The Women's Well-being Program, focuses on holistic support, empowerment, and long-term impact, embodying SWAN's commitment to advocacy, collaboration, and resilience in the face of adversity.
The Women's Well-being Program, focuses on holistic support, empowerment, and long-term impact, embodying SWAN's commitment to advocacy, collaboration, and resilience in the face of adversity.
Training for local Traditional Birth Attendants (TBAs) by the SWAN health workers.
Conducting village level basic and reproductive health educational sessions for married and unmarried women and men in the community
The Women’s Well-being Program (WWP) formally began in 2013. The program evolved out of two of SWAN’s earlier programs that were established in 1999 (Health) and 2001 (Women’s Crisis Support). These two initiatives were developed to meet the needs of Shan women and children who were forced by the Burmese Army to abandon their homes in Shan State, Burma and flee for safety to the Thai-Burma border region from 1996. Tens of thousands of Shan refugees arrived in northern Thailand during the 1990s, and more people fled across the border between 2000-2005. In addition to emergency humanitarian relief, these refugees needed access to basic healthcare and other social services.
In 2000, with the support of several partners, SWAN established health stations at Lak Teng,and in 2004 in Loi Lum, thus straddling both sides of the Thai-Burma border, to provide health education and services to Shan families. After 2003, most displaced Shan communities living in the Shan State border region crossed over into Thailand. SWAN was instrumental in establishing a special clinic at the Koung Jor Refugee Camp, as well as closely coordinating health activities with Thai health authorities at the nearby Piang Luang Health Center and the Wieng Haeng Hospital, including HIV/AIDS education and support. Accordingly, SWAN served as an important link between the Shan community in Wieng Haeng district and local Thai health authorities.
In terms of Women’s Crisis Support, SWAN started a program in Chiang Mai in 2001 that aimed to improve access for Shan women and children in crisis to provide emergency assistance. The women and children assisted included those affected by domestic violence, those with mental and physical health problems, and women and families affected by poverty who required supplementary food, clothing, medicine, legal assistance, counselling, health education, and support and training to find employment.
In 2003, SWAN set up a second Crisis Support Centre on the Thai-Burma border in Fang. As many refugees and migrants who fled conflict in Burma did not speak Thai and lacked knowledge about how to access healthcare services, SWAN staff gave vital support to those in need. Women and their families who required emergency housing were accommodated at the crisis support centres.
Over the years, Shan communities were increasingly able to access basic health services provided by the nearby Thai health facilities in Piang Luang, as well as in the Wieng Haeng district center. In addition, the special outreach HIV/AIDS education, counseling, and treatment program originally sponsored by SWAN was integrated into the Wieng Haeng district hospital service.
During the political transition in Burma in the 2010s, SWAN redirected its resources to prioritize providing basic reproductive and child health services in remote areas of Shan State, Burma. In 2010, SWAN started an initiative to train local health and community workers from conflict-affected areas in Shan State. The goal of the SWAN training courses was to help local Shan health workers improve their skills in sexual and reproductive health and child health to become effective health educators and service providers. When SWAN began this initiative, it did not have any health workers in Shan State. Since then, the main focus of the Women’s Well-being Program has been capacity building trainings and service provision by SWAN’s community health workers. Over the past decade, these community health workers have evolved into the main source of basic health care and health education in different parts of Shan State, Burma. A number of SWAN’s target townships are subject to intermittent fighting and/or under the control of ethnic armed organisations, which have few resources for healthcare, so SWAN’s community health workers play a crucial role.
Through the Burma Relief Centre (BRC), SWAN was introduced to a retired public health specialist who, with his former physician and nursing colleagues in Chiang Mai, began to serve as an informal adviser for SWAN’s health training program. From 2011, SWAN organized several special training courses based upon community health workers’ needs, in particular basic and refresher reproductive health awareness workshops. From 2011-2017, SWAN trained more than 150 health and community health workers. Several of SWAN’s health workers have developed into extremely dynamic and capable health workers who are held in high esteem by their peers as well as by local township health officials. Often, local health officials request SWAN community health workers for assistance, whenever the state government provides health services, such as immunization, in remote areas.
In 2018, a group of ethnic health organizations namely SWAN, KWAT (Kachin Women’s Association of Thailand), KnMHC (Karenni Mobile Health Committee), and the BPHWT (Back-Pack Health Worker Team) working in eastern and northern Burma decided to expand their current reproductive health services by including contraceptive implants as one of the main family planning services. Implants can be used to prevent unwanted pregnancy for up to 3-5 years. For many women who do not wish to have any more children, or who would like to space their next pregnancy, such implants are a very attractive option. SWAN organized implant training that was both theoretical and practical, then provided back-up support. From 2018- 2020, eight implant training courses have been conducted.
From 2015 until the military coup in 2021, the Women’s Well-being Program assisted women and children in Shan State affected by violence. Moreover, from 2000 until the military coup in 2021, SWAN implemented the Child Protection Project by establishing a learning center in Loilem Township with two staff. The project aimed to improve community understanding of child rights and the need for child protection
Topic | Year | Type of Participant |
---|---|---|
Maternal and Child Health | 2011 | Health workers |
Reproductive Health | 2012, 2013, 2014 | Health workers |
Curative Care Review | 2015 | Health workers |
Reproductive Health, Health Data Collection | 2016 | Health workers |
Train the Trainer | 2018 | Health workers |
Maternal and Child Health, Adolescent Health, Mental Health, Addiction, Care of the Elderly | 2019 | Health workers, migrant workers |
Contraceptive Implant | 2018, 2019, 2020 | Shan and other ethnic health workers |
Reproductive health, pregnancy care, delivery, postnatal care | 2019 | Traditional Birth Attendants |
Monitoring and Evaluation | 2020 | Health workers |
For the pregnant women’s groups, the topics mainly focus on how to have a healthy pregnancy and the do’s and don’ts for safe delivery. If it is a mixed group of men and women the topics focus on family planning, and how to take care of women’s and children’s health and nutrition. The sessions also include how to prevent seasonal diseases and provide an opportunity for villagers to have their general health questions answered.
We commit ourselves to work for gender equality and justice for Shan women in the struggle for social and political change in Burma through community-based actions, research and advocacy.
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