6 th year Medial Cadet, !hramongkutklao College o" Mediine, 2 Military and Community Mediine #epartment, !hramongkutklao College o" Mediine, $angkhla hospital Background$ %n the past deade Thailand had "aed many natural disaster, whih keep inreasing in &oth "re'ueny and severity( )lood remains one o" the most "re'uent disaster that a*et many parts o" Thailand ausing wide arrays o" pro&lems inluding eonomi, "ood, shelter and espeially medial pro&lem( Medial pro&lem is the hardest pro&lem to solve due to it+s assoiation with supply distri&ution, manpower, ommuniation and servie provider( This leads to poor progression o" hroni disease and late aess to emergeny are( This study aimed to analy,e the pro&lems that ause the ommunity to deprived o" medial servie and to ompare the aessi&ility to medial servie o" -ooded and non.-ood area to &e use in the "uture( %&'ecties 1(To speulate e'uity o" aess to medial are in -ooded and non.-ood area 2(To study eah aspets o" pro&lem that ause medial servie deprivity /(To ollet inidents o" eah diseases in -ood event 0()ormulate a strategy to &e use in the "uture event o" -ood( Bene(ts 1(1'uity o" aess to medial are in -ooded and non.-ood area 2(Know the "re'ueny o" eah medial pro&lems in -ood event /((2wareness o" pro&lems that a*et heathare aess in the event o" -ood( 0($etter preparation, supply distri&ution and strategy "or the onoming event o" -ood )aterial and methods3 Cross.setional #esriptive study and 4ualitative study 1(Randomly selete patients who reeive medial servies at $angkhla hospital 5!# and 1R (#ivide su&6ets into two groups3 patients "rom -ooded area and non.-ood area( 2(%nterview &oth group with prepared 'uestionaire together with in.depth interview /(Reording inidents o" eah diseases during the -ood 0(2naly,e and ompare the di*erene o" pro&lems in &oth group o" su&6ets 7(!resent study result to diretor o" $angkhla hospital to &e use in "ormulation o" ne8t -ood event preparation strategy Study population Randomly seleted patients who reeive medial servies at $angkhla hospital &oth "rom -ooded and non.-ood area Results$ The pro&lem o" e'uity o" aess to medial are in -ooded and non.-ood area isn+t "rom laking medial are provider or servie9supplies distri&ution: , it+s unawareness that one e8ist and o&stales to reah it( )rom the inidene we have "ound that most o" the patients in -ooded area who seek medial servie, done so to get mediations "or their underlying disease9hroni disease eg(dia&etes, hypertension:, "ollowed &y minor trauma;animal &ites( <owever, "rom the study we have "ound that patients with hroni disease who have reeived their monthly mediation "rom $angkhla =eld hospital was presri&ed only 1 month supplies o" mediation, whih in light o" the situation should have reeived more( Sample group also revealed that #istrit <ealth !romotion and !revention Centres in some o" their areas were lose 9inonsistent with healthare poliy:( Conclusion$ 2s the results suggested, improving re"erral apa&ilities and pu&li relations should &e our priorities 1(Re"erral apalities an &e enhane &y many means suh as re'uesting aid "rom other department, upgrade urrent e'uipment to meet re'uirement 2(!u&li relations an &e divide into two parts 3 &e"ore and during the event 2(1 $e"ore the event,pre.planned medial servie enter loation should &e delared 2(2 #uring event o" -ood, loation o" medial sevie enter should &e known throughout the ommunities and apa&ilities o" that enter should also &e made lear 9wound dressing, surgery et(: