Development of National Strategic Plan for Health Promotion in Working age in Thailand : 2025-2037.

Abstract

The demographic transition toward a super-aged society and the rising burden of
non-communicable diseases (NCDs) have rendered health promotion for the working-age population (aged 15–59 years) an urgent national agenda to sustain labor productivity. This participatory qualitative research aimed to develop the National Health Promotion Strategic Plan for the Working-Age Population (2025–2037). Purposive sampling was employed to select
50 participants, comprising subject matter experts, private sector representatives, and public sector officials across six major ministries. Data gathered through document reviews, workshops, and focus group discussions were analyzed using thematic analysis in conjunction with the Multiple Streams Framework (MSF) and SWOT/TOWS Matrix. The findings revealed that the Health in All Policies (HiAP) synthesis process potentially enhanced Policy stream that led to the opening of a "policy window" to drive four core joint strategic goals (4Gs): Good Job, Good Insurance, Good Health, and Good Environment. The research culminated in five core strategic pillars: (1) strengthening integrated policy drive and multisectoral governance for equitable health crisis management, (2) empowering individual health literacy and active self-management toward healthy aging, (3) building robust, community-led health networks nationwide with international alignment, (4) optimizing healthy workplace ecosystems to enhance labor productivity and economic competitiveness, and (5) advancing digital health innovations and next-normal service models to tackle emerging health transitions. These outcomes establish collective ownership among stakeholders, serving as a robust model for sustainable and real-world national policy implementation.