The model for the cooperation on public health and disease prevention and control at Thailand’s trans-border with Myanmar, Laos PDR, and Cambodia: outcome of international cooperation measure
DOI:
https://doi.org/10.14456/dcj.2021.41Keywords:
cooperation, disease prevention and control, public health, trans-borderAbstract
This study aimed to explore the cooperation model for disease prevention and control at Thailand’s Trans-border area which is an output from the implementation of the border health measures in 2016-2017 and to explore problems and obstacles of the cooperation model. The study areas included in this study: Thailand-Myanmar cross border, Ranong and Tak province; Thailand-Lao PDR cross border, Ubon Ratchathani and Nong Khai province; and Thailand-Cambodia cross border, Srakaew and Trad province. The target group were stakeholders from the border health area in provincial, district, and sub-district levels. Data were collected by interviewand analyzed by coding and content analysis. Three models of the border health cooperation at trans-border areas were found as follows: (1) the cooperation model from Memorandum of Understanding (MOU) at provincial, district, and sub-district levels which was found at Thailand – Lao PDR border. Outcomes were the model of dengue hemorrhagic fever prevention village, the capability enhancement of public health personnel and hospitals of Lao PDR, and the development of emergency referral system between the countries; (2) the cooperation model from MOU at national level was found at Thailand – Cambodia border. MOU was signed by the Minister of public health from both countries. The Pro was the clearly cooperation between countries and the Con was the provincial level of Cambodia did not clearly understand how to make it into practices; and (3) the cooperation model which is unofficial and no particular MOU signed between the countries was found at Thailand – Myanmar border The border health volunteers was initiated to reduce the communication obstacle, the NGOs working on health border is a platform to work in collaboration between the countries, and the health care clinic by NGOs in the area worked as buffer to reduce the burden in Thailand’s government hospitals.
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