Questions/Answers

The southernmost Thailand conflicts have caused injuries to the officers and people since 2004. As a result of the minority attempting to take the language, culture, religion and belief differences; expanding to mislead and brings about violence. This has resulted in the shortage of medical service systems and right behavior to be less sufficiently effectiveness and inadequate performance. 4 Objectives to achieve sustainable development To identify the root cause of the health communities problems: The integration among all partnerships and stakeholders to get along with army physician into lowest security communities almost always show real evidence easily; especially, the root cause of all difficulty. To identify the complexity of problems: the integration team could understand together more easily than doing without an integration. To establish community’s cognition: communities know the difficulty and need to fix these by themselves. To establish communities trust and generate collaboration: communities be the leader, government sector be the supporter and facilitator.

Category One: Delivering inclusive and equitable services to leave no one behind 1. Introduces an innovative idea, policy, practice or structure The project is an innovative idea to identify the reality with less time consumption. 2. Provides access and equity to quality services The project could almost always solve health problems in the very short period of time. Then, the communities in the high risk areas become not different from the others places where security problems does not occur. 3. Develops and supports partnership in service delivery The project success point is the integration among various agencies and communities.

By integration at all levels including youth and volunteers to be health volunteers giving results as followings; 1. To decrease malaria prevalence from 4.3 / 1,000 to 0.7 / 1,000 since year 2016 to year 2018 (SDG 3.3) 2. To decrease violence, especially security issue. Because of participation of communities and government section that building community’s immunity to prevent all violence. (SDG 16.1) 3. Absolutely, the project building on experience and resourcing from their own communities could gain more trust and then make bursting from inside to encourage and promote the sustainable partnerships development. (SDG17.17)

The southernmost Thailand conflict is a security problem causing from expanding differentiation but effect to the grassroots that mostly poorest, vulnerable and disabled person. The goal of project is to help the grassroots people in high risk of security area, with lack of sufficiency medical services. The major key success is the integration team by the ways of pedestrian of each team into each communities could reach deep inside to investigate health factors of all health difficulties and then make plans, implement, evaluate ,and response to improve the plan together . The impact is reaching the real poorest, vulnerable and disabled person in the communities, to support and fill the gap, and stop expanding differentiation effort from the opposite. By the pedestrian ways with less resource requirement, it could make most soul concentration of communities. It is hard at first because of differentiation, but with the great sincerity bringing success to solve all health difficulties, communities need eventually. As above, the project could improve health status of people in these vulnerable conflict areas and build communities positive immunity and more capacity for further sustainable development at the same time.

a. -The project is an innovative in the aspect of including all partnerships and stakeholders that started by army doctors , all walk together into risky area. -The innovative ways always reflex sincerity of each team because the team reach inside risky areas has no weapons and moves straight forward to investigate communities health problems and factors related, and then try to make communities collaboration for further sustainable development.

b. -The project is also an innovation that followed from King Rama 9th Philosophy “Understanding and Reaching the Development and Sufficiency” -To understand oneself and to understand the others -To reach to know the reality -To develop the sustainable goal that appropriate to each conceptual paradigm. -Sufficiency is the middle ways that right to the real needs, which neither over nor under demanding. -The project has applied to solve the problem in risky areas that need sincerity and collaboration for sustainable development.

According to the project achievement have set at the first priority for highest risky area, to be reach inside is the best responsive ways to solve the problems and create the sustainable development. The project has been carried out on the process of knowledge management; this project has been reward from Royal Thai Army since 2018. Other agencies have adapted their concepts to refer to the real or primary data more than reported or the secondary data.

With the integration team from all agencies and partnerships, the resource of each part has been sharing all together. Each consumes their own resource by performing their own responsibilities. The army doctors play the role of gap filling to make the seamless in all process of the project which leads to the highest efficiency and achieve sufficient ways appropriately.

The project could alleviate violence caused by differentiating and expanding efforts ;especially, in the risky areas by taking participation of communities and government section. An increase of immunity in communities leads to more sense of belonging and more sense of trust while more economic expansion is founded. Because of sufficiency, communities are appropriately developed; they do not destroy their environment.

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-The project has been formally evaluated in knowledge management process aspect internally by Royal Thai Army and be awarded in 2018. -The project has been formally evaluated in participation administration to effective change aspect externally by Office of the Public Sector Development Commission Thailand and be awarded in 2018.

-The internally knowledge management evaluation key point index that contain seven steps of knowledge management process. -The externally participation administration to effective change evaluation key point index that focus on coverage of associated agencies and stakeholders and level of communities involvement or communities collaboration.

The internally knowledge management evaluation key point index indicates evidence that the project has brought knowledge management process into the process of health conceptual communities development. It is implemented by the pedestrian strategy into risky areas continuously through all steps lead to seamless integration team, the ultimate outcome is measurable. The externally participation administration evaluation indicates evidence that the project has been integrated all agencies and stakeholders with army doctors to be connectors filling the gaps set up to seamless integration team prompt to be supporter and facilitator , then change the communities paradigm to be the leader.

The Start team includes the local public health sector, local sub-district administrative organization, local civil society organizations, and army doctor which is the key actor leading the team into the risky villages without extreme security management, but put the sincerity toward to investigate and try to make more understanding and collaboration. The later team includes former start team and upper level reach into the area to make more trust and cognition to people and try to make the analysis of each community. Then the team tries to change conceptual paradigm either government sector or community sector depending on the community decision to make the specific plan. After that the communities become a leader while government becomes a supporter and facilitator, to implement, to evaluate and to fix or make more innovation. The project has created 7 integration activities into deep and risky communities; 1. Improve health-related quality of life to disability at home services 2. mobile specialty medical and dental services 3. standard helicopter EMS 4. training EMS and disaster response to community 5. training youth to be health volunteer and work along with local health sector 6. malaria elimination integration program, and 7. psychological risk alleviation integration program.

As the knowledge management process of this project, team integration and communities are responsibly involved to review to make more lesson learned, cognition and improvement to each communities and further initiative as following data; 1.Mobile Ambulatory Surgery Hospital Unit : tools to provide specialty medical service into deep area that be awarded medical innovation from Archimedes, the 21th Moscow International Salon of Inventions and Innovative Technologies year 2018 2.Bajo-model new integration paradigm to eliminate malaria. 3.Helicopter Emergency Medical Service flow for security area approved by National Institute for Emergency Medicine Thailand.