1. After completing this module, youth will be able to
practice the knowledge how to keep healthy particularly
while they are away from home or during migration.
They will learn specifically on how to access health care
services, reproductive health and basic/personal
hygiene.

2. Health is the most important factor that enhances success or
failure among migrants. It is logic that if they get sick or unable
to work, they could not earn money. Generally adolescent are
at risks with sexual relationship, STDs and HIV infected and
prenatal care. In addition most of them who are industry
workers get affects from chemical substance and poor working
environment. The top risks usually happen among migrants
who have lack practical knowledge of basic/personal hygiene,
reproductive health and how to accessing health care services

3. Basic/ personal hygiene is very important. You can help your
self being healthy and prevent from diseases by practicing
the following activities.

6. Not Everyday

9. Below statements are about basic and personal hygiene. Fill the gap
with the correct word in the box.
Mouth, Food, Hair care, hands and feet, sneezing and coughing, dirt,
sharing, clothes
1)___________that you don’t wash or cook in clean water likely has germs
or bacteria.
2) In your ___________and on your teeth there are many bacteria living,
brushing your teeth will reduce them and keep your body and teeth healthy.
3) Your __________come in contact with many things. Before you eat, and
after you went to the toilet, always wash your hands. Especially under your
nails, many bacteria are living. You need to clean your feet at least once a
day, especially between the toes.
4) Washing your ______________ is also important. You can do this every
second day. Don’t do this every day with a lot of shampoo. That is not good
for your scalp.

10. Below statements are about basic and personal hygiene. Fill the gap
with the correct word in the box.
Mouth, Food, Hair care, hands and feet, sneezing and coughing, dirt,
sharing, clothes
5) _____________the same cups for water and dishes will spread bacteria
very fast. Don’t do this, bring your own or wash before you use
6) _______________will spread bacteria, especially when you are already
sick. Wearing a mask or turning your head and covering your mouth will
prevent them from reaching others.
7) Your sweat and body attracts germs that also live and multiply in your
____________. Changing them, even when you don’t sweat, will keep you
healthier.
8)_______________ garbage and waste water that is not removed is a source
of diseases. Flies will spread them fast. Therefore you need to keep your
environment clean. Throw garbage in a dustbin away from where you work or
live.

11. Awareness on High-Risk Behavior and STDs
It is generally found that in migration situation, youth/young
migrants challenge high risk for infection from STDs/HIVs,
particularly who are sexually active engaging in one or more
of the following high-risk behaviors.

12. Being sexually active with more than one person.
This includes having a series of sexual relationships with one person at a time.
However, being sexually active with even one partner puts a person at risk. Most
teens are unaware of a partner's past behavior and whether he or she already has
an STD.
Engaging in either unprotected or
protected sex.
Barrier protection is not 100 percent
effective in preventing the transmission of
STDs, and it is not effective at all against
HPV-the human papillomavirus. Abstinence
from sexual activity is the only method that
is 100 percent effective in preventing STDs
Selecting high-risk partners
Such partners include those with a history of being sexually active with more than one
person and those who have injected illegal drugs
Using alcohol and other drugs
Alcohol use can lower inhibitions. In a recent survey, more than 25 percent of teens
who engaged in sexual activity had been under the influence of alcohol or drug use.

13. Awareness on the Consequences of STDs
Most people, including teens, are not fully aware of the consequences of
sexual transmitted disease (STDs). These are serious infections that can
dramatically change the course of a person's life.
• Some STDs such as HIV/AIDS cannot be eliminated from the body by
medical treatment, such as antibiotics.
• Some STDs cause cancer such as the hepatitis B virus can cause
cancer of the liver. The human papilloma virus (HPV) can cause cancer
of the cervix. These STDs also cannot be cured and may last a lifetime.
• Some STDs can use complications that affect the ability to
reproduce. Females can develop pelvic inflammatory disease (PID),
which damages reproductive organs and can cause sterility.
• Some STDs can be passed from an infected female to her child
before, during, or after birth. STDs can damage the bones, nervous
system, and brain of a fetus. Premature births can result, and infants
infected with STDs at delivery may become blind or develop pneumonia
and some may die.

14. No. Statement True False
1 Some STDs such as HIV/AIDS cannot be eliminated from the body by
medical treatment, such as antibiotics.  
2 Some STDs cause cancer such as the hepatitis B virus can cause
cancer of the liver. The human papillomavirus (HPV) can cause
cancer of the cervix. These STDs also can be cured and will
disappear in one time soon.
 
3 Some STDs can use complications that affect the ability to reproduce.
Females can develop pelvic inflammatory disease (PID), which
damages reproductive organs and can cause sterility.
 
4 Some STDs can be passed from an infected female to her child
before, during, or after birth. STDs can damage the bones, nervous
system, and brain of a fetus. Premature births can result, and infants
infected with STDs at delivery may become blind or develop
pneumonia and some may die.
 

15. Know how to access health care services is very important
particularly when you move to new place. Follow the Health
Smart Guide below to help you when you have health problem:
•Seek information about health
care services at the new place/
community in advance
•Make sure that you know what
type of health services there. Are
there any health services about
general disease, reproductive
health, emergency help, dental
care, midwives or other specialize
services.

16. •You should know what health services available for the poor
or migrants.
•You should know what health
services available for the poor
or migrants.
•You should not buy medicine
at the pharmacy without
consulting with doctors/
specialists. It can be
destructive when you take
wrong medicine.

17. •You should not be shy to consult with doctor/specialist if you
have problem of reproductive health. Some case it is not
simple. It can be
dangerous to death.
•If you documented migrant
worker or work in particularly
industry, please ask your
employer about your rights to
health care service.

18. •You can find first aids medicine or equipment at work
place and should have it with or at home when you need
it urgently.
•Where can you access to
health care services?
It is really important to know
where health care services
are. If you migrant within
Cambodia, you can find
public health care
services such as health center, referral hospital and any
state hospitals and private health care services.

19. •In Phnom Penh, there are some health care services that also
target garment workers for providing referral services, such as
RHAC Association and Marie Stop International Cambodia.
In case you are living and
working away from these health
care services, you can call to
the hot line to ask for health
information intervention.
•Migrants can also read or download the education and
communication material from RHAC at the following
addresses.

20. • General publication
http://www.rhac.org.kh/publication.php
• STDs:
http://www.rhac.org.kh/uploadfile/pub_54_7-STD.pdf
• HIVS/AIDS:
http://www.rhac.org.kh/uploadfile/pub_49_2-HIVAIDS.pdf
• Puberty:
http://www.rhac.org.kh/uploadfile/pub_53_6-Puberty.pdf
• Marie Stopes International Cambodia
http://www.mariestopes.org.kh
http://www.mariestopes.org.kh/our-hotline

22. No. Statement Agree Disagree
1 It is not so important to be ready to know the place of
health care service.  
2 It is smart that I should buy medicine at pharmacy or
grocery store when I get sick.  
3 It is smart if I can find free or cheap service from other
NGOs, Association where they can help the poor
people.
 
4 If I work in the farm or forest where remotes from the
health center/ services, I should know how to prevent
from disease such as malaria, dengue, etc.
 