Basic Info

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提名人信息

机构信息

联合国成员国 泰国
机构名称 Department of Health Service Support
公共部门机构类型
部门类型 卫生部
行政层级 国家的
项目名称 “Suksala” Cooperative Mechanisms for Increasing Accessibility to Primary Health Care
项目运行年份 11
机构网站 http://suksala.hss.moph.go.th/

问题一:关于此项目

这个项目属于公共部门吗?

问题二:类型

该倡议与UNPSA类别之一相关吗? 1. 促进创新包括数字化转型以提供具包容性和公平的公共服务
UNPSACriteria
未找到任何项目

问题三:可持续发展目标

此项目是否与17个可持续发展目标中的任一个相关?
如果您在上面问题回答的“是”,请具体说明此项目与哪一个可持续发展目标最相关。
无贫穷
零饥饿
良好健康与福祉
清洁饮水和卫生设施
减少不平等
此项目与以上列举的可持续发展目标中的哪些具体目标相关?
" 1.4 到2030年,确保所有男女,特别是穷人和弱势群体,享有平等获取经济资源的权利,享有基本服务,获得对土地和其他形式财产的所有权和控制权,继承遗产,获取自然资源、适当的新技术和包括小额信贷在内的金融服务 "
" 1.5 到2030年,增强穷人和弱势群体的抵御灾害能力,降低其遭受极端天气事件和其他经济、社会、环境冲击和灾害的概率和易受影响程度 "
" 1.a 确保从各种来源,包括通过加强发展合作充分调集资源,为发展中国家、特别是最不发达国家提供充足、可预见的手段以执行相关计划和政策,消除一切形式的贫困 "
" 1.b 根据惠及贫困人口和顾及性别平等问题的发展战略,在国家、区域和国际层面制定合理的政策框架,支持加快对消贫行动的投资 "
2.1 到2030年,消除饥饿,确保所有人,特别是穷人和弱势群体,包括婴儿,全年都有安全、营养和充足的食物
" 2.2 到2030年,消除一切形式的营养不良,包括到2025年实现5岁以下儿童发育迟缓和消瘦问题相关国际目标,解决青春期少女、孕妇、哺乳期妇女和老年人的营养需求 "
" 3.1 到2030年,全球孕产妇每10万例活产的死亡率降至70人以下 "
" 3.2 到2030年,消除新生儿和5岁以下儿童可预防的死亡,各国争取将新生儿每1 000例活产的死亡率至少降至12例,5岁以下儿童每1 000例活产的死亡率至少降至25例 "
" 3.3 到2030年,消除艾滋病、结核病、疟疾和被忽视的热带疾病等流行病,抗击肝炎、水传播疾病和其他传染病 "
" 3.4 到2030年,通过预防、治疗及促进身心健康,将非传染性疾病导致的过早死亡减少三分之一 "
" 3.5 加强对滥用药物包括滥用麻醉药品和有害使用酒精的预防和治疗 "
" 3.7 到2030年,确保普及性健康和生殖健康保健服务,包括计划生育、信息获取和教育,将生殖健康纳入国家战略和方案 "
" 3.8 实现全民健康保障,包括提供金融风险保护,人人享有优质的基本保健服务,人人获得安全、有效、优质和负担得起的基本药品和疫苗 "
" 3.9 到2030年,大幅减少危险化学品以及空气、水和土壤污染导致的死亡和患病人数 "
" 3.c 大幅加强发展中国家,尤其是最不发达国家和小岛屿发展中国家的卫生筹资,增加其卫生工作者的招聘、培养、培训和留用 "
6.1 到2030年,人人普遍和公平获得安全和负担得起的饮用水
6.2 到2030年,人人享有适当和公平的环境卫生和个人卫生,杜绝露天排便,特别注意满足妇女、女童和弱势群体在此方面的需求
10.2 到2030年,增强所有人的权能,促进他们融入社会、经济和政治生活,而不论其年龄、性别、残疾与否、种族、族裔、出身、宗教信仰、经济地位或其他任何区别

问题四:实施日期

这个项目是否有超过两年的历史?
请提供实施日期。 01 10月 2006

问题五:合作伙伴/利益攸关方

是否有联合国或其相关机构参与此项目?
参与项目的联合国机构?
请提供细节。

问题六:以前的参与

1.该倡议是否已提交过去3年(2017-2019)的申请?

问题七:联合国公共行政奖

此项目是否已经获得过联合国公共服务奖?

问题八:其它奖励

此项目是否获得过其它公共服务奖?

题 9: 您是如何得知联合国公共行政奖的?

您是如何得知联合国公共行政奖的? GOVERNMENT

题 10: 问题九:确认同意

我同意与相关人员和实体联系,询问有关验证目的的倡议。

Nomination form

Questions/Answers

题 1

请简要描述项目所解决的问题或挑战,并具体说明其目标。(最多300字)
“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.

题 2

请解释该项目如何与所选类别相关联。(最多100字)
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.

题 3

a. 请具体说明该项目支持哪个/些可持续发展目标和具体目标,并详细说明该项目如何为这些目标的实施做出了贡献。(最多200字)
- 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. 请描述一下该项目如何在社会、经济和环境方面具有可持续性。(最多100字)
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.

题 4

a. 请解释该项目如何解决特定国家或地区范围内的政府管理、公共行政或公共服务方面的重大缺失。 (最多200字)
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. 请描述该项目如何解决国家背景下的性别不平等问题。 (最多100字)
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. 请描述该项目的目标群体是谁,并解释该项目给目标群体带来的改善成果。 (最多200字)
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.

题 5

a. 请描述该项目是如何实施的,包括关键发展和步骤、监测、评估活动以及年表。 (300字)
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. 请清楚地解释所遇到的障碍以及这些障碍是如何被克服的。(100字)
- 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.

题 6

a. 请说明在您所在国家或地区,该项目在哪些方面具有创新性。(最多100字)
“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. 如果相关,请描述该项目是如何从其它国家和地区的成功项目中获得灵感的。(最多100字)
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. 如果使用新兴技术和前沿技术,请说明这些技术如何整合在倡议中以及如何包含数字政府。 (限制100个字)
- 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.

题 7

a. 根据您的组织信息,该项目有没有转接或适用到其它情况(例如,其它城市、国家、或者地区)?如果有,请说明在哪里以及是如何进行的。(最多200字)
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. 如果尚未转移/适用到其它情况,请描述其转移的可能性。(最多200字
-

题 8

a.使用了哪些具体资源(例如财务、人力或其他资源)来实施该项目? (最多100字)
- 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.
b. 请从财务和机构角度来解释,是什么确保该项目的长期可持续性?(最多100字)
-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.

题 9

a. 该项目是在内部还是外部正式评估的?
b. 请描述一下评估是如何进行的以及由谁评估的。 (最多100字)
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. 请描述使用的指标和工具。(最多100字)
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. 评估的主要发现是什么(例如,该项目筹集的资源充足、实施质量和面临的挑战、主要成果、倡议的可持续性,影响力等)以及如何利用这些信息为该项目的实施提供资讯 。(最多200字)
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.

题 10

请描述该项目如何被列入相关的制度环境(例如,它与相关政府机构的关系如何,以及与已运行机构的关系如何)。 (最多200字)
- 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.

题 11

2030年可持续发展议程强调协作、参与、合作关系和包容性。请描述哪些利益相关方参与设计、实施和评估计划以及这些参与是如何实现的。 (最多200字)
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.

题 12

请描述主要经验,以及贵组织计划如何改进该项目。(最多200字)
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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