Bøker av Phyo San Win

This study was done to assess the accessibility to, perceptions on and preferences for HIV-related health education among Myanmar migrant workers in Ranong, Thailand. Structured questionnaire and an open-ended question were used, and 357 subjects were interviewed. Non-parametric tests and bivariate correlation were used for hypothesis testing. In all, 245 workers (68.6%) had received HIV education. Longer length of stay in Ranong was associated with greater access, but youth had less access than others. There was no significant difference in access when comparing the high-risk occupational groups with others, but they had more frequent access than others. Regarding perceptions, only 6.2% agreed that they had adequate access, and also only 11.6% were satisfied with level of access. However, all believed that HIV/AIDS is an important matter. All preferred participatory types of HIV-related education over non-participatory ones. This preference was significantly stronger in the high- risk groups than in others. In addition, the majority of the supplementary qualitative information from the open-ended question reinforced the quantitative findings of the study.

Sexually transmitted infection including HIV/AIDS as a result of resistance to condom use has been examined as one of the major health issues among Myanmar migrant fishermen in Ranong, Thailand although HIV prevention interventions including condom promotion have been established there for a decade. As a response, a qualitative study with ethnographic approach using Symbolic Interactionism concept, non-participant observation, in-depth interviews and focus group discussion was done in order to grasp the relationship among their social interactions, sexual meanings, and reasons for inconsistent condom use among them. The results showed that, despite having positive impressions and fair knowledge about condoms, reasons for inconsistent condom use were shaped by many individual, relational and cultural dynamic meanings of man, love, sex, risk and condoms according to time and space in their migrant context. This study highlighted how dynamic sex-related meanings and values are important and how they influence decisions towards condom use, and will be useful for HIV-related behavior change interventions and condom promotion in similar settings and elsewhere.