FIRST ANNUAL REPORT PREPARED FROM THE RESULTS OF THE ANNUAL MEETING HELD AT LAMPANG DURING 3-7 NOVEMBER 1975

PROJECT WAS TO DEVELOP LOW COST INTEGRATED HEALTH CARE SYSTEM IN LAMPANG. REVIEW INPUT RECEIVED FROM 55 PARTICIPANTS AND 140 OBSERVERS CONCERNING ADMINISTRATION,PERSONNEL,MEDICINE,AND RESEARCH. HEALTH SERVICES HAVE BEEN MODIFIED TO REFLECT CURRENT PROBLEMS AND NEEDS. FURTHER,MULTI-AGENCY COOPERATION IN SHARING RESOURCES,THOUGHTS,AND EXPERIENCES WILL CONTINUE TO BE ESSENTIAL IN PROVIDING HEALTH SERVICES TO THE RURAL POPULATION. PARTICIPANTS CONCLUDE THAT THE 2 MOST ESSENTIAL PERSONNEL ELEMENTS ARE TO PROTECT THE PUBLIC FROM MALPRACTICE AND TO ESTABLISH EMPLOYMENT STANDARDS. OTHER SUGGESTIONS ARE TO EXPAND AND CONTINUALLY IMPROVE PESONNEL TRAINING OPPORTUNITIES AND METHODS OF SUPERVISION,AND TO WIDELY PUBLICIZE PROJECT ACTIVITIES AND NEW CATEGORIES. ALTHOUGH MEDICAL GROUPS SUCH AS THE PROVINCIAL COORDINATION AND VILLAGE COMMITTEES HAVE BEEN RELATIVELY INACTIVE, HOSPITAL AND PERIPHERIAL SERVICES HAVE BEEN CLOSELY INTEGRATED THROUGH EXTENDING RURAL SERVICES INTO 95% OF THE PROVINCES. FURTHER, COORDINATION BETWEEN GOVENOR AND DISTRICT OFFICE HAVE BEEN MAXIMIZED BY KEEPING THE GOVERNOR CONTINUALLY INFORMED OF PROJECT PROGRESS. MEDICAL PROGRAM SHOULD BE STRENGTHENED BY: 1)ACCELERATING PROJECT IMPLEMENTATION AND USING PROJECT INFORMATION IN MINISTRY OF PUBLIC HEALTH PLANNING; 2)ELECTING,NOT APPOINTING,VILLAGE COMMITTEE MEMBERS; 3) SUPERVISING MEDICAL STAFF THROUGH DEPT OF PREVENTATIVE MEDICINE AND PCMO; 4)SECURRING COOPERATION FROM UNDER-SECRETARY OF MINISTRY AND RESOURCES GROUPS; 5)EXPANDING HEALTH CURRICULUM; 6)PROVIDING HEALTH AND DENTAL FACILITIES; 7)IMPROVING NUTRITION THROUGH LOCAL GARDENS (SCHOOL AND HOME), AND ADULT/CHILD HEALTH EDUCATION (CLASSES AND RADIO); AND 8)EMPHASIZING PARASITE ERADICATION (CHILDREN) AND INEXPENSIVE FAMILY PLANNING SERVICES. RESEARCH COULD BE IMPROVED IF TOP PRIORITY WERE PLACED ON DEVELOPING AN EFFECTIVE AND USABLE HEALTH ANALYSIS SYSTEM REQUIRING LESS DATA COLLECTION AND MORE EXTENSIVE AND EXPEDIENT ANALYSIS. FURTHER, A HEALTH SURVEY SHOULD BE CONDUCTED TO DETERMINE THE COMMUNITY"S PREFERENCES AND ATTITUDES.