Health Promotion guidelines for alienate worker who are allowed as a special case to stay in the Kingdom of Thailand: case study from Myanmar, Laos and Cambodia citizens in the Eastern

Abstract

After alienate workers are allowed legally to live and work in Thailand, under the commit-ment is to facilitate and to give them basic health care that the government must certify. However, it found that their health problems are important problems should be handled urgently in both control and prevention. So this study has been developed with objectives; 1. to study the roles and policy for health promotion in alienate workers who are allowed to enter the Kingdom as a special case for Myanmar, Laos and Cambodia nationalities in the eastern region of Thailand, and 2. to de-velop health promotion guidelines for alienate workers who are allowed to enter the Kingdom as a special case for Myanmar, Laos and Cambodia nationalities. Mixed-methodology, by qualitative and quantitative approaches were used to this study. In term of qualitative, this research employed in-terviewing technique to 5 experts in health promotion policy, 4 experts in alienate workers re-cruitment, 8 representatives from alienate worker users, and 8 representatives from alienate work-ers, so 25 total informants were selected by purposive sampling. After that, to verify data, this re-search organised focus group discussion session with 8 new people from stakeholder. Then qualita-tive data were managed by content analysis method by classified data at the micro level with Do-main Analysis and Taxonomy Analysis. For quantitative method, 400 questionnaires which represent 95 percent confidential level comparing to 247,584 total population number. All target were se-lected by the probability process, stratified sampling , and systematic sampling. Then the data were analyzed using statistical methods to find the frequency, percentage, mean, standard devia-tion, Oneway ANOVA, F-test, t-test and Multiple regression to test the difference of variables. The results of the research can be concluded that (1) The policy should be set as the similar guidelines for health promotion of alienate workers from Myanmar, Laos and Cambodia as well as providing services according to the foreign labor rights import laws legally. There is a waiver for former illegal immigrants, enrolling all alienate workers into the foreign labor system according to the resolution of the NCPO dated 23 February 2016., encouraging the recruitment and employment of illegal im-migrant workers, and promote the use of medical treatment rights with social security. (2) the health promotion model for alienate workers found that if the internal factors increase (b = 0.692), the health promotion policy increase (b = 0.692), and the external factors also increase (b = 0.15), then they will effect to increase health promotion behavior by 2.723 as well. Therefore, pushing policy, as well as promoting internal and external factors in order to promote healthier behaviour.