key success f actors of the national policy implementation for rehabilitation services
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KEY SUCCESS FACTORS OF THE
NATIONAL POLICY IMPLEMENTATION FOR
REHABILITATION SERVICES
Sirinart Tongsiri MD PhDWachara Riewpaiboon MD
World Report on Disability Symposium, 5 December 2011, University of Sydney
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OUTLINE Recommendation 3 of the World Report
on Disability Aim of the study Background Findings Conclusions
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RECOMMENDATION 3 IN CHAPTER 9“Adopt a national disability strategy and
plan of action”
Stakeholders should be involved in the development, implementation and monitoring of a national strategy using prevalence of disability, needs for services, social and economic status, gaps in current services and environment and social barriers
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THIS STUDY AIMS TO Report the policy process of the PWDs’
capability-oriented database development in Thailand
BACKGROUND An ICF-based questionnaire is used to
develop a PWD database to identify health needs, guide resource allocation and monitor rehabilitation services
Two provinces: NP and NL under the 8th RHSO separately implemented the database development
Then the 7th RHSO (including 4 provinces)
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KEY ACTORS State actor: the 7th RHSO Local government actor: the Provincial
Rehabilitation Fund (PRF) in the NL province
Non-state actor: Disabled People’s Organization (DPO) in the NP province
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NL province
The 7th RHSO• Khonkaen •Roi-Et •Kalasin •Mahasarakham
NP province
The 8th RHSO
FINDINGS The 7th RHSO quickly implemented the
survey by health personnel of the state healthcare providers
FINDINGS The 7th RHSO quickly implemented the
survey by health personnel of the state healthcare providers
The NP province is slowly moving forward to participatory continue the survey after finishing the research
FINDINGS The 7th RHSO quickly implemented the
survey by health personnel of the state healthcare providers
The NP province is slowly moving forward to continue the survey after finishing the research, in participation with other organizations
The NL province started the survey by health volunteers with partial financial supports from outside funders
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WHAT WE HAVE LEARNED To implement rehabilitation policies: key
actors should be identified
State, local government and non-state actors, particularly the civil society, play crucial roles
WHAT WE HAVE LEARNED
State actor with higher control of authority, financial and human resources
Local government with limited resources but able to work across different organizations
DPO with insights of PWD’s needs
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WHAT WE HAVE LEARNED
ICF can be used as a conceptual framework and communication tool among actors should the services are to be implemented
The CBR matrix can serve as a comprehensive monitoring tool of improving quality of life and enhancing equalization of opportunity of PWDs
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TO ACHIEVE THE RECOMMENDATION 3
“Who play what roles in a big picture”
State: higher control of resources and have good link with state healthcare providers
Local government: bridge the gaps between health, education, livelihood, and social support services
Non-state: particularly DPO could voice specific interests of its members to guide the policy development; a good platform for empowerment and equalization of opportunities for PWDs
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