Abstract
Background: This paper aims to present practical experiences and lessons learned from applying an integrated worker health approach among informal workers in Thailand. The approach draws on the concept of Total Worker Health (TWH) and is implemented through Primary Care Units (PCUs).
Methods: This is an invited commentary.
Results: Key steps included: (1) identification of occupational health (OH) services provided by PCUs; (2) development and refinement of an integrated worker health assessment tool based on TWH principles; (3) assessment and problem identification among informal workers, highlighting combined occupational and lifestyle-related risks; (4) design and implementation of integrated interventions; and (5) stakeholder engagement and reflection on implementation challenges.
Conclusion: Lessons learned highlight the value of integrated approaches, multidisciplinary collaboration, and stakeholder engagement. Capacity building of frontline staff and the development of simple, practical models may support broader implementation of integrated worker health programs among informal workers.
Keywords: Informal workers, integrated worker health, occupational health, lifestyle factors, lessons learned, primary care
Recommended Citation
Untimanon O.
Moving beyond Occupational Health: Lessons from Implementing Integrated Worker Health Programs among Informal Workers in Thailand.
J Health Res.
2026;
40(1):-.
DOI: https://doi.org/10.56808/2586-940X.1202
References
[1] Thailand, Ministry of Digital Economy and Society, National Statistical Office. The informal employment survey 2025. Bangkok: National Statistical Office; 2025 [cited 2026 Apr 10]. Available from: https://www.nso.go.th/public/e-book/Statistical-Yearbook/SYB-2025/149/.
[2] World Health Organization [WHO]. Noncommunicable diseases: key facts. Geneva: WHO; 2023 [cited 2026 Apr 12]. Available from: https://www.who.int/news-room/factsheets/detail/noncommunicable-diseases.
[3] Chaiwangwat L, Kanamee P, Untimanon O. Workers' health behaviors among high-risk groups of informal workers. Proceedings of the 3rd international conference on occupational and environmental diseases (ICOED) Nonthaburi: Division of Occupational and Environmental Diseases, Department of Disease Control, 15—17; 2023 Mar [cited 2026 Apr 12]. Available from: https://ddc.moph.go.th/doed/journal_detail.php?publish=14577.
[4] National Institute for Occupational Safety and Health [NIOSH]. Fundamentals of total worker health approaches: essential elements for advancing worker safety, health, and well-being. Cincinnati, OH: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2017 [cited 2024 Mar 12]. Available from: https://www.cdc.gov/niosh/docs/2017-112/pdfs/2017_112.pdf.
[5] Thailand, Primary Health Care System Support Division. List of tambon health promoting hospitals and queen sirikit 60th anniversary health centers transferred to provincial administrative organizations. Bangkok: Ministry of Public Health; 2026 [cited 2026 Apr 20]. Available from: https://phc.moph.go.th/.
[6] Thailand, Ministry of Public Health, Department of Disease Control, Division of Occupational and Environmental Diseases. Final report: Development of an integrated participatory mechanism to implement the Occupational and Environmental Diseases Control Act B.E2562. Nonthaburi: Department of Disease Control; 2019. 2025.