Migration and Health Impacts among Low‐skilled

Labors in the :

A Case Study

Keoamphone Souvannaphoum

Mekong Institute Khon Kaen University Khon Kaen 40002,

April 2008

MEKONG INSTITUTE

-Mekong Institute Research Working Paper Series No. 02/2008 - i Published by the Research and Learning Resource Department of the Mekong Institute (MI), Khon Kaen 40002, Thailand Telephone: 66‐4‐320‐2411 to 2 Ext. 401 and 402 Fax: 66‐4‐334‐3131 Email: [email protected] [email protected] Website: www.mekonginstitute.org

Migration and Health Impacts among Low‐skilled Labors in the Greater Mekong Subregion: A Case Study

ISBN 978‐974‐06‐3812‐4

Keoamphone Souvannaphoum

Keywords: Migration, health, low‐skilled labors, mobility, vulnerability

The findings, interpretations, and conclusions expressed in this report are entirely those of the authors and should not be attributed in any manner to Mekong Institute or its donors/sponsors or editors unless otherwise stated. Mekong Institute does not guarantee the accuracy of the data included in this publication and accepts no responsibility for any consequence of their use. The material in this publication is copyrighted and Mekong Institute will normally grant permission to reproduce portions of the work.

-Mekong Institute Research Working Paper Series No. 02/2008 - ii Mekong Institute Research Working Paper Series are the outputs of research study projects supported by the Mekong Institute. The research reports have been reviewed and edited by English and Technical Editor of the Mekong Institute Research Advisory Committee (MIRAC).

Managing Editor

Bhoj Raj Khanal Research Manager Mekong Institute, Thailand

Editor

Dr. Christopher Gan Associate Professor Lincoln University, New Zealand

Comments should be sent to the author

Keoamphone Souvannaphoum, Consultant, Mekong Institute, Khon Kaen, Thailand, Email: [email protected]

Or

Research and Learning Resource Department Mekong Institute, Khon Kaen University, Khon Kaen 40002, Thailand Emails: [email protected], [email protected]

-Mekong Institute Research Working Paper Series No. 02/2008 - iii ABOUT MEKONG INSTITUTE

The Mekong Institute (MI) is an inter‐governmental organization working in the six Greater Mekong Subregion (GMS) countries (, Lao PDR, Myanmar, Thailand, and Yunnan Provice of ) to provide capacity building activities for government officials, members of private enterprises and civil society involved in the development of the subregion. MI has been serving the human resource development (HRD) needs of the GMS since 1996. The New Zealand Government conceived Mekong Institute as a development assistance project for the countries of the GMS, intended to evolve into a regionally governed, autonomous institution. The institute is situated on the campus of Khon Kaen University in Northeastern Thailand. NZAID, the Thai Government, Khon Kaen University and other national and international partner agencies funded this project from 1996‐2003.

In 2003 the six GMS governments signed a charter founding MI as a non‐profit, autonomous organization, working in close collaboration with other GMS institutions. On July 17, 2007, the Thai Cabinet approved MI Headquarters Agreement to recognize MI as an intergovernmental organization. With this intergovernmental status, MI is now in a very favorable position to facilitate regional development, cooperation and integration through its human resource development programs, GMS‐focused action researches, and policy dialogue facilitation.

MI works closely with the governments of the six GMS countries in designing and delivering high quality and relevant human resource development programs. The capacity building activities include learning programs, special focus learning forums (policy dialogue), and GMS focused research in areas of GMS high priority development needs identified by the stakeholders. To support GMS focused research activities, MI has started an in‐house research capability by establishing the Research and Learning Resource Department. At the beginning of 2006, MI formed the Mekong Institute Research Advisory Committee (MIRAC) to coordinate the researches in the respective GMS countries. The aims of this research profiling are, to bring together researchers from the GMS countries as well as researchers from non‐GMS countries to initiate research networking and participate on collaborative research activities on GMS related topics. MI has currently at least 2,700 alumni throughout the GMS and beyond and 42 staff at the headquarters in Khon Kaen, Thailand.

MI Strategic Goals in the next three years include, providing services to the six GMS countries in Capacity Building for Regional Cooperation in four thematic areas which have been approved by the MI Council in July 2007.

1. Public Sector Reform and Good Governance a. Leadership in Public Service Reform b. Leadership in Competitive Enterprise c. Donor Assistance Management and Aide Effectiveness

-Mekong Institute Research Working Paper Series No. 02/2008 - iv 2. Rural Development and Project Management a. Transboundary/Regional Project Management i. Project Feasibility and Design ii. Project Planning and Development iii. Project Execution, Implementation, and Reporting iv. Results‐based Project Monitoring and Evaluation b. Rural Development c. Income Generation and Poverty Reduction

3. Trade Facilitation and SMEs Development a. Enhancing Entrepreneurship b. SMEs Cluster Development and Export Consortia c. Trade and Investment Facilitation

4. Regional Cooperation a. Tourism Approach to the Regional Development b. Human Migration Management c. Conflict Management for Effective Regional Cooperation d. Economic Corridor Social Impacts Mitigation and Management e. Strategic Human Resource Development for Effective Regional Cooperation

MI Human Resource Capacity

1. Sixteen professional program staff (specialists and facilitators) 2. Eight program support service/event organizers 3. Eight administrative support personnel 4. Ten Young GMS Professionals

MI Facilities

1. Two conference rooms fully equipped with audio‐visual equipment and training materials 2. Twenty‐four hour internet services through wireless system 3. GMS Document Center with online access to Khon Kaen University Library 4. Thirty‐eight standard hotel rooms with twenty‐four hour internet access.

MI Competitive Advantage

The most valuable and strongest competency of MI is its avowed focus on the GMS. This includes 1. the access that MI has to officials and organizations throughout the GMS 2. out access to over 2,700 alumni and national coordinating agencies of the GMS, and 3. our regional focused human resource development programs.

-Mekong Institute Research Working Paper Series No. 02/2008 - v Mekong Institute in the Joint Summit Declaration of the 3rd GMS Summit, Vientiane, Lao PDR on 30‐31 March 2008

Leaders of the six GMS countries met in Vientiane, on 30‐31 March 2008 to discuss the progress and chart future directions in GMS cooperation. The triennial meeting, the third among GMS Leaders, had its theme “Enhancing Competitiveness Through Greater Connectivity” and aimed to sustain and deepen economic cooperation and integration efforts among the countries in order to better meet development challenges and realize common vision of an integrated, harmonious and prosperous subregion.

Joint Summit Declaration THE THIRD GMS SUMMIT Vientiane, Lao Peopleʹs Democratic Republic 30‐31 March 2008 ʺENHANCING COMPETITIVENESS THROUGH GREATER CONNECTIVITYʺ

Plan of Action for GMS Development, 2008‐2012 Source: (http://www.adb.org/Documents/Events/2008/3rd‐GMS‐Summit/default.asp)

Human Resource Development: Implement the new strategic framework and action plan for cooperation in education, health, labor, and other social development areas, broaden and deepen the scope of the Phnom Penh Plan for Development Management, support the mandate and mission of the Mekong Institute, and enhance the prevention and control of communicable diseases in border areas.

Photographs of the Activities of the Mekong Institute

Photos: Left (GMS Policy dialogue) and Right (Training/Seminar) at MI Residential Building

Photos: Left (Group presentation in training program) and Right (MI Learning Resource Center)

-Mekong Institute Research Working Paper Series No. 02/2008 - vi Mekong Institute Research Advisory Committee

Mekong Institute Research Advisory Committee (MIRAC) consists of a total of eleven members and representatives; six GMS researchers, three international advisors, Director and Research Manager of the Mekong Institute. The objective of the MI Research activities is to establish research profiles/ research culture and implement GMS focused researches through MIRAC and GMS researchers. The specific purpose of MIRAC is to initiate collaborative and individual country researches among the GMS countries; to build in‐house research capacity of MI and GMS researchers; and to promote MI as learning and research resource oriented institute.

List of Current MIRAC Members

A. Regionally Known Researchers from the GMS Member Countries

1. Prof. Zhu Zhenming, Deputy Director, Institute of South East Asian Studies, Yunnan Academy of Social Sciences, Yunnan Province, China 2. Dr. Yaowalak Apichatvullop, Director, Center for Research on Plurality in the Mekong Region and Dean of Faculty of Humanities and Social Sciences, Khon Kaen University, Thailand 3. Dr. Ngin Chanrith, Lecturer and Director, Graduate Programs in Development Studies, Royal University of Phnom Penh (RUPP), Russian Federation Boulevard, Tuol Kork, Phnom Penh, Cambodia 4. Mrs. Monemany Nhoybouakong, Director General, Environmental Research Institute (ERI), Science Technology and Environment Agency, Prime Minister’s Office, Vientiane, Lao PDR 5. Dr. Bui Quang Tuan, Director, Department for Globalization and Economic Integration Studies, Institute of World Economics and Politics (IWEP), Hanoi, Vietnam 6. Prof. Myat Thein, Retired Rector of Yangon Institute of Economics, Add: No. 27/1 Shwedaunggyar Rd, Bahan Township, Yangon, Myanmar B. Internationally Known Research Advisors 7. Prof. Dr. Masaya Shiraishi, Graduate School of Asia‐Pacific Studies, Waseda University, Sodai‐Nishiwaseda Bldg., 1‐21‐1, Nishi‐Waseda, Shinjuku‐ku, Tokyo 169‐0051, Japan 8. Dr. Christopher Gan, Associate Professor in Economics, Commerce Division, Lincoln University, PO Box 84, Canterbury, New Zealand 9. Dr. Guy Faure, Director, Research Institute on Contemporary Southeast Asia (IRASEC), 29 Sathorn Tai Road, Bangkok 10120, Thailand C. Mekong Institute Staff 10. Dr. Suchat Katima, Director, Mekong Institute, Khon Kaen University, Khon Kaen 40002, Thailand 11. Mr. Bhoj Raj Khanal, Research Manager, Mekong Institute, Khon Kaen University, Khon Kaen 40002, Thailand

-Mekong Institute Research Working Paper Series No. 02/2008 - vii Regional Policy Dialogue of the Greater Mekong Sub‐region Through Mekong Institute with the support of the Rockefeller Foundation

Greater Mekong Subregion (GMS) countries face many challenges such as poverty and limited national and regional infrastructures for transportation, electricity, telecommunications, health and education. The average income (approx. US$800) is 20 percent below the average income of developing Asia. The income distribution is widely disparate between rich and poor, and the urban and rural populations. In order to take advantage of the opportunities for economic development as a region, large regionally integrated infrastructure projects are key. Geographic realities and dependencies necessitate cooperative management of natural resources and preservation of the environment.

The governments of the Greater Mekong Subregion are convinced that increasing cooperation is vital to their development needs. In 1996, these six governments agreed that the GMS would be the primary framework for economic cooperation. During the past five years the GMS has been increasingly involved in integrated major regional development programs and projects. The subregion has attracted major funding partnerships from regional and international organizations, with the Asian Development Bank (ADB) acting as the coordinator for regional development support. Twelve years into the GMS cooperation, not only have large integrated infrastructure projects progressed, but general economic cooperation has also increased to a significant level, with trade facilitation, cross border investments and economic linkages expanding rapidly.

The goal of the GMS from its inception was to promote both economic and social development by strengthening economic linkages. Much has been accomplished in the development of economic cooperation and integration, to mutual benefit of the GMS member countries, and now it seems that the time and circumstance call for increased attention to addressing regional policies and programs vital to social development. In the November 2002 Joint Summit Declaration, the substantial fruits of economic cooperation were acknowledged, and commitment was made to taking steps to address common challenges in social welfare of the people in the GMS, to lay the foundation for social progress. The GMS leaders committed their governments to addressing social development needs through cooperation. They noted the need to address regionally the circumstances crippling the development of human potential and the need for protection of women, children, minorities and other vulnerable segments of society from abuse and discrimination. They made a call for regional policy making and cooperation to combat illegal cross border trafficking/trade of drugs and humans, and also to combat the spread of disease and other health hazards.

-Mekong Institute Research Working Paper Series No. 02/2008 - viii The ADB Strategies Framework for the Next Ten Years emphasized that although the first 10 years of GMS cooperation has brought much progress in infrastructure and economic development, there are social development issues that would benefit greatly from a regional approach to policy making. Areas cited for regional policy making were health, education, labor and rights of migrant and cross border populations, as well as the access to social services for ethnic populations in mountainous and remote areas.

Once of the most important achievements cited by the GMS Summit leaders, the ADB and other GMS development partners is the growing trust and confidence in the countries’ cooperation. This trust and improvement in relationship is perhaps the most important accomplishment of the GMS cooperation efforts so far and creates an environment now that is conductive to cooperation and integration in the formulation of regional social policies.

In order to promote this regional policy formulation for social development, there is a need for forums to facilitate and stimulate regional policy discussion in areas of social concern. These forums would enable policy makers, civil society and others with expertise relevant to the policy issues to come together in a participatory learning environment to formulate solutions to regional problems. The learning environment would need to be information rich, with access to pertinent research and facilitation in applying research and information to the collaborative formulation of regional social policies.

The regional policy dialogue program initiated by Mekong Institute with the support from the Rockefeller Foundation partly fulfills the Mekong Institute’s objective to contribute to policy thin