INCREASED understanding of the migration of human populations
within Myanmar and across its borders will help boost cooperation
among local and international organisations working in the areas
of migration and HIV vulnerability, Ms Isabelle Bouan, the International
Organisation for Migration’s chief of mission to Myanmar,
said last month.
“Hopefully, we can create a network of organisations working
in Myanmar and across its borders similar to networks in other
countries,” said Ms Bouan.
She was speaking following an experience-sharing workshop in
Yangon on September 26 and 27 that attracted representatives from
the United Nations and other international non-governmental organisations,
as well as from government bodies such as the Department of Health,
that are working in the area of HIV prevention.
“It was important to have participants from organisations
that work with migrants in Thailand, a major destination for migrants
from Myanmar,” Ms Bouan said.
She said participants completed the first step of an agreement
to study the migrant situation and its impact on local communities.
Representatives also discussed ways in which their respective
organisations could support one another’s activities, she
said.
“We need to identify which kinds of people in which areas
should be educated about HIV vulnerability, and we need to set
standards that enable different agencies to cooperate in conducting
HIV prevention activities,” Ms Bouan said.
Migrants were at great risk of contracting HIV, in their home
areas, during transit and at their destinations, she said, adding
that it was difficult to determine the extent of HIV infection
in mobile populations because of a lack of baseline data.
“We have already identified some of the areas where prospective
migrants are living and where there are high populations of people
who have been affected by HIV/AIDS,” she said.
“We work a lot with source communities to make sure they
have the ability to provide HIV education to people who are planning
to migrate or who are staying with partners who have migrated,”
Ms Bouan said.
Meanwhile, a consortium of organisations working to control
HIV/AIDS in Myanmar – including IOM, Save the Children,
Pact Myanmar, Population Services International and Raksthai Foundation
– are preparing to conduct a survey project in 10 towns
in five states and divisions.
“Through the project, we are hoping to enhance community
understanding of the link between migration and HIV vulnerability.
Our assumption is that along the migration cycle – source,
transit and destination – venerability is different,”
Ms Bouan said.
“We are trying to find out where migrants are most vulnerable
and where and how we should work to help them,” she said,
adding that efforts to conduct these activities would be more
effective if a wider range of local authorities became involved.
“We need greater involvement from the ministries of Labour,
Immigration and Social Welfare, in addition to support from the
ministries of Health and Home Affairs. HIV mobility is not just
a health issue. It also involves education, immigration and labour,”
she said.
A recent IOM report estimated that there were about 2.5 million
migrants in Thailand.
The report said key challenges in addressing HIV vulnerability
included lack of adequate information and prevention efforts,
stigma and discrimination against HIV patients, and lack of access
to care, support or treatment.