Update on Government Policy Regarding Migrant Health for Border Health by Dr. Amnuay Gajeena

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