Annual Report 2002

Annual Report 2002 From the Manager The establishment of the ThaiHealth Promotion Foundation was based on the body of knowledge and the working direction gathered from prior social movements on health. Both the body of knowledge and the working direction serve ThaiHealth as a basic foundation as well as guidance. Currently, addressing complicated health issues requires three important factors: (a) practical knowledge, (b) social measures and policy, and (c) cooperation between the public and the Government. Strategic Leverage ThaiHealth selects major issues based on their strategic leverage, their ability to form a social chain-reaction. The essence of the ThaiHealth strategy is the Foundation’s role as the catalyst for development, with an emphasis on addressing major health issues through holistic developmental processes. Three points in the strategic plan that will ultimately lead to social movements are (1) organization of public policy, law, etc., (2) support of sample communities, and (3) development of social capital (e.g., institutions, network of social development leaders, etc.) Present and Future Steps Since 2002, the establishment of the “Health Concerned Community” has been highly successful, as it has supported the rise of several “sample communities.” In addition, the Institute for Knowledge Management Promotion for Society, and the enhancement of its members’ capacity, has gradually developed its social capital. The year 2002 has been a prime time for movement on missions mapped out in the ThaiHealth strategies, which attempt “to coordinate and support the developmental processes in various dimensions, both at the policy and community levels. The process shall lead to the development of policy, law and a social environment which aims for a change in individuals’ notions and way of living ultimately creating sustainable wellbeing for the Thai people.

2002 Performance Report from the Evaluation Committee The ThaiHealth Promotion Foundation’s Performance Evaluation Committee was set up in 2002 per the Health Promotion Fund Act, B.E. 2544. The Committee has the right to call for relevant clarification in the evaluation process. Evaluation Framework The Foundation’s performance evaluation is conducted in two parts as follows: 1. Management Review focuses on ThaiHealth’s effectiveness and interaction with other organizations. On evaluation, the management review committee takes into consideration the relationship of the Governance Board with ThaiHealth, the

Governance Board with stakeholders, and ThaiHealth’s management of strategic projects; and 2. The Program Review framework covers projects that each entity has proposed, and that have been financially supported by ThaiHealth or proactively encouraged by ThaiHealth. The program review committee also considers ThaiHealth’s ability to select potentially strategic members and ThaiHealth’s consultations and communications with field experts on each issue. This is done for future program development. Such review also validifies the effectiveness of ThaiHealth’s expenditures.

Report from the Internal Auditors Sub-Committee’s Performance The roles of the internal auditor sub-committees are as follows: 1. Supervise and oversee ThaiHealth for good corporate governance, for transparency and ethical behavior; 2. Supervise, oversee and crosscheck ThaiHealth’s financial reports for accuracy, and for report compliance with accounting practices. The Sub-Committee also considers appropriate disclosure of report information in accordance with good corporate governance; 3. Supervise, oversee and advise on the internal audit system, and on planning and Charter drafting, and crosscheck financial and accounting reports of the internal auditors as well as the purchase and management of the Foundation’s inventories and durable articles.

Balance Sheet (as of September 30, 2002) Circulate Assets Permanent Assets Other Assets Total Current Assets

Baht 1,381,342,117.72 Baht 45,509,712.38 Baht 500,785.34 Baht 1,427,352,615.44

Total Liabilities Total Surplus Total Liabilities and Surplus

Baht 877,500.30 Baht 1,426,475,115.14 Baht 1,427,352,615.44

Operation Statement (from November 8, 2001 to September 30, 2002) Total Revenues Total Operating Expenses Total Income Profit (Loss) from Assets Net Income Total current contingent liability for approved projects

Baht 1,594,462,890.59 Baht 149,691,565.52 Baht 1,445,771,325.07 Baht 6,879.78 Baht 1,445,764,445.29 Baht 1,203,878,149.00

Budget for Projects Approved and Funded From January to December 2002, ThaiHealth approved and funded 464 projects with a total capital as per agreements of Baht 1,203,878,149.00 No. of Projects and Funded Budgets as Percentages (categorized in accordance with the strategic plan) Category General Health Promotion Projects Development of Health Concerned Communities Development of Leaders and Health Networks Information Dissemination and Support for Social Movements Academic/research development Addressing of Major Health Issues Holistic Development on Health

No. of Projects 29.3% 26.0%

Funded budget 2.4% 55.2%

11.4%

19.5%

12.1%

2.0%

6.0% 14.4% 0.7%

6.1% 9.5% 5.3%

No. of Projects and Funded Budgets as Percentages (categorized by project type) Category Campaigns Knowledge/Policy Development Development of Operational Patterns Network Development

No. of Projects 43.0% 27.5% 20.0%

Funded budget 4.1% 8.6% 80.6%

9.5%

6.7%

No. of Projects and Funded Budgets as Percentages (categorized by setting) Category Communities Educational Institutions/Schools Multi-Faceted Goals Network Organizations Nursing Homes/Hospitals Enterprises Media

No. of Projects 41.6% 17.4% 16.5% 15.1% 4.2% 3.3% 1.9%

Funded budget 60.8% 8.7% 2.1% 3.8% 0.4% 23.5% 0.7%

No. of Projects and Funded Budgets as Percentages (categorized by major health issue) Category Single Risk Factor Multi–Faceted Risk Factor Others

Factors Exercise Accident Protection and Safety Promotion Tobacco Consumption Mental Health Food Consumption Narcotics Environment Sexual Relations/Practices Consumer Protection Alcohol Consumption Category Multi-Faceted Risk Factor Single Risk Factor Others Factors Exercise Narcotics Tobacco Consumption Food Consumption Mental Health Accident and Safety Promotion Consumer Protection Sexual Relations/Practices Environment Alcohol Consumption

No. of Projects 62.3% 17.2% 20.5%

Percentage 17.7% 10.2% 9.1% 8.4% 5.1% 4.4% 2.6% 2.1% 1.4% 1.4% No. of Projects 73.1% 24.8% 2.1% Percentage 11.5% 8.0% 1.2% 1.1% 1.0% 0.9% 0.6% 0.2% 0.1% 0.1%

No. of Projects and Funded Budgets as Percentages (categorized by type of granted organization) Category Public Sector Community Organizations/People Vocational Institutions/ Private Development Organizations/Academics Private Sector

No. of Projects 39.1% 30.5%

Funded budget 48.4% 23.5%

26.3%

8.7%

4.2%

19.4%

Projects 1. “Happy Schools” The “Happy School” Project was initiated in order to develop an integrated approach to learning so that students not only learn for academic excellence but also for knowledge on mental, social and spiritual health. The project intends to provide support to 300 schools within 2 to 3 years. Expected Outcome by June 2005 • Sample schools, and a network of 300 schools that support student wellbeing; and • Students in the 300 schools that are trained for life skills and disciplines, creating physical, mental, and social wellbeing. 2. “Thai Children Get Wise” The Thai Children Get Wise Project was established to encourage students at the primary level to be aware of snack-food advertising ploys. The project teaches children by using a critical media study titled, “Children can take care of their own health and be self-reliant through awareness and thinking.” The first phase of the project targets teachers and students in 6,578 primary school as well as some 38,000 individuals related to the movement to control advertising. The project encourages a healthy way of life among students and targets 10 provinces. The project potentially will benefit over a million people. Project Impact/Output within 18 Months • Influences on about 33,000 students and teachers in the target areas after they have viewed the show; • A teachers’ network titled, “Teachers: Health Liaison,” and school campaigns that continually promote health education; and • Sample projects at the school level to catalyze social change. Key Partners: Office of the National Primary Education Commission; Offices of Provincial Primary Education in 10 target provinces: Bangkok, Nonthaburi, Chonburi, Chiangmai, Nakorn Sawan, Pitsanulok, Nakorn Ratchasima, Ubon Ratchathani, Khon Kean and Songkhla; Offices of Ampur Primary Education in 200 Ampurs of 10 pilot provinces; the National Youth Bureau; and Office of Education, Bangkok.

3. “Public Life-Pleasant Community” The aim of the “Public Life – Pleasant Community” Project is to encourage learning at the local level and to stress the importance of public cooperation for a “pleasant and sustainable” community based on “public health.” Four sub-projects which support one another are (1) Operational approach research, stressing the creation and management of an urban body of knowledge; (2) A promotional project on the Movement of Civic Society on the State of Wellbeing; (3) A developmental project of The Pleasant Town Network and Workers’ Potential; and (4) An evaluation and Synthesization Project of the body of knowledge titled, “Provincial Community and Good Local Public Health.”

Project Output/Impact within three years (2003-2006) • Establishment of a provincial health assembly in 35 provinces; • Establishment of at least 10 units for Civic Society knowledge management; • Establishment of “pleasant and sustainable” community knowledge management; • Establishment of knowledge management on the civic society mechanism movement for health issues; • Establishment of a sample community on management for public healthy lifestyle; and • Some 300 skillful personnel for project expansion. Key Partners: Asean Institute for Health Development, Mahidol University; Civicnet Institute, Development Institute, Sla Ton Institute, and Patipum Institute 4. “Support for Reduction of Drunk Driver Related Accidents” Every year, there are a very high number of fatalities caused by drunk drivers during the Song Kran Festival. In 2002, ThaiHealth along with the No Drunk Drivers Foundation, academics, advertising experts, members of the local public and private sectors as well as victims of drunk drivers conducted campaigns to reduce the number of car accidents. Their activities included the production of an advertising campaign titled, “Let’s Stop Drunk Drivers”; support for activities of the No Drunk Drivers Foundation; set-up of a network of victims of drunk drivers; and launch of a website, www.maomaikub.com. In December 2002, ThaiHealth hosted a conference for Asean countries and the WHO on policy development for alcoholic beverage consumption control. Project Outcome • Every relevant institution has been alerted to the problem of drunk driver related car accidents. Methods and mechanisms are implemented from the policy level to the local level; and • An international network and local network of “victims of drunk drivers” are established. Both networks represent the public in the establishment of a longterm solution.

Key Partners: the No Drunk Driver Foundation, academics and experts on advertising and promotion, the network of drunk drivers’ victims, the network of car accident protection, and the WHO. 5. “Knowledge Management Promotion for Society” One of ThaiHealth’s strategic plans is development of “social resources” including: knowledge, networks, basic infrastructure, and development leaders. To this end the Thailand Research Fund (TRF) set up the Knowledge Management Institute (KMI) which began operation in November 2002. Expected Impact/Output within three Years • A network of routine knowledge management within each institution; • Development of knowledge management science; • Set-up of a knowledge data base and necessary equipment; and • Some 10 to 20 knowledge management gurus and around 100 practitioners. Key Partners: the Thailand Research Fund, the Institute of Hospital Quality Improvement & Accreditation, Advance Info. Service Plc., Economic Community Research Project in Three Basins, College of Innovative Management, Thammasat University, and Faculty of Information Technology, Rangsit University. 6. “To Color, to Fulfill Dreams, and to Develop Mental Health through Young Volunteers” A group of young people called, “Nan Jao”, have volunteered to teach drawing and painting to children in four slums areas: Kosum Kamakki Community in Don Muang District, Wat Ladprao Community in Ladprao District, Luang Por Prot Tan Liem Community in Lad Krabang District, and Kitti Hemmakorn Community in Nong Jok District. The Purpose of the project is to encourage underprivileged children to exercise their creativity and to provide an artistic opportunity for those facing financial hardship. Project’s Activities • Teach and demonstrate drawing and painting as well as basic handicrafts; • Sports competitions among children from the four communities; • Camping with the aim to recruit community representatives on leadership, responsibility, and problem solving: and • The Nan Jao Group will soon act as “mentor” for the communities’ future art approach and health-related activities 7. “Health Promotion for the Thai Military” ThaiHealth has joined the military in supporting chiefs of each armed service in developing a health promotion master plan for military personnel since 2002. Each armed service is to apply the master plan for health promotional projects and activities within three years (2003-2005). The content of the master plan comprises (1) creation of understanding and awareness on health care for military personnel; (2) reduction of health risk factors; (3) improvement of the social environment within the military as well as its nearby communities; (4) research and development of knowledge and innovation regarding health promotion. The master plan emphasizes behavior modification that leads to changes in their unhealthy way of living.

Project Activities • Military personnel are trained about health care skills; • The military environment is modified to a healthier approach; • Military personnel and families are encouraged to join in the health development campaign; and • Emphasis is placed on development of knowledge management within the military Key Partners: Academics and dignitaries on health promotion from various fields. 8. “Support for Tobacco Consumption Control Measures” ThaiHealth has supported development of policy and measures for a long-term reduction of smoking as follows: 1. Setting up the public stage for the discussion on whether or not the government should privatize the Tobacco Monopoly. Commentators included senators, MPs, academics, businessmen, officers from the Tobacco Monopoly, experts from the World Bank, representatives from the anti-smoking campaign, and foreign academics. After the discussion, the privatization of the Tobacco Monopoly was postponed indefinitely; 2. Supporting Legal and Social Measures for the anti-smoking in the workplace and other major areas in order to decrease smoking. ThaiHealth has also supported the integration of an anti-smoking campaign with sports competitions, community-level activities, and educational institutions in order to instill an antismoking idea; and 3. Supporting research on tobacco consumption control policy. 9. “Development of a standard Certification for Quality of Life at Work” ThaiHealth and party organizations have agreed that a standard certification be developed for good quality of life at work based on the quality standards of enterprises. The development of such a project is aimed to encourage all-round health promotion at the workplace. Objectives of the project are as follows: • • •

Develop and test a standard certification for the Quality of Work Life Association (QWLA); Develop a body of knowledge and learning process necessary for the development of life quality standards at the workplace; and Encourage potential enhancements to enterprises regarding the improvement of life standards at the workplace

Expected Outcome of the Pilot Project (2003-2005) • The standard certification of the Quality of Work Life Association (QWLA) be accepted initially at the national level and ultimately at the international level; • Generation of a body of knowledge on health promotion at work; and • Worker health is enhanced. Key Partners: the Thai Chamber of Commerce, Ministry of Public Health, Ministry of Labour and Social Welfare, and Social Security Office

10. “Taechew Mini Marathon for Children” In order to reduce health and drug problems among underprivileged children in Kannayao, Sathorn and Bang Kor Laem near the former Taechew Cemetery, ThaiHealth and its allies conducted a mini marathon for students in 20 schools located in the area. The target schools were those with a majority of students from poor families. The mini marathon was very well received from the schools, public sector, and local people. The marathon was also the starting point of several continuing activities. Key Partner: The Taechew Sprinters’ Association of Thailand 11. “Lanna’s Three Mega Activities for Health” The northern regional senior citizens’ exercise program was initiated with passion and enthusiasm for exercise, coordinated by ThaiHealth for and the core exercise developmental project for the Senior Citizens’ Association. The project was shared among the Association’s members, creating a network of exercise groups in the region. Six months after the project was started, 62 exercise sites have been opened by the Association’s leaders within Chiang Mai’s Muang District as well as surrounding districts. The sight of health-concerned senior citizens on the eve of November 2, 2002, when the mega regional exercise was held, was proof that Chiang Mai senior citizens have activated the movement of the “Health-Concerned Community” in the northern part of Thailand. 12. “Happy Community Development” ThaiHealth along with its associate members have developed a project called, “Happy Community,” to increase/induce continued quality learning that will lead to changes at the conceptual level, shared developmental goals of each social unit, and support among each developmental unit. Research, observation and brainstorming sessions were conducted by academics, local scholars and member networks for social development. The outcome was synthesized into the central plan to support each region in its regional development plan with consideration for local conditions, opportunities, and needs. The plan holds two strategic points as follows: 1. Commitment to “increase” continued growth of wellbeing development with an emphasis on the integration of existing developmental activities to learning; and 2. Creating evaluation tools for the Happy Community Project by developing indicators and community evaluation processes, stressing community participation as well as local conditions. Expected Long-Term Outcome/Impact (2003-2013) • At least 10% of sample “Happy Communities” among 7,500 villages nationwide, 1,500 villages during the first three years; and • A community evaluation process with an emphasis on wellbeing. The evaluation process should be well-accepted by communities and a nationwide developmental workforce. Key Partners: Public sector and private developmental organizations in the southern and north eastern regions.

13. “Development of a Boilerplate System for Full-Cycle Drugs Suppression” ThaiHealth along with the Ministry of Justice’s Department of Promotion have developed a boilerplate system in order to enforce full-cycle drugs suppression. The system is divided into four phases: establishing provincial cooperation among associate members; operations at experimental sites; development of each supporting system necessary for a network upgrade; and development of academic systems for continued upgrading systems. Expected Impact/Outcome within three years (2003-2005) • A boilerplate system for full-cycle drugs suppression; • Twenty-six sample communities in 13 provinces; and • A body of knowledge regarding investment, operations and evaluation to further the full-cycle drug suppression policy by the communities themselves. 14. “Community Effort to Decrease Garbage at Samut Song Kram” The aim of community garbage reduction is to lessen the effects of garbage on local dwellers. The campaign started off with changes to “dumping behavior” and “garbage management.” The targets of the campaign are as follows: • At the community level: A workshop on the effects of river pollution on local dwellers was set up. Participants were asked to come up with new ways of managing their own garbage. A recycle weekend market was then proposed; and • At the school level: Activities on easy garbage management were held in 70 schools. Students were to apply the knowledge gained from the activities to their home and communities. The Garbage Bank was established, and students were asked to bring garbage from home to the bank for benefits. At the end of 2002, parents showed an increase in the separation of garbage at their homes. 15. “Ideal Health Promotion School Network” The aim of the project is to put up a “learning network” that will lead to student wellbeing. The Project’s emphases are as follows: • Activities must be of interest to students; • Activities must be based on the school issues that the schools want to address; and • The outcome should reduce school limitations and obstacles. Outcome of the First Year’s Performance • The curriculum was designed for 25 schools which have shown interest in health promotion; and • School managers and teachers who participated in the project have learned their potential in creating healthy student lifestyles.

Key Partners: Bann Bangkapi School, Assumption Samrong School, Mary Uppatham School, Tan Punya School, Watnangnong School, Amatyakul School, Piboonwet Kindergarten School, Jaruwattananukul School, Tantawan School, Assumption Thonburi School, Thepsirin School, St. Dominique School, Bordin Deja School, Mater Dei School, Ramkhamhaeng Demonstration school (elementary section), Rung Arun School, Suan Bua School, Ku Larp Wattana School, Sattri Buranawit School, Prakanong Wittaya School, Fuang Fa School, Klong Huay Sai School, Petchburi Kindergarten School, Songkraw Wittaya Association, and Princess Chulabhonrn’s College in Chonburi.