We mapped the presence of resources across Thailand’s provinces.
We developed a survey instrument to determine resources likely to be drawn upon at the province level if human-to-human spread of a novel influenza virus occurs.
Southeast Asia will likely be the epicenter of the next influenza pandemic.
We extended this analysis to a scenario of a modest pandemic and assumed that the same standards of clinical care would be required.
Our aim was to determine the challenges still remaining in preparing the country to effectively meet and contain the danger of an emergent pandemic.
We addressed the challenge of mitigation in the event of a modest pandemic scenario, but, in agreement with national strategic policy, we assumed no diminution of standards of care or rationing of clinical services.
Such gaps are likely to be profound if a severe pandemic occurs.
The survey instrument addressed resource needs across 4 topics of interest: surveillance, case investigation, case treatment, and prevention of spread of disease in the community. Data on infrastructure, personnel, and materials were collected.
Province data sources were derived from the following institutional settings, which were identified through national routine health system data sources: district hospitals; subdistrict health centers; district public health offices; regional, provincial, and higher level health institutions; private healthcare facilities; and university healthcare facilities.
Although the ability to maintain such levels of care is unlikely in reality, no national policies explicitly acknowledge this possibility; thus, this research draws on scenarios and assumptions currently guiding policy making.
The health system in Thailand is organized through 12 health regions.