Health

Access to reproductive health : Experiences of female migrant workers from Myanmar in Samut Sakhon, Thailand

Title: Access to reproductive health : Experiences of female migrant workers from Myanmar in Samut Sakhon, Thailand

Author: Miss Phutita Sriprapha

Year: 2024

Keywords: Access to Reproductive Health, Myanmar Female Migrant Workers,, Samut Sakhon

Theme: Health

Advisor(s): Naruemon Thabchumpon

The full thesis available here.

Abstract: Thailand remains a major destination for migrant workers from neighboring countries and hosts a large population of Myanmar migrants, including many women. Despite their contributions to local economic development, female migrant workers face persistent barriers to accessing reproductive healthcare. This study analyzes the structural, personal, and social dimensions of reproductive health access among Myanmar migrant women in Samut Sakhon province. Using the 4A framework, Availability, Accessibility, Acceptability, and Adaptability together with intersectionality, the study draws on 12 semi-structured interviews to explore how structural, personal, and social factors affect their reproductive healthcare access. Multiple dimensions of identity were also explored to see how they interact to shape a different degree of access. Addtionally, attention is paid to how women navigate systemic constraints in a context of their intersectional identities and positions.The findings reveal that exclusion from reproductive healthcare arises not from a single factor such as gender or migration status but from the convergence of legal insecurity, economic precarity, education level, language barriers, and social stigma. These intersecting disadvantages reinforce one another, producing structural exclusion that formal eligibility alone cannot resolve. The thesis also confirms that intersectionality is not only a valuable analytical tool but an essential framework for understanding and addressing health inequities faced by marginalized migrant populations in Thailand’s evolving labor and healthcare landscape

Health system resilience in karenni/ kayah state : Exploring the role of local interim health services

Title: Health system resilience in karenni/ kayah state : Exploring the role of local interim health services

Author: Miss Khin Sabai Aung

Year: 2024

Keywords: Health System Resilience, Karenni State, Local Interim Health Services, Myanmar, Kayah State

Theme: Health

Advisor(s): Khathaleeya Liamdee

The full thesis available here.

Abstract: This thesis examines health system resilience in Karenni (Kayah) State, Myanmar, by analyzing how local interim health services sustain care delivery, adapt to conflict, and ensure continuity within a fragile and liminal governance context. Guided by the Health System Resilience (HSR) framework, the study draws on semi-structured interviews with doctors, midwives, and a representative from the Karenni Interim Executive Council (IEC). Findings reveal that Karenni’s health system demonstrates absorptive, adaptive, and emerging transformative capacities. These capacities are primarily driven by morally committed individuals and grassroots collectives operating in the aftermath of state collapse.Rather than functioning in isolation, the health system operates in a liminal space where informal peer networks and nascent formal governance structures coexist and negotiate authority, legitimacy, and coordination. Health workers have assumed leadership roles, provided advocacy, and managed care delivery under insecure and resource-constrained conditions. Their work is enabled by strong social capital, including trust-based relationships, community recognition, and collaboration with external actors.The study highlights how decentralized professionalism allows frontline actors to integrate healthcare provision with governance, improvising new institutional forms where formal systems are absent. It argues that while resilience is evident, the long-term sustainability of Karenni’s health system depends on addressing critical tensions between autonomy and coordination, informality and formalization, and flexibility and institutional development. These findings contribute to broader understandings of health system resilience in conflict-affected and fragile settings, particularly where alternative governance is emerging from the ground up

An assessment of the needs for higher education of Karen refugees along the Thai-Myanmar border: a case of Nu Po Camp

Title: An assessment of the needs for higher education of Karen refugees along the Thai-Myanmar border: a case of Nu Po Camp

Author: Aranya Kengkunchorn

Year: 2006

Keywords: N/A

Theme: Health

Advisor(s): Pornpimol Trichot

The full thesis available here.

Abstract: Education is as crucial for refugees as basic physical needs such as food, water, shelter, and healthcare services. Education is a process that enhances the knowledge, skills, and moral values ​​necessary for the survival and improvement of the quality of life of refugees, who must adapt to changing environments from their country of origin to the host country. In the case of ethnic conflict and human rights abuses in Myanmar, many people have fled the country, becoming refugees and displaced persons in neighboring countries. Since the 1980s, Thailand has hosted hundreds of thousands of refugees from Myanmar. Currently, there are nine refugee camps along the Thai-Myanmar border. This research analyzes the educational challenges faced by refugees, assessing the quality of education currently available in refugee camps and their opportunities to access higher education outside the camps. Furthermore, the research explores the structures and policies of partner organizations, such as NGOs, the United Nations High Commissioner for Refugees, and the Thai government, regarding higher education opportunities for Karen refugees. The results of this study are derived from both quantitative and qualitative research, using relevant document analysis and field data collection. Document analysis provided a review of existing theories and concepts, while field data collection... The researchers conducted in-depth interviews and discussions with stakeholders using a set of questions, as well as observation and reviewing documents produced by non-governmental organizations (NGOs). Key informants for this study included Karen refugees in camps, representatives from community organizations, NGOs, educational institutions, the Ministry of Interior, and the Ministry of Education. The research indicates that while primary, secondary, and post-secondary education is currently provided to refugees by the Karen Education Department (KED) and NGOs, the study highlights a need for higher education for their future development. The current refugee education system does not adequately meet the needs of Karen refugees should they return to their country of origin, Myanmar. Access to higher education depends on the cooperation and assistance of key partner organizations such as NGOs, community organizations, and the Thai government. The study highlights the necessity for the international community, NGOs, and the Thai government to recognize the importance of access to higher education for refugees and to improve the quality of existing curricula. The role of the international community is crucial in creating opportunities for refugees and promoting their right to higher education. As well as the freedom of choice of educational path for the Karen people within the refugee camps. Education for refugees is almost as important as meeting their physical needs for food, water, shelter and health. Refugee education is the process of providing knowledge, skills, attitudes and values ​​necessary for survival, improving their quality of life, adaptating to their changing world, and preparing for eventual return to their country. Ethnic conflict and human rights violations in Burma have created mass outflows of refugees, internally displaced people and migrants to neighboring countries. Thailand has received hundreds of thousands of Burmese refugees since the mid 1980s. Currently there are 9 Burmese refugee camps on the Thai-Burma border. This study looks at the scale of the problem, assessment for existing education and quality, and the range of higher education opportunities that are potentially available for refugees outside the camp. In addition, the paper investigates the systems and policies of NGOs, UNHCR and the Royal Thai Government with regard to the higher educational opportunities of Karen refugees. This study is derived from quantitative and qualitative research, using a combination of documentary research and field data collection. Within the documentary research, theoretical data are collected through a review of the existing literature, field data was collected through in-depth interviews, group discussions, questionnaires observations and as well as reviewing existing information published by NGOs. The key informants including in this study were Karen refugees in the camp, CBOs, NGOs, institutions, the Ministry Of Interior (MOI) and Ministry Of Education (MOE). The study reveals that there is basic education, such as primary, secondary and post secondary levels, available in the refugee camps. The Karen Education Department (KED) and NGOs are responsible for education management. This study shows that there is a need for higher education to be accessible to the refugees for their future development. The study shows that the current education system does not meet the needs of the Karen refugees and is not very helpful for when they go back to Burma. Higher education can be accessed only with the cooperation and assistance of NGOs, CBOs and RTG. There is a stated need for the international community, NGOs and the Royal Thai Government to increase awareness about higher education for refugees, as well as the extend the provision of current education quality to the refugees. This study also looks at the role of the international community in ensuring comprehensive provision of higher education for all refugees, and refugees' right to higher education and freedom to choose education throughout the Karen refugee camps.