Health Equity as a Human Right of the Highland People in Thailand

ABSTRACT

Research was conducted to compare health equity levels between three groups. These groups were compared using the benchmark of fairness. Multistage cluster sampling methods were used. The sample size for quantitative study included 789 subjects in 10 provinces and was strengthened by a qualitative component in the form of in-depth interviews. Data analysis utilized ANOVA and Post-hoc Turkey means. The counters for health equity were analyzed by z-scores.Results revealed a significant difference on 7 of the 9 factors (p \< .001). Comparative measurements on Efficiency and Quality of Care (p=.170) as well as Administrative efficiency (p=.227) were not significant. With regards to z score analysis Thai National Citizens were the highest scored (z=.3293), Hill tribe Thai national citizens were average scored (z=.0516) and Hill tribe stateless were the lowest scored (z=-.3885). The means to reduce the gap between groups from the expertise aimed 1) The Hill tribe stateless data base. 2) The health needs budget for The Hill tribe stateless. 3) Only one standard in all health care units. 4) The disfigured nationality laws to support the stateless hill tribe. 5) The decentralization to local government to provide health services.In conclusion, the government health care units service all groups health needs in Thailand. It is here suggested that the Thai government bridge the gap with consistent policy to reduce the gaps between groups in all directions.