scholarly journals Equal Health Opportunity for Unskilled Migrant Workers within Limited National Healthcare Scheme in Thailand's Context

2018 ◽  
Vol 3 (4) ◽  
pp. 13-18
Author(s):  
Wanwadee Poonpoksin

Health is an important indicator of the population in every country, including migrant workers in destination countries, according to the provisions of international laws that govern health services without regard to the legal status of migrants. This article reviewed information from academic papers, research, and interviews with relevant personnel. The objective of this article is to point out information on health systems for migrants from the perspectives of both outsiders and insiders, which include research and data from interviews with the relevant health personnel in Thailand. The study indicated that academic papers published by foreigners see the Thai healthcare system as having a variety of problems in the exploitation of migrant workers, while Thai health personnel provides services without discrimination in all groups. In reality, Thai laws and national healthcare scheme require certain specific limited conditions for migrant workers for reasons of security, disease prevention, and control, including Thailand’s struggle to deal with an influx of both legal and illegal workers into the country. Therefore, it is not easy to manage the healthcare scheme in order to increase coverage and equality for migrants and Thais alike. This study attempts to understand the development direction of the Thai health system as it moves into the future to provide coverage for all involved parties based on social capital and feasibility of action under the health policies of the developing country destination of Thailand.

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0254432
Author(s):  
Bui Thi Thu Ha ◽  
La Ngoc Quang ◽  
Pham Quoc Thanh ◽  
Duong Minh Duc ◽  
Tolib Mirzoev ◽  
...  

Introduction Community engagement (CE) is an effective public health strategy for improving health outcomes. There is limited published knowledge about effective approaches to CE in ensuring effective responses to COVID-19 throughout lockdowns, travel restrictions and social distancing. In this paper, we contribute to bridging this gap by highlighting experience of CE in Vietnam, specifically focusing on migrant workers in Vietnam. Methods A cross-sectional qualitative study design was used with qualitative data collection was carried out during August-October 2020. Two districts were purposefully selected from two large industrial zones. Data was collected using in-depth interviews (n = 36) with individuals and households, migrants and owners of dormitories, industrial zone factory representatives, community representatives and health authorities. Data was analyzed using thematic analysis approach. The study received ethics approval from the Hanoi University Institutional Review Board. Results The government’s response to COVID-19 was spearheaded by the multi-sectoral National Steering Committee for the Prevention and Control of COVID-19, chaired by the Vice Prime Minister and comprised different members from 23 ministries. This structure was replicated throughout the province and local levels and all public and private organizations. Different activities were carried out by local communities, following four key principles of infection control: early detection, isolation, quarantine and hospitalization. We found three key determinants of engagement of migrant workers with COVID-19 prevention and control: availability of resources, appropriate capacity strengthening, transparent and continuous communication and a sense of trust in government legitimacy. Discussion and conclusion Our results support the current literature on CE in infection control which highlights the importance of context and suggests that future CE should consider five key components: multi-sectoral collaboration with a whole-of-community approach to strengthen governance structures with context-specific partnerships; mobilization of resources and decentralization of decision making to encourage self-reliance and building of local capacity; capacity building through training and supervision to local institutions; transparent and clear communication of health risks and sensitization of local communities to improve compliance and foster trust in the government measures; and understanding the urgent needs ensuring of social security and engaging all parts of the community, specifically the vulnerable groups.


PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246251
Author(s):  
Mesele Damte Argaw ◽  
Asfawesen GebreYohannes Woldegiorgis ◽  
Habtamu Aderaw Workineh ◽  
Berhane Alemayhu Akelom ◽  
Mesfin Eshetu Abebe ◽  
...  

Background Mobile or seasonal migrant workers are at increased risk for acquiring malaria infections and can be the primary source of malaria reintroduction into receptive areas. The aim of this formative assessment was to describe access to malaria prevention and control interventions among seasonal migrant or mobile workers in seven regional states of Ethiopia. Methods A cross-sectional formative assessment was conducted using a qualitative and quantitative mixed-method design, between October 2015 and October 2016. Quantitative data were collected from organizations that employ seasonal migrant workers and were analyzed using Microsoft Excel and ArcGIS 10.8 (Geo-spatial data). Qualitative data were collected using in-depth interview from 23 key informants (7 seasonal migrant workers, and 16 experts and managers of development projects who had hired seasonal migrant workers), which were recorded, transcribed, translated, coded, and thematically analyzed. Results There were 1,017,888 seasonal migrant workers employed in different developmental organizations including large-scale crop cultivating farms, sugar cane plantations, horticulture, road and house construction work, and gold mining and panning. Seasonal migrant workers’ housing facilities were poorly structured and overcrowded (30 people living per 64 square meter room) limiting the use of indoor residual spraying (IRS), and forcing seasonal migrant workers not to use long lasting insecticidal treated nets (LLINs). Seasonal migrant workers are engaged in nighttime activities when employment includes watering farmlands, harvesting sesame, and transporting sugar cane from the field to factories. Despite such high-risk living conditions, access and utilization of preventive and curative services by the seasonal workers were limited. Informal migrant worker employment systems by development organizations and inadequate technical and financial support coupled with poor supply chain management limited the planning and delivery of malaria prevention and treatment strategies targeting seasonal migrant workers. Conclusions Seasonal migrant workers in seven regions of Ethiopia were at substantial risk of acquiring malaria. Existing malaria prevention, control and management interventions were inadequate. This will contribute to the resurgence of outbreaks of malaria in areas where transmission has been lowered. A coordinated action is needed among all stakeholders to identify the size of seasonal migrant workers and develop and implement a comprehensive strategy to address their healthcare needs.


2005 ◽  
Vol 10 (3) ◽  
pp. 7-8 ◽  
Author(s):  
P J Guérin ◽  
L Vold ◽  
P Aavitsland

Reliable data on the health status of migrant seasonal workers in Europe is scarce. Access to public health care for this population depends on national regulations, and their legal status in host countries. In this manuscript we describe a case study of a salmonellosis outbreak that occurred in Norway, and highlight the difficulties encountered in applying control measures in a population of seasonal migrant farm workers. Surveillance and control of infectious diseases need to be supported by legislation which makes implementation of control measures possible. Efforts have been made to improve the rights for migrants in Europe with regard to healthcare, but seasonal migrant workers still remain largely outsiders where these measures are concerned. Special attention should be given to this disadvantaged group in terms of social rights and healthcare. Preparedness plans should be improved to deal with contagious pathogens involving the seasonal migrant population.


2020 ◽  
Author(s):  
Chidera Gabriel Obi ◽  
Ephraim Ibeabuchi Ezaka ◽  
Jennifer Ifunanya Nwankwo ◽  
Irene Ifeatu Onuigbo

The COVID-19 virus is a novel virus that is zoonotic and has infected more than two million people with over Three hundred people who died from the pandemic. The virus has been declared a pandemic by the W.H.O overwhelming the health system and capacity of many countries with known cases of death of health workers and non-health workers alike. The virus can be prevented through adequate personal and respiratory hygiene and maintaining social distancing at this point in time. Although doctors and nurses might be the frontline and visible image of health workers in the ongoing battle against the virus, there are other health workers behind the scene like epidemiologists working round the clock to control this current pandemic Epidemiologist deals with data and data is the focal point in the prevention and control of diseases. Epidemiologists are involved in the Surveillance, Identification and Monitoring of Outbreaks, conducting researches and evaluating policies geared at Outbreaks. Problems associated with Data are the major constraints of an Epidemiologist. Efforts are currently ongoing by various health personnel to control the virus and provide vaccines for the treatment of the disease.


2020 ◽  
Vol 3 (2) ◽  
pp. 36
Author(s):  
Gloria Luz Julca Flores

Hospital infections are a latent problem throughout the world. Thousands of people die in hospitals. That is why epidemiological and microbiological information is required, an efficient hospital administration and the involvement of health personnel in prevention and control actions and, assuming each occupational group the responsibilities that correspond to it.


Author(s):  
Wei Zang ◽  
◽  
Xue Mei Yang ◽  
Ying Jie Zhao ◽  
◽  
...  

Novel coronavirus pneumonia strikes the city in 2020, making this year special. It also brings us to the attention of the city's public safety and health problem, which directly affects the city's healthy and sustainable development. During the Spring Festival, a large number of migrant workers in labour-intensive cities and towns returned to their places of residence, forming a large-scale population migration across the country, increasing the difficulty of controlling the epidemic. This paper analyzes the labour migration, medical support, government measures and residents of labour-intensive cities and towns, understands the underlying logic of the epidemic situation, puts forward some solutions for urban disaster prevention and control, and increases urban resilience. It mainly includes: 1) building a population mobility information platform, using big data and network to accurately locate, to guide the later epidemic prevention and control and to prevent secondary infection; 2)To solve the problem of insufficient implementation of urban medical supporting facilities and avoid infection on the way to medical treatment, we should set up a temporary medical treatment point according to the "cell neighbourhood" approach in the city; 3)Make good use of online official channels to shorten the time lag between governments in transmitting information and taking measures; 4) It is significant to encourage residents to join in the epidemic prevention and control, to improve the residents' awareness of prevention and control and the ability to distinguish the authenticity of information.


Sign in / Sign up

Export Citation Format

Share Document