The Development of Local Level Environmental Health Management System Under Measure and Mechanism According to Public Health Act, Thailand

Abstract

The descriptive study was done by Collecting and reviewing situational information and relationships between environmental health and public health impacts. The survey study was performed by investigating activities of all Thailand provincial public health committees in 2018. The explanation study was also determined by using content analysis for all collected data. The descriptive statistics included the use of mean
and range for explaining overview of provincial public health committee performance and comparing activity context of each province with policy context for development of Thailand environmental health system to propose policy recommendation in development of environmental health system at local level. The study results indicated that implementation of local organizations have not covered the whole country area (76 provinces). Although it was indicated that the local organizations could support major mission of provincial public health committee as an overview, it was, nevertheless, not covered some local areas in some provinces. Therefore, the Environmental Health Management System should be improved to enable local organizations, according to National Health Development plan in National Economic
and Social Development Plan No.12 (B.E. 2560 – 2564) such as 1) Assessment of Performance, 2) Advocacy Strengthening by communication, raising public awareness, and persuade decision maker, 3) Intervention to drive Public Policy by adopting explicit knowledge, tool, and technology to establish healthy public policy, and 4) Management/Governance to create appropriate standards and procedures for environmental health management at local level. The study results suggested that the Ministry of Public Health, Department of Health, and Provincial
Public Health Offices must promote and provide support mechanisms for all provincial public health committees in order to enhancement the efficiency of connecting and driving environmental health works from country level to local level.