Thailand has centralized computer system allowing health units including the justice service to enter the prescribed forms. Personnel from different provinces were trained about the data information system, how to operate and the line of confidentiality, who can only access the data. There is also a system creating regular report to be used both by Minister of Public Health for their yearly or annual plan and the Office of Narcotics Control for strategic purposes.
When we install computer-based drug system, that information is included in our metrics.
The Minister of Public Health encourage all primary healthcare unit to provide CBDR but the discrimination is still there. The government has increased the number of primary care unit that will train health volunteer on ASSIST or provide other training on brief intervention and referral Probably more than 30% of the primary healthcare in the Thailand can accommodate the drug user into the primary care system.
In Thailand now, the Minister of Public Health apply retention rate. If you do retain the patient into the computer-based system, that is good enough and we could use information to see how we can improve the care and the system.
In Thailand, the main important stakeholder is the Office of Narcotics Control because the policy comes from them. Then another stakeholder is the Ministry of Public Health because they are the ones who implement the drug and rehabilitation program.
One is CBTX manual from the Department of Medical Service. Another manual written by the Public Secretary and the joint committee contains information about how health workers can work closely with social workers, police, and other ministry in the local area for the rehabilitation.
The Ministry of Public Health have visits. It’s an internal audit system for the MOPH. Drug treatment and rehabilitation is included to one of the auditing issues. Another system is what they call service plan, an approach that tries to allow primary healthcare to work in with hospital care for major burden of disease. Service plans encourage the integration of health services at various level with the same target and the same strategies. There is a service plan on drug and mental health.
We review the system annually. When they have new policy, it is a time to recalibrate the system. Second, when they learn from the results of evaluation.
Version 1 focused on the number of user coming into the system. The focus how many episode are coming in and is repeated or relapsed. They used that number to use as a proxy indicator of the effectiveness. Version 2 took 10 years before being created. The major component in the second version is the screening. They want to know more detail, the number of user that need treatment and maybe uh, easier for them to organize for compulsory treatment, voluntary treatment and for curriculum system. Version 3 includes data on the long-term care but right now it is still being revised to capture long term data
It is not measured quantitatively but qualitatively. We don’t have a specific measure for engagement of volunteer.
(Speaker): No they’re in Thai.