The Direction and Developing Process of Districts’ Health Systems on the Thailand-Laos Border


  • ปัญญา ยงยิ่ง
  • วิชัย เทียนถาวร
  • วสุธร ตันวัฒนกุล
  • กาสัก เต๊ะขันหมาก
  • พัชนา ใจดี
  • วนัสรา เชาวน์นิยม


direction and development process, Districts’ Health Systems, Thai-Laos Border


          Districts’ Health Systems on the Thailand-Laos Border: The direction and development process. The purpose of this qualitative research was to investigate the direction and development process of the health systems in the districts bordering Thailand and Laos. Field research was carried out using interviewing the sample of the network leaders who contributed to the development of the Thai-Lao border health system. Six districts and 10 individuals from each district were selected. Totally, 60 individuals were recruited (42 from district level and 18 from the provincial level). The questionnaire was developed based on the concept of district health system development. Content analysis was conducted during January 1, 2015 to February 28, 2018.

         The results showed that the direction and development process of the Thai-Lao border health system were as follows: 1) co-operation at the district level has been strengthened with the appointment and agreement of all committees in the area; 2) the result oriented with consumers is the communication channel from the meetings and service news; 3) for community participation and networking, the Public Health Department, local governments, community leaders, and public health volunteers were involved in every step, and other parties loosely made linkages to some activities; 4) in term of perceived value of healthcare providers and healthcare clients, there was an adjustment on the concept and attitude towards working using leaders’ mind and team members in the area visiting people at home by paying more attention and putting much efforts regularly; 5) sharing resources and personnel development is complementarily fulfilled by organizations; and 6) regarding health services needed in community context, the emphasis were strengthening quality of life, elderly people, home and bed-ridden patients, chronic-disease patients, disadvantaged persons, and emergency in case of epidemics. It is proposed that the government should provide resources for health system at the district level so that the problems can be solved immediately. Leadership development among the parties in the networks should be supported to create inspirations for working with compassion and collaborate to sustainably develop ways of life among people in the communities to accord with local cultures of the communities without borders.


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How to Cite

ยงยิ่ง ป, เทียนถาวร ว, ตันวัฒนกุล ว, เต๊ะขันหมาก ก, ใจดี พ, เชาวน์นิยม ว. The Direction and Developing Process of Districts’ Health Systems on the Thailand-Laos Border. JHNR [Internet]. 2019 Jan. 1 [cited 2022 Dec. 3];35(1):175-86. Available from:



Research articles