Abstract
The Constitution of the Kingdom of Thailand B.E. 2540 and B.E. 2550, including Determining
Plans And Process Of Decentralization Act, B.E. 2542 is regarded as the starting point of the decentralization
of the state to local administrative organizations, and determined the public health decentralization
to local administrative organizations. These plans included the transfer of the health center (subdistrict
level) to local administrative organizations within 2010. Until now, 10 years gone from the above
mentioned, the progress is still unsatisfactory with a lot of problems and barriers during the operation. In
the preceding time, 28 health centers had already been transferred from 35 health centers targeted. Among
these, some of them were successful while some others faced many obstacles or restrictions in the implementation,
such as uncertainty of the policy and guidelines, coordination between the organizations, and
referring system. These made the health personnels feel insecure in their work. In order to run the process
of the public health decentralization effectively and comply with the Constitution, the related agencies
such as Ministry of Public Health, the Department of Local Government, including other organizations
must solve the problem seriously together to find the best solution.
