Developing an HIV/AIDS risk communication intervention model among Myanmar migrant workers in a factory in Samut Sakhon, Thailand
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Chulalongkorn University, Thailand
Submission date: 2017-04-14
Final revision date: 2018-04-09
Acceptance date: 2018-05-07
Publication date: 2019-10-29
HIV & AIDS Review 2019;18(4):285-295
In response to the heightened human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) epidemic in Samut Sakhon, Thailand, this study aimed to propose a communication model to raise awareness among migrant workers and examined its effect on the participants’ knowledge, self-efficacy to take preventative measures, perceived susceptibility to HIV/AIDS, perceived severity of HIV/AIDS to their health, perceived benefits and barriers to taking preventive measures against HIV/AIDS, and self-reported behavioral changes.

Material and methods:
A participatory risk communication campaign was designed based on the input from two focus groups consisting of 16 respondents in a factory and in-depth interviews with 10 local government and non-government officers responsible for HIV/AIDS prevention and control. With the cooperation of factory health volunteers recruited from the workers in the target factory, the intervention was developed and administered to 400 workers for two weeks starting on International Condom Day in 2017. The intervention components included events and activities, workshops and training, a media campaign, and quantitative and qualitative evaluations.

The effects of the campaign on knowledge scores, stages of change in condom use and HIV testing, self-efficacy, and the perceived benefits and barriers to taking preventative measures against HIV/AIDS were found to be significant, but the effect of the media campaign on the perceived risk of contracting HIV was not significant (alpha 0.05).

The study found that the participation of the migrants contributed to the campaign’s success in creating impacts on HIV/AIDS prevention and awareness among migrant workers in Samut Sakhon, Thailand. Significant increases in self-efficacy, knowledge, and condom use were reported by Myanmar workers following the media campaign.

Merson MH. The HIV–AIDS pandemic at 25 – the global response. N Engl J Med 2006; 354: 2414-2417.
Idele P, Gillespie A, Porth T, et al. Epidemiology of HIV and AIDS among adolescents: current status, inequities, and data gaps. J Acquir Immune Defic Syndr 2014; 66: S144-S153.
Global report: UNAIDS report on the global AIDS epidemic 2013. UNAIDS, Geneva 2013.
Joint United Nations Programme on HIV/AIDS (UNAIDS). The gap report. UNAIDS, Geneva 2014.
UNAIDS. Data Book. Geneva, 2017.
NAC. Thailand national operational plan accelerating ending AIDS, 2015-2019. National AIDS Management Center, Ministry of Public Health, Nonthaburi 2014.
UNDP. Meeting report: consultation on the memorandum of understanding to reduce HIV vulnerability associated with population movement. Bangkok, 11–13 July 2012.
Musumari PM, Chamchan C. Correlates of HIV testing experience among migrant workers from Myanmar residing in Thailand: a secondary data analysis. PLoS One 2016; 11: e0154669.
CARE. HIV/AIDS and Mobile Populations (workshop report). CARE International, Bangkok 2000.
CARE. Primary Survey Reports on Study Attitudes and Behaviors Related to HIV/AIDS Prevention and Family Planning Among Migrants from Myanmar Working in Thailand. CARE International, Bangkok 2001.
UNAIDS. Migration and HIV/AIDS in Thailand. International Orga¬nization for Migration, Bangkok 2010.
Thu M, Kyu HH, Van der Putten M. Knowledge, attitude and practices on HIV/AIDS prevention among Myanmar migrants in Maha Chai, Samut Sakhon Province, Thailand. Doctoral dissertation, Master’s thesis, College of Public Health, Chulalongkorn University, 2003.
UNICEF. Situational analysis of young people at high risk of HIV exposure in Thailand. UNICEF, Bangkok 2008.
Zaw MM. Assessment of knowledge, attitudes and risk behaviors regarding HIV/AIDS among Myanmar migrant workers in Bangkok, Thailand. Doctoral dissertation. College of Public Health, Bangkok 2002.
Fuller TD, Chamratrithirong A. Knowledge of HIV risk factors among immigrants in Thailand. J Immigr Minor Health 2009; 11: 83-91.
Mullany LC, Maung C, Beyrer C. HIV/AIDS knowledge, attitudes, and practices among Burmese migrant factory workers in Tak Province, Thailand. AIDS Care 2003; 15: 63-70.
Ford K, Chamratrithirong A. Cross border migrants: duration of residence, mobility and susceptibility to HIV infection. International Journal of Migration, Health and Social Care 2012; 8: 127-133.
Oppenheimer E, Bunnag M, Stern A. HIV/AIDS and Cross-Border Migration: A Rapid Assessment of Migrant Population Along the Thai-Burma (Myanmar) Border Regions. Institute of Asian Studies Chulalongkorn University, 1998.
Tangmunkongvorakul A, Musumari PM, Srithanaviboonchai K, et al. “When I first saw a condom, I was frightened”: a qualitative study of sexual behavior, love and life of young cross-border migrants in urban Chiang Mai, Thailand. PLoS One 2017; 12: e0183255.
Pinyosinwat T. PHAMIT: A program on HIV/AIDS prevention among migrant workers. Field Actions Science Reports, 2009. Avail-able at:
Sweat MD, Denison JA. Reducing HIV incidence in developing countries with structural and environmental interventions. AIDS 1995; 9: S251-257.
Blankenship KM, Bray SJ, Merson MH. Structural interventions in public health. AIDS 2000; 14: S11-S21.
Mondal MN, Hoque N, Chowdhury R, et al. Risky Sexual Behaviors and HIV Vulnerability of Male Migrant Workers in Rajshahi City, Bangladesh. Epidemiology 2014; 4: 2161-1165.
Khin A. HIV/AIDS problem of migrants from Burma in Thailand. 2009. Available at: http://www.burmawatch. org/com-khin-hiv-aidsburmese-migrants-thailand.pdf.
Karkee R, Shrestha DB. HIV and conflict in Nepal: relation and strategy for response. Kathmandu Univ Med J (KUMJ) 2006; 4: 363-367.
Holt BY, Effler P, Brady W, et al. Planning STI/HIV prevention among refugees and mobile populations: situation assessment of Sudanese refugees. Disasters 2003; 27: 1-15.
Ford K, Chamratrithirong A. Migrant seafarers and HIV risk in Thai communities. AIDS Educ Prev 2008; 20: 454-463.
Plewes K, Lee T, Kajeechewa L, et al. Low seroprevalence of HIV and syphilis in pregnant women in refugee camps on the Thai-Burma border. Int J STD AIDS 2008; 19: 833-837.
Jung M, Arya M, Viswanath K. Effect of media use on HIV/AIDS-related knowledge and condom use in Sub-Saharan Africa: a cross-sectional study. PLoS One 2013; 8: e68359.
Keating J, Meekers D, Adewuyi A. Assessing effects of a media campaign on HIV/AIDS awareness and prevention in Nigeria: results from the VISION Project. BMC Public Health 2006; 6: 123.
Gupta K, Singh SK. Social networking, knowledge of HIV/AIDS and risk-taking behavior among migrant workers. Journal of Population-Jakarta 2003; 9: 51-80.
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