Healthy city approach to
address health inequity in
Phanatnikom Municipality, Thailand
Regional Workshop on Urban Health Equity Assessment
and Intersectoral Responses
WHO/SEARO, New Delhi, 24-7-29 Nov 2012
VIJAI AMMARALIKIT
MAYOR
PHANATNIKOM MUNICIPALITY
CHONBURI,THAILAND
VIJAI_AM999@HOTMAIL.COM
1. Background
Bangkok
Phanatnikom Municipality,
• Located in Chonburi Province, 87 kilometers
from Bangkok, eastern part of Thailand
• Area covered: 2.67 square kilometers
• Population covered: 12,279
(5,593 males, 6,686 females)
• City vision:
Better health & environment,
peaceful society,
conspicuous of tradition-art-culture-education,
toward HEALTHY CITY ”
Population divided by age
of Phanatnikom Municipality
Age
Total
Percentage
Male
Female
0-6 years
337
335
672
6.00
7-12 years
392
390
782
6.90
13-17 years
367
390
757
6.80
18-30 years
1,035
1,000
2,035
18.20
31-50 years
1,612
1,887
3,499
31.20
51-60 years
662
950
1,612
14.40
60+ years
686
1,161
1,847
16.50
5,091
6,113
11,204
100.00
Total
Public health problem
Number
1. High blood pressure
Age
persons
Percentage
30 up
595
8.55
0f population 30 up
2. Diabetes
30 up
269
3.86
0f population 30 up
3. Eye vision problem
50 up
20
0.57
0f population 50 up
4. Cervix and breast cancers
30 up
11
0.27
of woman 30 up
2. Approach (since 1997)
Ultimate goal
Maximum
Satisfaction of
Our citizen
Our goal
HEALTHY CITY
Our vision and strategies
Better
Health& environment
Peaceful
society
Conspicuous of tradition,
art, culture, and education
Good governance
Rule of law Responsibility Transparency
Participation
Efficiency & effectiveness
Learning & development organization
Capacity
building
Hardware&
Software
Service
mind
Knowledge
management
Financial management
Budget allocation
Income
development
Reduce expenses
2. Approach (cont.)
Our stakeholders
 National Health Security Organization,
Thailand
 Provincial and District Hospitals
 10 Communities
 4 Municipal schools
3. Activities and outcomes
Activities for Better
Health& Environment
1. Prevention and control of epidemic diseases such as bird
flu, flu 2009 by distribute hand cleaning gel and knowledge
in practice to avoid virus infection
2. Prevention of non-infectious diseases by
- Screening check of diabetes and high blood pressure
for elderly people
- Screening check of cervix and breast cancers for women
- Eye checking to prevent cataract
3. Pregnancy care by contribution supplements that are
beneficial for pregnant women as well as education on
maternal care
4. Provide health facilities and low income settlement
improvement such as primary health care center,
swimming pool, public park, playground, gym room,
exercise machines, low income settlement upgrading
5. Support various kind of sport clubs and senior citizen club
6. Promote people participation on environmental and self
sufficiency economy initiatives such as bio liquid detergent
from organic waste, etc.
Prevention and control of
epidemic diseases and non-infectious diseases
Pregnancy care and Health facilities for communities
Low income settlement improvement
Before
After
Produced bio liquid detergent from organic waste
and use for cleaning to reduce chemical
5. Lesson Learned
Major benefits implementing Healthy
Economy
- Reduce medical treatment cost of
household
- Reduce fiscal budget of municipality
on health care investment
Social
- Happiness society
- Less conflict between municipality and
community
- More conciliation among people
- People willing on participation
Environment
- Clean and green city guarantee by the
winner of the cleanest city award and
sustainable city award
cities
5. Lesson learned
Main challenges and successes
 Healthy city should not focus on only
health aspect but social and
environmental aspects must be
concerned.
 Healthy city can not be done and
sustainable just only local
government itself but participation
among strategic partners is the main
key successful factor
Our pride to be HEALTHY CITY and
we will go forward to do better job
for our His majesty King and our world!
Thank you for your attention