- 會議論文
- OpenAccess
Tai (Shan) screening and promoting developmental tool of newborn - 5 years old for community volunteers and migrant worker parent
摘要
INTRODUCTION: Early childhood children, ranging from birth to 5 years of age, who are the offspring of migrant workers, are considered a collective of supporters of migrant workers. Thailand places great significance on this group in accordance with the fundamental principles outlined in the Convention on the Rights of the Child, which acknowledges that children possess rights and are entitled to age-appropriate privileges. Moreover, Thailand recognizes the importance of safeguarding the health rights of migrant workers, including stateless children and youth residing in the country, as stipulated in Section 6 of the National Health Act of 2007. These individuals should have access to equitable and impartial health insurance that grants them access to quality essential services, without facing any form of discrimination. The evaluation of children's growth and development is a vital skill that parents who are migrant workers must possess. Regrettably, Thailand has yet to implement comprehensive capacity-building initiatives aimed at enhancing the assessment of early childhood growth and development for migrant parents. Therefore, the provision of healthcare services for ethnic groups, marginalized individuals, migrant workers, and non-governmental organizations, such as the Baan Dek Foundation (BDF), a Thai-registered foundation with the mission to enhance the well-being of vulnerable children and their families residing in urban slums and construction site camps in Thailand, is of utmost importance. The study aims to investigate health literacy in relation to the evaluation of child growth and development. A group was formed at a migrant worker's residence in Chiang Mai province in 2023, comprising migrant worker parents with children aged from birth to 5 years old. It was observed that the majority of these parents were of Shan descent, hailing from Shan state in Burma. They have been working as migrant workers in Chiang Mai province for over 10 years and possess a certain level of health knowledge. While they are proficient in speaking and listening to the Thai language at a basic level (Functional Health Literacy), they struggle with reading and writing fluently. Consequently, they face difficulties in comprehending and retaining information and knowledge pertaining to the assessment of growth and development, as shared within the groups they frequently engage with for information and support. Interestingly, female acquaintances residing in the same establishment or residence exhibit a keen interest in evaluating and fostering the growth and development of their children. However, they have never come across or utilized the growth reference graph (Growth Chart) employed in Thailand, and are unable to interpret visual assessments or comprehend parental recommendations that emphasize the importance of easily accessible and understandable "communication". Their request for assistance is made in the Shan language. As a result, the Health Center for Ethnic, Marginal, and Migrant Workers has implemented the Shan language version of the growth reference graph, as well as tools for assessing and promoting early childhood development, to cater to the needs of migrant parents and enhance their ability to evaluate the growth and development of their children. OBJECTIVES: The objective of this research was to create the tai (Shan) screening and promoting The 10thAHLA International Conference: "Health Literacy in the Evolution of Digital Age" developmental instrument for infants aged from newborn to 5 years old, specifically designed for Migrant parents to overcome language barriers. METHODS: This study was undertaken with the objective of creating the Tai (Shan) screening and promoting tool. The intended recipients of this tool were the Shan Migrant Mother as well as the community volunteers stationed at the Logistic and construction side camp in Chiangmai, Thailand. RESULTS: The study outcome revealed that the ability of screening was assessed in two aspects, namely 1) and 2). A significant finding emerged indicating that the individuals in question exhibited the utmost level of satisfaction with the utilized tools. Furthermore, there exist supplementary recommendations pertaining to the enhancement of curriculum development. These suggestions encompass the training and augmentation of competencies possessed by volunteer leaders and parents of migrant workers in utilizing the aforementioned tools. CONCLUSION: This study is the first phase of developing a suitable tool for capacity building Shan community volunteers and Migrant parents to access or understand and use this tool information) from this tool.