The Thai/Myanmar border health program: lessons in working with migrant population

Elisabeth Emerson
2008 Medical Journal of Indonesia  
Abstrak Faktor politik, ekonomi, historis, sosial-budaya dapat menimbulkan masalah kesehatan pada masyarakat migran. Di dunia terdapat beberapa lokasi migran, di antaranya di sepanjang perbatasan Thailand-Myanmar yang diperkirakan lebih dari 1 juta orang Myanmar bermigrasi ke Thailand. Area tersebut merupakan tempat dengan prevalensi tertinggi malaria di Asia dan peningkatan jumlah penderita Tuberkulosis. Kementerian Kesehatan Thailand dan Myanmar mengadakan pertemuan untuk kerjasama untuk
more » ... erjasama untuk menanggulangi masalah kesehatan masyarakat di perbatasan tersebut. Sebagai tindak lanjut pertemuan tersebut, Organisasi Kesehatan se Dunia (WHO) yang ditunjang United Kingdom Department for International Development (DFID), menyediakan dana aktifitas program terebut. Hal ini termasuk diadakannya Program Kesehatan Perbatasan yang dimulai pada tahun 2001. Program ini untuk meningkatkan taraf kesehatan penduduk migrant. Salah satu elemen kunci ialah ialah pengumpulan data dan membuat sistem, koordinasi, pelatihan dan distribusi informasi. Implikasi keberhasilan program terkait dengan koordinasi yang sedang berjalan dengan beberapa pelaku program, termasuk pemerintah, lembaga sosial masyarakat, donor, peneliti, dan beberapa agensi Perserikatan Bangsa-Bangsa (PBB). Beberapa hasil program tersebut dapat dijadikan bahan pembelajaran di tempat serupa yang lain, dan memerlukan penelitian lebih lanjut. (Med J Indones 2008; Abstract Migrant populations are often vulnerable, and various political, economic, cultural, historical and social situations can make it especially challenging to address public health issues. Not attending to these issues poses increased risks for the migrants, the people in the country they live in, eventually, the rest of the world. There are many locations high density with density population migrants throughout the world, amongst there are the Thailand/Myanmar border it is estimated more than one million migrants have crossed from Myanmar into Thailand. This area has one of Asia's highest malaria infection rates and an increased prevalence of tuberculosis. In 2000, the Ministers of Health of Thailand and Myanmar met jointly to address the public health issues in the border area. Following this meeting the World Health Organization, supported by United Kingdom Department for International Development (DFID), provided funding to support program activities. This included the establishment of the Border Health Program which was initiated in 2001. The Thai/Myanmar Border Health Program sought to improve the health of the most vulnerable populations on the border, and key elements of the program were data collection and system development, coordination, training and information distribution. Implicit to the success of the program was ongoing coordination with the various players, including the governments, nongovernmental organizations ("NGOs"), donors, researchers and UN agencies. Several lessons were learned which can be applied in similar settings, and needs for research and study were identified. (Med J Indones 2008; 17: 43-9) WHO Thai/Myanmar Border Health Program Officer, 2001 to 2005 Emerson Med J Indones
doi:10.13181/mji.v17i1.301 fatcat:xkl262dyarenfcuitm7rp3naii