Guidelines for Creating Transparency in the Management of the Local Health Security Fund Case Study: Local Health Security Fund Saraburi Province

Abstract

          The research objective is to study situations, operations, problems, obstacles, success factors, and guidelines for creating transparency in managing the Local Health Security Fund in Saraburi Province. It is qualitative research. Collecting data was completed by interviewing seven groups of 4 fund committees and in-depth interviews with 16 experts related to their operation through specific interview methods using an interview form and content analysis. The results showed that;
          1) Operations of the Local Health Security Funds in Saraburi Province consist of appointing committees, approving projects, issuing regulations or announcements, controlling, overseeing the use of budgets, monitoring and evaluation, and consulting and public relations.
          2) Problems and obstacles are found that the committee did not understand their roles and responsibilities, lacked knowledge and understanding, had unclear fund administration, lacked well monitoring and evaluation plans, had less public involvement, and lacked knowledge of their benefits.
          3) The success factors are found that the budget is used in line with the objectives by emphasizing the distribution of funds to all target groups, all sectors in the community are involved in the audit, the projects are proposed and considered transparently according to the specified regulations, every project can disclose the details and information, committees come from representatives from all sectors, along with meetings to clarify transactions regularly.
          4) Guidelines for creating transparency in the management of the Local Health Security Funds in Saraburi Province are nine elements according to the "RUMPAIVUN Model" model. There are 1) Regulation, the preparation of rules and regulations 2) Use discretion, the use of discretion in decision-making 3) Manifesto, announcing the policy of transparent management by executives 4) Participation, the participation of stakeholders 5) Administration, good management 6) Information, the transparent and open information 7) Verifiable, which can be verified 8) Utility, spending budget for public benefit, and 9) Norm, setting an action pattern.