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The Value of Village Health Volunteers In Times of Universal Health Care

2015 September 17

by The Isaan Record

For 35 years, Thailand’s primary healthcare system has rested on the shoulders of a legion of Village Health Volunteers. Now that Thailand has had universal healthcare for some years, is this model – which was originally established to boost poor rural communities’ access to essential healthcare – obsolete?

By Zoe Swartz, Mariko Powers, and Katie Mathieson

Mekhala Nonsiri, 47, has high blood pressure and can barely walk due to calcium deficiency in her bones. There is a chance that her health will improve if she continues to take medication, but for the moment the help of Ms. Uthumporn is all she can count on.

KHON KAEN – Mekhala Nonsiri sits in the doorway of her two-room rented home in a slum community of Khon Kaen. She suffers from a calcium deficiency in her bones that makes walking nearly impossible. Living with a disability in an urban slum is already a challenge, but without the daily visits of a Village Health Volunteer (VHV) her life would be much harder.

Ms. Nonsiri lives in Theparak 5, one of Khon Kaen’s shanty communities. Set back from the slum’s narrow thoroughfare by an even narrower alley, her home overlooks the train tracks. Like everyone here, she is accustomed to pausing conversations amid the deafening clamor of passing trains.

Ms. Mekhala has plenty to fret over, but one thing she does not have to worry about is eating lunch. Each day, Uthumporn Srichai a Village Health Volunteer, checks on Ms. Mekhala and brings her a meal, free of charge. The 52-year-old has been a VHV for six years and looks after 15 disabled residents in Theparak 5 and its neighboring slums.

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