Sirinart Tongsiri MD PhD
Wachara Riewpaiboon MD
World Report on Disability Symposium, 5 December 2011, University of Sydney
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 Recommendation
3 of the World Report on
Disability
 Aim of the study
 Background
 Findings
 Conclusions
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“Adopt a national disability strategy and plan
of action”
Stakeholders should be involved in the
development, implementation and
monitoring of a national strategy using
prevalence of disability, needs for services,
social and economic status, gaps in current
services and environment and social barriers
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 Report
the policy process of the PWDs’
capability-oriented database development in
Thailand
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 An
ICF-based questionnaire is used to
develop a PWD database to identify health
needs, guide resource allocation and monitor
rehabilitation services
 Two
provinces: NP and NL under the 8th RHSO
separately implemented the database
development

Then the 7th RHSO (including 4 provinces)
 State
actor: the 7th RHSO
 Local government actor: the Provincial
Rehabilitation Fund (PRF) in the NL province
 Non-state actor: Disabled People’s
Organization (DPO) in the NP province
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The 8th RHSO
NL province
NP province
The 7th RHSO
• Khonkaen
•Roi-Et
•Kalasin
•Mahasarakham
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 The
7th RHSO quickly implemented the
survey by health personnel of the state
healthcare providers
 The
7th RHSO quickly implemented the
survey by health personnel of the state
healthcare providers
 The NP province is slowly moving forward to
participatory continue the survey after
finishing the research
 The
7th RHSO quickly implemented the
survey by health personnel of the state
healthcare providers
 The NP province is slowly moving forward to
continue the survey after finishing the
research, in participation with other
organizations
 The NL province started the survey by health
volunteers with partial financial supports
from outside funders
 To
implement rehabilitation policies: key
actors should be identified
 State,
local government and non-state actors,
particularly the civil society, play crucial roles
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 State
actor with higher control of
authority, financial and human
resources
 Local
government with limited
resources but able to work across
different organizations
 DPO
with insights of PWD’s needs
 ICF
can be used as a conceptual framework
and communication tool among actors should
the services are to be implemented
 The
CBR matrix can serve as a comprehensive
monitoring tool of improving quality of life and
enhancing equalization of opportunity of PWDs
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“Who play what roles in a big picture”
State: higher control of resources and have good link
with state healthcare providers
Local government: bridge the gaps between health,
education, livelihood, and social support services
Non-state: particularly DPO could voice specific
interests of its members to guide the policy
development; a good platform for empowerment and
equalization of opportunities for PWDs
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