ThailandUrban population

(1)

2019 Health SDG Proﬁ le: Thailand

Out-of-pocket expenditure⁴ In most cases, high percentage of out-of-pocket

expenditure out of the total health expenditure is associated with low financial protection.

Thailand

Urban population²

49.9%

Life expectancy at birth

Life expectancy⁵ measures how long people will live and is an indication of overall mortality of a country's population. Lost healthy life expectancy (HALE) represents equivalent year(s) of full health lost through years lived with morbidity and disability. Although females live longer, lost HALE is longer as well, on average 1.3 years or 21.8% more than males.

Population (000s)¹

69 626

Poverty³

0.0%

GDP per capita³ (Current US$)

7273.6

Current health expenditure as share of GDP

⁴ 3.7%

0 20 40 60 80 100

Age (years) Male

Female

HALE Lost HALE

Monitoring the health SDG goal: Indicators of overall progress

(ppp < $1.90 a day)

5.7%

The goal of universal health coverage (UHC) is that all people and communities receive the health care they need, without suffering financial hardship. Monitoring UHC requires measuring health service coverage and financial protection (SDG target 3.8).

Universal health coverage: At the centre of the health goal

HEALTH SERVICES COVERAGE

The summary measure of essential health services coverage, service coverage index of 16 indicators in four main areas: (1) reproductive, maternal, newborn and child health; (2) infectious diseases; (3) noncommunicable diseases; (4) service capacity, access and health security.

FINANCIAL PROTECTION

Financial protection is measured through two indicators:

(1) impoverishment, and (2) catastrophic health expenditure.

Impoverishment: 0% people* are being pushed into poverty (at $1.90 level) because of out-of-pocket health spending¹⁶.

Catastrophic expenditure on health: 2.2% of people spent more than 10% of their household's total expenditure on health care¹⁶.

*Impoverishment data are not reported at PPP $1.90 level Family planning

coverage⁶ Pregnancy and

delivery care⁶ Child immunization

coverage⁷ (DTP3) Care seeking behaviour suspected pneumonia⁶ 0

50 100

Coverage (%)

89 95 99

80

Reproductive, maternal, newborn and child health

Latest available data (2010-2017)

Tuberculosis (effective) treatment

Coverage⁸

HIV antiretroviral

therapy coverage⁹ Insecticide-treated bednets/IRS coverage for malaria prevention¹⁰

Access to basic sanitation¹¹ (%) 0

50 100

Coverage (%) ₁₀₀

61 72 95

Infectious diseases

Prevalence of normal fasting glucose level¹²

Prevalence of normal blood pressure¹²

Cervical cancer

screening Tobacco non-use¹³ 0

50 100

Coverage (%)

98 78 73

Noncommunicable diseases

Density of hospital beds¹², expressed as % of global threshold, 18/10

000

Heath worker density¹⁴, expressed as % of

global threshold, 44.5/10 000

Access to essential

medicines Health security: IHR compliance¹⁵ 0

50 100

Coverage (%)

100 86 79

Service capacity, access and health security

UHC services coverage index of essential health services To provide a summary measure of

coverage, an index of national service coverage is computed by averaging service coverage values across the 16 tracer indicators. The UHC coverage index ranges from 0% to 100%, with 100% implying full coverage across a

range of services.

2010 2019

0 50 100

Coverage (%)

59

85

UHC services coverage index

Out-of-pocket expenditure, as % of the health expenditure (2016)

Public spending on health⁴ is determined by the capacity of the government to raise revenues and the level of priority it attaches to the health sector.

This profile provides an overview of the current status of progress towards the 13 targets under the

Sustainable Development Goal #3 (SDG3): Ensure healthy lives and promote well-being for all at all ages.

All SDG3 indicators plus other selected health-related indicators are presented using global health estimates or country comparable reported values if available.

When nationally reported indicators from other sources are available, these are included in the references.

12.1%

79.3 71.8

5.7%

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2019 Health SDG Proﬁ le: Thailand

Variation by education

Equity status and trends: Variation by income, geographical location and education*

*There are many dimensions of equity, including but not limited to examples based on income, geographical location, and education presented here but also age, sex, race, and others. SDG 17.18 emphasizes the need for disaggregated data to facilitate better measurement of inequalities.

SDG 3: Health targets

Maternal and child mortality (SDG target 3.1, 3.2)

Births attended by skilled health personnel⁶

⋅

¹⁷

⋅

¹⁸

2005-2006 2012 2016

0 50 100

Pe rc en ta ge (% )

99 99.6

97.3

Maternal mortality ratio²²

2000 2005 2015

0 50 100 150

M M R (p er 1 00 0 00 li ve b irt hs )

25.0 20.0

1990 2000 2005 2010 2015 2016 2017 0

25 50 75 100

C M R (p er 1 00 0 liv e bi rth s)

9.5 5.3 37.0

20.0

Child mortality²³

Neonatal mortality rate Under-five mortality rate

Health service delivery

Proportion of births attended by skilled birth attendant¹⁷

⋅

¹⁸

Quintile 1 (poorest) Quintile 5 (richest)

Variation by geographical location

2005 2012 2016

0 50 100

Pe rc en ta ge (% )

46.4

70.2

Children < 5 yrs with diarrhoea receiving ORT

and continued feeding⁶

⋅

¹⁷

34.1

Prevalence of stunting among children under-five

by mother's education level¹⁷

⋅

¹⁸

None Primary Secondary +

2010 2012 2014 2016

0 2 4 6

Pe r p er so n pe r y ea r

3.1 3.6

OPD utilization¹⁹ (per person per year)

Cervical cancer screening

Current data are insufficient for analysis

Bed occupancy rate²¹ (BOR)

68

Bed occupancy rate, 2008-2010

(3)

TB incidence rate²⁴

20132014201520162017 0

150 300 450

TB incidence (per 100,000 pop.)

170 171 172 172 156

Communicable diseases (SDG target 3.3)

Indicators SDG

target Year Thailand Regional estimate Probability of dying from any of CVD,cancer,

diabetes,CRD between age 30 and age 70²⁵ 3.4.1 2016 14.5 23.1 Noncommunicable diseases and injuries

Malaria incidence is calculated for confirmed cases.

Indicators Year Thailand Regional estimate Hepatitis B surface

antigen prevalance among children under 5 years²⁵ (%)

2015 0.17

Number of people requiring

interventions against neglected tropical²⁵

2016 53,368

0.26 73,300,000

2012 2016

0 50 100 150 200

Ad ol es ce nt b irt h ra te

60.0 51.0

Adolescent birth rate (per 1000 women aged 15 to 19 years)⁶

^⋅

¹⁸

Proportion of married or in-union women of reproductive age who have their need for family

planning satisfied with modern methods⁶ 3.7.1 2016 89 71.4 Sexual and reproductive health

Female Male

2000 2005 2010 2015

0 250 500 750 1000

To ta l N C D m or ta lit y ra te (p er 1 00 0 00 p op .)

534.9

612.4

361.4

455.9

Total NCD mortality²⁰

2008 2010 2012 2014 2016 0

10 20 30

D ea th s pe r 1 00 0 00 p op ul at io n

20.9

23.8

Reported road traffic deaths²⁶

(per 100 000 population)

Adolescent birth rate⁶ (per 1000 women aged

15 to19 years) 3.7.2 2016 51 33.0

Age-standardized mortality rate attributed to household and ambient air pollution²⁵

(per 100 000 population) 3.9.1 2016 61.5 165.8

Mortality due to environmental pollution

Note: A dash (-) implies relevant data are not available

Proportion of health facilities that have a core set of relevant essential medicines available

and affordable on a sustainable basis 3.b.3 - - Total net official development assistance to

medical research and basic health per capita²⁵

(US$) 3.b.2 2017 0.55

-

0.6 Health worker density¹⁴ (per 10 000 population) 3.c.1 2016 38.15 - Health workforce

Suicide mortality rate²⁵ (per 100 000

population) 3.4.2 2016 14.4

Total alcohol per capita (age 15+ years)

consumption²⁵ 3.5.2 2016 8.3

Road traffic mortality rate²⁵ (per 100 000

population) 3.6.1 2016 32.7

13.2 4.5 20.7

International Health Regulations Core Capacity

Index¹⁵ 3.d.1 2018 79 56

National and global health risks

Mortality rate attributed to exposure to unsafe

WASH services²⁵ (per 100 000 population) 3.9.2 2016 3.5 Mortality rate attributed to unintentional

poisoning²⁵ (per 100 000 population) 3.9.3 2016 0.4

15.4 1.8

Prevalence of tobacco use among 15 years

and older¹³- Female 3.a.1 2011 7.6

Prevalence of tobacco use among 15 years

and older¹³- Male 3.a.1 2011 47.2

- - Tobacco use

DTP3 immunization coverage among 1-year-

olds⁷ 3.b.1 2017 99

MCV2 immunization coverage by the nationally

recommended age²⁵ 3.b.1 2017 95

PCV3 immunization coverage among 1-year

olds²⁵ 3.b.1 2017 -

88 77 12 Essential medicines and vaccines

Malaria incidence rate¹⁰

2013 2014 2015 2016 2017 0

2 4

Incience (per 1000 pop, at risk)

1.2 1.2 0.7

1.4 1.4

New HIV infections

Current data are insufficient to determine trend

(4)

References

1.World population prospects: the 2019 revision. New York: United Nations, Department of Economic and Social Affairs, Population Division; 2019 (https://population.un.org/wpp/, accessed 29 June 2019).

2. World urbanization prospects: 2018 revision. New York: United Nations, Department of Economic and Social Affairs, Population Division; 2018 (https://population.un.org/wpp/, accessed 29 June 2019).

3.World Bank. (https://data.worldbank.org/, accessed 28 May 2019)

4.Global health expenditure database. Geneva: World Health Organization; June 2019

5.Global health estimates 2016: Life expectancy, 2000–2016. Geneva: World Health Organization; 2018 (https://www.who.int/gho/mortality_burden_disease/life_tables/en/, accessed 29 June 2019).

6. National Statistical Office and United Nations Children’s Fund, Thailand 14 Provinces Multiple Indicator Cluster Survey 2015-2016, Final Report, NSO and UNICEF, Bangkok, 2017.

7. WHO/UNICEF estimates of national immunization coverage. (http://apps.who.int/immunization_monitoring/globalsummary/countries?countrycriteria%5Bcountry%5D%5B%5D=BGD, accessed 29 June 2019) 8. Global tuberculosis report 2018. Geneva: World Health Organization; 2018 (https://www.who.int/tb/publications/global_report/en/, accessed 15 March 2019).

9. UNAIDS/AIDSINFO [Online database]. (http://aidsinfo.unaids.org/, accessed 29 June 2019)

10. Calculated. World Malaria Report 2018. Geneva: World Health Organization; 2018 (https://www.who.int/malaria/publications/world-malaria-report-2018/en/ , accessed 15 March 2019).

11. WHO/UNICEF Joint Monitoring Programme estimate 2015.

12. Tracking universal health coverage: 2017 global monitoring report

13. Thailand (2011) Tobacco Factsheet 2018. New Delhi: World Health Organization/SEARO; 2018 14. HRH profiles 2018

15. International Health Regulations (2005) Monitoring Framework, GHO data. Geneva: World Health Organization (https://www.who.int/gho/ihr/en/, accessed 21 March 2019).

16. SEARO staff estimates from Thailand Household Socio-economic Survey (SES) 2018

17. Thailand National Statistical Office. 2006. Thailand Multiple Indicator Cluster Survey December 2005- February 2006, Final Report. Bangkok, Thailand: National Statistical Office 18. National Statistical Office and United Nations Children’s Fund, Thailand Multiple Indicator Cluster Survey 2012, Final Report, NSO and UNICEF, Bangkok, 2013.

19. Calculated. National Health Security Office (NHSO), Thailand.

20. WHO. Global Health Observatory (GHO) (https://www.who.int/gho/en/ - accessed 29 June 2019) 21. Thailand Health Profile 2008-2010

22. Trends in maternal mortality: 1990 to 2015: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva; 2015

(https://apps.who.int/iris/bitstream/handle/10665/194254/9789241565141_eng.pdf;jsessionid=56B6C12830EA6EA8CD0F30A8433E8FC3?sequence=1, accessed 28 May 2019). See for Maternal Mortality. Country reported value 2013=22.2, 2014=23.3; Data Source: Ministry of Public Health, Thailand

23. Levels & trends in child mortality: report 2017: estimates developed by the UN Inter-agency Group for Child Mortality Estimation. New York (NY), Geneva and Washington (DC): UNICEF, World Health Organization, World Bank, United Nation; 2017 (http://www.childinfo.org/, accessed 28 May 2019). See for under-five mortality. Country reported value: 2013=8.7, 2014=8.8, 2015=8.6; Data Source: Ministry of Health, Office of Permanent Secretary.

See for neonatal mortality. Country reported value. 2013=3.7, 2014=3.7; Data Source: Ministry of Public Health.

24. WHO Global Tuberculosis database [online]. (https://www.who.int/tb/country/data/download/en/, accessed 29 June 2019).

25. World Health Statistics 2019.

(https://apps.who.int/iris/bitstream/handle/10665/324835/9789241565707-eng.pdf?ua=1, accessed 28 May 2019) 26. Country reported

Other health-related SDGs

Annual mean concentrations of fine particulate

matter (PM2.5) in urban areas²⁵ (µg/m3) 11.6.2 2016 26.2 57.3 Ambient air pollution

Mortality rate due to homicide²⁵ (per 100 000

population) 16.1.1 2016 5 4.1

Homicide and conflicts

Birth registration coverage⁶ 16.9.1 2016 99.5 -

Birth registration

Note: A dash (-) implies relevant data are not available

Completeness of cause-of-death data²⁵ (%) 17.19.2 2009-2017 87 10 Cause-of-death data

Indicators SDG

target Year Thailand Regional estimate Domestic general government health expenditure

as percentage of general government

expenditure⁴ (%) 1.a 2016 15.3 6.7

General government health expenditure

2000 2005 2010 2015 2016 2017 0

50 100

Percentage (%) _74.0

68.0 70.0 72.0 74.0 78.0

Population with primary reliance on clean fuels²⁰ (%)

2012 2015

0 50 100

Percentage (%)

99.4 99.5

Birth registration coverage

⁶⋅¹⁸

(%)

Proportion of ever-partnered women and girls aged 15 yrs and older subjected to physical, sexual or psychological violence by a current or former intimate partner in previous 12 months²⁸

5.2 2017 - -

Intimate Partner Violence

Amount of water- and sanitation-related official development assistance that is part of a government-coordinated spending plan²⁵ (constant 2016 US$ millions)

6.3 2017 2.61 1484.41

Proportion of population using safely managed

drinking-water services (%) 6.1 2015 -

Proportion of population using safely managed

sanitation services (%) 6.2 2015 -

- - Drinking water services and sanitation

Children under 5 years who are stunted⁶ 2.2.1 2016 10.5 Children under 5 years who are wasted⁶ 2.2.2 2016 5.4 Children under 5 years who are overweight⁶ 2.2.3 2016 8.2

15.2 33 3.4 Child nutrition

Proportion of population with primary reliance on

clean fuels²⁵ (%) 7.1 2017 29 45

Clean household energy

Prevalence of stunting among children under-five⁶

⋅

¹⁷

⋅

¹⁸

2005 2012 2015

0 50 100

Percentage (%)

11.9 16.3

10.5