ACCESSIBILITY OF ANTENATAL CARE AND CHILDBIRTH AMONG MYANMAR MIGRANT WORKERS AT A HOSPITAL IN PATHUMTHANI PROVINCE ACCESSIBILITY OF ANTENATAL CARE AND CHILDBIRTH AMONG MYANMAR MIGRANT WORKERS AT A HOSPITAL IN PATHUMTHANI PROVINCE
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Abstract
ABSTRACT
BACKGROUND
The economic, social and cultural changes have increased the number of women migrant workers and most women migrants are in reproductive-aged. The important health risks of reproductive workers are pregnancy and childbirth services. Pregnant women have often faced difficulty in accessing antenatal care and childbirth services. Due to the differences in society and culture as well as the health rights restrictions imposed by the destination country.
OBJECTIVES
To study social determinant of health affecting accessing to antenatal and childbirth services of Myanmar migrant workers in the study area.
METHODS
This research is qualitative research design. Using the purposive sampling in choosing the key informant 26 persons including 20 Myanmar female migrant workers and 6 health care provider. Data were collected by in-depth interviews and participant observation. Data were analyzed through thematic analysis.
RESULTS
Myanmar female migrant workers between 20-43 years old have been pregnant for 1-7 times. All of them came to first antenatal care at the gestational age of more than 12 weeks. The frequency of antenatal visits was 3-10 times. They came to every appointment to ensure that the hospital will provide childbirth services and to avoid being blamed. In terms of childbirth services, pregnant women believed that childbirth is a natural process and most of them wanted to do natural childbirth. Social health factors are international health policy, health care service, hospital location, ease of travel, social status, income, type of work, and social support. The most discussed obstacles are language and communication.
CONCLUSIONS AND DISCUSSIONS
Accessibility of antenatal care and childbirth services among Myanmar migrant workers depended on social determinant of health. the important obstacles were language and communication. Therefore, there should be a development of a Burmese communication model for easy accessing to health information for Myanmar migrant workers.
KEYWORDS
Accessibility to antenatal services, Accessibility to Childbirth services, Myanmar migrants
Article Details
References
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