Assessment of local health security fund implementation for well-being promotion and health mechanism development at the local level 10.55131/jphd/2022/200213
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Abstract
This research employed Participatory Action Research (PAR) with the purpose of applying the health impact assessment on the local health security fund implementation for well-being promotion and health mechanism development at the local level. This case study was conducted in Sankhaburi District, Chai Nat Province as the pilot area for the integrated model to drive the promotion of well-being in the local health security fund which according to the successful verification of the integrated community health mechanism in the province during the fiscal year 2020, the sub-district health fund supported funding for 1,193 quality projects. Among these projects, the quality projects in Sankhaburi District gained the highest support for the first rank in the province. In this research, health impact was assessed by collecting data from the main informants who were the main responsible officers at the regional level, the mentors of the provincial health security funds, and stakeholders in the integrated implementation of the local health mechanism. The study methods included in-depth interviews and focus group discussion. Research found that the local health security funds used the integrated system for well-being promotion and health mechanism development at the local level. The focus was on increasing the implementation potential at the regional level which was used to support effective project planning by using the online follow-up and evaluation system. In addition, the health system at the regional level was developed through the mechanism of the health security funds in relation to the well-being promotion projects of the local health security funds. Implementation was planned for problem-solving management and life quality development at the district level according to the application of the health impact assessment on the local health security fund. Implementation opportunities were provided for different parties to share knowledge, develop their implementation of well-being promotion, and develop the health mechanism at the local level.
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