Santé au travail en Thaïlande: le processus de transition

La Thaïlande a connu une transition économique rapide, de l'agriculture aux secteurs manufacturier et tertiaire, puis vers l'emploi plus formel. Toutefois, la réglementation du marché du travail et la représentation des salariés sont moins affirmées que dans les pays développés, où cette transition s'est effectuée graduellement et plus lentement, il y a plusieurs décennies. Les auteurs examinent le renforcement des politiques et de la législation thaïlandaise sur la sécurité et la santé au travail en réponse aux normes internationales du travail, à l'adoption d'une nouvelle constitution démocratique, à la crainte d'embargos commerciaux étrangers et aux accidents mortels du travail. Ils concluent en identifiant les principaux défis auxquels sont confrontés les décideurs politiques, y compris l'application de la législation et les méthodes pour mesurer les nouveaux risques professionnels sur la santé mentale et physique des travailleurs.     

Thailand's Work and Health Transition

Thailand has experienced a rapid economic transition from agriculture to industry and services, and from informal to formal employment. It has much less state regulation and worker representation relative to developed nations, who underwent these transitions more slowly and sequentially, decades earlier. We examine the strengthening of Thai government policy and legislation affecting worker's health, responding to international norms, a new democratic constitution, fear of foreign importer embargos and several fatal workplace disasters. We identify key challenges remaining for Thai policy makers, including legislation enforcement and the measurement of impacts on worker's mental and physical health.     

Community drug abuse prevention in a Hmong village in Thailand

The goal of this project was to implement a model of drug abuse prevention, drawing on health care, psychosocial and legal principles, in a selected village community in Thailand. Primary, secondary, and tertiary prevention strategies were used within a nursing conceptual framework that included the interactions among the person, drugs, and environment. An initial community survey revealed 112 addicted individuals and identified many atrisk groups, such as children of addicted parents, adolescents, and women. Primary health care and dental health services were provided in the community, as well as drug abuse education and activities for school children and at-risk groups. Treatment camps were also established in the community on two occasions to provide detoxification and rehabilitation services for addicted individuals. At the end of the 3-year program, there were no new addicted individuals, and the number of addicted individuals decreased from 112 to 50 (after first treatment) and 26 (after second treatment). In addition, the villagers were more aware of problems related to using opium and heroin and of modern, approved drugs to treat illnesses. The prevention strategies were beneficial for the community members, as well as the addicted individuals and theirfamilies.     

Personal Wellbeing Index in a National Cohort of 87,134 Thai Adults

Satisfaction with life correlates with other measures of subjective wellbeing and correlates predictably with individual characteristics and overall health. Social indicators and subjective wellbeing measures are necessary to evaluate a society and can be used to produce national indicators of happiness. This study therefore aims to help close the gap in wellbeing data for Thailand. The specific aims are to: (1) calculate the Thai PWI and domain scores using a large scale sample; (2) examine the level of life satisfaction of Thais when compared to international standards; (3) examine the Thai PWI and domains in relation to demographic, socioeconomic, and geographic characteristics. Our report derives from the findings on the Personal Wellbeing Index (PWI) in a large national cohort of Sukhothai Thammathirat Open University adult students living all over Thailand (n = 87,134). This Thai cohort had an overall PWI of 70.0 on a scale from 0 to 100 which is consistent with Western populations. The ‘spirituality and religion’ domain had the highest average score. ‘Standard of living’, ‘future security’ and ‘achievement in life’ made the largest contribution to overall ‘satisfaction in life as a whole’. These domains also show a positive trend with increasing age, being married, higher income, more education, more household assets, and rural residence. The PWI will be an important tool for policymakers to understand the subjective wellbeing of population groups especially as Thailand is undergoing a political and economic transition.