The National Health Commission is promoting participatory public policies based on 4PW and is confident that well-being can be realised nationwide as 174 participatory public policies have been implemented effectively in the country.
The National Health Commission had its 6/2560 meeting at Government House on November 17, 2017. Adm Narong Pipatanasai, then-deputy prime minister and chair of the commission, presided over the meeting with the presence of Dr. Poldej Pinprateep, secretary-general of the commission.
Adm Narong said the National Health Commission acknowledged the progress of the Participatory Public Policy Process based on Wisdom (4PW) at the local level in fiscal 2017. It achieved goals under the 3rd main plan of the National Health Commission Office (NHCO) for 2017-2021 implementation, which were intended to encourage parties in all sectors to take part in developing and implementing healthy public policies in 82 areas consisting of 76 provinces and six zones of Bangkok.
“Project achievements included garbage disposal in Na Thon sub-district of Thung Wa district in Satun province. A key factor is its leader. If leaders including religious and community leaders are strong, develop initiatives and have leadership, local residents will cooperate and problems will be solved. Local residents should apply models of good practices to the activities of their communities.”
Dr. Poldej said 4PW could happen at all levels. Local residents, local administration organisations, government and private organisations and provincial civil societies can combine the power of their knowledge, policies and societies to develop participatory public policies. The participation can begin with identifying local health problems and then proceed with knowledge-based discussions to work out solutions and policy proposals for implementation by organisations and communities. The implementation can be facilitated with three key instruments under the National Health Act B.E. 2550, which are national health assemblies, health system charters and health impact assessments.
In 2017 the NHCO’s support for local 4PW networks resulted in 190 resolutions or policy proposals. From the proposals, 174 participatory public policies were developed. In the North which covers 18 provinces, local communities presented proposals including those on the expansion of organic farms, solutions to smoke haze, rice growers’ well-being, ethnic people’s health assemblies and local health charters.
There are good plans to p