Health security of ethnic children: A Challenge to nursing roles

Main Article Content

Katemanee Moonpanane



The concept of health security is to encourage people to maintain both physical and mental health. This includes being safe from threats and non-communicable diseases, especially as it relates to ethnic children—a vulnerable population with lower health security than other population segments. Nursing professionals are therefore faced with the great challenge of establishing health security for ethnic children by providing care, education, and training in the context of differences in beliefs, language, and culture. However, the process of promoting health security cannot be achieved by a single individual or organization. There is a need for nurses to cooperate with other organizations or communities to ensure continuity and sustainability. This article also highlights the role of nurses as researchers who potentially generate new knowledge, develop innovations, and improve the quality of care within socioeconomic and national policy contexts. Although some specific roles have found in other countries, the hope is that this article will be the starting point of a dialogue among nurses, geared toward establishing health security for ethnic children, the future of the country.

Article Details

Academic articles


1. Strategy and Planning Division (SPD). Twenty-year national strategic plan for public health (2017-2036). Office of the Permanent Secretary. Nonthaburi: Ministry of Public Health (MoPH), 2017.
2. World Health Organization (WHO). Report of the seventh global forum for government chief nurses and midwives: the future of nursing and midwifery workforce in the context of the Sustainable Development Goals and universal health coverage. Geneva: WHO, 2017.
3. Saha A, Alleyne G. Recognizing non-communicable diseases as a global health security threat. Bulletin of the World Health Organization. 2018; 96(11):792.
4. Ministry of Public Health (MoPH). Thailand global health strategic framework 2016-2020. Bureau of international health office of the permanent secretary. Nonthaburi: Ministry of Public Health, 2016. (in Thai)
5. Heymann DL, Chen L, Takemi K, Fidler DP, Tappero JW, Thomas MJ, Kenyon TA, Frieden TR, Yach D, Nishtar S, Kalache A. Global health security: the wider lessons from the west African Ebola virus disease epidemic. The Lancet. ;385(9980):1884-901.
6. Saengow U. Contribution of universal health coverage to Thailand 4.0. Area Based Development Research Journal. 2017;9(2): 74-48. (in Thai)
7. Rajan, D., Mathurapote, N., Putthasri, W., Posayanonda, T., Pinprateep, P., Courcelles, S.D., Bichon, R., Allouc, A., Ros, E., Delobre, A. and Schmets, G.,. The triangle that moves the mountain: nine years of Thailand’s National Health Assembly (2008-2016). In The triangle that moves the mountain: nine years of Thailand’s National Health Assembly (2008-2016). Bangkok: WHO, 2017
8. Leerapan B, Suriyawongpaisal P, Srithamrongsawat S, Kasemsup V, Theeraampornpunt N, Im-Arom C, Tansirisithikul R, Aekplakorn W. Concepts and Practices of Community-Based Health Interventions for Vulnerable Populations in Thailand: A Qualitative Study. Journal of Health Systems Research. 2016: 10(4); 442-463. (in Thai)
9. Apidechkul T, Laingoen O, Suwannaporn S. Inequity in accessing health care service in Thailand in 2015: A case study of the hill tribe people in Mae Fah Luang district, Chiang Rai, Thailand. J Health Res. 2016;30(1): 67-71.
10. Roesler AL, Smithers LG, Wangpakapattanawong P, Moore V. Stunting, dietary diversity and household food insecurity among children under 5 years in ethnic communities of northern Thailand. Journal of Public Health. 2018 Nov 13. https://doi: 10.1093/pubmed/fdy201
11. National Statistical Office (NSO) and United Nations Children’s Fund (UNICEF). Thailand 14 provinces multiple indicator cluster survey 2015-2016, Final Report., Bangkok: NSO and UNICEF, 2017.
12. Kratoo W, Srivilai A, Pattanittum, P. Association between Hmong parents’ illness belief and compliance with immunization schedule for children under 5 year of age. Naresuan University Journal:Science and Technology (NUJST). 2018: 26(2); 146-154. (in Thai).
13. Keawkingkeo S. Community drug abuse prevention in a Hmong village in Thailand. Journal of Psychosocial Nursing And Mental Health Services. 2016; 43(2):22-9.
14. Siriphan S, Elter PT. The Importance of Cross-cultural Knowledge and Abilities in Nursing Care for Mothers and Newborns. The Southern College Network Journal of i
15. Dapha S, Nuntaboot K. Community care system of children under 5 years old. Journal of Nursing Science & Health. 2018: 40(1); 30-40. (in Thai)
16. Phengjard J, Jiewpraserd K, Perakawe N. Health volunteer: A member in health care team. Journal of Nursing Science & Health. 2016:39(4); 141-153. (in Thai)
17. Chaichana J, Prachusilpa, G. A Study of Professional Nurse Roles in Sub-District Health Promotion Hospital. Journal of The Royal Thai Army Nurses. 2018: 19(Suppl.); 193-202. (in Thai)
18. Sengklong W. Innovation of education media on vaccination journal of Health Science. 2018: 27(1); 120-7. (in Thai)
19. Hahn RA, Truman BI. Education improves public health and promotes health equity. International Journal of Health Services. 2015 Oct;45(4):657-78.
20. Kaewkungwal J, Apidechkul T, Jandee K, Khamsiriwatchara A, Lawpoolsri S, Sawang S, Sangvichean A, Wansatid P, Krongrungroj S. Application of mobile technology for improving expanded program on immunization among highland minority and stateless populations in Northern Thailand border. JMIR mHealth and uHealth. 2015 ;3(1).