Abstract
Background: Series of violence have ruined lives and properties of residents in Pattani, Yala, Narathiwas and some districts of Songkhla provinces since January, 2004. From the beginning, the violence inevitably has affected health care services, particularly primary health care in rural area. Outpatient in primary care units were decreasing while those in hospitals were increasing. Health personnel had been under enormous fear and stress of insecure living and working environment. Shortage of health personnel due to moving out of the crisis area was observed.
Objectives: To identify strategy and develop model for immediate intervention and long term health care system that appropriate to the southern violence crisis context.
Results:
• Security of health care facility and personnel:
Health practitioner and academia had developed security management package using the concept of neutrality and strengthening protection to harden soft target and immunizing with good and impartial health services which increase community acceptance to soften threat.
• Emergency medical care and referral system:
Regional and provincial referral center and expert consultation network were set up. However quality improvements in some area e.g. transfer from place of occurrence to health care facility are still needed. In addition to health personnel were worry about security during refer.
• Financing management:
Budget was increasing, mainly in operation, incentive and investment while expense was also increasing. Overall balance is slightly increasing.
• Human resource management:
Although number of overall health personnel is above the country’s average, shortage of some particular fields e.g. surgery is still a big problem due to increased workload from crisis.
