- STEPS Survey – Implement 2 rounds of WHO STEPS Survey including optional modules for NCDs, Mental Health / Suicide, Cervical Cancer, Oral Health and Violence / Injury
- Increased Screening in Public Sector facilities in Cervical and Breast Cancer
- STEPS implemented in 2019, 2021 and 2023
- Analysis, report and dissemination workshop
- TN NCD Strategy developed and adopted
- Hypertension under control: 3 percentage point increase from baseline
- Strengthen and provision of services for Hypertension including follow up in all public facilities
- Diabetes under control: 6 percentage point increase from baseline
- Strengthen and provision of services for Diabetes including follow up in all public facilities
- State specific PIPs for NCD activities
- Piloting UCS model of Thailand in primary care through modified capitation and incentive mechanism as part of UHC TN including outreach services
a. Strengthen food safety measures to control NCD risk factors
b. Strengthen AAT with incentive to public hospital team at graded level based on performance
c. Creation of community service groups for NCD
d. Creation of Drug disbursement centers for NCD in addition to free drugs HSC PHC GHs on payments using TNMSC drugs
e. Strengthen Drug inventory management up to HSC
f. Strengthen geriatric service units
g. Promotion of self monitoring of NCDs with incentivisation.
h. Strengthen Dialysis services in all facilities
i. Strengthen Ayush wellness centers for NCD
j. Strengthen Palliative care services
- Development of SBCC & CM ( CommunityMobilization) strategy ( consultations & workshops)
- Development of content & tool for SBCC & CM and testing
- Development of annual work plans for comprehensive SBCC Strategy after gap assessment and feed back
- Implementation of SBCC & CM strategy ( mass media, mid media, social media & IPC)
- 1. Increased share of primary and secondary facilities with at least one staff trained on mental health 0 to 40%
- i. Develop the content and strategy for the mental health training
- ii. Implementation of training including refresher training
- 2. Establishment of suicide hotline
- 3. Analysis of existing services and plan strategy/li>
- 4. A hotline linked to the 104 health helpline or separate line will be developed for counseling
- 5. Strengthen IMH and 3 regional centers for handling referral mental health services
- Counseling services to out of school children, educational stress, adolescent etc
- 1. Trauma registry developed and established
- 2. Inputs to trauma centers using trauma registry: 0 to 54 based on HMIS and 108 data
- 3. Protocols for requesting IFTs developed
- 4. Additional inputs like protocol, vehicles etc. to reduce the % of IFT calls as a % of total 108 system calls: 41.1% to 30% based on HMIS and 108 data
- 5. Inputs to increase the % of surgical ED admissions: 6.7% to 15% based on HMIS and 108 data
- 6. Improved capacity of trauma care providers - number of emergency department providers that received Level 3 (BTLS) and Level 4 training (ATLS)
- i. BLS SN 165 to 9000 and Doctors 100 to 6000
- ii. ALS SN 16 to 900 and Doctors 0 to 600
- iii. BLS training for every citizen
- 7. Better equipped ambulance system to improve pre-hospital care - number of ATLS ambulances providing Level 1 care 64 to 164
- Asses the needed areas
- Purchase, fabrication and equipping the ambulances