Health service system accessibility of border area communities: Thailand-Lao PDR (Phayao-Xayaburi)
Keywords:health service system accessibility, Thailand-Lao PDR border health service system
The survey research was conducted to study health service system accessibility of community-dwelling people in border area of Thailand-Lao PDR (Phayao -Xayaburi). One hundred and twenty-eight people from Phu Sang district, Phayao province and 125 people from Khob district, Xayaburi province were recruited. The data were analyzed using descriptive statistics including frequency, percentage, mean, and standard deviation, while inferential statistics used for data analysis included Chi-square test, Fisher’s exact test, and independent t-test. The results indicated that over the past year the subjects in Phu Sang mostly accessed health service system from health promoting hospitals, sub-district-level health centers in Thailand, (59.4%) due to the convenient transportation (78.1%). Across the border from Phu Sang, most people in Khob district tended to access health service system at Khob hospital (99.2%) because they believed in the ability of doctors (57.6%). Healthcare coverage rates among people in Phu Sang and Khob district were 88.3% and 92.8%, respectively. When suffering from severe illnesses, people in Phu Sang district have chosen health services at Chiang Kham hospital (58.6%), whereas those in Khob district have chosen health services at Khob hospital (100.0%). Primary health care survice system in Phu Sang district has provided health education and screening for non-communicable disease (97.7%). Likewise, health education and health counseling with village health volunteers provided by primary health care system in Khob district was found to be at 100.0%. Although the health service system accessibility of the border areas in Thailand and Lao PDR was at a relatively high level, not all people are covered by universal coverage scheme to access medical treatment. Moreover, in-depth information on such aspects as health coverage of hilltribe people who migrated into Thailand, community participation, and satisfaction of health service management was inadequately observed in our study. Hence, all in-depth information should be further studied to develop the effective health service system accessibility.
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