بودجه بندی مبتنی بر فاجعه در سیاست جدید بهداشت عمومی تایلند

The Public Health System (PHS) has been established under Ministry of Public Health but its financial practices have to abide by the regulations issued by the Comptroller General Department (CGD), which is responsible for legislating financial regulations for all government organizations to manage their allocated budget within a fiscal year starting from October 1 to September 30 of the following year. The budget is allocated each year for the PHS is a function-based budgeting system. It is mainly used for PHS’s regular works or its normal situations not for any disaster events. Should there be any disasters, an additional burden will fall to local public health staffs that live in those particular areas. To help solve this problem, a review and modification of the function-based budgeting system should be seriously considered and undertaken. This study focused on two main issues concerning the management of disaster budgeting system. The first one concentrated on an appropriate budget allocated for health management expenditure within seventy two hours after a disastrous occurrence based on Public Health Incident Command System (PHICS). The second one emphasized a practical management pattern for each disaster phenomena having occurred before 2016. Each site of disaster such as flood, landslide, and earthquake, etc. was surveyed for its severity and impacts. Based on the Incident Command System (ICS) management, interview and questionnaire were employed to obtain information. The data of disastrous area contexts and characteristics were integrated into a new financial strategy: preparation, protection, response and rescue (2R’s2P’s) for seventy-two hour disaster financial system. The 2R’s2P’s was classified into two levels, national level and local level, with limitations as follows: disaster unpredictability and local agencies’ capacity in collecting data. Consequently, an appropriate financial system was proposed in compliance with real situations.