Update on Government Policy Regarding Migrant Health for Border Health by Dr. Amnuay Gajeena
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Update on Government Policy Update on Government Policy Regarding Migrant HealthRegarding Migrant Health
for
Border Healthby
Dr. Amnuay GajeenaDirector, Bureau of Policy and Strategy
Ministry of Public Health
The border of Thailand is about
5,820 kilometers: inland border
3,205 km and sea border 2,165
km.
• North - Myanmar and Lao PDR
• South - Malaysia
• East - Lao PDR and Cambodia
• West - Myanmar
Situation and Public Health Problems along Thai BorderSituation and Public Health Problems along Thai Border
1. Communicable disease problems ; Malaria, Diarrhea, 1. Communicable disease problems ; Malaria, Diarrhea,
Tuberculosis, AIDS and STDsTuberculosis, AIDS and STDs
2. Referral system2. Referral system
3. The standard of control and prevention of communicable3. The standard of control and prevention of communicable
diseasesdiseases
4. Curative treatment4. Curative treatment
5. Health promotion5. Health promotion
6. Health information system6. Health information system
7. Resources ; human resources, budget, medical equipment7. Resources ; human resources, budget, medical equipment
and drugsand drugs
8. Communication problem, language8. Communication problem, language
9. Human right9. Human right
10. Security problem10. Security problem
: Healthy border population: Healthy border population
Framework for Thailand and its NeighborsFramework for Thailand and its Neighbors
in Public Health Collaborationin Public Health Collaboration
Framework for Health Policy between Framework for Health Policy between
Thailand and its neighborsThailand and its neighbors
1. To strengthen bilateral relationship1. To strengthen bilateral relationship
2. To set up standard in medical and health2. To set up standard in medical and health
3. To support border health personnel3. To support border health personnel
Strategies for health collaboration development between Strategies for health collaboration development between Thailand and Neighboring CountriesThailand and Neighboring Countries
1. To support and develop public health service system1. To support and develop public health service system
1.1 set up the standard for health service1.1 set up the standard for health service
1.2 supporting medical supplies, equipment and drugs1.2 supporting medical supplies, equipment and drugs
1.3 To develop referral system across border1.3 To develop referral system across border
2. To develop public health personnel2. To develop public health personnel
2.1 providing technical support for health personnel2.1 providing technical support for health personnel
2.2 promoting technology and body of knowledge2.2 promoting technology and body of knowledge
3. To develop health information system3. To develop health information system
3.1 Health information connection3.1 Health information connection
3.2 Exchange health information3.2 Exchange health information
3.3 Health information development3.3 Health information development
4. To establish core group of health personnel between4. To establish core group of health personnel between
Thailand and neighboring countriesThailand and neighboring countries
4.1 Healthy Neighboring Country4.1 Healthy Neighboring Country
4.2 Training of Migrant health volunteers4.2 Training of Migrant health volunteers
4.3 Set up network for core group 4.3 Set up network for core group
5. Health Insurance for migrant workers5. Health Insurance for migrant workers
5.1 Planning health insurance for migrant health5.1 Planning health insurance for migrant health
workersworkers
5.2 Set up health insurance for migrant workers and 5.2 Set up health insurance for migrant workers and
familyfamily
Situation of migrant workersSituation of migrant workersTable 1 Table 1 The registered migrant workers by agreement of
Cabinet in 2001
NationalityRegions
North
Center
Northeast
East
West
Total
100,530*
104,979
2,018
24,040
35,261
451,335*
Myanmar
1,338
11,339
9,334
7,361
1,485
59,358
Laos
171
8,348
780
31,147
799
57,050*
Cambodia
102,039
124,666*
12,132
62,548
37,545
508,249
total
Source : Office of Foreign Labor Migrant CommissionSource : Office of Foreign Labor Migrant Commission
Table 2 Table 2 The registered migrant workers by agreement of
Cabinet in 2002
NationalityRegions
North
Center
Northeast
East
West
Total
78,670
73,669
1,413
11,692
24,600
340,029*
Myanmar
711
6,192
4,722
3,749
865
32,492
Laos
100
5,273
403
20,071
780
36,818
Cambodia
79,481
85,164*
6,588
40,232
26,245
409,339
total
Source : Office of Foreign Labor Migrant CommissionSource : Office of Foreign Labor Migrant Commission
Table 3 Table 3 The registered migrant workers by agreement of
Cabinet in 2003
NationalityRegions
North
Center
Northeast
East
West
Total
59,779
55,085
1,019
11,179
18,038
247,791*
Myanmar
467
4,109
3,245
2,323
520
21,314
Laos
73
2,873
246
11,403
286
19,675
Cambodia
60,319
62,072*
4,510
24,905
18,844
288,780
total
Source : Office of Foreign Labor Migrant CommissionSource : Office of Foreign Labor Migrant Commission
Table 4 Table 4 The registered migrant workers
NationalityRegions
2002
2003
2001
340,029
247,791
451,335
Myanmar
32,492
21,314
59,358
Laos
36,818
19,675
57,050
Cambodia
409,339
288,780
508,249
total
Source : Office of Foreign Labor Migrant CommissionSource : Office of Foreign Labor Migrant Commission
Health operation for migrant workersHealth operation for migrant workers
1. Health service1. Health service
2. Physical examination2. Physical examination
3. Communicable diseases control3. Communicable diseases control
4. Maternal child health care and 4. Maternal child health care and
Family PlanningFamily Planning
5. Environmental Health5. Environmental Health
Important issues in solving foreign migrant Important issues in solving foreign migrant workers’ problemsworkers’ problems
1. To clarify the government policy 1. To clarify the government policy
2. To set up the areas for migrant workers2. To set up the areas for migrant workers
3. To extend family planning program in migrant 3. To extend family planning program in migrant
workersworkers
4. To provide health insurance for migrant 4. To provide health insurance for migrant
workers’ familyworkers’ family
5. To cooperate with Ministry of Labor5. To cooperate with Ministry of Labor
6. To survey the migrant population6. To survey the migrant population
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