and m -Thaila ASEAN One Community: Globalization ASEAN collaboration on disease control y Program ASEAN collaboration on disease control and prevention Phusit Prakongsai MD PhD th Policy Phusit Prakongsai, MD. PhD. Chaaim Pachanee, Bsc, MSc, PhD. International Health Policy Program (IHPP) nal Healt Presentation to the 21 st National Seminar on Epidemiology 6 Jl 2011 ternation 6 July 2011 Ambassador Hotel, Bangkok Int
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Asean collaboration disease control IHPP 6July2011 · ASEAN collaboration on disease control and prevention t Phusit Prakongsai MD PhD h Polic Phusit Prakongsai, MD. PhD. Chaaim Pachanee,
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Transcript
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ASEAN One Community: Globalization ASEAN collaboration on disease control
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m ASEAN collaboration on disease control and prevention
Presentation to the 21st National Seminar on Epidemiology 6 J l 2011te
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6 July 2011Ambassador Hotel, Bangkok
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Outline of presentationndnd
1. Structure of ASEAN Community
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2. Related frameworks and activities3. Key challenges
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ASEAN CommunityASEAN Political-
Security CommunityASEAN Economic
CommunityASEAN Socio-Cultural
Community
•ASEAN Ministerial Meeting (AMM)•ASEAN Regional Forum
•ASEAN Economic Ministers (AEM)•ASEAN Free Trade Area
•Culture & Arts•Disaster management•EducationASEAN Regional Forum
(ARF)•Defense•Law
ASEAN Free Trade Area (AFTA)•Energy•Food agriculture &
•Education•Environment•Health
•Law•Transnational crime
•Food, agriculture & forestry•FinanceI t t
•Information•Labour•Rural Development and
•Investment•Minerals•Mekong Basin
pPoverty•Science & technology•Social welfare andg
Development Cooperation•Transportation
•Social welfare and development•WomenY th•Youth
Framework ndnd
• ASEAN Socio-Cultural Community (ASCC) Blueprint• ASEAN Strategic Framework on Health Development
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ilan • ASEAN Strategic Framework on Health Development
(2010-2015) – Regional strategy B5: Improving capability to control
communicable diseases
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ram communicable diseases
– Focus Area 1: Prevention and control of emerging infectious diseasesRegional strategy 1:
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y – Regional strategy 1: Regional cooperative arrangements through multi-sectoral and integrated approaches in the prevention, control, preparedness for emerging infectious diseases in line with
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p p g gIHR 2005 and the Asia Pacific Strategy for Emerging Diseases (APSED)
• ASEAN Health Ministers’ meeting (AHMM)
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(SOMHD)
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International Health Regulations (2005)
• IHR are an international legal instrument binding on 194 memberinstrument binding on 194 member states of WHO,
• Their aim is to help the international community prevent and respond to acute public health risks potentially crossing borders and threatening people worldwide,
• Entered into force on 15 June 2007, require countries to report certain di b k d bli h l hdisease outbreaks and public health events to WHO global disease surveillance, alert and response, and global public health security.
ASEAN activitiesndnd
• ASEAN Technical Working Group on Pandemic Preparedness and Response
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• ASEAN Dengue Day• ASEAN Work Programme on HIV and AIDS
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Prog
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(2011-2015)ASEAN Task Fo ce on AIDS (ATFOA)
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y • ASEAN Task Force on AIDS (ATFOA)• ASEAN Expert Group on Communicable Diseases
(AEGCD)
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• Establishment of ASEAN Plus Three Field Epidemiology Network
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Key challengesndnd
• Effective methods of implementation – Avoid from ‘no action talk only - NATO’
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• Monitoring and evaluation (M&E)Disease surveillance and health information system (HIS)
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Prog
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– Asia Pacific Observatory (APO)
Ch i d hi d id i l i l tt
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y • Changing demographic and epidemiological patterns– Ageing society with chronic illness– Chronic non-communicable disease (NCD)
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• Beyond disease control and prevention health system strengthening and human resources for health
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n strengthening and human resources for health
• Impact from ASEAN Framework Agreement on Services (AFAS)
ilan MRA) โดยยอมรบคุณสมบตรวมของผูใหบรการวชาชพ สาขาสุขภาพ 3
วิชาชีพ คือ• วิชาชีพพยาบาล (MRA on Nursing Services) ลงนามโดยประเทศสมาชิกใน
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วชาช ยาบาล (MRA on Nursing Services) ลงนามโดยประเทศสมาชกในปลายป 2006
• วิชาชีพแพทย (MRA on Medical Practitioner) และวิชาชีพทันตแพทย (MRA D l S i ) ใ ป 2009
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ความคืบหนาของการเจรจา (ตอ)ndnd
• 27th Healthcare Service Sectoral Working Group meeting [26 M 2011 B d I d i ]
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– Establish a Roadmap on the Implementation of the three Healthcare Services MRAs for 2012 2015
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• AMS to finalise an agreed template by 30 June 2011
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y • AMS to submit the following documents for the 3 AJCCs by 31 August 2011:
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– progress of MRAs implementation
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n – recommendations for the ASEAN HSSWG Roadmap
• Finalise consolidated HSSWG Roadmap before the end of
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Will Thailand be a host / source country m
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Push & Pull Factors of Nurse Migrationndnd • Income
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• Job satisfaction• Organisational environment & career opportunity
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• Governance
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Source: Mary Haour-Knipe and Anita Davies, 2008. Return Migration of Nurses, developed for International Centre for Nurse Migration
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Cause and Effect Factors of Returning Migrationndnd
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1414Source: King, 2000 (page 14)
Will Thailand be a host country for HRH migration? ndnd
• Comparative advantages among ASEAN countries [factors
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limiting HRH emigration]– Hub of communication, business and services
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– Reasonable cost of living
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• Factors limiting HRH immigration
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g g– License examination [in Thai]– ASEAN MRA on Nursing Services [3 year working experience / local
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n ASEAN MRA on Nursing Services [3 year working experience / local legislation requirement], MRAs on Medical Services and Dental Services [5 year working experience / local legislation requirement]