Implementation of Health Literacy Promotion under the Health System Reform Plan in Thailand during 2015 to 2024: A Narrative Review

Authors

  • Saichon Kloyiam Division of Health Literacy and Health Communication, Department of Health, Ministry of Public Health
  • Withi Manomai Division of Health Literacy and Health Communication, Department of Health, Ministry of Public Health
  • Kampee Ngandee Division of Health Literacy and Health Communication, Department of Health, Ministry of Public Health
  • Akkhrawat Piawpongpakawat Division of Health Literacy and Health Communication, Department of Health, Ministry of Public Health

Keywords:

health literacy, progress, Thailand, action plan

Abstract

Thailand has been continuously promoting health literacy according to the National Reform Plan on Public Health since 2015. However, there is lack of systematic collection of data on the progress and challenges in health literacy promotion. This study aimed to present an overview of the development of health literacy promotion, the changes in the health literacy levels among Thai population, and the progress of Thailand's development and promotion of health literacy from 2015 to 2024. The study reviewed documents from surveys, official documents, and various reports related to health literacy promotion. The findings show that, overall, Thailand had made continuous progress in implementing health literacy promotion. There had been developments in policies, strategic plans, action plans, manuals, and working tools, as well as national surveys and project activities at the organizational, community, and individual levels. These actions were found among other countries as well. However, several challenges remained, including systemically integrating health literacy friendly practices into the existing systems, lack of practical indicators, and relatively limited implementation outside the public health sector. The future systematic promotion of health literacy requires support from all sectors to ensure that health literacy promotion would be integrated into health systems and societal activities.

References

Apfel F, Tsouros AD. Health literacy: the solid facts. Cph World Health Organ. 2013;15(1):3–26.

U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. National Action Plan to Improve Health Literacy. Washington, DC: Author; 2010.

Schaeffer D, Gille S, Hurrelmann K. Implementation of the national action plan health literacy in Germany—lessons learned. Int J Environ Res Public Health. 2020 June 19;17(12):4403.

Scottish Government. Making it easier: a health literacy action plan for Scotland 2017-2025 [internet]. 2017 [cited 2025 May 10]. Available from: https://www.gov.scot/publications/making-easier-health-literacy-action-plan-scotland-2017-2025/.

Australian Government. Consultation paper: development of the national health literacy strategy [internet]. [cited 2025 May 10]. Available from: https://consultations.health.gov.au/national-preventive-health-taskforce/national-health-literacy-strategy-framework-consul/supporting_documents/Att%20A%20%20NHLS%20Draft%20Framework%20for%20Consultation.pdf.

Primary Health Care Corporation. Corporate strategic plan 2024-2030 [internet]. [cited 2025 May 10]. Available from: https://www.phcc.gov.qa/docs/default-source/default-document-library/strategy-2024-2030-_v3.pdf.

Li Y, Lv X, Liang J, Dong H, Chen C. The development and progress of health literacy in China. Front Public Health. 2022 Nov 7;10:1034907.

Sukhera J. Narrative reviews in medical education: key steps for researchers. J Grad Med Educ. 2022 Aug;14(4):418–9.

Secretariat of the House of Representatives. Reform of health literacy and health communication [internet]. [cited 2025 Jun 20]. Reform of Health Literacy and Health Communication. Available from: https://old.parliament.go.th/ewtcommittee/ewt/drive_health/download/user_genocide508/810.pdf. (in Thai)

Secretariat of the House of Representatives. Progress report of health and environmental health reform [internet]. [cited 2025 Jun 20]. Available from: https://old.parliament.go.th/ewtcommittee/ewt/drive_health/download/article/article_20170815155701.pdf. (in Thai)

Asian Health Literacy Association. Conference 2016 - Conference - AHLA - Asian Health Literacy Association [internet]. [cited 2025 Jul 13]. Available from: https://www.ahla-asia.org/about/6.htm.

Asian Health Literacy Association. Conference 2017 - Conference - AHLA - Asian Health Literacy Association [internet]. [cited 2025 Jul 20]. Available from: https://www.ahla-asia.org/about/7.htm.

Royal Thai Government Gazette. Announcement of Health Reform [internet]. 2018 [cited 2025 Jul 25]. Available from: https://www.excise.go.th/cs/groups/public/documents/document/dwnt/mzyz/~edisp/uatucm363801.pdf. (in Thai)

Child Impact. Health literacy 66 key message [internet]. 2022 [cited 2025 May 8]. Available from: https://childimpact.co/learning/health-literacy-66-key-message. (in Thai)

Roma W, Kloyiam S. Thai health literacy survey (THL-S) of Thais aged 15 years and above, 2019. Nonthaburi: Health Systems Research Institute; 2019. (in Thai)

Mahidol University. MOU between Mahidol University and Department of Health on Health Literate Thai Society [internet]. [cited 2025 May 13]. Available from: https://mahidol.ac.th/th/2018/mou-ph-2/. (in Thai)

Thai Health Literacy Promotion Association. Thai Health Literacy Promotion Association: Health literacy propulsion [internet]. [cited 2025 May 8]. Available from: https://www.chonlatit.com/bs/indexDisplay.php?id=623. (in Thai)

Department of Health. Sasuk Oon Chai: HLO/HLC Hub [internet]. [cited 2025 May 11]. Available from: https://sasukoonchai.anamai.moph.go.th/. (in Thai)

Health Education Division. Health literacy and health behavior tools and guidelines [internet]. [cited 2025 May 8]. Available from: https://hed.hss.moph.go.th/tool-hlhb/. (in Thai)

National Health Commission Office. Resolution 11.3: Health literacy for the prevention and management of non-communicable diseases [internet]. Available from: https://www.samatcha.org/site/resolution/39a9b4e8-71dd-454a-99ff-cc943495f9ae/detail. (in Thai)

Mahidol University. Workshop on Health Literate Organization [internet]. [cited 2025 May 13]. Available from: https://mahidol.ac.th/event/คณะสาธารณสุขศาสตร์-จัดห/. (in Thai)

Department of Health. Sasuk Sure: RRHL [internet]. [cited 2025 Jun 1]. Available from: https://sasuksure.anamai.moph.go.th/. (in Thai)

Office of the National Economic and Social Development Council. Model scheme: 13.1: Wellbeing promotion [internet]. [cited 2025 Jun 20]. Available from: https://www.nesdc.go.th/wordpress/wp-content/uploads/2025/11/05-NS62-13.pdf. (in Thai)

Foundation of Royal Health Organization. Handbook for health literate organization development for primary health care organizations [internet]. [cited 2025 Jul 13]. Available from: https://dol.thaihealth.or.th/Media/Pdfview/021c6b23-e30d-eb11-80ec-00155d09b41f. (in Thai)

Office of the National Economic and Social Development Council. Revised national reform plan [internet]. [cited 2025 June 20]. Available from: cr-improvement.pdf. (in Thai)

Department of Disease Control. Handbook for promoting health literacy for disease control and health risk prevention [internet]. 2021 [cited 2025 May 10]. Available from: https://ddc.moph.go.th/uploads/publish/1188920211018040126.pdf. (in Thai)

Department of Disease Control. Assessment of health literacy for disease control and health risk prevention [internet]. 2022 [cited 2025 June 3]. Available from: https://datariskcom-ddc.moph.go.th/download/การประเมินความรอบรู้ด้-2/. (in Thai)

Asian Health Literacy Association. Conference 2022 - 8th AHLA International Conference [internet]. [cited 2025 Jul 13]. Available from: https://www.ahla-asia.org/about/23.htm.

Inspection Bureau. Inspection guideline [internet]. [cited 2025 Jun 23]. Available from: https://inspection.moph.go.th/e-inspection/file_docth/2025-02-13-03-13-44.pdf. (in Thai)

Thai Health Promotion Foundation. Master plan 2023-2027 [internet]. [cited 2025 Jun 24]. Available from: https://www.thaihealth.or.th/?p=326882. (in Thai)

Thai Health Promotion Foundation. National Health Literate Primary Health Care Organization Conference [internet]. 2023 [cited 2025 May 18]. Available from: https://www.thaihealth.or.th/ประชุมวิชาการระดับประเ/. (in Thai)

Asian Health Literacy Association. Conference 2023 - 9th AHLA International Conference [internet]. 2023 [cited 2025 Jul 13]. Available from: https://www.ahla-asia.org/about/24.htm.

Suerungruang S, Chamnankong K, Wanwaja M, Kloyiam S. The second health literacy survey of Thai population aged 15 years and above, 2023. Advancing health literacy in Thailand: a national assessment of current situation, determinants, and policy recommendation. Nonthaburi: Department of Health, Ministry of Public Health; 2024. (in Thai)

Department of Disease Control. National strategic action plan for non-communicable disease prevention: 2023-2027 [internet]. [cited 2025 May 3]. Available from: https://dmsic.moph.go.th/index/detail/9564. (in Thai)

Behavioral Science Research Institute. Manual of workshop on health literacy and health behavior promotion according to sufficiency philosophy to prevent NCDs among working age group [internet]. 2024 [cited 2025 May 14]. Available from: https://bsri.swu.ac.th/health-literacy/. (in Thai)

Asian Health Literacy Association. Conference 2024 - 10th AHLA International Conference [internet]. [cited 2025 Jul 13]. Available from: https://www.ahla-asia.org/about/25.htm.

Department of Health. 4th Annual National Health Literacy Meeting [internet]. [cited 2025 May 24]. Available from: https://sasukoonchai.anamai.moph.go.th/download/NHLA%202024%20BOOK%20_24092567.pdf. (in Thai)

Downloads

Published

30-12-2025

How to Cite

1.
Kloyiam S, Manomai W, Ngandee K, Piawpongpakawat A. Implementation of Health Literacy Promotion under the Health System Reform Plan in Thailand during 2015 to 2024: A Narrative Review. J Health Syst Res [internet]. 2025 Dec. 30 [cited 2026 Jan. 2];19(4):362-77. available from: https://he04.tci-thaijo.org/index.php/j_hsr/article/view/3683

Issue

Section

Original article