Abstract
This cross-sectional survey was conducted among 457 temporary constructing labors in Samuthprakharn province of Thailand to reveal the labors migration movement factors and their health status, health seeking behavior and places, health promotion, health care services utilities, and stake holders brain-storming provision idea for appropriate semi-package model of health promotion. (under Universal Coverage Health Assurance Policy of Thailand) 457 subjects with (UC) golden card provided were proportional random sampling through each six districts of Samuthprakhan Province in 2004. Found that most of labors were males(71.33%)higher amount than females(28.68%), major of age range between 21-45 years, most of them as the labors constructing in Suwannaphume International Airport(55.80%), residential real-estate(19.91%), various type factory/plant(8.75%). The labors educational level were mostly primary school (Prathom 6 = 41.23%, Prathom 4 = 28.29%) and secondary school level(17.76%). Most of income range 100-200 bath per day. Major factors of migration movement to be labors is no employment in their home town(48.83%), higher income (33.26%), leave from after agricultural harvested season(20.57%), and motivated(14.14%). Their self health perception for a year rounded were healthy(73.58%), mild-moderate illness (16.92%) eg. cold, muscle body pain, and headache. Housing style are single compartment rooms (non separation for bedroom and kitchen) in two level stair row house(55.80%), one level stair with zinc-metal-sheet roofing(33.70%). Residential environment condition still being water sewage flood, smelling, insect and other disease animal vehicles, ambient temperature/air seem to be wormy and less ventilation. Labors self medication and drinking were tonic drink(M-150 and Red bull Brand) (55.36%), alcohol and alcoholic herb(53.61%), glossary combined medicine(30.42%) and envelop anti pain(salicylic acid)(16.85%). Incase of sickness, mostly hospital utilization(59.4%), health center(21.1%), other left do the private clinic visiting, and quite unsatisfactory for remedy cost, long waiting time, and less quality of drugs. Labors nutritional status (Body mass Index) mostly be normal level(71.74%), over nutrition(17.6%), and a few are lower than actual status(11.0%). Breakfast and dinner’s labors were self cooking(63.76% and 69.78%), the left were ready cooked purchasing. Males(49.8%) and some of females(26.9%) eat raw and semi-cooked food for 1-2 time weekly(p=0.03). Most labors(84.46%)well enough sleeping, and less anxieties(52.52%) with watching television(63.7%). Incase of bad feeling and stress they do nothing(33.9%) almost every day, go outing to entertainment place and drinking club and smoking (24.1%). 66.65 per-cent of labors did not do physical exercise but seasonal religion practices(66.52%). The most of working accident is pierced/tackled by pieces of material(56.52%), injured by sharpness matters(26.96%), and eye attacked by bouncing matters(12.17%). Their general perception for health services utilization and enable to privilege when being in Samuthrprakhan are Hospital(53.85%), do not know where is(21.10%), village health center(13.19%), but most of them never(78.10%) vise-versa ever for hospital(15.17%), village health center(6.19%), all ever subjects had no chance to golden card declaration(44.57%) due to out of area registered, and do not know about this privilege declaration(22.17%). Brain-storming provision idea among stake-holders by ZOPP Technique session for health promotive modeling and the theme which categorized are : should be setting model of health promotion through all integration sectors and both pertain active and passive activities by counterpart of employer, health services providers, labors, local thambol bureau, social insurance provincial office, and community participatory. The local area status appropriated health promotive modeling such as : constructing area and labors housing finding and registering system, health promotion and active environment management welfare system, UC and golden card privilege information and efficiency communication system included indicate setting area of health services place in case of urgent situation. Finally budget sharing responsibility and fund raising should be responsible with all related sectors above mentioned.
