Online Program

Barriers to Health In All Policies: Policy-implementation gaps on a total ban on chrysotile asbestos in Thailand

Wednesday, November 4, 2015 : 9:22 a.m. - 9:35 a.m.

Churnrurtai Kanchanachitra, Institute for Population and Social Research, Mahidol University, Nakhon Pathom, Thailand

Viroj Tangcharoensathien, Dr., International Health Policy Program, Ministry of Public Health, Nonthaburi, Thailand
Walaiporn Patcharanarumol, Dr., International Health Policy Program, Ministry of Public Health, Nonthaburi, Thailand
Tipicha Posayanond, Dr., National Health Commission Office, Nonthaburi, Thailand
Thailand’s National Health Assembly (NHA) is an essential platform for promoting Health in All Policies. This presentation will describe a HiAP project related to asbestos, the process of moving from policy development to implementation, and the challenges that arose.

Given an abundance of health hazard evidence and calls by the World Health Organization for a total ban on all types of asbestos, Thailand tested integrating health into industrial policy to meet this concern. In 2010, the NHA adopted a Resolution for a "total ban on chrysotile asbestos," which was subsequently endorsed by the Cabinet for legality and enforcement. The Resolution mandated the Department of Industrial Works (DIW) to draft a plan to ban production, import, export, and distribution of chrysotile asbestos by 2011.

Given limited participation by key stakeholders in the process of drafting and adopting the NHA resolution, there was strong resistance by a few manufacturers though a majority complied voluntarily before the Resolution. Delay tactics used by DIW, such as commissioning studies despite clear evidence, raised public concern about "regulatory capture" and industry interference or influence on the actions of the DIW. Key lessons learned and success factors will be described, including the need for not only participatory policy formulation but good governance at the implementation level especially when legal power lies with state actors outside of the health sector.

Learning Areas:

Environmental health sciences
Occupational health and safety
Public health or related organizational policy, standards, or other guidelines
Public health or related public policy

Learning Objectives:
Identify at least 2 barriers between policy formulation and implementation Describe at least 2 strategies to ensure the integration of health into governmental policies

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been involved in the public participation process in Thailand for more than 15 years. I was elected as a President of the National Health Assembly (NHA) in Thailand during NHA3 and NHA4 in 2010 and 2011. I was a principle investigator on the research project on comparative study of National Health Assembly in Brazil, Thailand and Uganda and co-authored on several papers related to public participation process in Thailand.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.