The Evaluation of Cooperation in the Management of Health Promotion and Disease Prevention Budget between the Ministry of Public Health and the National Health Security Office - การประเมินผลความร่วมมือในการบริหาร งบประมาณ ส่งเสริมสุขภาพและป้องกันโรคระหว่างกระทรวงสาธารณสุ และสำนักงานหลักประกันสุขภาพแห่งชาติ

Abstract

                       This study was aimed at evaluating the quality of the Health Promotion and Disease Prevention Plans of Provincial Pubic Health Offices as the immediate product of cooperation in the        management of the Health Promotion and Disease Prevention Budget between the Ministry of Public Health (MOPH) and the National Health Security Office (NHSO) in fiscal year 2008 under the CIPP model.

                       The results of quality analysis of the plans collected from 72 provinces with established criteria revealed that the plans were classified into three groups: high, moderate and low, at the proportion of 2639, 63.89 and 9.72 percent respectively.  In details, the 77.78 percent of the plans covered urgent policies of MOPH, 97.72 percent covered vertical programs, 95.83 percent covered 14 risk factors determined by NHSO.  Of the 72 provinces, 81.94 percent had integrated plans and 66.67 percent had potential development plans for health promotion and disease prevention.  These were the results of good objectives of the project which were in line with the policies of the government and MOPH, particularly with respect to socio-economic situations, decentralization trends and new budget allocation guidelines.  This project had good administrative concepts and a clear process of implementation.  There was also a meeting for provincial health officials concerned to clarify                    the policy and implementation procedures, followed by monitoring and evaluation of the budget management. 

                               Case studies were conducted on three randomly selected provinces, each with high, moderate and low quality of plan, respectively.  It was found that there was no difference in the process of plan development, but the one with a high-quality plan had a systematic and formal strategic planning process using various techniques. 

                       The weaknesses of this project were late policy implementation and redundant orders from both MOPH and NHSO. 

                       The provinces participating in the case studies suggested that there should be a review of roles and missions of MOPH and NHSO, all policies from all departments should have been integrated by the ministry before being disseminated to provinces for implementation, the continuity of the policy should have been maintained, and the performance indicators and reporting systems should have been streamlined.  These should have helped reduce workload, so health care professionals would be able to devote more time and efforts to services.

                       In addition, there should be a mechanism for monitoring the implementation of the plans and a study on the effect of health promotion and disease prevention programmes.

Key words:      health promotion and disease prevention, CIPP Model, budget administration