plueme/wizJson huggingface dataset:
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: Gaps and Opportunities in Addressing Non Communicable Diseases in Thailand with WHO’s Best Buys and Good Buys interventions 
abstract:Non Communicable Diseases (NCDs) is the most important health problem in Thailand, in terms of
both mortality and morbidity. In the Global Status Report on Noncommunicable Diseases 2010, World Health Organization recommends 26 effective and cost-effective interventions to tackle NCDs crisis. Further
divided into 12 Best buys intervention and 14 Good buys, these population-wide policy interventions
aim to address NCDs at their five major risk behaviours. These include tobacco use, alcohol consumption,
food and beverage dietary, physical activity and Hepatitis B vaccination. This study describes theoretical
concepts of the intervention, and analyses situations, gaps and opportunities of Thailand to adopt these
26 interventions. These interventions differ in terms of strength of policy content, implementation and
feasibility to be strengthened. In conclusion, Thailand faces many major limitations in embarking these
Best buys and Good buys health interventions, including priority, resources, capacity, sustainability, monitoring
and evaluation, and coordination. While some are not exists at macro scale in Thailand, some interventions
were not primarily designed for health purposes.
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: Screening, Treatment and Rehabilitation for Alcohol Problems: Gaps under the Universal Health Coverage 
abstract:Services to provide screening, treatment and rehabilitation of alcohol-related problems are covered
under the Universal Health Coverage Scheme in Thailand. However, massive number of population with
risks and patients are practically ignored, do not get what they should be serviced, from the current health
care system and practices. Unintentionally but significantly, the shortage to provide proper care, escalates
the magnitude and severity of alcohol problems. Technical evidence shows the need, appropriateness,
benefit and practicability of the comprehensive services for alcohol related problems with in Thai health care system. The comprehensive service should cover four interconnected components; 1) alcohol screening
and brief intervention, 2) Detoxification and treatment of physical co-morbidity, 3) Alcohol treatment
and rehabilitation, and 4) Long term after care. Major limitations at macro scale is the lack of policy to
strengthen health care system in addressing alcohol problems, including in raising significance, building
up preparedness and capacity of the systems, providing incentive, and resource management. Critical
constraints at institutional level include awareness and capacity of health workforces, the lack of risk
assessment and management, the unavailability of clear and comprehensive policy. The framework to
strengthen Thai health care system response to alcohol problems should tackle major system gaps in
current systems, and strike balance of and cover all four components in parallel.
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: Food and Beverage Tax and Price Interventions: A Systematic Review 
abstract:While a fiscal policy has been shown to influence food and beverage prices in ways which help encourage
healthier eating behaviour, evidence about the use of tax and price interventions is still unclear and
questions about their effect still remain. A systematic review on food and beverage tax and price interventions
was conducted in order to explore evidence about tax and price interventions to promote healthy
dietary behaviours and investigate their effect on consumers. The English and Thai-language published and
grey literature for studies on tax and price interventions including monetary subsidies or taxes levied on
food and beverage and their effects were searched. Twenty-seven studies met the inclusion criteria. 4 were
from the peer-reviewed literature, 21 were published online and 2 were from grey literature. The studies
mostly focused on taxing snack, confectionary, soft drink and soda, and on subsidizing staple food such as
rice, wheat and maize. These interventions particularly taxation were found in influencing diet and body
weight. In conclusion, taxes and subsidies in food and beverage may be a useful tool contributing to healthier
consumption patterns at the population level. However, more information is needed on actual response on
food and beverage and consumers in food and beverage taxation and subsidy in developing country particularly
Thailand along with information on how effective food and beverage taxation and subsidy would
be and particularly their effect on people in developing countries.
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: Alcohol Consumption Control: From Cost-of-Illness Study to Policy Recommendation 
abstract:According to the cost-of-illness studies, economic impact of alcohol consumption is substantial. Impact
of alcohol and smoking on productivity loss due to premature mortality and morbidity is enormous and clearly affect economic system of the country. According to the cost-of-illness studies, the followings
are policy recommendation; 1) Alcohol control policy should be set as the national priority; 2) collaboration
from all related organizations not only those from the health care sectors but also other economic
organizations both government and private as well as enterprises at all levels are needed; 3) Policy/
intervention aims at preventing new drinker as well as encouraging drinker to quit at the early age are
essential. However, policy/intervention targeting at prevention of adolescent from start drinking are more
cost-saving than policy encouraging drinker to quit. In addition, encourage drinker to quit at early age is
more cost-saving than at the older age; 4) Policy/ intervention targeted at preventing new responsible
drinker or encouraging responsible drinker to quit is still important, as responsible drinkers accounted
for the highest proportion in the country; and 5) All related organizations should collect data in term of
the number of new drinkers or quitters attributable to the policy/intervention in order to use them to
conduct cost-effectiveness of such policy/intervention in the future.
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: Comparison of Adherence of Antiretroviral Therapy between Community Hospitals and Regional Hospitals under the Universal Coverage 
abstract:The adherence of antiretroviral therapy (ART) higher than 95 % is needed for the effectiveness
of HIV suppression. prevention of opportunistic infections, reduction chance of HIV transmission
and overall health improvement. Aim of the study was to find facility factors related to adherence of
ART under the universal coverage. Methods: A cross-sectional study was conducted among 823 HIVinfected
individuals who were receiving antiretroviral under National AIDS Program (NAP) in 9 public
hospitals in 3 provinces (3 regional and 6 community hospitals). Adherence had been assessed by pill
count and self-report using Visual analog scale (VAS). This study was approved by ethical committee of
the Ministry of Public Health. Results and discussion: Average adherence from pill-counts and selfreport
was 87.4% and 49.7 % respectively. Adherence from regional and community hospitals evaluated
using pill-count respectively was 82.7 % and 95.2 % while using self-report respectively was 46.3 % and
56.5 %. Logistic regression model shows community hospitals were correlated with higher adherence
than regional hospital from self-report by VAS (OR=1.51; 95 % CI:1.13 -2.02, p=0.006) and from pill-counts
(OR=4.17; 95 % CI:2.10-8.31, p<0.001). Although ART service in all hospitals was under the same Universal
Coverage scheme, the difference of adherence is existed. Related factors might be from patient-staff
relationship, ease of travel, ART-one-stop service and exclusively isolate clinic in small hospitals while in
large hospitals there are many patients visited under limited service area and not separated from other
clinics for receiving ART. Conclusion(s): Regional/general hospital might need substantial supports on
budget and personnel as well as the allocation of service space and increasing interest of the clients on
adherence on ART.
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: Implementation and outcome evaluation of satellite network of Anticoagulation clinics in Nakornratchasima province, Thailand 
abstract:Background: Anticoagulation clinic has been implemented in Thailand with considerable success,
mostly in tertiary care hospitals. To improve accessibility of such service, a satellite network of anticoagulation
clinics in rural area was recently implemented. Objective: To compare quality of anticoagulant
control, complications and follow-up frequency among patient receiving warfarin therapy during their
attendance to a tertiary care center versus after referral to satellite clinics. Methods: Satellite network of
anticoagulation clinic was established at the Nakornratchasima province in early 2009 comprising of 4
community hospitals and a community medical unit. Patients receiving warfarin for at least 6 months at a
tertiary care hospital, who were clinically stable, were consented and enrolled in satellite clinics. Data on
anticoagulation control and other outcome variable of pre-referral period were compared with those of
post-referral period using descriptive statistics, paired T-test and McNemar’s test, where appropriate.
Results: Sixty nine patients were enrolled with a total number of 273 visits. Mean age was 56.2 ± 13.7 years
old. Most common indications were prosthetic valve replacement (40.6 %), rheumatic heart disease (20.2
%), atrial fibrillation with stroke (17.3%) and other (21.7 %). For anticoagulation control, time in target
range of patients during pre-referral and post-referral periods were similar (46.5 % vs 46.1 %; p = 0.94).
Incidence of INR value < 1.5 or > 4.0 were similar between the two groups but numerically lower in the
post-referral period (20.0 % in pre-referral vs 17.2 % in post referral periods: p=0.25). No major complication
was reported. Follow-up interval was shorter with satellite clinics (4.5 week/visit and 8.5 week/
visit). Conclusion: Satellite network of anticoagulation clinic can provide quality anticoagulation control
similar to a tertiary care setting. In addition, such service may improve safety of warfarin therapy through
a close monitoring system and improved accessibility.
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: Drug using among diabetic patients with chronic renal failure during the month of Ramadan : Case study of Nongjik Hospital, Pattani Province 
abstract:The objective of the study was to determine the effect of a health education program on drug use
during the month of Ramadan among diabetic patients with chronic renal failure who attended the diabetic
clinic in Nongjik Hospital, Pattani Province, during 1 October 2009 - 31 December 2010. Of the 56
patients, 28 had the Ramadan education program and home visit (study group) and 28 had usual health
care services (control group). Data from hospital records and the drug use follow-up form during Ramadan
of both groups were reviewed. Both groups had comparable characteristics including sex, age, co-morbidity, serum creatinine, estimated
glomerular filtration rate, microalbuminuria, cardiovascular risk score, number of drugs currently
used, fasting blood sugar, and systolic blood pressure. During Ramadan, good drug practice was significantly
higher in the study group (89.3 %) than the control group (14.3 %). Patients in the study group had
significantly lower fasting blood sugar, and systolic blood pressure than the other group. Factors correlating
with good drug practice were principal antidiabetic drugs and modification of drug use during
Ramadan.
It is essential to prepare drug use among Muslim diabetic patients before Ramadan. Good drug
practice during Ramadan will provide effective treatment results in these patients.
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: Views of Health Professionals on Herbal Medicine and Policy for Promotion of Herbal Medicine Use in Healthcare Settings 
abstract:The policy on the promotion of herbal medicine has not yet achieved the target. To achieve the goal,
knowing health care professionals’ views on herbal medicinal products and on the national policy which aims to promote the utilization of herbal medicine in health care facilities is crucial. This study used
qualitative methods. Focus group interview among the frequent user group and in-depth interviews among
occasionally user group were conducted. The results of this study can be divided into 3 parts. 1) Views on
herbal medicinal products: lack of confidence on the effectiveness and safety of herbal medicinal products
is found, the appearance and other characteristics of herbal medicinal products are not attractive, herbal
medicinal products are more expensive than western medicine. 2) Views on the national policy to promote
the utilization of herbal medicinal products in healthcare facilities: The set target in terms of expenditure
of herbal medicine products of 25% of the total drug expenditure for every healthcare facility is
difficult to accomplish. Furthermore, there are no practice guidelines and clear strategic plan to support
the policy. 3) Views on impeding and facilitating factors influencing the utilization: key impeding factors
were the criteria on reimbursement of herbal medicinal and confidence in the quality and manufacturing
standards. The key facilitating factor was the presence of key person who was able to promote the use of
herbal medicine in hospitals. Findings from this study would be used to develop the effective strategies to
accomplish the policy aims at promoting the use of the herbal medicine in the future.
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: Role of Family Physicians in Sexual Assaulted Patients in Chaibadan District Hospital 
abstract:Sexual assault was a critical problem with increasing incidence. It is a challenge to family physicians
as a member of multidisciplinary team responsible for provision of care to the victims. With medical
record review and interviews with sexual assaulted patients of Chaibadan Hospital, this study described
demographic profile, nature of the assaults, type of care given and made suggestions for further improvement
of health care to the victims. Seeking care at During 2007-2009, 95 female victims were identified
with an estimated cumulative incidence of 27.7-49.8 per100,000 population. Majority of them were aged
under 18(94.7%) with high school level of education (65.3%). Most of them were raped by husbands or
boyfriends (42.1%). A quarter was sexually assaulted more than once during the past year. Health care
provided to these victims consisted of birth control pills (32.6% of them), a test for HIV infection (80%) and
anti-HIV medications (25.3%).
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: การกระจายอำนาจด้านสาธารณสุข : ความเป็นมา สถานการณ์และแนวโน้มในอนาคต 
abstract:The Constitution of the Kingdom of Thailand B.E. 2540 and B.E. 2550, including Determining
Plans And Process Of Decentralization Act, B.E. 2542 is regarded as the starting point of the decentralization
of the state to local administrative organizations, and determined the public health decentralization
to local administrative organizations. These plans included the transfer of the health center (subdistrict
level) to local administrative organizations within 2010. Until now, 10 years gone from the above
mentioned, the progress is still unsatisfactory with a lot of problems and barriers during the operation. In
the preceding time, 28 health centers had already been transferred from 35 health centers targeted. Among
these, some of them were successful while some others faced many obstacles or restrictions in the implementation,
such as uncertainty of the policy and guidelines, coordination between the organizations, and
referring system. These made the health personnels feel insecure in their work. In order to run the process
of the public health decentralization effectively and comply with the Constitution, the related agencies
such as Ministry of Public Health, the Department of Local Government, including other organizations
must solve the problem seriously together to find the best solution.
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: Working Process and Supporting Factors and Barriers for the Development of Public Health Programs under the Sub-district Administration Organization in Nakhon Si Thammarat Province 
abstract:The objectives of this mixed method study were: (1) to study situation of public health operation of
sub district administration organizations in Nakhon Si Thammarat ; (2) to study role, working process
and outputs of the sub district administration organizations related to development of public health activities; and (3) to identify conditional factors that influenced or hindered implementation of projects for
health development under the sub district administration organizations.
The population of the first phase study was 81 sub district administration organizations in Nakhon
Si Thammarat Province. The data analysis was performed using descriptive statistic. In the second phase
Thakuen sub district administration organization was selected as a case study among sub district administration
organizations and followed by the analysis using content analysis method.
The result of the first phase study showed that most sub district administration organizations were
in medium size. Most of the public health officers were untitled personnel of the manager offices (43.2%),
followed by community health development workers (35.8%). In terms of health projects, the most common
type was those for prevention and control of dengue fever (92.6%). The most successful projects were
those concerning surveillance and solving of problems of malnutrition, supporting to health centers for
their curative care services and supplying of essential drugs to community centers for primary health
care. All successful health projects (100%) were found to have promoting factors as cooperation of the
various organizations in the community such as community health volunteers and health clubs (80.25%).
The main obstacles were lack of knowledgeable, human resources and funding.
The results of the second phase of the study showed that the beginning point of public health development
by the sub district administration organizations was when they enrolled in local community health
fund. The working process was jointly carried out by sub-district administration organizations, local health
centers, community health volunteers, and health clubs. The main factors for successful health development
were team leadership, team working, strong community health volunteers and general public involvement.
Enabling factors are public-mind consciousness and open-mindedness of the public health
staff. The problems and obstacles were lack of experience in community health fund and the indifference
in health by some groups of the people.
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: Appendicitis of three Schemes during 2005-2008 
abstract:The purpose of this study was to evaluate the service to patients with appendicitis among three
schemes: Universal coverage scheme: UCS, Social security scheme: SSS and Civil servant medical benefit
scheme: CSMBS. 401,322 records of in-patients during 2005 -2008 were utilized, and analyzed by descriptive
statistic and logistic regression analysis.
Acute appendicitis admission rate per 100,000 population between 2005 and 2008 showed that it was
highest in CSMBS, 215.4-300.4, while SSS was between 141.6-203.8 and UCS was between 165.9 and 177.6.
The trend was increasing in UCS and SSS, while it was decreasing in CSMBS. Proportion of ruptured
appendicitis to total appendicitis indicated that those of SSS, UCS and CSMBS were 12.5%, 18.2%, and
18.5% respectively. In addition, ruptured appendicitis probability were significantly different among three
schemes (P<0.00) which those of SSS and CSMBS had a lower chance compared to those of UCS, 1.48 and
1.38 times respectively. However, the trends of ruptured appendicitis to total appendicitis patients of all
schemes decreased. The trend of mortality rate of appendicitis patient in each scheme had not change
dramatically. It was highest in CSMBS and UCS (0.2%), while those of SSS were 0.02% respectively. With
regard to percentage of acute appendicitis patient receiving appendectomy, it was found that SSS patients
had a highest percentage, 89.4% while CSMBS and UCS were 83.5% and 83.0% respectively. However, the
trend of those having acute appendicitis receiving appendectomy in all schemes had been increasing.
location: nan, 'Thailand 
year: 2011 source: HSRI 
title: Cost - effectiveness analysis of “80 cases weight control program for King Rama IX” in Angthong Province 
abstract:The objective of this study was to compare the awareness, attitude and behavior on weight control of
the population before and after their attendance of the Camp for Eradicating Obesity and Belly Program
and the Weight Control Program. The study also took into consideration the efficiency of attending the
programs as one of the determining factor. The study design was the quasi-experimental research, which
studied obesity and health problem of the attendees before and after they had attended both programs.
The selected samples included 40 people who attended the Camp for Eradicating Obesity and Belly Program,
operated by Viseschaichan Hospital, and other 40 people who attended the Weight Control Program
of the Department of Health, operated by Pamok Hospital. The methodologies used in this research
were descriptive analysis, statistics pair t-test and the Pearson Product moment Correlation Coefficient. The study results for both programs shown an increase in awareness, positive attitude and weight
control efficiency. Meanwhile, blood pressure, body weight and waist circumference were decrease and
were significantly different prior to their attendance of both programs at p < 0.05. The samples who attended
the Camp for Eradicating Obesity and Belly Program could reduced weight 87.5 and 77.5 % by 8
and 16 weeks, while those who attended the Weight Control Program of the Department of Health could
reduced weight 65.0 and 67.5 % by 8 and 16 weeks accordingly. By week 16th, the studies found that the
unit cost of attending the Camp for Eradicating Obesity and Belly Program was 4,489 baht, while the
Weight Control Program was 3,518 baht. However, in order for the attendance to lose weight effectively,
the cost-effectiveness for the Camp for Eradicating Obesity and Belly Program and Weight Control Program
were 5,793 and 5,212 baht per person, respectively. The result of this study suggested that the Camp
for Eradicating Obesity and Belly Program was more effective but not appropriate to used in weight
control of large group population because of its high cost. The Weight Control Program of the Department
of Health had lower unit cost and consequently, was more practical due to its cost-effectiveness.