Health Care Access and Conditions in Refugee Camps/Urban Settings

Burmese Refugee Health Profile

Malnutrition

In Burmese refugee camps in Thailand, an average of 2.1% of children were found with acute malnutrition (wasting) 6. Wasting malnutrition rates in camps are lower than in Thailand or Myanmar as a whole. An average of 40.8% (range 24.8%-49.7% in nine camps) of children surveyed were found with chronic malnutrition (stunting) 6. Stunting malnutrition rates in the camps are higher than in Thailand and comparable to rates in Myanmar 6.

Immunizations

According to the CDC field office in Thailand, in 2014 the estimated immunization rates in refugee camps in Thailand for children less than 1 year of age were: Bacillus Calmette-Guérin (BCG) 88.3%, Polio 90%, and Diphtheria-Pertussis-Tetanus (DPT) 93.1%.

Reproductive Health and Gender-Based Violence

The following data are estimates from Burmese refugees in refugee camps in Thailand from January-December 2014.

Antenatal Care
Proportion of first time ANC visits made < 1st trimester 46%
Coverage of syphilis screening in pregnancy 68%
Prevalence of syphilis (ANC) 0.8%
Abortion complication ratio* 67.7
Coverage of complete antenatal care 97%
Coverage of antenatal tetanus immunization 97%

* number of abortion complications / 1000 / month

Delivery Care
Total number of live births 2,793
Crude birth rate* 1.9
Proportion of all births attended by skilled health worker (excl. TBA) 93%
Proportion of deliveries at health facility 92%
Total number of still births 28
Stillbirth rate** 9.9
Proportion of low birth weight deliveries 9%
Proportion of obstetric complications treated in health facilities*** 99%
Proportion of all births performed by caesarean section 6%

TBA=traditional birth attendant
* number of live births / 1000 / month, ** number of still births / 1000 total (live and still) births, *** number of obstetric complications / 1000 / month

Postnatal Care
Coverage of complete postnatal care 79%
Family Planning
Contraceptive Prevalence Rate 42%
Sexual and Gender-based Violence (SGBV)
Total number of rape survivors seen in health center 14
Incidence of reported rape* 1.1
Proportion of rape survivors who receive PEP < 72 hrs 0%
Proportion of female rape survivors who receive ECP < 120 hrs 13%
Proportion of rape survivors who receive STI presumptive treatment < 2 wks 17%

PEP=post-exposure prophylaxis
ECP=Emergency Contraceptive Pill
* number of rapes / 10,000 / year
Source: CDC field office in Thailand
*Antenatal Care (ANC), Traditional Birth Attendant (TBA)

References

  1. The Border Consortium, The Border Consortium Programme Report. 2014.
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