Decentralization of Public Health to Local Administrative Organizations in the Case of Emerging Diseases for the Management of the Spread of the Coronavirus Disease 2019 (COVID-19) During 2020-2022

Abstract

The objectives of this research article were to study 1) the problems of the Management of the Spread of the Coronavirus Disease 2019 (COVID-19) to local practices during 2020-2022. 2) The Decentralization of public health to local administrative organizations when the Spread of the Coronavirus Disease 2019 (COVID-19) During 2020-2022, and 3) the management of the spread of coronavirus disease 2019 (COVID-19) in the operations of local administrative organizations nationwide. Using qualitative research, data were collected through in-depth interviews with 39 experts involved in the management of the Spread of the coronavirus disease 2019. The purposive sampling was used, and the data were content analysis.

The research results found that 1) the problem conditions were (1) policy, law, measures, rules and regulations. (2) Limitations in legal authority. (3) Budget (4) Procurement regulations. (5) Public cooperation. (6) Insufficient personnel and (7) very little cooperation from other government agencies. 2) Decentralization were (1) the role of local administrative organizations It is an organization that is closest to the people and their problems.
(2) Decentralizing public health in managing the spread of the 2019 coronavirus disease in local areas should be a division of power with independence in self-governance.
(3) Decentralizing public health to local governments begins with the Act on the plan and procedures for decentralizing power to local areas. And 3) management were (1) the management of local administrative organizations is relatively independent. The central government's delegation of power through ministries or departments to regional or provincial agencies directly causes local administrative organizations to be strictly supervised by central and regional agencies. (2) The Government's policies for managing the spread of COVID-19 are appropriate for the situation and have independence. (3) The Main problems and obstacles are that the budget disbursement regulations for the procurement of medical supplies and equipment for disease prevention and control are not up to date with the situation because necessary goods are expensive. The management regulations do not have independence in terms of work. Local governments will have budget limitations, procurement processes, and people sometimes do not understand and do not cooperate, such as in the matter of quarantine, including lack of knowledge.