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Developing and maintaining the hemophilia program in Thailand

P Isarangkura1, A Chuansumrit

  • 1Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

The Southeast Asian Journal of Tropical Medicine and Public Health
|January 1, 1993
PubMed
Summary
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Thailand established a comprehensive hemophilia care program through phased development, including national surveys, expert training, and integrated healthcare services. This initiative improved blood product availability and introduced advanced diagnostics like carrier detection and prenatal testing.

Area of Science:

  • Public Health
  • Hematology
  • Healthcare Management

Background:

  • The development of a national hemophilia program in Thailand was initiated between 1978 and 1990.
  • This program aimed to address the healthcare needs of individuals with hemophilia within the country.

Purpose of the Study:

  • To outline the step-by-step development and key milestones of Thailand's hemophilia program.
  • To detail the strategies implemented for comprehensive hemophilia care and future planning.

Main Methods:

  • Organizing scientific conferences and national surveys to assess hemophilia incidence.
  • Implementing training programs for medical and paramedical personnel.
  • Establishing the National Hemophilia Society and improving blood bank services.

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Main Results:

  • A national survey revealed a hemophilia incidence of 1:13,000.
  • A nationwide hemophilia care program was integrated into the national healthcare system.
  • Initiation of home care, comprehensive care, surgical orthopedic correction, carrier detection, and prenatal diagnosis.

Conclusions:

  • Thailand successfully developed a structured hemophilia program over a 12-year period.
  • The program integrated various components, from basic research and training to advanced diagnostics and patient care.
  • Future plans were outlined for continued program enhancement from 1992-2000.