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Thai and Lao experience on South - South cooperation
in the context of emergency medicine
Dr. Prachaksvich Lebnak, MD.
• UNFPA and Royal Thai Government (RTG) started the collaboration under South-South Cooperation in 1972
• Key Areas of Cooperation– Agriculture Development -- > help people to have enough to eat– Education -- > help people to have better skill– Health Care (especially life-threatening communicable diseases
eg. HIV/AIDS, Malaria, Avian Flu) -- > help people to live well
• Cooperation Program– Thai International Cooperation Program– Partnership Program/Trilateral Program (with Japan, Australia,
Luxembourg, France, Singapore, Germany, UNDP, UNICEF, UNFPA,ESCAP)
South - South cooperation background
ASEAN
• Collaboration Project in Developing Network on Road Safety Lao PDR & Thailand at the beginning of Decade of Action
• Thai Health Promotion Foundation coordinated by Southeast Asia Tobacco Control Alliance (SEATCA) organized Consultation Meeting on Lao – Thai Collaboration Programs for Health on June 28, 2011 in Vientiane, Lao PDR aiming at collaboration in 4 areas of health promotion: – Alcohol control– Tobacco control– Road safety– Community strengthening
Emergency medical system collaboration (Thai – Lao PDR)
General Objectives:1. To increase capacity of medical and public health
personnel of Lao PDR in EMS system development.2. To build up capacity of medical and public health
personnel in information system management for reducing road crash injury
3. To learn and exchange experience in injury reduction of road safety network according to the five pillars of UN Decade of Action.
Emergency medical system collaboration (Thai – Lao PDR)
Specific Objectives :1. To set up EMS team in basic and professional levels as
well as to set up EMS team model in Vientiane.2. To set up injury surveillance system for road accident
of a hospital in order to link other information network in Vientiane.
3. To set up multi-professional road safety network in Vientiane whose objective is to reduce injuries and fatalities from road accidents by managing risk based on information and lesson learned.
Emergency medical system collaboration (Thai – Lao PDR)
Duration : September 2011 – October 2012Process for EMS development
1. Situation analysis before setting up EMS system.2. Train the Trainers aiming at developing to be Professional EMS team, EMS
Management Center and training model for basic EMS. 3. Study trip for setting up EMS Center at EMS Unit in several levels of
Thailand .4. Planning meetings for setting up EMS system in Vientiane.5. Experiment of setting up EMS call center and EMS Unit in basic and
professional level in Vientiane6. Meeting for evaluation and lesson-learned
Emergency medical system collaboration (Thai – Lao PDR)
Emergency medical system collaboration (Thai – Lao PDR)
Emergency medical system collaboration (Thai – Lao PDR)
Victim AssistanceAssistance level Challenges
International o. Lack of donor support
National PLANa. Not priority to policy makern. Weak political willo. Overdependence to
NGO&international agenciesp. Not human right issueq. Lack of disabilities in decision
makingi. Weak to address disability issue
IMPLEMENTd. Not meet needs
(qualitu&quantity)e. Lack of accessibilty awarenessf. Lack of capacity buildingh. Weak state structurej. Lack of regard for the place of
VA in broader context.k. Lack of coordinated approachl. Limited collaboration
Society/Community g. Poverty & lack of development in affected communities
Family
Individual
Normal Victim Survivor Disability
Victim Assistance
Mine explosionAcute medical care approach
Victim Assistance and EMS
Mine explosionAcute medical care approach
The story not end at this point
Continuous holistic care approach
Return home to normal life Work
Family and community
Mine explosion
• The Emergency Medical System is benefit to all patient in-need of all emergency medical care.
• Could we use the model of these collaborations to leverage affected country to make use and help the landmine and cluster munitions victims?
• How and when could it start?
Victim Assistance and EMS
Victim Assistance from the past to today in Thailand
Netherland, 1984
Handicap International, 1995
Victim Assistance from the past to today in Thailand
Thank youKhob Khun Krub
Thailand, 2012
