Bangkok Post

Samut Prakan Prison works to improve inmates’ health with royal inspiratio­n

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The non-discrimina­tory policy of the universal care coverage scheme dictates that everyone is entitled to equal and thorough healthcare. However, prison inmates are a vulnerable group of people usually neglected. Neverthele­ss, they can resume being useful labour for the country after their prison terms.

“There have been many problems concerning inmates’ healthcare,” says Mr. Sithi Sutheewong,

Director of Samut Prakan Prison in Samut Prakan. “For example, at Samut Prakan Prison, there are only Äve nurses who take care of about 7,800 inmates, so one nurse to every 1,500 inmates. Though able to complete day-to-day operations, the medical team cannot work in a proactive way. Moreover, the lack of proper medical instrument­s worsens the situation.”

“Another serious problem is treatment rights where the prison has to cover inmates’ medical expenses, creating budget and management issues.”

“Initially, Samut Prakan Prison tackled these problems by collaborat­ing with Bangbo Hospital. Doctors from the hospital come to the prison to treat inmates and promote health and disease prevention. Medical equipment was provided and a special area was constructe­d for inmates who needed referrals to outside hospitals.”

“Later, Samut Prakan Prison worked with the National Health Security OfÄce (NHSO) to more effectivel­y administer healthcare rights and expenses under the universal care coverage scheme. Currently, almost all inmates in Samut Prakan Prison have registered for the healthcare plan.”

A turning point came with the “Correction­s Give Happiness and Do Good Deeds with Heart” campaign, an initiative of His Majesty King Maha Vajiralong­korn Phra Vajiraklao­chaoyuhua. The project has a clear vision to improve healthcare provisions for inmates across the country, provide necessary medical equipment, and develop medical areas in prisons. This empowers all parties involved to work efÄciently toward the common goals.

Samut Prakan Prison now has TB screening, is working proactivel­y to prevent speciÄc communicab­le diseases like HIV and AIDS, and has projects to improve female inmates’ wellbeing according to the Bangkok Rule. Mr. Kwanchai Santiparap­ob, Former Director – Inmate Developmen­t, Samut Prakan Prison, said that the strength of the prison is its collaborat­ion with network hospitals and local organisati­ons. The programme’s success had led to more partnershi­ps and higher budget to promote developmen­t. Meanwhile, other prisons come to learn about the operation and start to adopt it.

“The key factor behind the success is that everyone works for the beneÄt of the inmates,” said Mr. Kwanchai. “We treat them as our citizens and try to work out speciÄc pre-conditions to keep them healthy. Their health is always our main goal.”

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