Author: Boontawee Teamvan
AIT Library Call Number: AIT Thesis no.RD-07-18
Year: 2007
Academic Program: Regional and Rural Development Planning (RRDP)
Type: Thesis (M.Sc.) – Asian Institute of Technology, 2007
Examination Committee: Soparth Pongquan (Chairperson); Jayant Kumar Routray, Mokbul Morshed Ahmad (Examination Committee Members)
Abstract: The research assessed health services under the universal coverage scheme (UCS) for rural people in Northeastern Thailand. The main objectives of the study were: to describe the structure, components and function of the UCS to study health service utilization of rural people on under the UCS to obtain feedback of the rural people on health service quality and benefit gained under the UCS to identify problems encountered and needs as regards the UCS and to provide recommendations to make the UCS more beneficial for the rural people. The structure, components and function of the scheme encompassed policy, resources and organization. Policy covered its objectives, entitled beneficiaries, registration system and benefit packages. Resources incorporated existing health infrastructure, health personnel, medical supplies and equipment, and per capita budget allocation. Organization dealt with responsibilities of PCUs and contracted units, along with coverage of population under the UCS. Health service utilization captured frequency and reasons for using out-patient care, and disease prevention and health promotion provided under the scheme. The research was conducted in Lamduan district, Surin province, in Northeastern Thailand using a survey with a total of 271 respondents as a prime method for data collection. Also, eight beneficiaries were gathered for a focus group. Moreover, five health personnel were interviewed as key info1mants. The research primarily focused on quantitative analysis but qualitative analysis was also applied. Main findings of this research showed that mistargeting of the UCS beneficiaries brought about benefit leakage fee at the PCU level was flexible and health personnel had usually violated villagers’ right to choose their registered PCU and CUP. Medical supplies and equipment accessible at a PCU were modem enough to provide primary care however their shortage and contamination were problems. Its PP budget was misused for other purposes. As for organization, there was close collaboratio
Scholarship Donor(s): RTG Fellowship
Note: A thesis submitted in partial fulfillment of the requirements for the degree of Master of Science in Regional and Rural Development Planning
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