The Politics of Health Policy Coalitions in Implementing Community Isolation Policy: A Comparative Study in the Thai Upper Northeast Region
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Published
Apr 25, 2023
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Abstract
This study aimed to explore the policy practices of different policy coalitions that participated in implementing the Community Isolation policy (CI) in two border provinces in Thailand, by adopting a comparative case study design which included interviews with 30 key policy actors. This research is significant because it explores the social acceptance of CI policy implementation, which is useful for improving preparations for future pandemic policies. The Advocacy Coalition Framework (ACF) was used to analyze the belief systems, resources, strategies, and coordination of different coalitions which implemented CI policy during a public health crisis. The study identified three policy coalitions in relation to the CI policy implementation and discovered that there was a shared belief system among the advocacy coalitions. The different local political contexts in the two provinces, however, offered different policy implementation challenges with the result that the members of each coalition applied or adjusted different strategies and resources to maintain their cross-coalition coordination. This study contributes to the understanding of CI policy implementation which has been one of the main policies of Thailand’s COVID-19 pandemic prevention strategy. It draws on a social science framework to investigate public health emergency issues which enhances academic dialogue across the public health science and social science disciplines. The benefits of this study include enriching knowledge and insight on policy theory and making a new contribution for future pandemic preparation.
Keywords: Health Politics, Policy Implementation, COVID-19, Border Provinces, Disease Prevention and Control
References
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Braun, V., & Clarke, V. (2022). Thematic Analysis: A Practical Guide. London: Sage Publications.
Clark, T., Foster, L., Sloan, L., & Bryman, A. (2021). Bryman’s Social Research Methods (6th ed.). Oxford: Oxford University Press.
Department of Health. (2021). Stand Together, for Everyone’s Safety. Bangkok: Beyond Publishing. Retrieved from https://planning.anamai.moph.go.th/th/covid-19-doh/3867#wow-book/
Department of Health, Ministry of Public Health. (2021). Community Isolation. Nonthaburi: Department of Health, Ministry of Public Health. Retrieved from https://www.pakkretcity.go.th/images/pdf/64/moph-community-isolation.pdf
Fischer, M. (2014). Coalition Structures and Policy Change in a Consensus Democracy. Policy Studies Journal, 42(3), 344-366. https://doi.org/10.1111/psj.12064
GHS Index. (n.d.). Welcome to the 2021 Global Health Security Index. Retrieved from https://www.ghsindex.org/
Gore, R., & Parker, R. (2019). Analysing Power and Politics in Health Policies and Systems. Global Public Health, 14(4), 481-488. https://doi:10.1080/17441692.2019.1575446
Heikkila, T., Berardo, R., Weible, C. M., & Yi, H. (2019). A Comparative View of Advocacy Coalitions: Exploring Shale Development Politics in the United States, Argentina, and China. Journal of Comparative Policy Analysis: Research and Practice, 21(2), 151-166. https://doi.org/10.1080/13876988.2017.1405551
Henry, A. D. (2011). Ideology, Power, and the Structure of Policy Networks. Policy Studies Journal, 39(3), 361-383. https://doi.org/10.1111/j.1541-0072.2011.00413.x
Henry, A. D., Ingold, K., Nohrstedt, D., & Weible, C. M. (2022). Advocacy Coalition Framework: Advice on Applications and Methods. In C. M. Weible, & S. Workman (Eds.), Methods of the Policy Process (pp. 105-136). New York: Routledge. https://doi.org/10.4324/9781003269083
Hfocus. (2021). Ready! The Care System for Patients at Home and Community “Home Isolation-Community Isolation”. Retrieved from https://www.hfocus.org/content/2021/07/22197
Ingold, K. (2011). Network Structures within Policy Processes: Coalitions, Power, and Brokerage in Swiss Climate Policy. Policy Studies Journal, 39(3), 435-459. https://doi.org/10.1111/j.1541-0072.2011.00416.x
Jenkins-Smith, H. C., Nohrstedt, D., Weible, C. M., & Ingold, K. (2018). The Advocacy Coalition Framework: An Overview of the Research Program. In C. M. Weible, & P. A. Sabatier (Eds.), Theories of the Policy Process (4th ed., pp. 135-172). New York: Routledge. https://doi.org/10.4324/9780429494284
Kongkirati, P. (2018). Haunted Past, Uncertain Future: The Fragile Transition to Military-guided Semi-authoritarianism in Thailand. In M. Cook, & D. Singh (Eds.), Southeast Asian Affairs (pp. 363-376). Singapore: ISEAS-Yusof Ishak Institute. Retrieved from https://www.jstor.org/stable/26492786
Li, W., & Weible, C. M. (2021). China’s Policy Processes and the Advocacy Coalition Framework. Policy Studies Journal, 49(3), 703-730. https://doi.org/10.1111/psj.12369
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic Inquiry. Thousand Oaks: SAGE Publications.
Ministry of Interior. (2021). A Minute Meeting Summary: Home Isolation and Community Isolation. Bangkok: Ministry of Interior. Retrieved from https://www.moicovid.com/wp-content/uploads/2021/08/มท0230-11647-ลว.15ส.ค.64-น.แจ้ง-กทม.-สรุปผลการประชุมผ่าน-VCS-13ส.ค.64.pdf
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Ministry of Public Health. (2022b). DDC COVID-19 Interactive Dashboard. Nonthaburi: Ministry of Public Health. Retrieved from https://ddc.moph.go.th/covid19-daily-dashboard/?dashboard=analysis-province
Nohrstedt, D. (2011). Shifting Resources and Venues Producing Policy Change in Contested Subsystems: A Case Study of Swedish Signals Intelligence Policy. Policy Studies Journal, 39(3), 461-484. https://doi.org/10.1111/j.1541-0072.2011.00417.x
Nong Khai Governor’s Office. (2020). The Nong Khai Provincial Development Plan 2018-2021 (An Annual 2020). Retrieved from http://202.28.118.8/nk2015/web/document/index?id=20
Office of the National Economic and Social Development Council. (n.d.). Thailand’s Special Economic Zones. Retrieved from https://www.nesdc.go.th/more_news.php?cid=482
Parasate, K., Suwannakoot, N., Meenakate, P., & Nakrukamphonphatn, S. (2022). Community Management for Caring People with COVID-19 Infections. Regional Health Promotion Center 9 Journal, 16(3), 908-923. Retrieved from https://he02.tci-thaijo.org/index.php/RHPC9Journal/article/view/258895
Pierce, J. J., & Osei-Kojo, A. (2022). The Advocacy Coalition Framework. In C. Ansell, & J. Torfing (Eds.), Handbook on Theories of Governance (pp. 353-364). Cheltenham: Edward Elgar Publishing. https://doi.org/10.4337/9781800371972.00041
Pierce, J. J., Peterson, H. L., Jones, M. D., Garrard, S. P., & Vu, T. (2017). There and Back Again: A Tale of the Advocacy Coalition Framework. Policy Studies Journal, 45(S1), S13-S46. https://doi.org/10.1111/psj.12197
Sabatier, P. A. (1988). An Advocacy Coalition Framework of Policy Change and the Role of Policy-oriented Learning Therein. Policy Sciences, 21(2/3), 129-168. Retrieved from http://www.jstor.org/stable/4532139
Sawaengsuk, S. (2022). The Model of Infectious Waste Management for Coronaviruses (COVID-19) in Field Hospital and Community Isolation: A Case Study of Surin Province. Academic Journal of Community Public Health, 8(3), 155-171. Retrieved from https://he02.tci-thaijo.org/index.php/ajcph/article/view/257667
Temudom, R., Jaichuang, S., Saisuwan, K., Abthaisong, P., & Piralam, B. (2021). The Development of Prevention Model for Coronavirus Disease 2019 by the Community Participatory Action in Nakhon Phanom Province. Journal of the Office of DPC 7 Khon Kaen, 28(1), 1-13. Retrieved from https://he01.tci-thaijo.org/index.php/jdpc7kk/article/view/247463
Thai Health Official. (2021). Guideline for Community Isolation Establishment. Bangkok: Thai Health Promotion Foundation. Retrieved from https://www.thaihealth.or.th/?p=194367
Thatsaeng, B., Nunta, P., Wongpalee, J., Pongpaew, W., Phanvatr, A., & Phansiri, P. (2022). Establishment and Caring for Elderly with COVID-19 in Maejo University Hospitech Community Isolation. Journal of Nurses Association of Thailand Northern Office, 28(1), 1-12. Retrieved from https://he01.tci-thaijo.org/index.php/
jnorthnurse/article/view/255563
Vogeler, C. S., & Bandelow, N. C. (2018). Mutual and Self Perceptions of Opposing Advocacy Coalitions: Devil Shift and Angel Shift in a German Policy Subsystem. Review of Policy Research, 35(5), 717-732. https://doi.org/10.1111/ropr.12299
Weible, C. M., Ingold, K., Nohrstedt, D., Henry, A. D., & Jenkins-Smith, H. C. (2020). Sharpening Advocacy Coalitions. Policy Studies Journal, 48(4), 1054-1081. https://doi.org/10.1111/psj.12360
Weible, C. M., & Nohrstedt, D. (2012). The Advocacy Coalition Framework: Coalitions, Learning and Policy Change. In E. Araral, S. Fritzen, M. Howlett, M. Ramesh, & X. Wu (Eds.), Routledge Handbook of Public Policy (pp. 125-137). London: Routledge.
Braun, V., & Clarke, V. (2022). Thematic Analysis: A Practical Guide. London: Sage Publications.
Clark, T., Foster, L., Sloan, L., & Bryman, A. (2021). Bryman’s Social Research Methods (6th ed.). Oxford: Oxford University Press.
Department of Health. (2021). Stand Together, for Everyone’s Safety. Bangkok: Beyond Publishing. Retrieved from https://planning.anamai.moph.go.th/th/covid-19-doh/3867#wow-book/
Department of Health, Ministry of Public Health. (2021). Community Isolation. Nonthaburi: Department of Health, Ministry of Public Health. Retrieved from https://www.pakkretcity.go.th/images/pdf/64/moph-community-isolation.pdf
Fischer, M. (2014). Coalition Structures and Policy Change in a Consensus Democracy. Policy Studies Journal, 42(3), 344-366. https://doi.org/10.1111/psj.12064
GHS Index. (n.d.). Welcome to the 2021 Global Health Security Index. Retrieved from https://www.ghsindex.org/
Gore, R., & Parker, R. (2019). Analysing Power and Politics in Health Policies and Systems. Global Public Health, 14(4), 481-488. https://doi:10.1080/17441692.2019.1575446
Heikkila, T., Berardo, R., Weible, C. M., & Yi, H. (2019). A Comparative View of Advocacy Coalitions: Exploring Shale Development Politics in the United States, Argentina, and China. Journal of Comparative Policy Analysis: Research and Practice, 21(2), 151-166. https://doi.org/10.1080/13876988.2017.1405551
Henry, A. D. (2011). Ideology, Power, and the Structure of Policy Networks. Policy Studies Journal, 39(3), 361-383. https://doi.org/10.1111/j.1541-0072.2011.00413.x
Henry, A. D., Ingold, K., Nohrstedt, D., & Weible, C. M. (2022). Advocacy Coalition Framework: Advice on Applications and Methods. In C. M. Weible, & S. Workman (Eds.), Methods of the Policy Process (pp. 105-136). New York: Routledge. https://doi.org/10.4324/9781003269083
Hfocus. (2021). Ready! The Care System for Patients at Home and Community “Home Isolation-Community Isolation”. Retrieved from https://www.hfocus.org/content/2021/07/22197
Ingold, K. (2011). Network Structures within Policy Processes: Coalitions, Power, and Brokerage in Swiss Climate Policy. Policy Studies Journal, 39(3), 435-459. https://doi.org/10.1111/j.1541-0072.2011.00416.x
Jenkins-Smith, H. C., Nohrstedt, D., Weible, C. M., & Ingold, K. (2018). The Advocacy Coalition Framework: An Overview of the Research Program. In C. M. Weible, & P. A. Sabatier (Eds.), Theories of the Policy Process (4th ed., pp. 135-172). New York: Routledge. https://doi.org/10.4324/9780429494284
Kongkirati, P. (2018). Haunted Past, Uncertain Future: The Fragile Transition to Military-guided Semi-authoritarianism in Thailand. In M. Cook, & D. Singh (Eds.), Southeast Asian Affairs (pp. 363-376). Singapore: ISEAS-Yusof Ishak Institute. Retrieved from https://www.jstor.org/stable/26492786
Li, W., & Weible, C. M. (2021). China’s Policy Processes and the Advocacy Coalition Framework. Policy Studies Journal, 49(3), 703-730. https://doi.org/10.1111/psj.12369
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic Inquiry. Thousand Oaks: SAGE Publications.
Ministry of Interior. (2021). A Minute Meeting Summary: Home Isolation and Community Isolation. Bangkok: Ministry of Interior. Retrieved from https://www.moicovid.com/wp-content/uploads/2021/08/มท0230-11647-ลว.15ส.ค.64-น.แจ้ง-กทม.-สรุปผลการประชุมผ่าน-VCS-13ส.ค.64.pdf
Ministry of Public Health. (2022a). Endemic Approach to COVID-19. Nonthaburi: Ministry of Public Health. Retrieved from https://www.pyomoph.go.th/backoffice/files/42090.pdf
Ministry of Public Health. (2022b). DDC COVID-19 Interactive Dashboard. Nonthaburi: Ministry of Public Health. Retrieved from https://ddc.moph.go.th/covid19-daily-dashboard/?dashboard=analysis-province
Nohrstedt, D. (2011). Shifting Resources and Venues Producing Policy Change in Contested Subsystems: A Case Study of Swedish Signals Intelligence Policy. Policy Studies Journal, 39(3), 461-484. https://doi.org/10.1111/j.1541-0072.2011.00417.x
Nong Khai Governor’s Office. (2020). The Nong Khai Provincial Development Plan 2018-2021 (An Annual 2020). Retrieved from http://202.28.118.8/nk2015/web/document/index?id=20
Office of the National Economic and Social Development Council. (n.d.). Thailand’s Special Economic Zones. Retrieved from https://www.nesdc.go.th/more_news.php?cid=482
Parasate, K., Suwannakoot, N., Meenakate, P., & Nakrukamphonphatn, S. (2022). Community Management for Caring People with COVID-19 Infections. Regional Health Promotion Center 9 Journal, 16(3), 908-923. Retrieved from https://he02.tci-thaijo.org/index.php/RHPC9Journal/article/view/258895
Pierce, J. J., & Osei-Kojo, A. (2022). The Advocacy Coalition Framework. In C. Ansell, & J. Torfing (Eds.), Handbook on Theories of Governance (pp. 353-364). Cheltenham: Edward Elgar Publishing. https://doi.org/10.4337/9781800371972.00041
Pierce, J. J., Peterson, H. L., Jones, M. D., Garrard, S. P., & Vu, T. (2017). There and Back Again: A Tale of the Advocacy Coalition Framework. Policy Studies Journal, 45(S1), S13-S46. https://doi.org/10.1111/psj.12197
Sabatier, P. A. (1988). An Advocacy Coalition Framework of Policy Change and the Role of Policy-oriented Learning Therein. Policy Sciences, 21(2/3), 129-168. Retrieved from http://www.jstor.org/stable/4532139
Sawaengsuk, S. (2022). The Model of Infectious Waste Management for Coronaviruses (COVID-19) in Field Hospital and Community Isolation: A Case Study of Surin Province. Academic Journal of Community Public Health, 8(3), 155-171. Retrieved from https://he02.tci-thaijo.org/index.php/ajcph/article/view/257667
Temudom, R., Jaichuang, S., Saisuwan, K., Abthaisong, P., & Piralam, B. (2021). The Development of Prevention Model for Coronavirus Disease 2019 by the Community Participatory Action in Nakhon Phanom Province. Journal of the Office of DPC 7 Khon Kaen, 28(1), 1-13. Retrieved from https://he01.tci-thaijo.org/index.php/jdpc7kk/article/view/247463
Thai Health Official. (2021). Guideline for Community Isolation Establishment. Bangkok: Thai Health Promotion Foundation. Retrieved from https://www.thaihealth.or.th/?p=194367
Thatsaeng, B., Nunta, P., Wongpalee, J., Pongpaew, W., Phanvatr, A., & Phansiri, P. (2022). Establishment and Caring for Elderly with COVID-19 in Maejo University Hospitech Community Isolation. Journal of Nurses Association of Thailand Northern Office, 28(1), 1-12. Retrieved from https://he01.tci-thaijo.org/index.php/
jnorthnurse/article/view/255563
Vogeler, C. S., & Bandelow, N. C. (2018). Mutual and Self Perceptions of Opposing Advocacy Coalitions: Devil Shift and Angel Shift in a German Policy Subsystem. Review of Policy Research, 35(5), 717-732. https://doi.org/10.1111/ropr.12299
Weible, C. M., Ingold, K., Nohrstedt, D., Henry, A. D., & Jenkins-Smith, H. C. (2020). Sharpening Advocacy Coalitions. Policy Studies Journal, 48(4), 1054-1081. https://doi.org/10.1111/psj.12360
Weible, C. M., & Nohrstedt, D. (2012). The Advocacy Coalition Framework: Coalitions, Learning and Policy Change. In E. Araral, S. Fritzen, M. Howlett, M. Ramesh, & X. Wu (Eds.), Routledge Handbook of Public Policy (pp. 125-137). London: Routledge.
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How to Cite
SUNTAYAKORN, Chuthaporn.
The Politics of Health Policy Coalitions in Implementing Community Isolation Policy: A Comparative Study in the Thai Upper Northeast Region.
Journal of Community Development Research (Humanities and Social Sciences), [S.l.], v. 16, n. 2, p. 36-49, apr. 2023.
ISSN 2985-0231.
Available at: <https://www.journal.nu.ac.th/JCDR/article/view/Vol-16-No-2-2023-36-49>. Date accessed: 30 apr. 2024.
doi: https://doi.org/10.14456/jcdr-hs.2023.14.