Social protection for women homeworkers: a case of healthcare services in Thailand

摘要

Purpose – The purpose of this paper is to examine women homeworkers' access to healthcare services in Thailand. Specifically, it focuses on how the state's universal healthcare service, introduced in the year 2002, has respondedot responded to the needs of poor women homeworkers in Bangkok. Design/methodology/approach – Data collection was done through a structured questionnaire with 415 women homeworkers from 16 districts in Bangkok, Thailand, ten in-depth interviews and 13 group discussions. Findings – It was found that less than half of the women homeworker respondents accessed the universal healthcare scheme. The obstacles for access include both financial (transportation cost, loss of wage) and time. Also, homeworkers need support from the community/household to access these services. Universal health services itself is not enough to ensure access to healthcare service, especially among poor and minimally educated homeworkers with small children. Practical implications – The research showed the need to have multiple approaches (state-provided services and community organizing, as well as awareness among men about their role in care work), in order to ensure universal healthcare coverage. Originality/value – Universal healthcare services are considered the best way to extend healthcare services to workers in the informal economy. This paper argues that total dependence on state-provided services does not ensure universal healthcare coverage. There is a need for additional community-based support mechanisms to ensure access to these services.