The Learning Review of the Health Promotion and Prevention Area-based Budget (PPA) Operation at the Regional/Area Level in Fiscal Year 2025, National Health Security Office, Region 10 Ubon Ratchathani

Abstract

This qualitative research aimed to document lessons learned from the implementation of the Public Health Promotion and Disease Prevention (PPA) budget within Health Region 10 for the 2025 fiscal year. The study specifically analyzed the dimensions of planning, budget allocation, operational processes, success factors, and systemic obstacles, intending to enhance management efficiency. Data were collected through in-depth interviews and focus group discussions with relevant administrators and operators, supplemented by document analysis. Samples were purposively selected from service units with both outstanding and problematic operational results. Data analysis utilized descriptive statistics and content analysis.

The study findings indicate that the principle for budget allocation is based on the health problems and needs of the local population (Area-based) and is aligned with the regional and national public health strategies. The systematic project implementation involved three key steps, utilizing the Village Health Volunteer (VHV) mechanism and the integration of a multidisciplinary team as crucial driving forces to translate plans into proactive community activities. Furthermore, granting discretionary power to executives was a significant factor that allowed for rapid and flexible operations, resulting in the projects achieving their goals. Seven out of eight projects attained a high disbursement rate of 99.46%, and the population coverage reached 99.94% of the target group. The key systemic obstacle identified was the complexity of procurement and disbursement regulations, including a substantial burden of paperwork. Therefore, the planning and implementation model, which emphasizes integration and network participation, should be adopted as a best practice, while simultaneously expediting the resolution of financial regulatory constraints and developing specialized personnel to enhance efficiency and elevate the level of health services provided to the public.