plueme/wizJson huggingface dataset:
location: nan, 'Thailand 
year: 2021 source: HSRI 
title: Wastewater surveillance for SARS-CoV-2 in provinces that have confirmed COVID-19 cases 
abstract:The project of wastewater surveillance for SAR-CoV-2 in provinces that have comfirmed COVID-19 cases was conducted by Division of Communicable Diseases, Department of Disease Control. The objectives of this project were to detect SARS-CoV-2 in wastewater and to characterize the relationship between the presences of SARS-CoV-2 genetic materials and the number of infected cases in the particular areas. The result could elucidate the correlation between degree of SARS-CoV-2 genetic materials and the number of COVID-19 patients in the community. Moreover, our result could be useful for disease surveillance and monitoring programs, conducive to setting appropriate measures and policies in controlling this kind of virus effectively in the future. From May to December 2021, a total of 248 of wastewater samples was collected from 11 places, including markets, apartments, universities, and prisons, located in the COVID-19 outbreak areas, Bangkok and Samut Sakhon. The real time RT-PCR technique was used for SARS-CoV-2 detection. The results showed that 118 samples were detected from 10 places, related to the number of infected cases. Moreover, variant of COVID-19 was also analyzed. Based on our results, we suggest that the detection of SARS-CoV-2 in wastewater can be used for COVID-19 monitoring and for integrating with other disease investigation practices in the community. Since individual detection of COVID-19 infection is limited, wastewater analysis could be considered one of the sensitive and cost-effective strategies. Routine implementation of this surveillance tool together with personal hygiene practices and social distancing would significantly improve our preparedness against new or re-occurring viral outbreaks.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: Policy Recommendation Synthesis for Nursing Practice Workforce Development: Production, Distribution, and Retention due to Pandemic 
abstract:The purpose of this mixed-method study was to syntheses policy recommendations nursing workforce development: production, distribution, and retention as COVID-19 pandemic. The quantitative data were collected from 396 samples through the questionnaire of actual and expected workforce retention operation due to COVID-19 pandemic. The qualitative data were collected from 120 subjects through in-depth interview. The findings were as follow: 1) The production of nursing workforce, the Ministry of Public Health, governer, and educational institute network should mutually plan to determin the nursing workforce production needs in longterm period, analyze recent nursing curriculum to find the competency gap due to the pandemic, develop the knowledge and skills of professional nurses according to new normal services, establish clearly procedure to support nursing students when they got infection or high risk to infection. 2) The distribution of nursing workforce, the ministry of public health should systematically review and plan to distribute nursing workforce in all level-ministry, area health, and settings for appropriate manpower rate according to the contex of areas and the complex of nursing services. The nursing administrators should consider the distribution of nursing workforce of their setting. 3) The retention of nursing workforce, the administrators should determin the nursing workforce retention procedures or protocals, encourage and motivation through appoint the worker to be a government officer; promote to a higher position; set up the clearly systems of compensation, welfare benefit and privilege; follow up the health of nursing personel in order to safe them from COVID-19 infection. Moreover, they should have a human development plan for nursing career progression.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: The Impact of COVID-19 pandemic on Occupational Engagement and Occupational Therapy Services Delivery in New Normal Situation 
abstract:This mixed-methods study consists of quantitative research using questionnaires and qualitative research using focus group discussion. The aim of this study was to examine the impact of the COVID-19 on occupational engagement of physical, developmental, learning and psychosocial impairment clients and study of their needs for healthcare services, and adaptation of OT services in public and private hospital. Addition with the impact on practical fieldwork education and guideline for solution. The Occupational Therapists (OTs) (n = 153) were asked to complete the questionnaires while those (n = 45) were invited to once in focus group sessions. Results showed that COVID-19 has caused a negative impact on clients with occupational deprivation owing to uncontrolled situations especially social participation and health management. Three service types provided by the OTs in the pandemic have emerged along with infection control which are onsite, online or telehealth, and hybrid. OTs are developing telethealth services by use information and communication technology or social media through telephone, the LINE application, and VDO calls. Performances evaluation and home-based rehab training activities were provided according to the personal context. Caregiver consultation and education with media resources were innovatively enhanced in various channels. Contributing and barrier factors related to the institute’s policy, supporting infrastructure and readiness to use digital technology-assisted devices was highlighted in both service providers and clients. The impact of COVID-19 on occupational therapy students (OTS) were lack of fieldwork settings and clinical skills due to the decrease in number of clients. To maintain standards of clinical teaching in fieldwork placements, a combination of online case simulation and real client practice was used. The necessary skills for enhancing OTS’s competency in this situation were awareness and practice according to the infection control procedure, resilience skills, good communication, and the creation of innovative skills for telehealth services to be an OTs who response with the needs of client and society in the future.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: COVID-19 Vaccine Effectiveness in Thailand: a Real World Study (1st Year) 
abstract:Data on real-life vaccine effectiveness (VE) against the delta and omicron variant of COVID-19 infection among COVID-19 vaccine regimens are urgently needed to impede the COVID-19 pandemic. We conducted a test-negative case-control study to assess the VE of various vaccine regimens for preventing COVID-19 during the period when the delta variant and omicron was the dominant causative virus in Thailand. All individuals (age ≥18 years) at-risk for COVID-19 who presented for nasopharyngeal real-time polymerase chain reaction (RT-PCR) testing were prospectively enrolled and followed-up for disease development. Vaccine effectiveness was estimated with adjustment for individual demographic and clinical characteristics. Concerning the period of delta variant, there were 1,871 cases of the total of 4,589. The adjusted VE among persons receiving two-dose CoronaVac plus one BNT162b2 booster was highest (98%; 95% confidence interval [CI] 87 to 100), followed by those receiving two-dose CoronaVac plus one ChAdOx1 nCoV-19 booster (86%; 95% CI 74 to 93), two-dose ChAdOx1 nCoV-19 (83%; 95% CI 70 to 90), one CoronaVac dose and one ChAdOx1 nCoV-19 dose (74%; 95% CI 43 to 88) and two-dose CoronaVac (60%; 95% CI 49 to 69). Concerning the period of omicron variant, there were 471 cases of the total of 1,975. The diseases severity markly decreased while the vaccine effectiveness aso markly decreased, compared to the period of delta variant. Our study demonstrated the incremental VE with the increase in number of vaccine doses received. The two-dose CoronaVac plus one BNT162b2 or ChAdOx1 nCoV-19 booster regimens were highly effective in preventing COVID-19 during the rise of delta variant.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: Inequity by the Universal Coverage Cube: Findings from the 2020 Household Socio-Economic Survey 
abstract:Thailand could achieve the goals of the universal health coverage (UHC). But there are some remaining challenges on inequities in cost protection and quality of services. This study endeavored to report the country’s inequity situation in terms of coverages of population, cost, and services. Using the 2020 Household Socio-Economic Survey, the analysis covered disparities across health insurance schemes, household wealth quintile, sex, age group, region, and urban/rural area. The results show that the highest inequity was among different health insurance schemes of the UHC system. Therefore, it is essential to implement national health reform to solve the disparity issues by integration of the health insurance schemes.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: Social Return on Investment of Long-Term Care for Dependent Older Persons: A Case Study of Sa-Ard Subdistrict, Namphong, Khon Kaen 
abstract:Background and Rationale: Thailand becomes an ageing society. The Thai government officially implemented long-term care (LTC) for dependent older persons in 2016. Sa-ard subdistrict of Namphong, Khon Kaen, has provided an LTC service program by the family care team and the LTC center since August 2017. However, the impacts of this program, particularly social impact, have not been reported. This study aimed to determine social return on investment (SROI) of the LTC program for dependent older persons in this setting. Methodology: A mixed-methods approach was used to collect data on outcomes, program impacts, and costs of the LTC program for dependent older persons (37 people with the Barthel index of activity of daily living (ADL) ≤ 11 points) in the fiscal year 2018. We conducted a questionnaire survey among 74 program beneficiaries (dependent older persons and family caregivers) and focus group interviews among 49 program stakeholders (dependent older persons, family caregivers, family care team members, trained caregivers, and community and local government representatives). Secondary data were gathered from reports, records, and databases of the hospital, the local government, and the LTC center. SROI was calculated and sensitivity analysis was performed. Results: Outcomes of LTC program delivered better conditions (walkability or doing usual activities by themselves) to the dependent older person group, more relaxation/leisure time and saving costs from going to hospitals to family caregivers, happiness in helping other people to the family care teams and trained caregivers, and the healthy community. Of the total 37 dependent older persons, after participating in the LTC program their ADL increased significantly on average 3.9 ± 5.2 points (p < 0.001) and 73% had better outcomes. The older persons valued their better outcomes at a median of 708,432 baht (Q1-Q3 = 699,216 - 2,000,000). For a one-year investment of LTC program of 2,138,704 baht and its benefit of 15,853,919 baht, the SROI ratio of this program was 7.4 with a range of sensitivity analysis values between 1.3 and 20.5. Conclusion: This study indicated that the LTC program for older persons could effectively improve their outcomes and provide values to stakeholders and society. The LTC program provided social return higher than investment. Therefore, the LTC program should be promoted and expanded to other settings.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: Essential and Urgent Policy and Research and Initial Policy Recommendations regarding the Medical Cannabis Policy in Thailand 
abstract:Background and rationale: The Thai medical cannabis (or medical marijuana: MMJ) system was first established in February of 2019. This study aimed to identify the most essential and urgent policy and research and initial policy recommendations regarding the implementation and impacts of the MMJ policy in Thailand. Methodology: A narrative literature review and other qualitative methods; 18 in-depth interviews with key stakeholders, focus group discussions of nine service providers and patients, and a participant observation in the MMJ clinic at the Ministry of Public Health. Results: Our crucial findings showed that: (a) the Thai MMJ system is complex, consisting of three subsystems: modern medicine, Thai traditional medicine, and folk medicine. These subsystems are not harmonized, and have resulted in poor access to legal MMJ products. (b) MMJ is a new entity in Thailand, and a comprehensive monitoring and evaluation system is needed. (c) the MMJ movement in Thailand has “political economy” attribute, meaning that the policies may be driven by benefits beyond a medical rationale. These findings lead to six research questions. (1) What do the governance structure and plans regarding MMJ policy in Thailand look like? (2) How do we improve the complex MMJ system to best serve patients? (3) How much and how to invest in a knowledge-generation system, and a monitoring and evaluation system regarding the MMJ policy? (4) How do we build MMJ consumers’ health literacy? (5) What are the efficacy levels and cost-effectiveness of the Thai medical cannabis products? And (6) What should be the future MMJ policy in Thailand? Conclusion: The newly established and complicated Thai medical cannabis system is novel for Thai society. This system has potentials to produce both positive and negative consequences, with potentially enormous underlying economic benefits. Therefore, the government and all relevant sectors must collaboratively manage the medical cannabis system in a transparent, creative, and considerate way, to provide the best benefits for patients and the whole of Thai society, in both the short- and long-term.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: Work-Related Factors and Mental Health Outcomes among Healthcare Workers during COVID-19 Pandemic 
abstract:This cross-sectional research focused on studying the prevalence of mental health outcomes and preventive behaviors, and to examine work-related factors associated with mental health outcomes during the COVID-19 pandemic amongst the healthcare workers employed by the Ministry of Public Health Thailand. The data were collected by the online questionnaire from 12 health regions, 417 healthcare workers administered during the first wave (May 1-15, 2020). The Depression Anxiety and Stress Scale – 21 Items (DASS-21) Thai version was used to assess mental health outcomes. The Chi-square test was used to examine association between depression, anxiety and stress-related factors. The results found that 2.4%, 7.2%, and 3.9% of all respondents demonstrated severe to extremely severe depression, anxiety, and stress; while practices of preventive behaviors were as high as 82.0% of wearing masks and 76% of practicing hand-hygiene. The associated factors of mental health outcomes were: (i) working with COVID-19 inpatients; (ii) organizational management to ensure low infection risk; (iii) inadequate of personal protective equipment (PPE); (iv) work with the fear of contracting infection; (v) the non-adherence behavior of patients towards safety protocols. The study recommends that effective management practices towards reducing infection was predominant associating and modifiable factor of mental health outcome. In particular, this should be applied to the healthcare workers coming in direct contact with patients in the “new-emerging phase” or a “repeated wave” of COVID-19 outbreaks.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: The Assessment of Physical Activity Programs Implementation in the Thai Urban-Setting against the Global Action Plan on Physical Activity Strategic Actions 
abstract:Physical inactivity is ranked number four leading risk factor of premature deaths from non-communicable diseases. The Global Action Plan on Physical Activity 2018-2030 (GAPPA), adopted in the 71st World Health Assembly in 2018 emphasizes the need for a whole-of-society approach to creating social, cultural, economic, and environments conducive to physical activity. This study assessed the promotion of physical activity in the urban setting of twelve selected municipalities in Thailand against the four GAPPA strategic actions. The findings revealed that all twelve municipalities implemented at least one intervention of the four strategic actions, and achieved 12 out of 20 (60%) GAPPA recommended actions. The city municipalities achieved the highest score, followed by the town and the subdistrict municipalities. The highest achievements were the implementations of strategic action 3: create active people, and strategic action 1: create active societies. This study showed that GAPPA recommendations were relevant and feasible in the Thai context. However, gaps remained in the promotion of strategic action 2: create active environments, and strategic action 4: create active systems. In conclusion, the municipality could be one of the lead agencies for physical activity promotion in an urban setting in collaboration with other public and private stakeholders. GAPPA strategic actions should be translated to be specific tools and indicators for monitoring the progress of policy implementation.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: The Relationship between Physical Activity of Active Transport and Characteristics among Residents in Regional Thailand 
abstract:The health benefits of physical activity are linked to active transport. The Thai Walking and Cycling Institute has implemented a project to promote walking and bicycle use in daily life in many provinces since 2017. This study aimed to identify the association between local demographic characteristics (sex, age, body mass index (BMI), education, occupation, and income), and the effects of physical activity from active transport. This was done in three purposive selected sites namely, 1) King Taksin Community, Chachoengsao, 2) Suksabaijai Community, Kalasin, and 3) Ban Thatsobvan Community, Phayao. A cross-sectional study was carried out through a self-administered questionnaire survey. The questionnaire was randomly distributed via community leaders. Multivariate Poisson regression was performed. The average amount of active transport energy expenditure in three communities at 180 metabolic equivalent task-minutes/week contributed to 30% of the World Health Organization’s recommended physical activity levels. Being female, overweight or obese, higher educational attainment, higher income, and office-based employee had a significantly reduced chance of having higher energy from active transport than their counterparts. While being older and living in optimal size community and near the city center had significantly raised chance of having higher energy from active transport. Interventions for active transport promotion should be more attractive and appropriate to all demographics and contexts. In addition, the policy should aim not only at individual lifestyle modification but also at re-shaping the physical environments that facilitate active transport.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: Lessons Learnt from the Prince Mahidol Award Conference 2021 from the Rapporteurs’ Perspectives 
abstract:Prince Mahidol Award Conference (PMAC) is a well-known international conference organized annually by the Prince Mahidol Award Foundation and the Royal Thai Government with collaboration from multiple partners to share experiences focusing on policy-related public health issues among the global community. Due to COVID-19 pandemic, the PMAC 2021 under the theme “COVID-19: Advancing towards an Equitable and Healthy World” was held virtually with significant changes made to its program and management. The rapporteur system, a main component of the program conference synthesis, was also adjusted to fit with an online platform. This paper aimed to draw lessons learnt from the PMAC 2021 by the viewpoint of the rapporteur team, including lead rapporteur, rapporteur coordinator, and session rapporteur, covering three main points; (i) the structure of rapporteur team, (ii) the process of work, and (iii) the output of the rapporteur system. This paper provides useful ideas to any organization that organizes an international conference requiring accurate and comprehensive conference synthesis.
location: nan, 'Thailand 
year: 2022 source: HSRI 
title: Effective Coverage and Its Application in the Thai Context 
abstract:Effective coverage is a concept of measuring health gain which incorporates health needs, utilization of health services, and the benefits to patients from using them into a single metric. In the past two decades, the World Health Organization and other agencies advocated the use of effective coverage as a way to assess health systems performance and track outcomes of universal health coverage. Two main objectives of this paper were to review literature relevant to definition, methodologies, and international and domestic experience; and to synthesize the recommendations for effective coverage assessment in the Thai context. The literature review found discrepancies of definition and measurement across various studies which caused confusions in communication, comparison and interpretation of the results. The authors proposed that Thailand should apply the definition of ‘the proportion of a population in need of a service that had a positive health outcome from using the service’. This definition communicated clearer meaning and reduced methodological complexities. Selection of proxy interventions should be guided by national health priorities, the possibility of making a positive change in the coverage and health gain, and reliable data sources. Key challenges of measuring effective coverage include defining operational criteria, understanding data requirement and results of low coverage as well as inequity dimensions across sub-population groups. Stakeholder participatory process of effective coverage monitoring should improve policy usefulness.