Abstract
This chapter presents a number of case studies which will be discussed to illustrate the decision-making processes for migrant women when considering HIV testing and treatment in pregnancy. The case studies are drawn from research which was conducted among 38 Burmese migrant pregnant women and 26 health-care workers in the Thai-Burmese border provinces in the northern part of Thailand during 2008 and 2009. With its high rate of HIV infections and high numbers of Burmese migrants, this area was selected in order to access the desired group of participants. The complex issues that surround decisions to accept or refuse HIV testing and treatment are presented from the point of view of women and also the health-care workers who are engaged in caring for them in the antenatal period. We make suggestions for improved communication and information sharing to enable the women to be actively involved in decisions at this time.
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References
Celentano D, Beyrer C (2008) Public health aspects of HIV/AIDS in low and middle income countries: epidemiology, prevention and care. Springer, Baltimore
Ekachai S (2003) Immigrant workers: facts and figures. Bangkok Post, July 8, 2003
Ekeh C, Smith M (2007) Minorities in Burma. Minority Rights Group International, London
European Commission Humanitarian Aid Office (2005) Humanitarian assistance to the vulnerable populations in Myanmar and to Burmese refugees along the Thai-Myanmar border. http://ec.europa.eu/echo/files/funding/decisions/2006/myanmar_thailand_en.pdf. Accessed 31 Oct 2011
Hughes D, Leethongdee S (2007) Universal coverage in the Land of Smiles: lessons from Thailand’s 30 Baht health reforms. Health Aff 26(4):999–1008
Khin A (2000) HIV/AIDS problem of migrants from Burma in Thailand. http://www.burmawatch.org/com-khin-hiv-aids-burmese-migrants-thailand.pdf. Accessed 15 Sept 2009
Lallemant M, Jourdain G, Le Coeur S, Mary JY, Ngo-Giang-Huong N, Koetsawang S et al (2004) Single-dose perinatal Nevirapine plus standard Zidovudine to prevent mother-to-child transmission of HIV-1 in Thailand. N Engl J Med 351:217–228
Liamputtong P (2005) Birth and social class: northern Thai women’s lived experiences of caesarean and vaginal birth. Soc Health Illn 27(2):243–270
Liamputtong P (2007) The journey of becoming a mother amongst women in northern Thailand. Lexington Books, Lanham
Mae Sai Hospital (2006) Annual report: prevention mother-to-child transmission of HIV programme. Chiang Rai, Thailand
Ministry of Public Health (2006) Annual report on the AIDS situation in Thailand for the year 2005. Ministry of Public Health, Bangkok
Ministry of Public Health (2007) Towards Universal access by 2010: Thailand National HIV and AIDS Program. Ministry of Public Health, Bangkok
Muang C (2006) The Mae Tao clinic annual report 2005. Mae Tao Clinic, Tak
NICE (2008) Antenatal care routine care for the healthy pregnant woman. RCOG Press, London
Office of Foreign Labor Migrant Commission (2008) Minimum wage 2008. http://www.mapfoundationcm.org/eng/news/minimumwage_07_08.html. Accessed 2 Dec 2010
Plewes K, Lee T, Kajeechewa L, Thwin MM, Lee SJ, Carrara VI et al (2008) Low seroprevalence of HIV and syphilis in pregnant women in refugee camps on the Thai-Burma border. Int J STD AIDS 19:833–837
POLICY (2003) HIV/AIDS in the Mekong Region: Cambodia, Lao PDR, Thailand, & Viet Nam. POLICY Project for Bureau for Asia and the Near East, U.S. Agency for International Development. http://www.policyproject.com/pubs/generalreport/ACF1B3.pdf. Accessed 12 Jan 2010
Shtarkshall R, Soskolne V (2000) Migrant populations and HIV/AIDS. The development and implementation of programmes: theory, methodology and practice. UNESCO, Paris
The Integrated Regional Information Networks (2007) Thailand: migrant workers unprotected and uninformed. http://www.plusnews.org/Report.aspx?ReportId=75261. Accessed 28 Mar 2009
UNAIDS (2006) Report on the global AIDS epidemic. UNAIDS, Geneva
UNAIDS (2010) UNAIDS Report on The Global Aids Epidemic: 2010. UNAIDS, Geneva
United Nation Development Programme (2004) Thailand’s response to HIV/AIDS: progress and challenges. UNDP, Bangkok
Wibulpolprasert S, Siasiriwattana S, Ekachampaka P, Wattanamano S, Taverat R (2005) Thailand health profile 2001–2004. Printing Press, Bangkok
World Health Organization (2004) HIV/AIDS in Asia and the Pacific region 2003. World Health Organization, Geneva
World Health Organization (2007) HIV/AIDS in the South-East Asia region. World Health Organization, New Delhi
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Chotiga, P., Crozier, K., Pfeil, M. (2013). Making Decisions in Pregnancy About HIV Testing and Treatment: The Experience of Burmese Migrant Women in Northern Thailand. In: Liamputtong, P. (eds) Women, Motherhood and Living with HIV/AIDS. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-5887-2_4
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DOI: https://doi.org/10.1007/978-94-007-5887-2_4
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