ú otros) se utilizaron para implementar la iniciativa? (Máximo 100 palabras)
- The Border Patrol Police is responsible for budgets for personnel’s salary and compensation, construction and maintenance of buildings, equipment, drugs and medical supplies. - Local administrative organizations are responsible for budget for health promotion and disease prevention. - Department of Health Service Support is responsible for budget for health services improvement, monitoring, evaluation, and knowledge management. - National Telecom Public Company Limited (NT) is responsible for information technology system. - Department of Alternative Energy Development and Efficiency is responsible for electric power system. - The private sector supports other budgets and equipment.
En términos financieros e institucionales, explicar qué hace que esta iniciativa sea sostenible a través del tiempo. (Máximo 100 palabras)
-To raise funds and gather resources continuously and perform duties systematically and provide more chances to people and organizations to participate in the project. - Personnel and stakeholders are local people who are willing to engage in the development of their families and communities for better quality of life. They are also supported for study in health sciences. - Medical Treatment and Health Service Standard of Suksala is used as a tool for development of health services until the results of the performance occur concretely. -Telemedicine is used as a tool for communication and consultation on treatment, referral.

Pregunta 9

a. ¿Esta iniciativa ha sido evaluada formalmente, ya sea interna o externamente?
Si
b. Describa cómo fue evaluada y por quién. (Máximo 100 palabras)
1. Evaluate the quality of health services of Suksala by the following processes 1) Each Suksala conducts a self-evaluation. 2) The site visit committee visits and analyzes the area and presents the result to the service quality assurance committee. 3) The service quality assurance committee considers and reports the result. 2. Evaluate the satisfaction of Suksala’s service recipients by distributing questionnaires, analyzing and summarizing information. 3. Evaluate the performance annually by the Department of Health Service Support and partners by analyzing and summarizing information in a term of service categories.
c. Describa los indicadores y herramientas utilizados. (Máximo 100 palabras)
There is "Medical Treatment and Health Service Standard of Suksala” to evaluate the implementation of Suksalas, which is divided into 6 categories: 1 Organization’s Objectives and Structure 2 Human Resources Management and Personnel Development 3 Implementation Processes and Procedures 4 Medicines, Medical Supplies, Materials, Equipment, Tools, Buildings, and Environment 5 Medical Treatment Processes, Patient Care, and Health Service Provision. 6 Health Promotion Processes with Community’s Participation. and other evaluation instruments, such as a self-assessment report form, an on-site visit evaluation report form, and a quality evaluation report forms.
d. ¿Cuáles fueron los principals hallazgos de la evaluación (por ejemplo: la adecuación de los recursos movilizados para la iniciativa, la calidad de implementación y los desafíos enfrentados, los resultados principales, la sostenibilidad de la iniciativa, los impactos) y cómo se utiliza esta información para informar sobre la implentación de la iniciativa. (Máximo 200 palabras)
1. People put more trust in Suksala’s services. It is found that the number of service recipients has increased with the average of 10 percent each year. As a result, there are more donation from the private sector to establish new Suksalas, the organizational network has supported resources adequately and continuously, as well as health volunteers and community leaders have assisted to provide health services voluntarily. 2. Children and students have grown proportionally and developed suitably. Protein deficiency and dental problems have decreased, as well as more children have received medical checkup and development promotion. 3. Communicable diseases including malaria, helminthiasis and diarrhea have decreased. 4. The death rate of mothers and infants, and low birth weight have decreased. Challenges include: 1. Conservation of local traditional medicine to apply in health services provision. 2. Developing community infrastructure with technology and innovations in electric power system, digital communication and environmental management. The solution is using results and challenges on sustainability to formulating the 5-year performance policy and strategy that organizations and stakeholders are able to participate in.

Pregunta 10

Describa cómo la iniciativa incide en el panorama institucional relevante (por ejemplo: cómo se situaba con respecto a las agencias de gobierno relevantes y cómo han estado funcionando las relaciones institucionales entre ellos). (Máximo 200 palabras)
- Border Patrol Police: providing health services, arranging and developing personnel, administrating service areas, materials, instruments and environment, monitoring and evaluation - Department of Health Service Support: formulating policies and strategies, developing the quality of health service provision, supporting academic works and budget, developing information technology systems and providing knowledge - Local hospitals and their network: developing personnel’s potential in medical treatments and public health, being a medical consultant and providing telemedicine, referring patients, managing medicine, medical supplies and infectious waste and developing health service provision procedure - National Telecom Public Company Limited: arranging computer equipment and developing communication system, telemedicine and information technology personnel - Department of Alternative Energy Development and Efficiency: providing solar-powered electric power system. - Local administrative organizations: providing personnel and allocating budget for patient referral and public health works - The private sector: allocating the budget for building establishment and medical equipment.

Pregunta 11

La Agenda 2030 para el Desarrollo Sostenible pone énfasis en la colaboración, compromiso, asociaciones y la inclusión. Describa qué partes interesadas participaron en el diseño, implementación y evaluación; y cómo se llevó a cabo este compromiso. (Máximo 200 palabras)
1. Stakeholder engagement: The Border Patrol Police has to maintain peace and security of the country. There are also border patrol police officers who act as nursing teachers in Suksalas, By witnessing local people have easy and convenient access to primary health care, the nursing teachers and personnel are willing to continuously participate for work and development of Suksalas. 2. Resource management for maximum benefit and worthwhileness: Public health offices and local administrative organizations are responsible for health service provision, but there is the lack of personnel and service providing spaces. As a result, they coordinate with the Border Patrol Police that has nursing teachers and first aid rooms to provide the health services. 3. People as the center of development: All local people need quality and security of life, but living in the backcountry and insecure areas make those needs hard to achieve. Therefore, the organizational network provides resources and health service provision systems for those people. People especially students, community leaders and health volunteers can engage in providing health services, being a health model and passing on the knowledge to the new generations.

Pregunta 12

Describa las lecciones clave aprendidas y cómo su organización planea mejorar la iniciativa. (Máximo 200 palabras)
1. Personnel or students in the areas will be encouraged to study health science programs, such as nursing assistants, which local administrative organizations, Ministry of Public Health, and other sectors will support the scholarships. 2. A plan for teachers and personnel short course training in basic medical care, emergency care and primary health care will be implemented. There will also be a personnel replacement plan and backup plan for emergency cases. 3. The personnel will be trained continually to improve their capabilities of primary health care provision and community health management. 4. Health learning and communication center will be developed, by training village health volunteers and local healers to be community health leaders. They will be health broadcasters, health communicators and health behavior change leaders. 5. The environment will be kept conducive to good health by various means, such as the clean water for consumption, disposing of waste according to sanitary methods, and promoting organic farming without pesticides . 6. The communication system, telemedicine, and electric power sources will be improved for more efficiency and stability. 7. There will be a development in network coordination system for continuous cooperation.

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