DPAC Module1 Introduction to DPAC

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DPAC Module1 Introduction to DPAC

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http//www.who.int/chp/chronic_disease_report/cont
ents/part1.pdf
?????????????????????????????? 2548
???????????????????????????????????? 35 ??????
???? ?????? 60 ?????????????????????? 58 ??????
??????????????? ?????????? 2558
?????????????????????????????? ??????????????? 17
?????????? 38.8 ??????
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http//www.who.int/chp/chronic_disease_report/cont
ents/part1.pdf
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Projected Main Causes of Death, Worldwide, All
Ages, 2005
NORDIC FOOD WEEK 19.9.2007
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Incidence Rate of Chronic Disease among Thai
people by year, 1994-2006
per 100,000
Year
Source In patient report. Bureau of Policy and
Strategy MOPH,Thailand,2006
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????????????????????? ????????????
???????????????????? ?????????
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?.?.2547
Source Thai Working group on Burden of Disease.
(2007) Burden of disease and injury in Thailand
2004. International Health Policy Program. Bureau
of Policy and Strategy. Ministry of Public health.
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Prevalence of Metabolic syndrome
NCEP III Mod. NCEP IDF
USA (NHANES III), 1988-1994 Europe 23 ( 44 in agegt50 yr.) 5-36 (age 40-55 yr.)
THAILAND
InterASIA, 2000 21.9 29.3
EGAT, 1997 13.3 19.4 12.2
DOH, 2007 - 21.9 16.5
Source Nutrition Division, Department of
Health (sample n1737,
sedentary employee group, agegt30 yrs.)
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??????????? PP ?? 52
?? PP
Non-UC ??.
Non-UC ????.
PP Nat. Priority
PP area based
PP exp. demand
PP com 37.50
15.36
31.0
109.86
Vertical Program
PP ????37.50
PP ??????????
PPA ???
PPA
??./?????
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National Priority Program
???????
??????????????????? ????????? Preventive Cost
Benefit ?????????????
???????
1. ??????????????? ???????? ???????????????? NPP
?????? ???????????????????????????????????
2. ?????????????????????? 3 ?? ???????????????????
???????(Service Function)
3. ????????????? Model Development ????
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National Priority Program

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• ? ?????????? 0-5 ?? (????? ????????
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??????????????????????????????
(Thailand Healthy Lifestyle Strategy)
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Behavior MS DM DM with
?????????? complication

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?????????? ??. ???. ???. / ???. ???. / ???.

????????????? ????? ?????? ????????
1. Individual approach DPAC
(Diet Physical Activity Clinic)
2. Community approach HPP
(Healthy Public Policy)
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??????????????????????????????????????????????????
??????? 2553 ????????????
16. ????????????????????????????????? 3 ?.
???????????? (Valuation)
13. ?????/?????? ??????? ?????????????????
15 ???????????????????????????????????????????????
????? ??????????? ?????????????????????
14. ?????????????????????????????????????????????
? 3 ?.
11. ??????????????????????????? ????????
??????????????? ?? ??????? ???????????????????????
12. ????? ??????/???????????? ??????????????
?????????? ?????????????????? ???????? ???????????
9. ?????????????? / ????? / ??.
???????????????????????????????????????
????????? (Stakeholder)
10. ????? ??????/??????? ????????????????????????
?????????????????????????????/???????????
?????????????
8. ??????????????????????????????? DPAC
(????????????)
5. ??????????????????????????????
????????????????
7. ??????????????? ??????????????????
?????????????????????????????
6. ??????????????????????????????????????????????
?????????????? (Management)
4. ??????????????????????????
3.??????????????????????? ??????? ???????
??????????
2.??????????????????????????????????????
???????????? (Learning /Development)
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1.?????????????
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??????????????? DPAC
Community Case Finding
Other Clinic
DPAC Case Holding
Community Case Finding
Other Clinic
Intra Hospital
Extra Hospital
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???? ??????????????? DPAC ????? 3 C
Class ?Change Knowledge ,Attitude ?,Practice
? Clamp ?Transformation Attitude ?Practice. Club
? Create Supportive Social Env (Self help group)