ArticleHealth research policy and systems2021
Healthcare providers' perspectives on integrating NCDs into primary healthcare in Thailand: a mixed method study.
Article in Health research policy and systems, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- How lifestyle counselling supports behaviour change among Thai adults with non-communicable diseases: a rapid realist review.BMJ open · 2026Review
- Strategic Reform for the Non-Communicable Disease Crisis in Bangladesh: A Narrative Review of Policy Drivers and Systemic Solutions.Health science reports · 2026Article
- Barriers and enablers in implementing integrated primary health care: A qualitative assessment in West Sumbawa District, Indonesia.PLOS global public health · 2026Article
- Financing and purchasing mechanisms of primary health care in Southeast Asia region: Findings from a scoping review.SSM - health systems · 2025Review
- Ecological assessment of extreme temperature and fine particulate matter (pm2.5) impact on diabetes service and outcomes in Thailand.BMC public health · 2025Article
- Associations Between Metabolic Risk Factors and Lung Function Among Adults in Northern Thailand: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- Maintaining non-communicable disease (NCD) services during the COVID-19 pandemic: lessons from Thailand.BMJ global health · 2024Review
- Delivering non-communicable disease services through primary health care in selected south Asian countries: are health systems prepared?The Lancet. Global health · 2024Review
- The future of universal health coverage: How can low- and middle-income countries 'break free from cocoons and transform'?Journal of global health · 2024Article
- Levels and Predictors of Proactive Practical Experience to Solve COVID-19 among Public Health Officers in Primary Care Units in the Upper Southern Region, Thailand: An Explanatory Mixed Methods Approach.International journal of environmental research and public health · 2023Article
- Article
- Healthcare service utilization of hill tribe children in underserved communities in thailand: Barriers to access.BMC health services research · 2022Article
- School as Marketplace for Promoting Unhealthy Snack Consumption Among Children in Northern Thailand.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundIn response to an increased health burden from non-communicable diseases (NCDs), primary health care (PHC) is effective platform to support NCDs prevention and control. This study aims to assess Thailand's PHC capacity in providing NCDs services, identify enabling factors and challenges and provide policy recommendations for improvement.
methodsThis cross-sectional mixed-method study was conducted between October 2019 and May 2020. Two provinces, one rich and one poor, were randomly selected and then a city and rural district from each province were randomly selected. From these 4 sites in the 2 provinces, all 56 PHC centres responded to a self-administrative questionnaire survey on their capacities and practices related to NCDs. A total of 79 participants from Provincial and District Health Offices, provincial and district hospitals, and PHC centres who are involved with NCDs participated in focus group discussions or in-depth interviews.
resultsStrong health infrastructure, competent staff (however not with increased workload), essential medicines and secured budget boost PHC capacity to address NCDs prevention, control, case management, referral and rehabilitation. Community engagement through village health volunteers improves NCDs awareness, supports enrolment in screening and raises adherence to interventions. Village health volunteers, the crucial link between the health system and the community, are key in supporting health promotion and NCDs prevention and control. Collaboration between provincial and district hospitals in providing resources and technical support enhance the capacity of PHC centres to provide NCDs services. However, inconsistent national policy directions and uncertainty related to key performance indicators hamper progress in NCDs management at the operational level. The dynamic of urbanization and socialization, especially living in obesogenic environments, is one of the greatest challenges for dealing with NCDs.
conclusionPHC centres play a vital role in NCDs prevention and control. Adequate human and financial resources and policy guidance are required to improve PHC performance in managing NCDs. Implementing best buy measures at national level provides synergies for NCDS control at PHC level.
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