‘ensuring child and maternal health - key to universal ...€¦ · ensuring child and maternal...

12
The 12th SEA Regional Scientific Meeting of the International Epidemiological Association jointed with The 2nd Annual Conference of TAI and The Journalists and Writers Foundation (UN ECOSOC Member) ‘Ensuring Child and Maternal Health - Key to Universal Health Coverage’ Contact details: tel. +662 714 2590-1, fax. +662 714 2656 website: www.ieathailand2015.com email: [email protected] November 24 - 26, 2015 Montien Riverside Hotel, Bangkok, Thailand

Upload: others

Post on 16-Oct-2020

3 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: ‘Ensuring Child and Maternal Health - Key to Universal ...€¦ · Ensuring Child and Maternal Health- Key to Universal Health Coverage and with its five main subtopic which are

The 12th SEA Regional Scientific Meeting of the International Epidemiological Association

jointed with The 2nd Annual Conference of TAI and The Journalists and Writers Foundation (UN ECOSOC Member)

‘Ensuring Child and Maternal Health - Key to Universal Health Coverage’

Contact details:tel. +662 714 2590-1, fax. +662 714 2656website: www.ieathailand2015.comemail: [email protected]

November 24 - 26, 2015 Montien Riverside Hotel, Bangkok, Thailand

Page 2: ‘Ensuring Child and Maternal Health - Key to Universal ...€¦ · Ensuring Child and Maternal Health- Key to Universal Health Coverage and with its five main subtopic which are

WEL

CO

ME

MES

SAG

E On behalf of the National Institute for Child and Family, Mahidol Universi-ty and the Congress organizing committee, we are delighted to welcome you to the 12th SEA Regional Scientific Meeting of the Interna-tional Epidemiological Association 2015 (IEA-SEACON 2015), which will be held in Bangkok, Thailand in November.

Especially in the year 2015 Thailand and other nine countries in ASEAN will announce formally for the year of ASEAN SUMMIT and Bangkok is the place in the center of the whole region in the map of region too. And the reason for the period of time is that every year in November, Loy Krathong falls on the night of the twelfth lunar month, at the end of the rainy season when the full-moon lights up the sky. The sight of thousands of Krathongs, their flickering candles sending a thousand pinpoints of light far into the horizon is a truly magical site, and there are plenty of places in Bangkok where you can get is involved with the festivities. Bangkok itself has numerous tourist attractions and is also a transit center for visiting regional attractions such as Chiang Mai, Koh Samui, Phuket, etc., either in the pre-or-post congress period.

The congress venue, the Montien Riverside Hotel in heart of Bangkok, Thailand, was selected to be a landmark located on the riverside Chao-Phraya in this Loykrathong festival with the convenient access to the subway (MRT), and not far from the sky train (BTS) terminal, and also filled with hotels and shopping districts close to the world’s famous river-side market “Asiatique market”. The event promises you an enlightening scientific activities and cultural & social activities particularly, the Thai hospitality.

The internationally renowned faculty will deliver interesting lectures and interactive workshops, including a pre congress hands-on cadaveric workshop, instructed and facilitated by world-experienced experts. The program will set along to the theme of the conference which is the Ensuring Child and Maternal Health- Key to Universal Health Coverage and with its five main subtopic which are Non communicable health risk, Emerging communicable; new approach and new surveillance system, District Health system/health system in cyber world, Family development and Child and adolescent and youth development and behavior. Researchers will have an avenue to present their innovative studies .The scientific program was arranged to be appropriate for both the doctors and allied health personnel and public health or also whoever working in epidemiology side, human development section too.

We welcome you to come and enjoy, and participating the12th SEA Regional Scientific Meeting of the International Epidemiological Associ-ation 2015 (IEA-SEACON 2015). We will ensure that you will have a fabu-lous experiences in this prime time and prime venue in Bangkok (the world’s best city for four consecutive years by Travel &Leisure magazine ). We would like to give you Thai traditional greeting “Sawasdee” to all of our honored participants.

Dr. Suriyadeo Tripathi, Assoc. Prof.Organizing Secretary

Page 3: ‘Ensuring Child and Maternal Health - Key to Universal ...€¦ · Ensuring Child and Maternal Health- Key to Universal Health Coverage and with its five main subtopic which are

National Institute for Child and Family DevelopmentThe Institute intends to be standing as a leading ASEAN interdisci-plinary institute for the child, youth and family development by Year 2018. In this regard, certain actions have been taken to receive 5 main results as follows: 1. center for the management of theoretical knowledge regard-ing child, youth and family development; 2. formation of academic collaboration between the ASEAN and international academic institutes regarding human develop-ment; 3. standing as an training institute to improve the competence of people working for the child, youth and family development; 4. being the knowledge management center for the public policy development; and 5. management and movement of knowledge about the child, youth and family development to the Thai society. N

ICFD

MA

HID

OL

UN

IVER

SITY

The origins of Mahidol University date back over 120 years to the creation of a medical school at Thailand’s first hospital (Siriraj Hospital). Following many years of expansion, the school became the University of Medical Sciences in 1943. It was then renamed with great honor by H.M. King Bhumibol Adulyadej in 1969 after his father H.R.H. Prince Mahidol of Songkla (who is widely regarded as the 'Father of Modern Medicine and Public Health in Thailand').

Today, Mahidol University is a comprehensive research and multi-disci-plinary institution, with 4 University Hospitals, 17 Faculties, 6 Colleges and 8 Institutes. The university has 6 campuses nationwide, three of which are located in and around Bangkok. These are joined by campuses in Kanchanaburi, Nakhon Sawan and Amnaj Charoen, in the west, cen-tral-north and north-east of Thailand respectively.

From tackling today’s medical, social, and environmental concerns to addressing the priorities of tomorrow, research at Mahidol University aims to develop innovative solutions to Thailand’s and the world’s most important challenges. Crucial to this approach is the belief that research should not merely be geared towards publication, but engage directly with real-world problems.

Being internationally recognized for the quality of its research, health-care services, innovation, and outstanding achievements, the University is consistently ranked as one of the top universities in Thailand by interna-tional ranking systems (including the US News, QS and Times Higher Education Rankings).

Page 4: ‘Ensuring Child and Maternal Health - Key to Universal ...€¦ · Ensuring Child and Maternal Health- Key to Universal Health Coverage and with its five main subtopic which are

IEASEAChairperson: Dr. Udom Kachintorn, Clin. Prof. President of Mahidol University, Thailand

Vice Chairperson:Mr. Mustafa Yesil, President of Journalists and Writers Foundation (GYV) Turkey.

Organizing Secretary:Dr. Suriyadeo Tripathi, Assoc. Prof.Director, National Institute for Child and Family Development,Mahidol University, Salaya, Nakhon Pathom, Thailand

International Advisory Committee:i. Prof. Dame Valerie Beral, UKii. Prof. Dr. Vinod Srivastava, Indiaiii. Prof. Dr. Umesh Kapil, Indiaiv. Dr. MSA Mansur Ahmed, Bangladeshv. Dr. Janaki Vidanapathirana, Sri Lankavi. Dr. SB Dixit, Nepal

Local Advisory Committee:i. Dr. Jittra Sithi-amorn, Prof. Emeritus (Past President, World IEA)ii. Dr. Saisuree Chutikuliii. Dr. Pensri Phichaisanit, Prof. Emeritusiv. Dr. Somsak Lolekha, Prof. Emeritusv. Dr. Chanika Tuchinda, Prof. Emeritusvi. Dr. Vicharn Panich, Prof.vii. Dr. Naiphinich Kotchabhakdi, Assoc. Prof. viii. Dr. Banchong Mahaisayariya, Prof.ix. Dr. Pornchai Mulpruek, Clin. Prof.x. Dr. Sansanee Chaiyaroj, Prof.xi. Dr. Phitaya Charupoonphol, Assoc. Prof. xii. Dr. Krisada Ruangareerat, ThaiHealthxiii. Dr. Prayoon Fongsatitkul, Assoc. Prof. xiv. Dr. Yaowalark Sukthana, Prof. xv. Mr. Bijaya Rajbhandari, UNICEFxvi. Mr. Engin Yasmun, Thailand Achievement Institute

Page 5: ‘Ensuring Child and Maternal Health - Key to Universal ...€¦ · Ensuring Child and Maternal Health- Key to Universal Health Coverage and with its five main subtopic which are

Scientific Committee:i. Dr. Nittaya Kotchabhakdi, Assoc. Prof., Chairii. Dr. Pimpan Silapasuwan, Prof.iii. Dr. Kwanjai Amnatsatsue, Asst. Prof.iv. Dr. Nitaya Vajanapoom, Assoc. Prof.v. Dr. Somjai Puttapitukpol, Assoc. Prof.vi. Pipat Luksamijarulkul, Assoc. Prof.vii. Dr. Arpaporn Powwattana, Assoc. Prof.viii. Dr. Wisit Chaveepojnkamjorn, Assoc. Prof.ix. Dr. Wah Yun Low, Prof.x. Ebata Yoshie, Prof.xi. Dr. Veena Jirapaet, Prof.xii. Dr.Patcharaporn Kerdmongkol, Asst. Prof.xiii. Dusit Sujirarat, Assoc. Prof.xiv. Dr. Nootchanart Rukseexv. Dr. Panadda Thanasetkorn Treasurer: Dr. Nootchanart Ruksee

Registration Committee:Dr. Wimontip Musikabhan, Asst. Prof., Chair

AV/Venue Arrangements: Dr. Nonthasrung Kleebpung, ChairMr. Ithipol Pretipasong

Reception and Social Committee:Ms. Wanpimon Senapadpakorn, ChairDr. Kaewta Nopmaneejumruslers

Accommodation Committee: Mrs. Saisunee Benjapokee, Chair

Tour and Transport Committee:Dr. Athiwat Jiawiwatkul, ChairDr. Sarun Kunwittaya

Secretariat Office:Wild Blue Congress Organizer19/2 Ekamai 10, Sukhumvit 63, Wattana, Bangkok,10110, ThailandTel. +662 714 2590 Fax. +662 714 2656website: www.ieathailand2015.comemail: [email protected]

Page 6: ‘Ensuring Child and Maternal Health - Key to Universal ...€¦ · Ensuring Child and Maternal Health- Key to Universal Health Coverage and with its five main subtopic which are

PROGRAMSchedule

!"#$%&#!'()** !+#$%&#!'()* !)#$%&#!'()* !,#$%&#!'()*-.''*/0*#*1."'*/0*!"#$%&'(&$)*+*1.''*/0*#*('.''*/0!!"#$!%&'($#$'%$!)$))*&')+,&#-).&/)***

2."'*/0*#*-.''*/0*!"#$%&'(&$)*+*-.''*/0*#*-."'*/0**,-"*$*#+."'"/)*0** *-."'*/0*#*('.''*/0*"0$'1#2!)$))*&'!3*

-.''*/0*#*-."'*/0*!"#$%&'(&$)*+*-."'*/0*#*('.''*/0**"0$'1#2!)$))*&'!4*

-.''*/0*#*-."'*/0*!"#$%&'(&$)*+*-."'*/0*#*('.''*/0**"0$'1#2!)$))*&'!5*

('.''*/0*#*('."'*/0*6$1!7*8$!!!*

('.''*/0*#*('."'*/0*6$1!7*8$!!!*"&)7$#!)$))*&'!!

('.''*/0*#*('."'*/0*6$1!7*8$!!!*"&)7$#!)$))*&'*

('.''*/0*#*('."'*/0*6$1!7*8$!!!

*"&)7$#!)$))*&'*

*('."'*/0*#*(.''*30*"#$!%&'($#$'%$!)$))*&')+,&#-).&/)***!

('."'*/0*#*(.''*30**9#10!/#$)$'717*&'**45/67*89:9;9<*

('."'*/0*#*(.''*30**9#10!/#$)$'717*&'**45/67*89:9;9<*

('."'*/0*#*$%%=*"0$'1#2!)$))*&'!:!!$%%=*#*(.''*30!;0&)*'<!%$#$8&'2!*

(.''*30*#*!.''*30**=>'%.!!!!*

(.''*30*#*!.''*30**=>'%.!!!!*

(.''*30*#*!.''*30**=>'%.!!!!*

(.''*30*#*!.''*30**=>'%.!!!!*

!.''*30*#*+."'*30**"#$!%&'($#$'%$!)$))*&')+,&#-).&/)**!

!.''*30*#*+.''*30**9#10!/#$)$'717*&'!!*

!.''*30*#*+.''*30**9#10!/#$)$'717*&'!!*

***!.''*30*%=>/5?@*#**"&)7!;&'($#$'%$!7&>#)**

+."'*30*#*).''*30*6$1!7*8$!!!*

+.''*30*#*+."'*30*6$1!7*8$!!!"&)7$#!)$))*&'!!

+.''*30*#*+."'*30*6$1!7*8$!!!"&)7$#!)$))*&'*

).()*30*#,.()*30*?@A!B$<*&'10!A))$8C02!8$$7*'<*

+."'*30*#*,.''*30**9#10!/#$)$'717*&'!!

+."'*30*#*,.''*30**9#10!/#$)$'717*&'**

* ,."'*30*#*1.''*30*"#$)*D$'7*10!D*''$#!E*'F*7$D!&'02G*

,."'*30*#*1.''*30*H101!I*''$#***

!

Loy Krathong Festival

Page 7: ‘Ensuring Child and Maternal Health - Key to Universal ...€¦ · Ensuring Child and Maternal Health- Key to Universal Health Coverage and with its five main subtopic which are

CALL FOR ABSTRACTThe abstracts for oral or poster presentations will be accepted under the topics of main and subthemes. The online submission will be ready by March 15, 2015. There is no paper based submission for this meeting. The accepted abstracts must be accompanied with the completed conference registration.

Abstract Submission Guidelines1. Must be limited to 350 words (excluding title, author and affilia-tion)- Background: statement of the public health issue that is addressed by your study; what is known and what is not known.- Study Question : one sentence stating your study question(s).- Methods: concise description of study design, data sources and analysis methods; including study limitations.- Result : key findings from data analysis and liminations.- Conclusions: summary statement of key findings.- Public Health Implications : statement of potential uses of this study for science, policy, programs, public or provider education.2. Edit abstracts carefully before submission.

Important Dates:May 31, 2015 Scholarship application deadlineJune 15, 2015 Abstract submission deadlineJuly 31, 2015 Notification of abstract acceptanceJuly 31, 2015 Notification of Scholarship acceptanceAugust 31, 2015 Early registration deadline

!"#$%&#!'()** !+#$%&#!'()* !)#$%&#!'()* !,#$%&#!'()*-.''*/0*#*1."'*/0*!"#$%&'(&$)*+*1.''*/0*#*('.''*/0!!"#$!%&'($#$'%$!)$))*&')+,&#-).&/)***

2."'*/0*#*-.''*/0*!"#$%&'(&$)*+*-.''*/0*#*-."'*/0**,-"*$*#+."'"/)*0** *-."'*/0*#*('.''*/0*"0$'1#2!)$))*&'!3*

-.''*/0*#*-."'*/0*!"#$%&'(&$)*+*-."'*/0*#*('.''*/0**"0$'1#2!)$))*&'!4*

-.''*/0*#*-."'*/0*!"#$%&'(&$)*+*-."'*/0*#*('.''*/0**"0$'1#2!)$))*&'!5*

('.''*/0*#*('."'*/0*6$1!7*8$!!!*

('.''*/0*#*('."'*/0*6$1!7*8$!!!*"&)7$#!)$))*&'!!

('.''*/0*#*('."'*/0*6$1!7*8$!!!*"&)7$#!)$))*&'*

('.''*/0*#*('."'*/0*6$1!7*8$!!!

*"&)7$#!)$))*&'*

*('."'*/0*#*(.''*30*"#$!%&'($#$'%$!)$))*&')+,&#-).&/)***!

('."'*/0*#*(.''*30**9#10!/#$)$'717*&'**45/67*89:9;9<*

('."'*/0*#*(.''*30**9#10!/#$)$'717*&'**45/67*89:9;9<*

('."'*/0*#*$%%=*"0$'1#2!)$))*&'!:!!$%%=*#*(.''*30!;0&)*'<!%$#$8&'2!*

(.''*30*#*!.''*30**=>'%.!!!!*

(.''*30*#*!.''*30**=>'%.!!!!*

(.''*30*#*!.''*30**=>'%.!!!!*

(.''*30*#*!.''*30**=>'%.!!!!*

!.''*30*#*+."'*30**"#$!%&'($#$'%$!)$))*&')+,&#-).&/)**!

!.''*30*#*+.''*30**9#10!/#$)$'717*&'!!*

!.''*30*#*+.''*30**9#10!/#$)$'717*&'!!*

***!.''*30*%=>/5?@*#**"&)7!;&'($#$'%$!7&>#)**

+."'*30*#*).''*30*6$1!7*8$!!!*

+.''*30*#*+."'*30*6$1!7*8$!!!"&)7$#!)$))*&'!!

+.''*30*#*+."'*30*6$1!7*8$!!!"&)7$#!)$))*&'*

).()*30*#,.()*30*?@A!B$<*&'10!A))$8C02!8$$7*'<*

+."'*30*#*,.''*30**9#10!/#$)$'717*&'!!

+."'*30*#*,.''*30**9#10!/#$)$'717*&'**

* ,."'*30*#*1.''*30*"#$)*D$'7*10!D*''$#!E*'F*7$D!&'02G*

,."'*30*#*1.''*30*H101!I*''$#***

!

Page 8: ‘Ensuring Child and Maternal Health - Key to Universal ...€¦ · Ensuring Child and Maternal Health- Key to Universal Health Coverage and with its five main subtopic which are

REGISTRATIONCategory

South East Asia Region /SAARC Countries/

Other Countries

Students from SAARC & SEA*

Other students*

IEA Members/INCLEN Members/

TAI Members

200

250

100

150

Normal rate

250

300

150

200

Please transfer the registration fee to

Accounts Name: IEA 2015

Account Number: 333-251612-3

Name of Bank: Siam Commercial Bank

Swift Code: SICOTHBK

* The transferring fee must be covered by the sender. Please fax or email the bank document / slip to secretariat + 662 714 2656 or [email protected]

BENEFIT Full registration includes: Attendance at all scientific sessions, Conference Kit,Coffee Breaks and lunches and Gala Dinner.

Gala Dinner is excluded with the registration rate of student category*

CANCELLATION POLICYBefore September 30, 2015, 50% of registration will be refunded. No refund in any cases after this deadline. The Cancellation must be in a written document to the secretariat office.

Online registration will be ready by

April 15, 2015

(all rates are quoted in US$)

- From September 1, 2015 with late fee of 50 US $ applied

Page 9: ‘Ensuring Child and Maternal Health - Key to Universal ...€¦ · Ensuring Child and Maternal Health- Key to Universal Health Coverage and with its five main subtopic which are

VENUE

Offering 5-star luxury along Bangkok's legendary River of Kings, Montien Riverside Hotel welcomes guests to a tranquil oasis of pure Thai hospitality and sheer international excellence. All of the hotel's 462 well appointed and spacious guestrooms com-mand panoramic river views, complement-ed by excellent facilities, gracious Thai hospitality and impeccable service.

Montien Riverside Hotel, Bangkok (on the Chao Phraya River) is a relaxed and open setting away from the city crowds, yet just 40 minutes from Suvarnabhumi Airport and 10 minutes to Bangkok's financial and enter-tainment hub. Here tourists and business people alike can enjoy the calm and sense of space that only a riverside setting can offer, while having the peace of mind that convenient roads, the BRT Station and expressway links bring all parts of the city within easy reach.

Reservation form is provided on the website.

Montien Riverside Hotel 372 Rama 3 Road, Bangkhlo, Bangkok 10120, Thailand.Tel: (+662) 292-2999, (+662) 292-2888 Fax: (+662) 292-2962-3 Website: www.montien.com/riverside/E-mail: [email protected]

Room Room Rate / Night (THB) Single TwinDeluxe 2,500 2,800Extra Bed 1,500

* Net price* Internet and breakfast Included

Page 10: ‘Ensuring Child and Maternal Health - Key to Universal ...€¦ · Ensuring Child and Maternal Health- Key to Universal Health Coverage and with its five main subtopic which are

ATT

RAC

TIO

NS

Asiatique has successfully combined two of the most popular shopping experiences in the city: a night bazaar and a mall. Ten minutes downriver from Saphan Taksin BTS station this once-bus-tling international trade port has been transformed, with over 1,500 boutiques and 40 restaurants housed under a huge replica warehouse complex. Open from 17:00, spending an evening here is no problem: you’ll have good fun browsing the boutiques, picking up gifts or something for yourself; you are guaranteed to find something you would like to eat and if this isn’t enough entertainment, shows are performed nightly: Calypso ladyboy cabaret and soon, a classic Thai puppets performance.

There is a shuttle boat from Montien riverside hotel offered for hotel guests

Bangkok at night, especially along the city's spectacular Chao Praya River, is a wonder to behold. For proof of this, look no further than one of many available Dinner Cruises. While you wine and dine in luxurious surroundings, you'll get a true taste of just how much this city dazzles at night.

Shimmering temples, glistening skyscrapers and a rich stream of passing nocturnal traffic will greet you from every direction. As you lap up the first-class hospitality and delicious Thai food on board your converted rice barge or luxury cruiser, you'll get a true sense of what makes the 'River of Kings' such an evocative spot. Rounding off the experience will be a cool, tropical breeze and romantic candlelit ambiance, making this a simply unforgettable occasion.

If there is one must-see sight that no visit to Bangkok would be complete without, it's the dazzling, spectacular Grand Palace, undoubtedly the city's most famous landmark. Built in 1782 - and for 150 years the home of the Thai King, the Royal court and the administrative seat of government - the Grand Palace of Bangkok is a grand old dame indeed, that continues to have visitors in awe with its beautiful architecture and intricate detail, all of which is a proud salute to the creativity and craftsmanship of Thai people. Within its walls were also the Thai war ministry, state departments, and even the mint. Today, the complex remains the spiritual heart of the Thai Kingdom.

One of the most picturesque festivals in Bangkok is the evening of Loy Krathong, when people gather around lakes, rivers and canals to pay respects to the goddess of water by releasing beautiful lotus shaped rafts, decorated with candles, incense and flowers onto the water.

Every year, Loy Krathong falls on the night of the twelfth lunar month (usually in November), at the end of the rainy season when the full-moon lights up the sky. This year, this festival will be held during our conference, Novem-ber 25, 2015. We would like to welcome you to join us the Gala Dinner and enjoy the festival. Lights from hundreds of candles twinkle on the water. Each one carries prayers and wishes sent off to float down rivers and streams. Celebrate Loy Krathong with us to create lasting memories of your wonderful trip to Thailand.

Page 11: ‘Ensuring Child and Maternal Health - Key to Universal ...€¦ · Ensuring Child and Maternal Health- Key to Universal Health Coverage and with its five main subtopic which are

!"#$%&#!'()** !+#$%&#!'()* !)#$%&#!'()* !,#$%&#!'()*-.''*/0*#*1."'*/0*!"#$%&'(&$)*+*1.''*/0*#*('.''*/0!!"#$!%&'($#$'%$!)$))*&')+,&#-).&/)***

2."'*/0*#*-.''*/0*!"#$%&'(&$)*+*-.''*/0*#*-."'*/0**,-"*$*#+."'"/)*0** *-."'*/0*#*('.''*/0*"0$'1#2!)$))*&'!3*

-.''*/0*#*-."'*/0*!"#$%&'(&$)*+*-."'*/0*#*('.''*/0**"0$'1#2!)$))*&'!4*

-.''*/0*#*-."'*/0*!"#$%&'(&$)*+*-."'*/0*#*('.''*/0**"0$'1#2!)$))*&'!5*

('.''*/0*#*('."'*/0*6$1!7*8$!!!*

('.''*/0*#*('."'*/0*6$1!7*8$!!!*"&)7$#!)$))*&'!!

('.''*/0*#*('."'*/0*6$1!7*8$!!!*"&)7$#!)$))*&'*

('.''*/0*#*('."'*/0*6$1!7*8$!!!

*"&)7$#!)$))*&'*

*('."'*/0*#*(.''*30*"#$!%&'($#$'%$!)$))*&')+,&#-).&/)***!

('."'*/0*#*(.''*30**9#10!/#$)$'717*&'**45/67*89:9;9<*

('."'*/0*#*(.''*30**9#10!/#$)$'717*&'**45/67*89:9;9<*

('."'*/0*#*$%%=*"0$'1#2!)$))*&'!:!!$%%=*#*(.''*30!;0&)*'<!%$#$8&'2!*

(.''*30*#*!.''*30**=>'%.!!!!*

(.''*30*#*!.''*30**=>'%.!!!!*

(.''*30*#*!.''*30**=>'%.!!!!*

(.''*30*#*!.''*30**=>'%.!!!!*

!.''*30*#*+."'*30**"#$!%&'($#$'%$!)$))*&')+,&#-).&/)**!

!.''*30*#*+.''*30**9#10!/#$)$'717*&'!!*

!.''*30*#*+.''*30**9#10!/#$)$'717*&'!!*

***!.''*30*%=>/5?@*#**"&)7!;&'($#$'%$!7&>#)**

+."'*30*#*).''*30*6$1!7*8$!!!*

+.''*30*#*+."'*30*6$1!7*8$!!!"&)7$#!)$))*&'!!

+.''*30*#*+."'*30*6$1!7*8$!!!"&)7$#!)$))*&'*

).()*30*#,.()*30*?@A!B$<*&'10!A))$8C02!8$$7*'<*

+."'*30*#*,.''*30**9#10!/#$)$'717*&'!!

+."'*30*#*,.''*30**9#10!/#$)$'717*&'**

* ,."'*30*#*1.''*30*"#$)*D$'7*10!D*''$#!E*'F*7$D!&'02G*

,."'*30*#*1.''*30*H101!I*''$#***

!

1. Surname : ...............................................................................................................

2. First Name : .............................................................................................................

3. Full Postal Address:..................................................................................................

.......................................................................................................................................

4. Phones : Work Place (with STD Code) ...................................................................

Mobile: ..........................................................................................................................

5. Email : ........................................................................................................................

6. Details of accompanying person:

Serial No. Name Relation to Delegate

............................................................................................................................................

............................................................................................................................................

............................................................................................................................................

............................................................................................................................................

............................................................................................................................................

Additional Gala dinner ticket ( 50 US$) .................. pac.

7. Payment Details:

Total registration fee : ............................ US$

Please transfer the payment to

Accounts Name: IEA 2015

Account Number: 333-251612-3

Name of Bank: Siam Commercial Bank

Swift Code: SICOTHBK

* The transferring fee must be covered by the sender. Please fax or email the bank

document / slip to secretariat + 662 714 2656 or [email protected]

Signature : .......................................................... Date: ...............................................

Registration Form

Page 12: ‘Ensuring Child and Maternal Health - Key to Universal ...€¦ · Ensuring Child and Maternal Health- Key to Universal Health Coverage and with its five main subtopic which are

!"#$%&#!'()** !+#$%&#!'()* !)#$%&#!'()* !,#$%&#!'()*-.''*/0*#*1."'*/0*!"#$%&'(&$)*+*1.''*/0*#*('.''*/0!!"#$!%&'($#$'%$!)$))*&')+,&#-).&/)***

2."'*/0*#*-.''*/0*!"#$%&'(&$)*+*-.''*/0*#*-."'*/0**,-"*$*#+."'"/)*0** *-."'*/0*#*('.''*/0*"0$'1#2!)$))*&'!3*

-.''*/0*#*-."'*/0*!"#$%&'(&$)*+*-."'*/0*#*('.''*/0**"0$'1#2!)$))*&'!4*

-.''*/0*#*-."'*/0*!"#$%&'(&$)*+*-."'*/0*#*('.''*/0**"0$'1#2!)$))*&'!5*

('.''*/0*#*('."'*/0*6$1!7*8$!!!*

('.''*/0*#*('."'*/0*6$1!7*8$!!!*"&)7$#!)$))*&'!!

('.''*/0*#*('."'*/0*6$1!7*8$!!!*"&)7$#!)$))*&'*

('.''*/0*#*('."'*/0*6$1!7*8$!!!

*"&)7$#!)$))*&'*

*('."'*/0*#*(.''*30*"#$!%&'($#$'%$!)$))*&')+,&#-).&/)***!

('."'*/0*#*(.''*30**9#10!/#$)$'717*&'**45/67*89:9;9<*

('."'*/0*#*(.''*30**9#10!/#$)$'717*&'**45/67*89:9;9<*

('."'*/0*#*$%%=*"0$'1#2!)$))*&'!:!!$%%=*#*(.''*30!;0&)*'<!%$#$8&'2!*

(.''*30*#*!.''*30**=>'%.!!!!*

(.''*30*#*!.''*30**=>'%.!!!!*

(.''*30*#*!.''*30**=>'%.!!!!*

(.''*30*#*!.''*30**=>'%.!!!!*

!.''*30*#*+."'*30**"#$!%&'($#$'%$!)$))*&')+,&#-).&/)**!

!.''*30*#*+.''*30**9#10!/#$)$'717*&'!!*

!.''*30*#*+.''*30**9#10!/#$)$'717*&'!!*

***!.''*30*%=>/5?@*#**"&)7!;&'($#$'%$!7&>#)**

+."'*30*#*).''*30*6$1!7*8$!!!*

+.''*30*#*+."'*30*6$1!7*8$!!!"&)7$#!)$))*&'!!

+.''*30*#*+."'*30*6$1!7*8$!!!"&)7$#!)$))*&'*

).()*30*#,.()*30*?@A!B$<*&'10!A))$8C02!8$$7*'<*

+."'*30*#*,.''*30**9#10!/#$)$'717*&'!!

+."'*30*#*,.''*30**9#10!/#$)$'717*&'**

* ,."'*30*#*1.''*30*"#$)*D$'7*10!D*''$#!E*'F*7$D!&'02G*

,."'*30*#*1.''*30*H101!I*''$#***

!

Celebrate Loy Krathong with us to create lasting memories of

your wonderful trip to Thailand

www.ieathailand2015.com