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Meeting the Health Needs of Migrant Workers Affected by the Tsunami 英文参考文献
Open access, freely available online
Health in Action
Meeting the Health Needs of Migrant
Workers Affected by the Tsunami
Burmese migrant workers in Thailand are a vulnerable group
David Wilson
comparable to those
of Thai citizens to
Thailand’s low-cost
health-care system.
Undocumented migrants
cannot legally access
health care. However
MSF’s observation is
that sick Burmese, if
they can speak Thai or
are accompanied by a
translator, do receive
appropriate health
F
ollowing last December’s tsunami,
Thailand reported 10,385 deaths
and missing persons among Thais
and foreign tourists, 80% of them in
Phang Nga province (Figure 1). These
reported tsunami deaths do not include
Burmese migrant workers, which one
local organisation estimates as being as
many as 1,000 individuals [1].
Medical relief to Thai nationals and
Western victims was well organised
[2], but Burmese migrants could not
always bene?t. This article brie?y
highlights how the tsunami affected
this vulnerable group, exacerbating
pre-existing dif?culties in access to
health care, and how Médecins Sans
Frontières (MSF) is responding.
care, whether registered
or unregistered.
Unregistered patients
without money may be
treated free for common
complaints. Hospitals
also subsidise more
specialised treatment
but approach the
employer for a further
contribution.
In practice, Burmese
migrants rarely access
even basic preventative
health services such as
vaccination. Very few
married women we
have met use any form
of contraception, even
if they do not want
Migrant Workers in Thailand
Prior to the tsunami, 30,572 registered
migrants, 98.6% of them Burmese,
worked in ?sheries, coastline
construction, agriculture, and tourism
in Phang Nga province [3].
Nongovernmental organisations
estimate there are, in addition, an
equal number of illegal migrants, who
are in effect undocumented refugees.
Migrant workers are vulnerable to
exploitation, migration being largely
unregulated and partially criminalized
[4].
DOI: 10.1
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