The Development of Health Advocate for Participatory Promoting Local Community Health Care: Case Study of Thungkhru District, Bangkok

Abstract

The research aims were to 1) study situations of people’s health problems in Thungkhru district, 2) develop a participatory health statute of people in Thungkhru district, and 3) study the results of lessons learned on the development and propulsion of the health statute. This research was conducted through qualitative research methodology consisting of documentary studies, and field studies. The sample groups were the Thungkhru District Health Statute Drafting Committee, comprising representatives from the government, academic and public sectors. The research results showed as follows. The problems of situations affecting the people’s health in Thungkhru district were divided into 4 aspects: 1) physical environment, solid waste 2) health 3) safety in life and property and 4) occupation.  Drafting of the Thungkhru District Health Statute comprised 9 sections, namely 1) participation of all sectors 2) public health services 3) physical environment, solid waste  4) health promotion, prevention and rehabilitation  5) elderly, vulnerable groups  6) life and property safety 7) prevention of drug problems in the community  8) occupational promotion and 9) propulsion of health statute in Thungkhru District. Lesson Learned on the development and driving of the health statute of Thungkhru district comprised 6 issues: 1) important processes in the development of the health statute  2) general supporting factors contributing to the success of the health statute  3) development of the health statute in epidemic situations  4) processes, channels and mechanisms for driving the health statute to achieve empirically  5) benefits of health statutory implementation and 6) new social process innovations obtained.