Accessibility System of Health Services and Mechanisms of Health Service Rights for the Stateless Persons (in Thai)

Abstract

This qualitative research article aimed to present the access to health system and mechanisms to provide access to the health service rights of stateless persons at Chiang Rai province. The key informants were 27, the central and provincial levels 9: the committee for setting guidelines of health care services for stateless person, the provincial working group and NGOs, the local levels 16: the health service units, the center's coordinator, community interpreters) and the stateless persons 2. The research instruments used the focus groups discussion, depth- interviews. The content analysis was using for data analysis.

The finding showed mechanisms to provide access to the health service rights of stateless persons were consisted of (1) the central mechanisms who defined policies, (2) the province mechanisms who developed mechanisms, access to health system and community interpreter curriculum, and trained community interpreters, (3) the people sector mechanisms who communicated and coordinated and (4) the local mechanisms who acted health service and were mentors of community interpreters. The accessibility system of health services was consisted of five systems: (1) database and register, (2) budget, (3) health services, (4) public relations, and (5) monitoring and evaluation. It found that the local mechanisms performed all systems in accordance with their original works, while province mechanisms and people sector mechanisms participated in the third system about the communication between stateless persons and health service units and in the fourth system about public relations, but their participation in the other systems were not clear.

Suggestions: Relevant people should (1) add the internal evaluation into systems and (2) improve the community Interpreter curriculum.