The functional and extensive geographical coverage of primary healthcare providers in the district
health systems enables the UC scheme contract model.
Introducing a comprehensive benefit package which covers out-patient services, hospitalization,
operations and expensive medical care provides a depth of coverage which minimizes out of pocket
payment by households. Services are free at the point of provision, and no “under-table” payment is
observed.
Designing and implementing a pro-poor health care system in Thailand has taken more than thirty
years. The review of experience presented here demonstrates the importance and value of
comprehensive reforms which address both demand-side and supply side factors to construct a
system which is equitable both in its financing, in its delivery and use of health services and public
subsidies in favour of the poor