|
AUICK Second 2006 Workshop
City Report and Action Plan
- Khon
Kaen
![]() Mrs. Nudnapa Juntavaree Chief, Department of Promotion of Participation and Decentralization, Khon Kaen Municipality, Thailand CONTENTS 2.1.
Identification of Problems and Issues Khon Kaen is the heart of the Northeast of Thailand. Lying some 250 miles northeast of Bangkok it is the center of a large region bordered on the north and east by the Mekong River, separating Thailand from Laos and Cambodia. The city has grown rapidly from central government policies aimed at creating growth poles throughout the country to balance the dominance of Bangkok. Khon Kaen is a small city, with a population of less than 150,000. With the rest of the country, it has come through the demographic transition with especially rapid declines of infertility since about 1975. The city’s Total Fertility Rate is now below replacement level. The young are now a declining portion of the population, less than 22 percent, and the aged are beginning to rise; today they are 8 percent, and they are projected to grow to over 20 percent by 2050. Thailand is unique for its low level of official urbanization. Only 30 percent of the population lives in urban areas. At present many of the elderly prefer to remain in the village and rural areas and do not swell the urban population. Nonetheless, Khon Kaen City has begun to develop programs for the elderly. They focus on health and welfare issues, with the Health and Welfare agencies of government given major responsibility. Welfare subsidies of 300 baht per person per month are available. There are some 25 city staff directly concerned with the aged and the budget for the aged has grown from 1.8 million baht in 2005 to 2.88 million in 2006; it is projected to rise to 7.56 million in 2070. 2.1. Identification of Problems and Issues Khon Kaen Municipality (KKM) is located in Muang District, Khon Kaen Province. The total area of the city is 46 square kilometers. The current estimated city’s population is about 130,000 with relatively low growth. Thailand had a very successful national Family Planning program which brought down the total fertility rate in Khon Kaen Municipality Area. However, experience shows that there is an increasing rate of people 60 years and over in KKM every year. Changes in the Total Fertility Rate Changes in Population Structure During previous years, the ageing population began to manifest itself, and the demographic transition has changed the structure of its population. This change in the population structure has a great impact on the community’s economy and shrinks social-security services, and has become burdensome to the future Khon Kaen Municipality.At present, KKM has an existing program which promotes a self–help project, including the creation of healthy-lifestyle awareness as a strategy to promote healthy aging. The KKM also provides welfare assistance to the senior citizens by giving a subsidy of 300 baht per person/month to senior citizens. It has adopted a mechanism to visit people in 80 communities on Thursdays. These services are made available to one to three communities, including the nearest area, at a time. The Bureau of Public Health and Environment Services is in charge of providing general health care assistance and a disease prevention program. The Centers are open on Mondays to Fridays. KKM has four Public Health Service Centers. In the past, the program of KKM towards the ageing population was to provide welfare assistance by way of health care and monthly subsidy. It shall be noted, however, that the City does not have an institutionalized activity aimed at enhancing the personal capabilities and empowering the elderly citizens based on the following social principles: 2.2. Objectives to be Attained
2.3. Proposed Activities to Achieve Objectives Name of Project: “Healthy life care in the Future”Location: Khon Kaen Municipality Area Target group: Elderly Citizens aged between 55 - 65 year. The rationale for this aged limitation is the general belief that senior citizens within this age-bracket have the physical and mental the capacity to learn new skills and have the capacity to help one another. Key Implementation: 2.4. Implementation Agency/ Agencies While the project implementation will entail the involvement and participation of various government agencies and offices, the Social Welfare Division and Department for Promotion of Participation and Decentralization of Khon Kaen Municipality shall be the lead agency/ agencies.Year of Enforcement: 2007-2008 Project Activities Note: All three activities are aupported by Khon Kaen Municipality A Program Secretariat will be created for the purpose of overseeing the overall performance and activities of the project. A regular monitoring process shall be put in place, including, but not limited, to the following: |