The Impact of Health Service of the Community Hospital Located in Thailand’s Border: migrant from Burma, LAOS, and Cambodia

Abstract

The denial of difficult, dangerous and dirty work done by the Thai People has been the major cause of migrant substitution in Thailand which triggered the urgent need for proper health care. This study was aim to explain the burden and impact of providing health service to the trans-national migrant in community hospital at border area of Laos, Burma and Cambodia. Therefore survey research and data collecting was used through quantitative and qualitative methods. Results: Khemarat and Klong Yai hospital: the financial burden was high however Mae Sai hospital has strong income with less expenditure. The impact of three hospitals was 1) the only way of solving the financial burden is by using the hospital’s money. 2) No data system about trans-nation’s migrant health services has been applied so far by any hospitals here in Thailand 3) Man power of hospital is depended on the Thai people which doesn’t include the migrant which is approximately 50% 4) The language and the cultural had generated several obstacles to health service 5) Problem of prevention and control of Communicable disease such as Malaria, Dengue Hemorrhagic fever, Tuberculosis, and Elephantiasis, 6) No Referral system between Thailand and neighboring countries.  Recommendations: it should be setting the strategy of AEC’s health system at nearby country, concern with the trans-national migrants, and develop the data system of health service of trans-national migrant.