1. Long Term Care at National Level IAGG 2nd Africa Region Conference 8 December 2016, Nirobi
Puangpen Chanprasert , Ph.D.(Gerontology)
Department of Health
Ministry of Public Health, Thailand

2. Contents
Demographic data
LTC definition
LTC at National Level

3. Capital
Bangkok
Official languages
Thai
Ethnic Groups
75-85% Thai
14% Thai-Chinese
12% other
Religion
Buddhism
Population
65 millions
Children (under 15 years)
11.6 millions (17.8%)
Labor force (15-59 years)
42.8 millions (65.6%)
Elderly (60 years and over)
10.7 millions (16.5%)
Elderly (65 years and over)
7.2 millions (11.0%)
Life Expectancy at Birth
Male years
Female 78.6 years
Describe :
Thailand is a country at the centre of the Indochinese peninsula in Southeast Asia. It is the 20th-most-populous country in the world, with around 65 million people. The capital and largest city is Bangkok.
The proportion of the population classified according to this
- Children (under 15 years): 11.6 million people or 17.8 %
- Labor force (15-59 years): 42.8 million people or 65.6 %
- Elderly (60 years and over) : 10.7 million people 16.5 %
- Elderly (65 years and over) : 7.2 million people 11.0 %
And Life Expectancy at Birth (Average number of years a person could expect to live after birth): Male 71.8 years, Female 78.6 years
Source : Institute for Population and Social Research, Mahidol University
Population Gazette, 2016

4. Thailand Rapid Aging (60+)
>30%
(2035)
16.5 %
(2016)
> 20 %
(2021)
Ageing Society
>10%
(2005)
Aged Society
Hyper-aged Society
Describe :
Thailand step into the aging society since the year 2005 the number of seniors has more than 10 Percentage and likely scenarios the elderly increased rapidly. Current year, Thailand has aged 16% and expected in the future year 2021 the elderly more than 20 Percentage which is an complete aged society and in the next 15 years (2031) will be the super aged society by seniors for more than 28 Percentage.
Source : Situation of Thai Elderly 2014

5. Long-term Care Definiton
Health and social care services provided to those who have difficulty from chronic diseases, accident, disabilities and the elderly who are unable to do activities of daily living by formal (health or social personnel) or informal (family member, friend, neighbor, volunteer) care givers. The service mostly focus on social service that aims to continue rehabilitation, solve problems, and promote health for good quality of life and independence under respectation and human dignity.

6. Long Term Care at National Level
Describe :
The Project of Long – Term Care

7. LTC at National Level
National Survey in 1986 detailed the situation of the older population for the first time.
2 National Plans on the Elderly.
The RTG passed the Elderly Act in

8. National Strategy in the National Plan (2002-2021) revised in 2009
Preparedness and readiness for quality aging
Promotion and development of the elderly
Social protection for the elderly
Creating a national comprehensive system for integrative implementation
Processing and disseminating knowledge on the elderly and monitoring

9. LTC at National Level
The National Committee for Older Persons was set up in according to the OP act (PM is the Chair, MoSD&HS & OPCAT are co-chairs, MoI, MoPH, MoL, MoE, MFA, MoF, NESDB, BMA, BoB, TRC, SWC, 5 NGOs & 5 experts are members).

10. LTC at National Level
LTC was declared as a resolution in the National Health Assembly in
MoPH set-up 10 committee to work on LTC to cover issues in the national plan.
HHC for the elderly started in and HHC was set as a standard in HA.

11. LTC at National Level
LTC Pilot project to develop integrated services for OP in community was implemented under MoPH and JICA cooperation, &
MoPH by DoH implemented LTC in community in 12 regions by voluntary basis in 2011 and continue to present.

12. LTC at National Level
The criteria for implementing LTC in community was develop in 2011 and adjusted in 2012 & 2016)
MoPH have set Tambol LTC as an indicator for MoPH annual inspection in 2013-present.

13. LTC at National Level In 2014 the MoPH had the policy
- to use DHS management to establish Tambol LTC
- to develop family care team (including referral system), palliative care in community in 2014 and promote training of family doctor to be posted in community setting.

14. LTC at National Level
The RTG declared LTC as a national policy in 2015 and the MoPH designated the DoH to do integrated budget plan on elderly health development for all Dpt. and regional health office.
The National Health Security allocated budget 600 million bath to DoH to implement LTC in 1,000 communities in (for CM & CG training and services).

15. LTC at National Level
The RTG declared policy to reduced social inequity and increase access to government services since 2014.
The RTG declared policy on life course approach, preparing to quality elderly society, promote and develop quality of life of disabled and vulnerable people in

16. LTC at National Level
The 12th NESDB plan ( ) and the 20 Years National Strategic Plan ( )was approved in The two plans indicated policy on Human Development Throughout the Life Course .

17. LTC at National Level In 2016, the RTG set up
- an executive committee on human
development throughout the life course
- a management committee for integration &
collaboration on human development
throughout the life course that comprises of
4 ministries to develop the 5 years plan
( ) (for the elderly, the
strategic plan will focus on 3S: Strong,
Security & Social Participation)

18. LTC at National Level
The 5 years plan has to in accordance with the 12th NESDB plan ( ) and the 20 Years National Strategic Plan ( )

19. Management committee for integration & collaboration on life course approach
Ministry of Public Health
Ministry of Interior
Describe :
National Policy for Healthy Aging Integration & Collaboration: 4 Ministry consists of Ministry of public health, Ministry of the Interior, Ministry of education and Ministry of social development and human security
Ministry of Social Development and Human Security
Ministry of Education

20. LTC at National Level The MSD&HS had the policy
- to support home improvement for frailed/poor OP
- to build QoF Development center in every district (868 centers was the target in 2016)

21. Conclusion Demographic data LTC definition LTC at National level:
◊ National Act, committee, plan
◊ Gov. policy, MoPH policy
◊ Integrated program and continuation
of the program
◊ Budget allocation
◊ Service improvement, etc. ◊

22. Thank For Your attention