LSHTM staff with research projects in Thailand
Research projects in Thailand
On going projects
๐ Resilient and Response Health Systems (RESYST)
RESYST is an international research consortium which aims to enhance the resilience and responsiveness of health systems to promote health and health equity and reduce poverty.
By early 2002, Thailand achieved universal coverage (UC) in access to health care by introducing a tax-funded health insurance scheme, the UC scheme. This led to a radical shift in the main source of financing for health care away from individual out-of-pocket payments, drastically reducing the incidence of catastrophic health expenditure.
In parallel with these extensions of insurance coverage, successive governments have undertaken large scale investments in public health service infrastructure at district and sub-district levels with explicit pro-poor and pro-rural policies. The aim is to achieve geographical coverage of health services in all locations..read more
Head of project : Kara Hanson and Lucy Gilson
Contact the RESYST project click here
๐ Good Health at Low Cost
What makes a successful health system led by D.Balabanova, A.Mills, M. McKee - this project updated the seminal 1985 Rockefeller Foundation report of the same title, which showed that some low and middle income countries could achieve good health outcomes despite spending relatively little on their health systems. LSHTM took a fresh look at this issue, reviewing what had happened to the countries in the original study but also adding five more: Bangladesh, Ethiopia, Kyrgyzstan, Tamil Nadu and Thailand. This work, published in the Lancet, has provided fresh insights into the importance of effective institutions, innovation and country ownership in catalysing improvements in health.
This work has been widely cited (in the academic and general press) and has stimulated debate among policy makers and practitioners at both international and national levels. The findings are already feeding into policy in the countries involved and in some of their neighbours. The study was cited specifically by the WHO Director-General Margaret Chan in the opening address of at the Sixty-sixth World Health Assembly, a very rare occurrence.
The core elements of the study are being incorporated in teaching curricula at LSHTM.
Please visit the project website here.
Link to the Thai chapter please click
Thai GHLC film please click
Head of the project: Dina Balabanova
๐ Towards Universal Social Security in Emerging Economies: Process, Institutions and Actors
The project analyses the efforts of selected emerging economies to move towards universal provision of social security, with a focus on health care and income support. It provides a comparative analysis of the political, economic and social drivers of, and constraints on, the extension of social security to all, and draws out the implications for poverty reduction, equity, growth and democracy. The Research Issue in Context Today's global context of crisis and uncertainty highlights the necessity of policies that simultaneously promote productivity and growth alongside greater inclusiveness, sustainability and empowerment. In many parts of the developing world, innovative social and economic policies appear to offer promising alternative approaches. A number of emerging economies in particular are pursuing social policies as integral parts of their development strategies, following paths that diverge from dominant development policy prescriptions. Despite broad consensus around the value of universalism in these countries, for example in the provision of basic infrastructure and services such as water and sanitation, education for all, and basic health care and income security, strategies to achieve these goals are as diverse as the historical experiences of social security systems. Why and how have some countries moved successfully toward universal coverage in some areas of social security while others have not? What makes a society move towards universalism? read more
Project researcher: Susanne MacGregor
๐ The AsiaFluCap Project
Operational planning to implement strategic pandemic influenza plans remains a major challenge. This project will help ensure resources are deployed effectively and efficiently in countries in Asia in the event of a pandemic. To date, an important challenge has been that there is no universally accepted, organised method for evaluating preparedness... read more
Head of the project: Richard Coker
Contact the AsiaFluCap project click here