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Refugee Health Care

Websites/Multiple Documents

Title: Die Burma-Fluechtlingshilfe: Mae Tao Clinic
Description/subject: Medizinische Grundversorgung unter den Fl�chtlingen an der thail�ndisch-burmesischen Grenze. Die Klinik wurde von Dr. Cynthia gegr�ndet. Im Mittelpunkt stehen Ausbildung von medizinischen Hilfskr�ften und Hebammen sowie Kurse in Gesundheitslehre f�r die M�tter und ihre Kinder, ein mobiler medizinischer Hilfsdienst, der Gebiete Burmas besucht, die keine eigene medizinische Versorgung haben, sowie ambulante und station�re medizinische Versorgung der Klinik. keywords: primary health care, IDP in Burma, education of health care personnel.
Language: Deutsch, German
Source/publisher: Netzwerk engagierter Buddhisten
Date of entry/update: 03 June 2003

Title: Mao Tao Clinic
Description/subject: Mission statement:- Mission: The Mae Tao Clinic (MTC) is a health service provider and training centre, established to contribute and promote accessible quality health care among displaced Burmese and ethnic people along the Thai-Burma border. In addition to the comprehensive services provided at its onsite facilities, MTC also promotes general health through partnerships with other community based organisations. We work together to implement and advocate for social and legal services, as well as access to education for people living along the border... Vision: The future vision for MTC is to continue providing quality health and social services. MTC is endeavouring to further promote health education, and improve access to and utilisation of its health services. MTC will also advocate for improved access to quality education for migrant children in the Mae Sot area and work to strengthen the child rights and child protection network among local and international human rights institutions. MTC serves a broader role as a community centre and centre for advocacy with respect to issues related to Burma and the displaced community... Mae Tao Clinic Objectives: *To improve health status among target communities along the border *To improve quality of service of MTC through trained workers *To provide quality education and livelihood for displaced children *To improve the relationship between MTC and NGOs, GOs and CBOs *To monitor the quality of health services
Language: English
Source/publisher: Mao Tao Clinic
Format/size: html
Date of entry/update: 29 May 2012

Individual Documents

Title: Displacement and disease: the Shan exodus and infectious disease implications for Thailand
Date of publication: 14 March 2008
Description/subject: Abstract: "Decades of neglect and abuses by the Burmese government have decimated the health of the peoples of Burma, particularly along her eastern frontiers, overwhelmingly populated by ethnic minorities such as the Shan. Vast areas of traditional Shan homelands have been systematically depopulated by the Burmese military regime as part of its counter-insurgency policy, which also employs widespread abuses of civilians by Burmese soldiers, including rape, torture, and extrajudicial executions. These abuses, coupled with Burmese government economic mismanagement which has further entrenched already pervasive poverty in rural Burma, have spawned a humanitarian catastrophe, forcing hundreds of thousands of ethnic Shan villagers to flee their homes for Thailand. In Thailand, they are denied refugee status and its legal protections, living at constant risk for arrest and deportation. Classified as “economic migrants,” many are forced to work in exploitative conditions, including in the Thai sex industry, and Shan migrants often lack access to basic health services in Thailand. Available health data on Shan migrants in Thailand already indicates that this population bears a disproportionately high burden of infectious diseases, particularly HIV, tuberculosis, lymphatic filariasis, and some vaccine-preventable illnesses, undermining progress made by Thailand’s public health system in controlling such entities. The ongoing failure to address the root political causes of migration and poor health in eastern Burma, coupled with the many barriers to accessing health programs in Thailand by undocumented migrants, particularly the Shan, virtually guarantees Thailand’s inability to sustainably control many infectious disease entities, especially along her borders with Burma."
Author/creator: Voravit Suwanvanichkij
Language: English
Source/publisher: Conflict and Health 2008, 2:4
Format/size: pdf (170K)
Alternate URLs: http://www.conflictandhealth.com/content/2/1/4
Date of entry/update: 09 April 2008

Title: A Pregnant Problem
Date of publication: November 2005
Description/subject: Young women trapped by dogma and the generation gap... "It’s only a couple of years ago that young people living in and around the Karenni refugee camp at Ban Tractor in Thailand’s Mae Hong Son Province were able to help themselves to free condoms from boxes attached to trees and wayside posts. It was the idea of the camp health department director, Say Reh, who had been growing increasingly concerned about the rising numbers of young unmarried women becoming pregnant and also about the risk of HIV/AIDS in the community. But it was a short-lived idea. Say Reh had to abandon his solo birth-control effort after three months because of strong opposition from many of the camp residents and Catholic and Protestant church ministers. “Older people here believe that distributing condoms and organizing sex education encourages young people to indulge in sex,” says Say Reh. Although he’s abandoned his free condoms initiative, Say Reh and some of his co-workers still hold occasional sex education classes for the young people of Ban Tractor, under the watchful eye of disapproving elder members of the community. “The problem is that parents are sensitive on sex issues and many are illiterate, so they don’t know how to educate their children and guard them from unwanted pregnancies,” he says..."
Author/creator: Louis Reh
Language: English
Source/publisher: "The Irrawaddy" Vol. 13, No. 11
Format/size: html
Date of entry/update: 01 May 2006

Title: Fertility and abortion: Burmese women's health on the Thai-Burma border
Date of publication: January 2004
Description/subject: "In Thailand's Tak province there are 60,520 registered migrant workers and an estimated 150,000 unregistered migrant workers from Burma. Fleeing the social and political problems engulfing Burma, they are mostly employed in farming, garment making, domestic service, sex and construction industries. There is also a significant number of Burmese living in camps. Despite Thailand�s developed public health system and infrastructure, Burmese women face language and cultural barriers and marginal legal status as refugees in Thailand, as well as a lack of access to culturally appropriate and qualified reproductive health information and services..."
Author/creator: Suzanne Belton and Cynthia Maung
Language: English
Source/publisher: Forced Migration Review No. 19
Format/size: pdf (110K)
Date of entry/update: 08 June 2004

Title: Lady’s Love Powder
Date of publication: June 2002
Description/subject: This article appeared in Burma - Women's Voices for Change, Thanakha Team, Bangkok, published by ALTSEAN in 2002... "...Unplanned pregnancies and sexually transmitted diseases are problems that many Burmese women face with little support and a poverty of health resources. Of course it is difficult to quantify such statements in light of the limited sharing of information that occurs between the Burman military government and the rest of the world. One informed source, Dr Ba Thike (1997), a doctor working in Burma, reported that in the 1980s abortion complications accounted for twenty percent of total hospital admissions and that for every three women admitted to give birth, one was admitted for abortion complications...The records at the Mae Tao Clinic in Thailand, a health service that offers reproductive health services to women coming from Burma as day visitors or as longer-term migrant workers, reflects a crisis in women�s health. In 2001, the Mae Tao Clinic documented 185 abortion complication cases (Out Patients Department) and 231 cases that needed to be admitted into the In-patients Department with complications such as sepsis, dehydration, haemorrhage and shock from abortions and miscarriage..."
Author/creator: Suzanne Belton (Ma Suu San)
Language: English
Source/publisher: Burma - Women
Format/size: html (24K)
Date of entry/update: 15 June 2004

Title: Nowhere to Run: Ethnic Burmese Living in Refugee-like Circumstances in Thailand
Date of publication: February 2000
Description/subject: "...[R]eport on the Women's Commission Reproductive Health Project site visit in February 2000 to the Mae Tao Clinic in Mae Sot, Thailand [Dr Cynthia's clinic]. One key finding in this report is that reproductive health data collection has steadily improved at the Mae Tao Clinic. This is a good sign of progress as data collection is essential to establish a baseline of information about the community that a provider is assisting. The data allows the Clinic staff to objectively identify and prioritize community health problems and thereby design their health services to address these problems. In addition, the Clinic family planning program contraceptive user-rate has increased annually due to family planning education conducted by the staff. The significant unmet need for family planning services, however, is evident in the numbers of women and girls presenting to the Clinic with complications of unsafe abortion. An alarming 23% of the 277 women presenting to the Clinic with abortion complications in 1999 were under 20 years old and almost the same percentage had already had one abortion."
Language: English
Source/publisher: Women's Commission for Refugee Women and Children
Format/size: html
Alternate URLs: http://www.refworld.org/cgi-bin/texis/vtx/rwmain?page=search&skip=0&query=Ethnic+Burmese+Living+in+...
Date of entry/update: 03 June 2003

Title: Dr Cynthia Wins Recognition
Date of publication: June 1999
Description/subject: Dr. Cynthia Maung, a Karen woman who has been bringing health care and education to thousands of Burmese refugees since 1988, was recently named the first recipient of the Jonathan Mann Award. A member of Images Asia sent this report from Bangkok, where Dr. Cynthia addressed an international audience via satellite.
Language: English
Source/publisher: "The Irrawaddy", Vol. 7. No. 5
Format/size: html
Date of entry/update: 03 June 2003