scholarly journals Three decades of a lesson learned from Thailand: compulsory service for dentist workforce distribution

2022 ◽  
Vol 20 (1) ◽  
Author(s):  
Tanit Arunratanothai ◽  
Ravisorn Booncharoen ◽  
Sirapop Suwankomolkul ◽  
Nareudee Limpuangthip

Abstract Background Thailand has encountered an imbalanced dentist distribution and an internal brain drain of dentists from public to private health care facilities. To tackle these challenges, the compulsory service (CS) program, which has been initially implemented for physicians, was extended for dentists. Method This policy and workforce document review describes the background, development, and policy implementation of the CS program in Thailand during the past three decades. Outcomes after policy implementation and future directions are also discussed. The information was gathered from the relevant policy and workforce documents available from 1961 to 2021. Results In Thailand, junior dentists, specifically newly graduates, have to enroll in the CS program by working as oral health practitioners in public hospitals for at least 3 years. Dentists must pay a maximum fine of 400 000 baht (~ 12 571 USD) if they wish to skip the program. This fine is lowered according to the number of attending years in the program. CS program conditions are related to each university’s admission track. The CS enrolled dentists receive several financial and non-financial benefits, including educational, employment-related, and living provisions. Altogether, successive Thai governments have launched directive policies to increase dentist distribution in rural areas and their retention in public hospitals. These policies have been implemented in 3 stages: (1) increase production of new dentists, (2) allocation of newly dental graduates to public hospitals, and (3) provide benefits for working in public hospitals. Conclusion During the past three decades, several public policies have been implemented to improve dentist retention and distribution to public hospitals across Thailand, particularly in rural areas. The present CS program may not completely resolve the oral health inequalities because the dentist retention rate in public hospitals depends on multi-dimensional considerations. Further modifications on the CS program and future well-planned policies are needed.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mosa A. Shubayr ◽  
Ahmed M. Bokhari ◽  
Afnan A. Essa ◽  
Ali M. Nammazi ◽  
Dania E. Al Agili

Abstract Background Oral cancer awareness among current and future dental practitioners plays a substantial role in the early detection and prevention of oral cancer. Therefore, this study aimed to assess the knowledge, attitudes, and practices (KAP) of oral cancer prevention (OCP) among oral health practitioners in the College of Dentistry at Jazan University, Saudi Arabia, and to determine factors that facilitate, or limit practices related to oral cancer prevention. Methods A self-administered questionnaire survey was done among dental students (n = 274), interns (n = 81), and faculty members (n = 117) in the College of Dentistry at Jazan University between May 2019 to February 2020. The questionnaire was developed in English and modified from a previously validated and published questionnaire into Arabic. It covered every KAP of oral cancer prevention that was useful in accomplishing the study's objectives. Logistic regression analysis was utilized to determine the factors associated with the practice of oral cancer prevention in the past year. Results Only 29.7% reported having participated in any OCP activities in the past 12 months while about 42% and 53% of participants referred suspected oral cancer patients to the departments of maxillofacial surgery and oral medicine, respectively. Most of the participants had poor knowledge (71.9%), unfavourable attitudes towards OCP (83.6%) and poor levels of practice (62.9%). The study found that the attitude of the participants was significant in influencing their practices of OCP in the previous 12 months, after adjusting for all other factors. Conclusion It was concluded that the level of knowledge, attitudes, and practices of OCP among the sample population was poor. The survey findings suggest that oral health practitioners in Jazan are inexperienced in the methods to adopt for prevention and early detection of oral cancer, despite the high prevalence of oral cancer among province residents. Further research should investigate effective educational strategies and training for improving the participation of students, interns, and faculty members in oral cancer prevention activities.


Author(s):  
Sumanta Bhattacharya

With 75% of the health are expenditure comes from the people of India , the rest is by the government , the government spends only 1.6% of the GDP on health care sector , there is major problems in our health care sector starting from shortage of beds , to lack of doctors and nurses , the difference in the quality of treatment in the urban and rural areas as well as in private and public hospitals . The doctors even limit themselves to the private hospital because of maximum facilities , the cost of treatment is so high that half of the people die out of loan , The government during this catastrophic has provided and increased its budget for the treatment and for public health care facilities but that is not enough during at one time . around 1.8 million people have died in the pandemic situation , in India only 2 % of the people have been vaccinated . India has entered the second wave of corona virus , when it comes to rural India , there is hardly any facility available , especially for the pregnant women and its child during this COVID-19 pandemic . There is lack of medical facilities in India both rural and urban , infrastructural and human resources to cure the people . India is being dependent on other countries for import of oxygen cylinders , India is the global hotspot of COVID at present . Keywords: health care, expenditure, covid-19, budget, GDP, vaccinated, catastrophic


Crisis ◽  
2003 ◽  
Vol 24 (1) ◽  
pp. 24-28 ◽  
Author(s):  
Lourens Schlebusch ◽  
Naseema B.M. Vawda ◽  
Brenda A. Bosch

Summary: In the past suicidal behavior among Black South Africans has been largely underresearched. Earlier studies among the other main ethnic groups in the country showed suicidal behavior in those groups to be a serious problem. This article briefly reviews some of the more recent research on suicidal behavior in Black South Africans. The results indicate an apparent increase in suicidal behavior in this group. Several explanations are offered for the change in suicidal behavior in the reported clinical populations. This includes past difficulties for all South Africans to access health care facilities in the Apartheid (legal racial separation) era, and present difficulties of post-Apartheid transformation the South African society is undergoing, as the people struggle to come to terms with the deleterious effects of the former South African racial policies, related socio-cultural, socio-economic, and other pressures.


Author(s):  
Nina TERREY ◽  
Sabine JUNGINGER

The relationship that exists between design, policies and governance is quite complex and presents academic researchers continuously with new opportunities to engage and explore aspects relevant to design management. Over the past years, we have witnessed how the earlier focus on developing policies for design has shifted to an interest in understanding the ways in which design contributes to policy-making and policy implementation. Research into policies for design has produced insights into how policy-making decisions can advance professional impact and opportunities for designers and the creative industries. This research looked into how design researchers and design practitioners themselves can benefit from specific policies that support design activities and create the space for emerging design processes.


2012 ◽  
Vol 28 (2) ◽  
pp. 233-263 ◽  
Author(s):  
Ian Reader

Concerns that established temple Buddhism in Japan is in a state of crisis have been voiced by priests in various sectarian organizations in recent years. This article shows that there is a very real crisis facing Buddhism in modern Japan, with temples closing because of a lack of support and of priests to run them, and with a general turn away from Buddhism among the Japanese population. In rural areas falling populations have led to many temple closures, while in the modern cities people are increasingly turning away from the prime area in which Japanese people have traditionally engaged with Buddhist temples — the processes of death and their aftermath. Partly this is due to competition from new secular funeral industries, but partly also it is because public perceptions of Buddhism — which has become over-reliant on death rituals in Japan — have become highly negative in modern times. Even practices which have often been seen as areas in which Buddhist temples have been able to attract people — such as pilgrimages — are proving less successful than in the past, contributing further to a sense of crisis that threatens to undermine Buddhism’s roots in Japan.


2019 ◽  
pp. 98-100
Author(s):  
Д. М. Кудайбердиева

Аннотация. В данной статье рассматривается проблема восприятия городской среды студентами из города и сельской местности. Обозначены определения терминов «среда», «пространственная среда», «городская среда». Проведено экспериментальное сравнительное исследование особенностей восприятия города Бишкек городскими и сельскими студентами в количестве 50 человек. Статья содержит результаты проведенного анализа исследования. Выявлены различия и сходства в восприятии города Бишкек у студентов двух групп. В контексте восприятия города изучена неудовлетворенность прошлым и настоящим временем, трудности языкового барьера у студентов из сельской местности. Также было выявлено, что актуальной для студентов обеих групп является потребность в социальных контактах, общении, включенности в социум. Полученные результаты будут иметь пользу в проведении воспитательной работы со студентами из сельской местности, в оказании поддержки им в период адаптации с учетом особенностей восприятия города студентами. Ключевые слова. среда, городская среда, восприятие пространства, городские студенты, сельские студенты, восприятие города Бишкек, неудовлетворенность прошлым и настоящим, языковой барьер, учеба в городе, сходства и различия в восприятии города. Аннотация. Бул макалада шаардык жана айылдан келген студенттердин шаардык чөйрөнү кабыл алуу көйгөйү каралган. «Чөйрө», «мейкиндик чөйрө», «шаардык чөйрө» терминдеринин түшүнүктөрү келтирилген. 50 адамдан турган шаардык жана айылдык студенттердин Бишкек шаарын кабыл алуу өзгөчөлүктөрүнө эксперименталдык салыштырма изилдөө жүргүзүлгөн. Макалада изилдөөнүн анализ жыйынтыктары камтылган. Эки студенттик топторунун Бишкек шаарын кабыл алуусунун айырмачылыктары жана окшоштуктары белгиленген. Шаарды кабыл алуу контекстинде өткөн жана учур чактарга канагаттанбоо, тил барьеринин кыйынчылыктары изилденди. Ошондой эле студенттердин эки тобуна актуалдуу болуп социалдык катнаштарга, баарлашууга, коомго кошулуу муктаждыгы белгиленүүдө. Алынган жыйынтыктар студенттердин шаарды кабыл алуу өзгөчөлүктөрүнө эске алып, айылдан келген студенттерге адаптация убагында колдоо көрсөтүү максатында тарбиялык иштерди жүргүзүүдө жардам берет. Түйүндүү сөздөр. Чөйрө, шаардык чөйрө, мейкиндикти кабыл алуу, шаардык студенттер, айылдык студенттер, Бишкек шаарын кабыл алуу, өткөн жана учур чакка канагаттанбоо, тил барьери, шаарда окуу, шаарды кабыл алуусунун айырмачылыктары жана окшоштуктары. Annotation. This article addresses the problem of perception of the urban environment by students from the city and countryside. The definitions of the terms “environment”, “spatial environment”, and “urban environment” are indicated. An experimental comparative study of the characteristics of the perception of the city of Bishkek by urban and rural students in the amount of 50 people was conducted. The article contains the results of the analysis of the study. The differences and similarities in the perception of the city of Bishkek among students of the two groups are revealed. In the context of the perception of the city, dissatisfaction with the past and the present has been studied, and the difficulties of the language barrier among students from rural areas. It was also revealed that the need for social contacts, communication, inclusion in society is relevant for students of both groups. The results will have the benefit of conducting educational work with students from rural areas, in providing support to them during the adaptation period, taking into account the peculiarities of the perception of the city by students. Кeywords. Environment, urban environment, space perception, urban students, rural students, perception of the city of Bishkek, dissatisfaction with the past and the present, language barrier, studying in the city, similarities and differences in the perception of the city.


Author(s):  
Simon Butt ◽  
Tim Lindsey

Many Indonesians—primarily those living in rural areas—still follow customary law (adat). The precise rules and processes of that adat differ significantly from place to place, even within short distances. This chapter shows that for many decades, adat has been subservient to national law. State-made law overrode it, leaving it applicable only in a very small proportion of cases where no national law applied, where judges could apply it as ‘living law’. Even in these cases, many judges ignored adat or distorted it when deciding cases. The 1945 Constitution was amended in 2000 to require the state to formally recognize and respect customary law, as practised in traditional communities. The Constitutional Court has given effect to this in various judicial review cases, as have some statutes enacted in the past decade or so. However, this constitutional and statutory ‘protection’ has been impeded in practice by requirements for traditional communities to be formally ‘recognized’ by their local governments, many of whom have been unresponsive to calls for recognition.


1996 ◽  
Vol 24 (1) ◽  
pp. 17-23
Author(s):  
Alan Kirkaldy

I would argue that history students should understand that the whole body of historical writing consists of interpretations of the past. They should be able to analyse a wide variety of texts and form their own opinions on a historical topic, and should be able to construct a coherent argument, using evidence to support their opinion. In doing so, they should be actively aware that their argument is no more “true” than that offered by any other historian. It is as much a product of their personal biography and the social formation in which they live as of the evidence used in its construction. Even this evidence is the product of other personal biographies and other social forces.


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