Health Literacy and Its Related Determinants in Migrant Health Workers and Migrant Health Volunteers: A Case Study of Thailand, 2019

Kosiyaporn, Hathairat; Julchoo, Sataporn; Sinam, Pigunkaew; Phaiyarom, Mathudara; Kunpeuk, Watinee; Pudpong, Nareerut; Suphanchaimat, Rapeepong

doi:10.3390/ijerph17062105

Cited by 17 publications

(17 citation statements)

References 6 publications

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“…In Samut Sakhon province, migrant health workers and health volunteers, mostly Myanmar nationals, played a significant role to support contact tracing as they know the community and speak the same dialect. 23 Universal Health Coverage facilitated full access to quality COVID-19 services without copayment. Early hospital admission of moderate and severe cases resulted in the low mortality rate.…”

Section: Key Success Factors Remaining Challenges and Responses Key Success Factorsmentioning

confidence: 99%

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Responding to the COVID-19 second wave in Thailand by diversifying and adapting lessons from the first wave

et al. 2021

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Thailand’s first wave of COVID-19 in March 2020 was triggered from boxing events and nightclubs in Bangkok, which spread to 68 provinces. The nation responded rapidly with strong public health and social measures on 26 March 2020. Contact tracing was performed by over 1000 surveillance and rapid response teams with support from 1.1 million village health volunteers to identify, isolate and quarantine cases.Thailand implemented social measures in April 2020 including a full-scale national lockdown, curfews and 14-day mandatory quarantine for international travellers. With a strong health system infrastructure, people’s adherence to social measures and a whole-of-government approach, the first wave recorded only 3042 cases and 57 deaths with 1.46% case fatality rate. Economic activities were resumed on 1 May 2020 until the end of the year. On 17 December 2020, a second wave was carried by undocumented migrants who were not captured by the quarantine system. As the total lockdown earlier led to serious negative economic impact, the government employed a targeted strategy, locking down specific areas and employing active case finding. Essential resources including case finding teams, clinicians and medicine were mobilised.With synergistic multisectoral efforts involving health, non-health and private sector, the outbreak was contained in February 2021. Total cases were seven times higher than the first wave, however, early admission and treatment resulted in 0.11% case fatality rate. In conclusion, experiences of responding to the first wave informed the second wave response with targeted locking down of affected localities and active case findings in affected sites.

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Section: Key Success Factors Remaining Challenges and Responses Key Success Factorsmentioning

confidence: 99%

Section: Key Success Factors Remaining Challenges and Responsesmentioning

confidence: 99%

Responding to the COVID-19 second wave in Thailand by diversifying and adapting lessons from the first wave

et al. 2021

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“…From the perspective of education, health education has a stronger effect on promoting medical service utilization among migrants with lower education levels. This is because, compared to migrants who are not well educated, migrants with undergraduate/junior college degrees and above, generally have higher health literacy (60) and pay more attention to their health problems. Hence, the effect of health education on them is limited.…”

Section: Main Findingsmentioning

confidence: 99%

The Promotional Effect of Health Education on the Medical Service Utilization of Migrants: Evidence From China

Tian

Luo

Chen

2022

Front. Public Health

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There were 376 million migrants in China by 2020, who made significant contributions to urban development. However, they used limited medical services and had lower self-reported health status than inflow city residents. Based on this, this study uses the cross-sectional data of the 2017 China Migrants Dynamic Survey (CMDS) to construct a multiple linear regression model to empirically study the role of health education in improving medical services utilization for migrants. It finds that compared to migrants without health education, the probability of the medical service utilization for migrants with health education has increased significantly, and counseling is more effective than other methods for health education. This promotion effect of health education has been established after a series of robustness tests. Furthermore, this study finds that the closer the migrants are to medical service resources, the greater the effect of health education on medical services utilization for migrants. The heterogeneity test shows that the effect of health education on medical services utilization for migrants is greater among the non-elderly and those with lower education levels. From the perspective of health education, the findings in this study provide empirical evidence to support the government in formulating policies to improve the utilization of medical services for migrants and reduce health inequality.

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“…Apart from facilitating the disease surveillance, volunteers also bridge further communication and deliver health messages to improve health literacy using IMWs' native languages to encourage cooperation for further disease control measuresi.e. COVID-19 testing and quarantine [21]. Collaboration between IMWs, authorities and other stakeholders is also important for improving the development of inclusive policies.…”

Section: Policy Alternatives and Recommendationsmentioning

confidence: 99%

Building a resilient public health system for international migrant workers: a case study and policy brief for COVID-19 and beyond

Rojanaworarit

Bouzaidi

2021

JHR

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PurposeThis article analyzes deficiencies in public health services for international migrant workers (IMWs) during the COVID-19 pandemic and provides a policy brief for improvement of the public health system.Design/methodology/approachA COVID-19 outbreak that initially clustered in IMWs and further contributed to the resurgence of the disease across Thailand in December 2020 was analyzed to address the deficiencies in public health services based on the framework of the 10 Essential Public Health Services (EPHS). The EPHS framework was also applied to develop policy options and recommendations in the subsequent policy brief.FindingsThis outbreak unveiled unique challenges that make IMWs more vulnerable to COVID-19. The public health system, challenged by the COVID-19 outbreak among IMWs, manifested deficiencies in the planning and implementation of all essential services. Delayed detection of the outbreak along with the lack of policy accommodating undocumented IMWs and the lack of equitable access to testing and treatment for COVID-19 resulted in the transmission of the disease that harmed the public at large.Originality/valueThe comprehensive analysis of the deficiencies in public health services for IMWs enabled a clear description of problems that could be further prioritized by relevant stakeholders. The policy brief provides policymakers with evidence-based recommendations for improving public health services for IMWs during the COVID-19 pandemic and beyond.

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Health Literacy and Its Related Determinants in Migrant Health Workers and Migrant Health Volunteers: A Case Study of Thailand, 2019

Cited by 17 publications

References 6 publications

Responding to the COVID-19 second wave in Thailand by diversifying and adapting lessons from the first wave

Responding to the COVID-19 second wave in Thailand by diversifying and adapting lessons from the first wave

The Promotional Effect of Health Education on the Medical Service Utilization of Migrants: Evidence From China

Building a resilient public health system for international migrant workers: a case study and policy brief for COVID-19 and beyond

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