Participatory Health Impact Assessment for Health and Well-Being Policy at Local Level in Thailand.
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| Titel: | Participatory Health Impact Assessment for Health and Well-Being Policy at Local Level in Thailand. |
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| Autoren: | Promthong N; National Health Commission Office, Nonthaburi, Thailand., Thaweesook S; National Health Commission Office, Nonthaburi, Thailand., Sukmak P; Public Policy Institute, Prince of Songkhla University, Songkhla, Thailand., Mongkolsomlit S; Faculty of Public Health, Thammasat University, Pathum Thani, Thailand., Jaidee PH; Faculty of Public Health, Burapha University, Chonburi, Thailand., Putthasri W; National Health Commission Office, Nonthaburi, Thailand. |
| Quelle: | Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals [Health Promot J Austr] 2025 Jul; Vol. 36 (3), pp. e70073. |
| Publikationsart: | Journal Article |
| Sprache: | English |
| Info zur Zeitschrift: | Publisher: Wiley Country of Publication: Australia NLM ID: 9710936 Publication Model: Print Cited Medium: Internet ISSN: 1036-1073 (Print) Linking ISSN: 10361073 NLM ISO Abbreviation: Health Promot J Austr Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2018- : Milton, Queensland : Wiley Original Publication: West Perth, WA : Australian Association of Health Promotion Professionals, |
| MeSH-Schlagworte: | Health Impact Assessment*/methods , Health Policy* , Health Promotion*/organization & administration , Community Participation*, Thailand ; Humans ; Qualitative Research ; Sustainable Development ; Laos ; Empowerment ; Policy Making ; Community-Based Participatory Research ; Stakeholder Participation ; Interviews as Topic |
| Abstract: | Issue Addressed: Achieving the Sustainable Development Goals (SDGs) related to health and well-being requires diverse stakeholders' engagement. According to Thailand's constitution, the decentralisation of health promotion to Local Administrative Organizations (LAOs) has been increasingly implemented. The lessons learned from experiences in implementing well-being tools and engaging stakeholders in diverse local and cultural contexts offer practical benefits. This article describes the development of participatory policy using health impact assessment (HIA) in selected LAOs across Thailand, alongside bottom-up policy formulation, to support sustainable social well-being and community empowerment. Methods: A qualitative research approach was applied to examine HIA implementation in 12 purposively selected LAOs across Thailand. Data collection included document reviews, participatory observations of HIA meetings/activities and 156 in-depth interviews with key informants (KIs) who were actively involved in the HIA process. The analysis specifically examined the roles of community and stakeholder engagement, the implementation processes and the resulting outcomes. Results: The 12 LAOs selected a diverse range of challenges for HIA applications, including waste management, water pollution, elderly care, occupational health and community tourism. Community consultation with government personnel, academics and community members was conducted as the preparation phase to identify priority issues. Most participants emphasised that meaningful and inclusive participation through the HIA process was crucial for creating ownership and ensuring compliance with agreements. The influencing step of HIA was significant in securing commitment and continued support from local governments. Participants also mentioned increased motivation, active citizenship, community empowerment and collective leadership development. Conclusions: The findings indicate that the HIA is a social tool effectively implemented in the community. Various issues and challenges of health and well-being are manifest in deployment. SO WHAT?: Inclusive participation through the policy development process at the local level is clarity to support sustainable social well-being and community empowerment. (© 2025 The Author(s). Health Promotion Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of Australian Health Promotion Association.) |
| References: | BMJ. 2000 May 20;320(7246):1395-8. (PMID: 10818037) Prev Chronic Dis. 2016 Jun 30;13:E84. (PMID: 27362932) Health Promot Int. 2001 Mar;16(1):79-85. (PMID: 11257857) WHO South East Asia J Public Health. 2012 Jul-Sep;1(3):347-356. (PMID: 28615561) Health Promot J Austr. 2009 Dec;20(3):172-9. (PMID: 19951236) Health Promot J Austr. 2024 Oct;35(4):1035-1044. (PMID: 38050655) Glob Health Promot. 2017 Jun;24(2):43-51. (PMID: 28436297) Glob Health Promot. 2017 Jun;24(2):3-4. (PMID: 28556769) J Bus Ethics. 2022;180(4):1113-1136. (PMID: 35873084) Health Promot J Austr. 2013 Apr;24(1):72-5. (PMID: 23575594) Glob Health Promot. 2023 Mar;30(1):7-15. (PMID: 35855588) Health Promot J Austr. 2025 Jul;36(3):e70073. (PMID: 40653383) Health Promot J Austr. 2023 Apr;34(2):488-499. (PMID: 35718947) |
| Grant Information: | HSRI 66-069 Health Systems Research Institute, Thailand |
| Entry Date(s): | Date Created: 20250713 Date Completed: 20250713 Latest Revision: 20250716 |
| Update Code: | 20250717 |
| PubMed Central ID: | PMC12256213 |
| DOI: | 10.1002/hpja.70073 |
| PMID: | 40653383 |
| Datenbank: | MEDLINE |
Nájsť tento článok vo Web of Science | Abstract: | Issue Addressed: Achieving the Sustainable Development Goals (SDGs) related to health and well-being requires diverse stakeholders' engagement. According to Thailand's constitution, the decentralisation of health promotion to Local Administrative Organizations (LAOs) has been increasingly implemented. The lessons learned from experiences in implementing well-being tools and engaging stakeholders in diverse local and cultural contexts offer practical benefits. This article describes the development of participatory policy using health impact assessment (HIA) in selected LAOs across Thailand, alongside bottom-up policy formulation, to support sustainable social well-being and community empowerment.<br />Methods: A qualitative research approach was applied to examine HIA implementation in 12 purposively selected LAOs across Thailand. Data collection included document reviews, participatory observations of HIA meetings/activities and 156 in-depth interviews with key informants (KIs) who were actively involved in the HIA process. The analysis specifically examined the roles of community and stakeholder engagement, the implementation processes and the resulting outcomes.<br />Results: The 12 LAOs selected a diverse range of challenges for HIA applications, including waste management, water pollution, elderly care, occupational health and community tourism. Community consultation with government personnel, academics and community members was conducted as the preparation phase to identify priority issues. Most participants emphasised that meaningful and inclusive participation through the HIA process was crucial for creating ownership and ensuring compliance with agreements. The influencing step of HIA was significant in securing commitment and continued support from local governments. Participants also mentioned increased motivation, active citizenship, community empowerment and collective leadership development.<br />Conclusions: The findings indicate that the HIA is a social tool effectively implemented in the community. Various issues and challenges of health and well-being are manifest in deployment. SO WHAT?: Inclusive participation through the policy development process at the local level is clarity to support sustainable social well-being and community empowerment.<br /> (© 2025 The Author(s). Health Promotion Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of Australian Health Promotion Association.) |
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| ISSN: | 1036-1073 |
| DOI: | 10.1002/hpja.70073 |