BackgroundFor an effective health system, human resources for health (HRH) planning should be aligned with health system needs. To provide evidence-based information to support HRH plan and policy, we should develop strategies to quantify health workforce requirements and supply. The aim of this study is to project HRH requirements for the Thai health service system in 2026. HRH included in this study were doctors, dentists, nurses, pharmacists, medical technicians (MTs), physiotherapists (PTs), and Thai traditional medicine (TTM) practitioners.Methods and resultsThe study mainly relied on the secondary data in relation to service utilization and population projection together with expert opinions. Health demand method was employed to forecast the HRH requirements based on the forecasted service utilizations. The results were then converted into HRH requirements using the staffing norm and productivity. The HRH supply projection was based on the stock and flow approach in which current stock and the flow in and out were taken into account in the projection. The results showed that in 2026, nurses are likely to be in critical shortages. The supply of doctors, pharmacists, and PTs is likely to be surplus. The HRH requirements are likely to match with the supply in cases of dentists, MTs, and TTM practitioners.ConclusionIn 2026, the supply of key professionals is likely to be sufficient except nurses who will be in critical shortages. The health demand method, although facing some limitations, is useful to project HRH requirements in such a situation that people are accessible to health services and future service utilizations are closely linked to current utilization rates.
BackgroundThailand has been rated at the world first rank on the severity of the road traffic injuries. As a result, all the concerned public-private alliances have collaboratively worked out for the best way to reduce and solve the road traffic injuries by focusing on the main cause. All the units concerned have taken their responsibility according to their roles and mission. Public Health office has used the investigation report on the injuries as a tool for working.ObjectiveTo study the policy effects caused by the proposal in the investigation report on road traffic injuries and to seek for a guideline to do an action plan in response to the policy in order to prevent, solve, and reduce the problems of road traffic injuriesMethodsObservational descriptive study was used based on Deming Cycle (PDCA Cycle): 1) studying the national policy on the road safety scheme under supervision of the Health Public Ministry and Khon Kaen Province, 2) integrating the policies from all levels and transforming them in to an action plan, 3) having the working procedures driven, monitoring for improvement, 4) analyzing and evaluating the data and reported to all levels of the management teams in both formal and informal methods. The results were publicized through social network.Findings3 major parts had been divided: 1) the investigation report on the road traffic injuries was brought into a social measurement (community check-point of road traffic injury reduction) established from the pilot projects implemented at the local level in 2 sub-districts by SRRT team. The results were enhanced and used as a working direction by the Public Health Ministry. The measurement has now been implemented at all community check-points of road traffic injury reduction during the New Year and the Songkran Festivals supervised by the national center of road safety. The regulations of the supporting budget to the road safety scheme have been issued. 2) The investigation report on the road traffic injuries from the Ambulance Safety teams: SRRT and EMS at the district levels collaboratively worked with the teams at the provincial level (AL KhonKaen). The combination team has taken action since 2014. All the reports have been used as an informative resource to designed many successful important policies: instructions for supporting the Public Health officers affected by the medical services. 3) The success in transforming the policy into an action plan road safety at the local level depended on major factors: 1) personnel: leaders, coordinators, IT team (SRRT and EMS and Network), and 2) contextual circumstance of each area.ConclusionThe important point that made the investigation report on the road traffic injuries by the Public Health office a powerful data was the strong teams of SRRT and EMS which covered even the smallest point of each area. As a result, the data could be well managed according to the principles of epidemiology. The problems were found and solved appropriately and contextually.Policy implicationsIT teams should be set up to mon...
Background Traffic accident has been a major cause of death and injuries at Ban Phai district, Khon Kaen and the incidence has shown an increasing trend. Accidents and injuries were collected and reported separately by each responsible agency. Case investigations for causes of accident were overlook. Aims/Objectives/Purpose To manage traffic accident data and solve problems by using an integrated data management approach by an interdisciplinary team. Methods A multidisciplinary team consists of representatives of the hospital, the police station, public transportation, the highway department and local volunteer rescue team was formed. The team analysed all 55 fatal traffic accidents causing deaths and serious injuries that were documented at police station, district hospital and rescue team during August 2009–July 2010 which consists of various forms such as injury surveillance record, pictures and videos to identify causes and ways to prevent re-occurrence of traffic accidents case by case. Problem solving actions were identified and undertaken immediately as a result of a concerted effort of the team Results/Outcomes Major causes of traffic accidents were miss-driving behaviour (72.73%), environmental (15.58%), roads (10.39%). Two major black spots on highway were identified and corrections were undertaken with participation of the community. Information was used to create awareness among the district authorities and local government office. Significance/Contribution to the Field This project helped reduce traffic accidents by 25% and enhance community participation. Lessons learned can be extended to other districts.
BackgroundBanphai district is the major economic area in Khon Kaen province where traffic accidents often occur. The numbers of injuries visiting Banphai hospital varied between 1,800 and 2,040 cases/year, with about 30 deaths/year. To tackle this problem, the ‘Managing Information System’ (MIS) team was set up in 2009.Description of problems and proposed solutionBanphai hospital staff are the founding members. The nature of MIS is action research. Soon after its inception, the team gradually included police, the Department of Highways (DOH), the Department of Land Transport (DOLP), commerce groups, and other stakeholders. The 5E (Engineering, Enforcement, Education, Emergency, and Evaluation) and PDCA principles (Plan-Do-Check-Act) are applied. Each authority is responsible for different ‘E’, eg. the DOH for road engineering and the DOLP for educating drivers. The reporting systems between authorities were harmonised.Effects/changesAbout 80% of traffic accidents related deaths are due to risky behaviours of the riders/drivers, while unsafe environments account for the rest 20%. Some concrete measures (both long run and short run policies) were proposed. Examples of the measures are (1) establishing clear traffic signs in risky junctions, (2) closing the U-turn points where clashes often occurred, and (3) an instigation of Memorandum of Understanding (MOU) between authorities for campaigning helmet use. Since 2011, the incidence of traffic accidents related deaths has declined for about one third. It is estimated that had the MIS not been established, the injuries would have been risen by 81 cases/year. The MIS is also successful in reducing alcohol related traffic injuries by about 6% (28 cases/year).ConclusionsThe MIS working system is a beneficial lesson for other countries to learn how to harness local resources and seek coordination from stakeholders for preventing traffic accidents. Open-mindedness, trust and endurance are key success factors.
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