Nimit Tienudom

Ashoka Fellow
Fellow Since 2011


This profile was prepared when Nimit Tienudom was elected to the Ashoka Fellowship in 2011.
The New Idea
Nimit is leading the first citizen-based effort to comprehensively address the treatment of chronic diseases in Thailand. His work is changing the nature of interaction between patients and doctors, replacing one-way prescriptions with collaborative treatment groups in hundreds of low-income public hospitals across the country. Nimit’s work is also changing the relationship between patients and the pharmaceutical industry. He is raising the visibility of chronic disease patients as key stakeholders in determining the cost of essential drugs. Nimit has enabled unprecedented cross-sectoral partnership between patient groups, public health professionals, and consumer rights advocates. As a result, Thailand is the first country in the world to extend compulsory licensing, a common cost-cutting mechanism, from HIV drugs to major chronic illnesses such as heart disease, cancer, and some mental disorders. By integrating his work with the evolution of Thailand’s first universal health insurance plan, Nimit is increasing access to quality treatment for millions of chronic disease patients, by ensuring citizen participation in healthcare policy.
The Problem
The Strategy
The Person

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