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Thailand

Where wild tigers roam

Anne Elicaño's picture
No tigers made an appearance but this little fellow emerged from across the stream while I was at a lookout tower in Huai Kha Khaeng Wildlife Sanctuary, Thailand.

ภาษาไทย | Español

There are only about 250 tigers in the wild left in Thailand and around 3,200* globally. Not a single one made an appearance when I covered the Global Tiger Initiative’s Regional Training on the Smart Patrol System at the Huai Kha Khaeng Wildlife Sanctuary but I learned more about tigers then than I ever did at a zoo.

Reforming hospitals in East Asia — engagement by development partners wanted

Toomas Palu's picture

Health systems are under pressure in Asia. Epidemiological and demographic transitions are taking place much faster than in Europe and America, in the span of a single generation. With the transition comes the non-communicable disease (NCD) epidemic that requires more sophisticated and expensive interventions provided by hospitals, inpatient or outpatient. Rapid economic development in Asia has lifted millions out of poverty and raised peoples’ expectations for services. Between China, India, Thailand, Philippines, Indonesia and Vietnam, expansion of health insurance coverage during the last decade has reached an additional one billion people, making services more affordable and thus increasing demand. Advancing medical technology eagerly awaited by specialist doctors sitting on top of health professional hierarchies further expands possibilities for treatment. The middle class votes with their feet and takes their health problems to medical tourism meccas like those in Bangkok and Singapore, voiding their own countries of additional income to health care providers. Policymakers are scrambling to expand hospital capacity, boost the pay of health professionals, and encourage investment to meet the demand.   

But governments do not wait. They are exploring hospital autonomy, decentralization, user fees and private sector participation. These policies often pose risks that need to be mitigated by policies and institutional arrangements. For example, health care providers sometimes order unnecessary procedures to earn additional revenue, thanks to the powerful incentive of the fee-for-service payment mechanism and information asymmetry between the patient and health care provider. This can mean financial ruin for both the patient and new, relatively weak health insurance agencies.

Despite these challenges, hospitals aren’t high on the international health development agenda, save a few initiatives to improve quality and provider payment reform.

Prospects Daily: Portuguese government bonds advance following successful short-term debt auction

Global Macroeconomics Team's picture

Important developments today:

1. Portuguese government bonds advance following successful short-term debt auction.

2. Deceleration in Eurozone manufacturing activity slows.

Informal Networks and Shadow Banking: Policy Implications

Robert Townsend's picture

Panel data can be used to measure directly or infer indirectly the presence and role of informal financial networks. In the Townsend Thai data (a collection of over 12 years of annual panel data for 900 households in 64 Thai) villages, networks are shown to play a beneficial role in smoothing consumption and investment against income and cash flow fluctuations. Villagers who lack formal financial access but are indirectly connected through networks receive the benefits of the formal financial system. Surveys of financial access  that ignore these networks can understate the reach of financial access while hiding the needs of the truly vulnerable (e.g., poor households without any kin in their village). Complementarities between the formal financial system and informal networks show up in bridge loans for repayment and the transactions demand for cash, revealing highly active informal money markets.

The same logic and data make labor supply and hours data conform with those of a sophisticated risk syndicate and make the rate of returns on investment/occupations conform with the theory of modern finance—in particular a capital asset pricing model applied to technologies/occupations with common market/village risk. We found that families engaged in occupations like rice farming require a higher expected return because this activity does well only when the village as a whole is doing well, and conversely occupations which are not covariate with market risk are recognized as particularly valuable. However, heterogeneous risk preferences creates a policy warning: outside insurance targeting village/market risk can actually make some in a village worse off, those had been providing insurance to others.

Fighting HIV/AIDS in Thailand: can distributing clean needles ever be as easy as giving out condoms?

Anne Elicaño's picture

Available in: Français, ภาษาไทย

When I think of HIV/AIDs, symbols pop into my mind: the red looped ribbon and the free condom. They’re actually a good representation of what Thailand is doing best to combat the epidemic- massive information campaigns and the 100% Condom Program which saw the dramatic decline of HIV/AIDS among sex workers.

However, those symbols faded in my mind after I visited an old, impoverished part of Bangkok and met the people who currently are the most vulnerable to HIV/AIDS- the injection drug users.

 

HIV/AIDS and other blood-borne diseases are transmitted when needles are shared. Under influence, many users are also likely to have unprotected sex.  There are programs called ‘harm reduction’ where drug users are provided with clean needles, syringes, and condoms to avoid transmission. Condom distribution is easy but needles are another issue.  

 

Far East solutions for nearby land questions

Menberu Allebachew's picture

I recently had the opportunity to organize and take part in an exchange learning visit to Thailand and Vietnam. The visit was aimed at improving the effectiveness of Ethiopia’s land administration system by enhancing stakeholders’ understanding of the sector’s policies and institutional constraints and how to address them through integrated but multi-faceted reforms and programs.

Over the past decade, Ethiopia has successfully implemented the worlds’ largest rural land registration program. The registration is implemented equitably and with clear positive impacts on conflict, productivity, investment, and rental market participation. However, constraints still exist. There’s a disconnect between urban and rural registration and administration, stagnant policy revisions remain, and there is often weak institutional capacity to act on and implement innovative ideas with the required speed.
When I first entertained the idea of heading to the Far East to learn from the experiences there, I was very skeptical and thought Vietnam and Thailand were just way too far… and I don’t just mean geographically. Once I arrived there, I realized that I was wrong and was pleasantly surprised to discover lots of very useful lessons that can help to initiate, improve, or at least reaffirm the course of Ethiopia’s land administration system.


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