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論文:泰境緬甸移動人口就醫行為與醫療資源初探

研究者於20054月到9月到泰緬邊境美索鎮(Mae Sot)進行田野實習,眼見緬甸移工醫療服務需求增多,遂於當地進行蒐集資料工作,以Mae Sot地區的緬甸移工及醫療服務提供者為研究對象,將邊境移工的求醫行為及可取得之醫療服務資源進行整理與分析。資料蒐集方法分為二部份:一、以立意取樣調查Mae Sot地區5個移工社區共338位緬甸移工,了解其過去一年的生病經驗及就醫經驗;二、以訪談方式訪問Mae Sot 地區10位提供醫療服務的工作者,藉由置身情境描繪緬甸移工在泰境的生活景況,其工作單位提供的醫療服務方案,及執行服務方案的困境與展望。 

2005
9月的對移工過去一年的就醫經驗調查表示,緬甸移工經驗過就醫的困難是第一因素為安全考量;就醫頻率由高而低前三名為Mae Tao Clinic、到藥局/商店買藥、泰國私人診所;過去一年曾經使用非西方醫療經驗的非法移工使用人數高於合法移工;居留時間愈短的移工使用的次數較居留時間長的移工多。訪談結果整理顯示,提供移工醫療服務資源並不匱乏,但移工因為身分限制而求醫無管道。協助移工就醫的方式必須考慮其身分特殊性,使用與其相同的語言,暢通取得資訊的管道,使移工知道自己的權益,而促其需要生病時,降低障礙並增加就醫的可近性。

[
英文摘要 ] Since 1962, civil wars between the autocratic military government and minority ethnic groups in Burma, and have caused thousands of people to flee to the border area between Thailand and Burma. There are estimated 14,000 people live in refugee camps along such border area and their survival depend on aids from International Non-Governmental Organizations (INGOs), and the situations in camps have gradually stabilized. Now those INGOs are expanding their focus to help migrant workers outside of the camps as well. Living conditions of migrant workers are generally unsatisfactory and with poor sanitation, especially in the case of illegal immigrant workers. When migrant workers are sick, they lack necessary information about medical care. In addition to the informational scarcity, their concern for personal security also prevents them from seeking medical care. To them, health is not a basic right.

Researchers studied and collected data regarding health conditions in the Mae Sot Township near the Thai-Burma border from April to September 2005. 338 Burmese migrant were interviewed in person by 6 trained surveyors in 5 Tambons in Mae Sot in order to understand their medical help-seeking experiences in the past 12 months. 10 INGO and NGO workers who worked with migrants’ health-related projects were also interviewed by researchers to further understand the lives of Burmese migrants in the border area and the current health projects implemented in the Mae Sot area. 

The results show the most serious concern that prevents Burmese migrant workers from seeking medical help in past 12 month is the lack of security. The most frequently employed means of medical help-seeking include (from most frequent to least): going to the Mae Tao Clinic, buying drugs in shops or drugstores, and going to Thai private clinics. Burmese illegal migrants tend to use non-western medical care, and migrant workers who stay for a short period of time are more likely to seek medical care than those that stay for a long period of time. There are many projects providing medical assistance to migrant workers, but migrant workers still can’t access such assistance projects due to their legal status. Organizations that aim to improve migrant workers’ health conditions should consider their unique legal status, use communicable language, increase healthcare accessibility and decrease their barriers to healthcare facilities.

 

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