ENGAGE-A3 model: communication risk to involve Myanmar workers in AIDS prevention

Abstract

Introduction:Communicating health information to Myanmar transnational workers (MTWs) poses several challenges, including language barriers, unsatisfied needs for health information, use of in appropriate channels or time of communication, and unsustainable outcomes of intervention. The human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) most atrisk group is composed of migrants worldwide, including Thailand, where HIV prevalence is high. This study aimed to develop an AIDS risk communication model for MTWs in Thailand. Material and methods:Researchers created a proposed model on the basis of lessons learned and literature reviews. A focus group discussion with a panel of experts, in either working with migrants or communicating health risk, was conducted to receive feedback on improving the proposed model. Results:The findings revealed that ENGAGEA3 model (Earning trust, ENvironmental scanning, Getting local help, Action, Gamification, and Evaluating) can lead to assessment, awareness, and ad vocacy of AIDS risk in MTWs. The total mean score of experts' opinions on the appropriateness of ENGAGEA3 model was at a level of "very appropriate", with a mean score of 4.26. Conclusions:The obstacles to communicating risk to MTWs can be reduced by using the model found in this research, while the strengths of community were utilized to maximize impacts of intervention.

Factors Influencing Thai Health Workers’ Attitudes toward Providing Health Services to Migrants

“…11 Besides, there was unsatisfactory and poor communication between healthcare providers and migrants, and thus, the migrants did not realize the health information due to linguistic and cultural limitations. 8,12 Most studies on migrant workers utilized a qualitative approach to examine health workers' attitudes toward migrants. [13][14][15][16] Health professionals felt frustrated by the system's lack of resources and migrants are not able to access care.…”