Alumni

Kwanchit Sasiwongsaroj
kwan7chit@yahoo.com

Country: Thailand
Thesis Title: INEQUALITY OF CHILD MORTALITY AMONG ETHNIC GROUPS IN THAILAND: A QUANTITATIVE AND QUALITATIVE STUDY
Advisor: CHANYA SETHAPUT
Abstract:

This study was undertaken to explore the inequalities in child mortality among nine ethnic groups in Thailand, including the Thai. This study used both quantitative and qualitative approaches. The 2000 population and housing census was employed to estimate the mortality rates for children under five (Under-five Mortality Rate: U5MR) by using an indirect demographic method. The factors contributing to the differences of child mortality among ethnic groups were investigated through an ethnographic approach based on Mosley and Chen conceptual model (1984). Karen and Mon were purposively selected to explore the mortality inequality in the village context in the Kanchanaburi province. The findings indicated that the U5MR was different among the nine ethnic groups throughout 1986-1996. The Chinese had the lowest rates followed by Thai, Khmer, Malay, and Mon, respectively, whereas ethnic hilltribes had higher rates than the former groups. The child mortality difference was mainly explained the by Mosley and Chen analytic model. The differences between U5MR were related to the socioeconomic status of a household. The ethnic groups with a higher socioeconomic status were more likely to have low mortality rates than their low socioeconomic status counterparts. Additionally, the findings from the qualitative method found a crucial factor, assimilation, that emerged beyond Mosley and Chen framework (1984). The Mon who had a higher probability of a child surviving than the Karen, habitually moved to settle close to Thai people. Their health perceptions and practices were shaped by Thai traditions that, in turn, led them to use health care services which benefited their children’s health and survival. Meanwhile, the Karen had a subsistence living in inaccessible locations leading them to have a lower assimilation than the Mon. Their low income and lack of health information and knowledge impeded the Karen from seeking professional health services. This study highlights the need for urgent policy initiatives to reduce the gap of child mortality, especially among ethnic hilltribes. An improvement in the socioeconomic status and access to health services may improve the chances of child survival among these groups.

Published Article:

1. Kwanchit Sasiwongsaroj,Chanya Sethaput,Patama Vapattanawong,Kathleen Ford.
Child Mortality Inequality between Thais and Hilltribes in Thailand Study from Population and Housing Census.. Journal of Population and Social Studies . (in press)
ประเภทวารสาร : ระดับนานาชาติ
ภาษาที่ใช้ในการตีพิมพ์ : ภาษาอังกฤษ
ฐานข้อมูล : SCOPUS
 

Alumni

Doctor of Philosophy in Demography (International Program)
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