The document proposes establishing a Thai Health Promotion Fund to support health promotion activities outside of the Ministry of Health (MOH). The new approach would focus on lifestyle and environmental factors to promote population health, rather than only providing services to the sick. The fund would receive 2% of alcohol and tobacco tax revenues annually to support a more sustainable and predictable budget for health promotion programs led by various government agencies and non-profits. Key provisions and regulations would ensure transparency and accountability for use of the funds.

2. Existing approach New approach
Preventive & Activator for
Promotive care change; :
services
- Lifestyle
- Environment
Mainly within MOH Out side MOH
Involve MOH and those Involve the whole of the
who are sick & family government and society
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3. • HP as the Preventive & Promotive Care Provision
 focus on services to individuals, groups or
communities.
 are mostly vertical activities / within health service
sectors.
(Health education, vaccine etc.)
• HP as the Activator
- focus on Population/Societal base.
- create and coordinate HP activities of related sectors.
- activate mostly through policy advocacy and social
mobilization.
3

4. Targeting different groups of population
Health
Healthy
Promotion
Having (ThaiHealth)
Risk
behavior
Diseases but
not seeking
care
Conventional
Sick
and Health
seek Care system 4
care (MOH)

5. – establishing Thai Health
Promotion Fund under an
autonomous state agency,
– requiring 2% of alcohol and
tobacco surcharged levy to this
fund.
5

6. 6
1. Health promotion needs regular and sustainable
budget.
2. Because health promotion concentrate on
software rather than hardware, existing funding
agencies do not understand process-based
funding priorities.
3. A dedicated/specific source of funding provide a
predictable, more stable amount of budget.
4. Less susceptible to diversion of funding for
other purposes.

7. Critical proposal/Politically
acceptable source of budget
- The fund to come from tobacco and
alcohol importer/producer to pay an
additional 2% of excise tax (whenever
they pay for the excise tax).
- Key word: Government does not have
to pay
: The polluter pay
7

8. 8
2010 Budget = 100 million USD.

9. Parliamentarian :
- How to oversight the fund?
- How to prevent corruption /
abuse / misuse?
- How to measure the effectiveness?

10. Provisions of Thailand Health
Promotion Fund Act 2001
1. Objective/Mission of the fund
2. Sources of funding
3. Structure and functions of governing
board
4. Organization of health promotion
office
5. Evaluation auditing monitoring
processes
6. Reporting to cabinet / parliament

11. Performance Evaluation
1. Board of evaluation (propose by
MOF, appointed by the cabinet).
2. Internal auditing committee.
3. Subject to auditing by General
Accounting Office.

12. Thailand Health Promotion
Foundation’s Regulation
1. Criteria of funding
2. Funding for program/ project only
3. Program/project review
selection/approval processes
4. Fund administration/
monitoring /auditing system
Make all processes transparent

13. ThaiHealth
2000 2010
Gov. staffs 10 32
Budget (million Baht) 10 4
NGOs staffs 7 50
Budget (million Baht)
4 159
13

14. ThaiHealth
2000 2010
Gov staffs 0 42
Budget (million Baht) 0 7
NGOs staffs 0 125
Budget (million Baht)
0 279
14

15. Million USD
- Tobacco = 4.7
- Alcohol = 8.1
- Traffic accident = 4.7
- Nutrition = 3.2
- Social marketing = 4.5
- Total = 25.2
Total budget for major program
2001 – 2010 = 252
Total Thaihealth budget 2001 – 2010 = 614

16. Thaihealth budget as %
of MOH/NHSO budget
(million USD)
2006 2007 2008
MOH 1,548 1,735 1,922
NHSO (UHI) 1,766 2,204 2,863
ThaiHealth 74 74 94
= 2.2% 1.8% 1.96%
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17. ThaiHealth Budget as % of
total health
(million USD)
2006 2007 2008
Total Gov.
Health Budget 6,365 7,421 8,780
Thai Health 74 74 94
= 1.16% 0.99% 1.07%
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18. Population Groups Classify According
to Health Status
Health Promotion
Healthy (1 % of health budget)
Having Risk
behavior
Diseases but
not seeking
care
Conventional
Sick and
seek care Health
Care system(99 % 18
of health budget)

19. Ministry of Public Health and ThaiHealth Budget
2002 - 2007
Unit:Baht Million (MoPH) Unit:Baht Million
140,000 10,000
9,000
120,000
8,000
MoPH Avg Growth 13%
100,000 7,000
6,000
80,000
5,000
60,000
4,000
40,000 ThaiHealth : 1-2 % of MoPH 3,000
2,000
20,000
1,000
- -
2002 2003 2004 2005 2006 2007
Source: Thai Health Profile 2005 – 2007 and ThaiHealth Annual Reports

20. THANK YOU
www.thaihealth.or.th
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