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Asian Review

Publication Date

2015-07-01

Abstract

Over the past two decades, communities in the border areas of Tak Province, Thailand, and in neighboring districts of Myanmar, have established a primary healthcare system. Conflict, displacement and institutional neglect have left this region of Eastern Myanmar without functioning public health services. Forced displacement and statelessness excluded these same communities from health services in Thailand. This paper presents two short case studies that describe how the network prioritizes access to basic care at the village level, with ethnic and community organizations training village health workers to provide health education and to manage common diseases. More serious cases are referred to a network of field and community clinics, and to hospitals on both sides of the Thai-Myanmar border. This latter engagement with government hospitals in Thailand demonstrates an enabling policy environment that develops the adaptive capacity of migrants, rather than regulation that focuses on threat and victimhood. This paper concludes that this kind of approach can provide a future blueprint to guide early engagement between the community health system and national health system reform in Myanmar.

DOI

10.58837/CHULA.ARV.28.2.3

First Page

39

Last Page

56

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