reintegration of victims of Trafficking in cambodia

October 1998
by
Annuska Derks
IOM is committed to the principle that humane and orderly migration benefits migrants and society. As an intergovernmental body, IOM acts with its partners in the international community to: assist in meeting the operational challenges of migration; advance understanding of migration issues; encourage social and economic development through migration; and work towards effective respect of the human dignity and well-being of migrants.
CAS is an independent non-political Cambodian institution devoted to research, education and public debate on issues affecting the development of Cambodian society. Using an integrative, problem-oriented approach, the CAS seeks to work with Cambodian and international scholars to conduct research programs which will help clarify and shape public policy, inform education and training activities and lead to people-centered development projects.
Co-publishers: International Organization for Migration & Center for Advanced Study
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ISBN-92-9068-070-9
© 1998, IOM & CAS. All rights reserved.
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Opinions expressed in the report are those of the authors and do not necessarily reflect the views of the International Organization for Migration or the Center for Advanced Study.
The designations employed and the presentation of material throughout the report does not imply the expression of any opinion whatsoever on the part of IOM and CAS concerning the legal status of any country, territory, city or area or of its authorities, or concerning its frontiers or boundaries.
Table of Contents

reintegration of victims of Trafficking in cambodia ................................................................ 1
October 1998.............................................................................................................................. 1
by................................................................................................................................................ 1
Annuska Derks.......................................................................................................................... 1
Table of Contents....................................................................................................................... 4
Foreword..................................................................................................................................... 6
Chapter one................................................................................................................................ 8
introduction................................................................................................................................. 8
Chapter two.............................................................................................................................. 10
Distinctions in reintegration.................................................................................................... 10
Victims of Trafficking.............................................................................................................. 11
Commercial sex workers............................................................................................................. 11
Beggars...................................................................................................................................... 12
Workers..................................................................................................................................... 12
Ethnicity...................................................................................................................................... 13
Reintegration Environment..................................................................................................... 13
Support for Reintegration........................................................................................................ 14
Chapter Three.......................................................................................................................... 17
factors influencing reintegration............................................................................................. 17
Economic Situation................................................................................................................... 17
Health....................................................................................................................................... 22
HIV/AIDS.................................................................................................................................. 23
Mental health.............................................................................................................................. 25
Religion.................................................................................................................................... 27
Chapter four............................................................................................................................. 32
Levels of reintegration............................................................................................................ 32
Individual Level....................................................................................................................... 32
Family Level............................................................................................................................. 34
Family ties.................................................................................................................................. 34
Shame........................................................................................................................................ 37
Family involvement in trafficking.................................................................................................. 38
New family environments............................................................................................................ 40
Village Level............................................................................................................................ 41
Proper behaviour and village life.................................................................................................. 42
Stigmatisation.............................................................................................................................. 44
Society Level............................................................................................................................ 47
Chapter Five............................................................................................................................. 49
Conclusion................................................................................................................................ 49
Recommendations.................................................................................................................... 51
Glossary................................................................................................................................... 53
References............................................................................................................................... 55
CAS........................................................................................................................................... 59
Foreword

With this third report in a series of studies on trafficking in women and children in Cambodia, our institutions try to raise the understanding of reintegration process of victims of trafficking in Cambodia.
The first two studies conducted by our institutions, "Trafficking of Cambodian Women and Children to Thailand" and "Trafficking of Vietnamese Women and Children to Cambodia", focused predominantly on the recruitment process in order to find viable options on how to improve the prevention of such deplorable processes. This third study tackles questions which occur when all preventive measures have failed and society is confronted with the task of assisting survivors of the trade in human beings.
It is our conviction that the phenomenon of trafficking of migrants and more specifically the trafficking of women and children can only be successfully addressed when different measures are taken to deal with the various challenges of the trafficking problem:
·further research in order to advance the understanding of the complex factors involved;
·prevention and awareness-raising measures;
·capacity-building activities for government workers and colleagues from NGOs and other support organizations;
·cooperation on a policy level leading to formulation of consistent policies and increased international cooperation;
·economic support for the poor in order to alleviate poverty, which was identified as one of the root causes of trafficking (though not the only cause); and lastly
·voluntary repatriation, rehabilitation and reintegration of victims of trafficking.
Only when all of these measures are addressed can one hope for an improvement from which both concerned individuals and societies will benefit. The mostly repressive measures to deal with the criminal aspects of the trafficking problem are important tools, yet alone will not change the situation or reduce the risks involved.
The study was financed by the International Organization for Migration (IOM), World Vision International (W.V.) and Catholic Relief Services (CRS). It was implemented by the Center for Advanced Study (CAS) and coordinated by Ms. Annuska Derks, an anthropologist and United Nations Volunteer seconded to the CAS.
It is planned to discuss the findings of this study at a seminar in Phnom Penh in early 1999, in an effort to further improve the support services for survivors of trafficking in Cambodia.
Phnom Penh, October 15, 1998
Dr. Maria Nenette Motus Dr. William Collins
Chief of Mission, IOM Phnom Penh Acting President,
CAS
Chapter one
introduction

In past years, increasing attention has been paid to issues related to the phenomenon of trafficking in Cambodia. Several reports have been written in order to describe the different purposes of trafficking, the recruitment processes, and the working and living conditions of victims of trafficking. Our two former studies[1] tried to gain more insight into the in-country and cross-border trafficking processes in Cambodia, as this country is a sending as well as receiving country. However, so far not much attention has been paid to what happens after victims leave their trafficked situation.
In this study, the focus is on issues related to the returning and reintegration of victims of trafficking. This study strives to contribute to a better understanding of the consequences of reintegration for women and children who have been trafficked. Furthermore, it tries to give some insight into the trafficking issue from the point of view of the social environment from which the trafficked person came and/or into which the person was reintegrated. Attention is paid to different factors that contribute to a successful return for victims of trafficking, as well as to factors that lead some of them back to the situation they had escaped.
Not much information is available about reintegration processes of victims of trafficking in general, nor of reintegration processes in Cambodia in particular. Some information about the processes and consequences of reintegration could be obtained through counsellors and supervisors of reintegration working in the different organisations in Cambodia. In order to gain first-hand insight into reintegration processes, interviews were conducted with victims of trafficking who were reintegrated, as well as with members of their social environment, i.e. family, neighbours, village chiefs, religious authorities and others. Although the research tried to pay attention to reintegration of women and children who had been trafficked for different purposes, a majority of the cases had been trafficked for the purpose of commercial sex work. Reintegration efforts for women and girls who have been trafficked into commercial sex work are viewed as most problematic by most of the organisations which have focused on this problem.
The research team consisted of Mrs Lim Sidedine, Ms Chan Kanha and was led by Ms Annuska Derks. Through the former studies, the researchers were well-experienced in the field of research on trafficking, which made it possible to establish the kind of rapport necessary to elicit the sometimes sensitive information on reintegration of victims of trafficking from the different informants. The fieldwork for this study started in May and continued through August, while in the month of July (during the country's national elections) time was spend in Phnom Penh, processing and analysing data.
The fieldwork was conducted in and around Phnom Penh, and in different villages in Prey Veng, Svay Rieng, Kampong Cham and Battambang. We followed up on cases with which we had become acquainted in former studies, as well as a lot of other cases of victims of trafficking that reintegrated with or without assistance. As the study was meant to gather qualitative data on reintegration of victims of trafficking, information was gathered mainly through in-depth interviews and, where possible, participant observation of the social, spiritual and work environment of the victims of trafficking. Because of the set-up of Cambodian-style houses and village life, it was not always easy to create a private space where interviews could take place. In some cases we had to overcome this by placing ourselves out of sight, by taking an informant away for a walk around the rice fields or, if possible, through arranging an interview at another time and place, often with help of an organisation. In other cases the input of visiting neighbours or family members proved to be a very valuable source of information with regard to their perceptions on reintegration of victims of trafficking.
Many of the contacts for this study were established with the help of several organisations, especially Agir pour les Femmes en Situation Précaire (Afesip), Cambodian Center for the Protection of Children's Rights (CCPCR), Cambodia Migration and Development Committee (CMDC), Cambodian Women's Crisis Center (CWCC), Krousar Thmey and World Vision. Their willingness to share their experiences, doubts and contacts has contributed in a major way to this study. Moreover, this study could not have been conducted without the kind cooperation of the reintegrated women and children as well as members of their social environment, for which we are very grateful. In order to be able to make the data obtained through these informants available for analysis, our research team received additional assistance from Ms Kin Tep Moly and Mrs. Tean Sophorn, who worked on transcription and translation of the interviews. To conclude, the intellectual and editorial input of Dr. William Collins has been a great contribution to the finalisation of this report.
Factors, processes and consequences of
reintegration that were identified in the study will be discussed in the next
chapters of this report. In chapter two the different kinds of reintegration
are explained. Distinctions are made between the kinds of victims of
trafficking, the different reintegration environments and the various support
mechanisms available. These are important to keep in mind when trying to
understand the factors that are involved in reintegration of victims of
trafficking. Some of these factors, such as economic situation, health and
religion, are discussed in chapter three. Chapter four elaborates on the social
factors, especially stigmatisation, related to reintegration of victims of
trafficking. Attention is paid to the impact of these and other social factors
on level of the individual, the family, the village and the broader society.
After the conclusion in chapter five, recommendations are made on the basis of
insights that were gained through this study.
Chapter two
Distinctions in reintegration

Before going into the details of reintegration processes, it is necessary to consider what, in this study, is understood by the term "reintegration". Reintegration of victims of trafficking is more than just a geographic movement of a child or woman back home or to any other selected place. To integrate means to unify, or to put or to incorporate (parts) together in a whole[2]; re-integration assumes that this unification or incorporation has to be renewed. In this study we will take a closer look at women and children who have been trafficked and who have been re-unified with a former life, a family, and village, or re-incorporated into a another place in society.
Victims of trafficking were forced, deceived or bonded to leave their familial and social environment in order to perform work or services for others. Most have experienced abusive working and living conditions which they were able to leave by running away, through rescue operations of police and/or non-governmental organisations (NGOs), because debts were paid off or by reason of diminishing returns of their work or service. Sheltering, counselling, training and reintegrating these victims of trafficking is a time-consuming and difficult undertaking. Several NGOs are presently working on a case-by-case basis to provide support for the reunification of women and children with their family or their incorporation within other social environments. However, considering the extent and invisibility of the trafficking problem, the capacity of NGOs and the time-consuming efforts that are necessary for individual reintegration, only a limited number of the victims of trafficking are returning through these channels of assisted reintegration.[3] It is recognised that most victims of trafficking attempt reintegration without assistance.
A study on the reintegration of victims of trafficking has to include a broad range of factors and situations. After all, there are different kinds of victims of trafficking, different environments in which victims of trafficking are being reintegrated and different support mechanisms for reintegrating these victims. In order to be able to assess the issues related to reintegration processes it is helpful to make distinctions between these different kinds of reintegration.
The phenomenon of trafficking, as has been discussed in former studies[4], is not limited to one group, sex or ethnicity only. Children, elderly women, middle-aged men and young women are recruited for different kinds of work and services within and across national boundaries by means of violence, abuse of authority, debt bondage, deception or other means of coercion.[5] Although these different kinds of victims could all be defined as "victims of trafficking", there are major differences in the kind and degree of choice the individuals could express before trafficking and, for this study especially important, upon reintegration. On the one extreme end, there are women and children who were physically abducted or drugged. On the other extreme are the calculating persons who consider options of going to Thailand or working in commercial sex work as legitimate ways of earning a good income. In between are women and children who have always been considered to be intellectually weak or to behave in a deviant way and therefore were easy victims for trafficking, but also women and children who were forced by circumstances, such as poverty or family situation, and those who were tricked by recruiters with nice promises of high income. These elements of degree and kind of choice as well as the purpose of trafficking have a major impact on the processes and consequences of reintegration.
The victims of trafficking for the purpose of commercial sex work are predominantly young women or girls. The nature of the work they did as well as their age and gender are guiding factors within the reintegration process. There is a Khmer saying: kom put sroleuw, kom prodeuw srey kouc; don't bend the sroleuw tree[6], don't advise a bad woman[7]. It refers to the uselessness of trying to convert a prostitute into a "respectable" woman. Prostitutes are as intractable as the sroleuw tree. In relation to this, an NGO worker distinguished three kinds of commercial sex workers. First there are women whose nature, saa rociet, it is to be a commercial sex worker. They have, so to say, essential characteristics that make them become a commercial sex worker. Second, there are those who are forced, against their will, to become a commercial sex worker and are therefore considered to be victims of trafficking. Third, among these trafficked commercial sex workers, there are those who stay or return into commercial sex work because they view it as a way to earn money quickly. According to this NGO-worker, only the second group is willing to change and can be educated successfully to return to her former life, while the other two groups cannot be educated to change their profession. Whatever education or counselling these women receive, they will go back into commercial sex work.
A girl who had been trafficked in commercial sex work commented on her ability to change and invoked another proverb that suggests the struggle with common opinion that she faces in attempting successful transformation and reintegration:
"I know they say skae kantui kwien, wie neuw tae kwien [a dog with a curled up tail
will always have a curl in its tail][8].
But I have changed. Before I was a bad woman, but now I have arrived home and I
am not like before."
In many cases the women and girls try to keep the nature of their former work secret from the social environment into which they were reintegrated, although this is not always easy. Moreover, the fact that a young woman or girl has left her protective environment for a certain amount of time makes people suspicious that she had done "such work". This can make reintegration more complicated, although the impact of this kind of stigmatisation differs widely between cases and is related to age, social background, economic situation and personality of the victim.
Victims of trafficking for the purpose of begging vary from (street) children and handicapped people to elderly women. A common characteristic is, however, their vulnerability and dependency. Children, handicapped or elderly people are usually not considered to bear major responsibility for the economic situation at home, although most were trafficked with the idea that they would come back with considerable funds to contribute. An elderly woman in Battambang commented:
"Now I want to forget about the bad
things that happened to me. I am sorry that I begged so much money, but they
didn't give me one baht[9]. If they had
given me some, my children could have bought a pair of cows. My house is small
and the roof is leaking. I pity my children, but I could not help them."
As victims of trafficking children as well as elderly women were not only economically exploited, but they also were placed out of their (family) environment. Often they suffered similar experiences, but with regard to the reintegration of children another approach is used as it is related to issues of child labour, parental care and education. Their trafficking experiences might have negative consequences for the child's education, health, physical and social development. In order to attain a healthy development of the child and to prevent repeated trafficking of the child, special protection and assistance is required to assure them a protective environment.[10]
Abusive recruitment and brokerage practices for domestic service, construction, factory or other kinds of work affects various categories of people in Cambodian society. Victims are young and old, male and female. Even though migration, including illegal and abusive forms of migration, from rural to urban areas within Cambodia and to neighbouring countries is becoming a more common feature, the reintegration of migrants does not get much attention from organisations. Nevertheless, these victims of trafficking face similar problems during processes of reintegration with regard to their health or economic situation as well as their social environment
The ethnicity of victims of trafficking, for whichever purpose, should not be neglected when trying to understand reintegration processes. The ethnic background can influence the way individual victims themselves, as well as their social environment react to reintegration. Cultural factors as well as settlement patterns and economic activities are important in reintegration processes.
The research for this survey was conducted in Cambodia. Therefore, most information was collected from and about Khmer victims of trafficking. However, some attention was paid to Vietnamese living in Cambodia, although cases of Vietnamese victims of trafficking that were reintegrated back to Vietnam could not be assessed. In general it has been difficult, also for organisations, to follow up on Vietnamese victims of trafficking who have returned to Vietnam to their families or to government institutions and we are not aware of any Vietnamese studies which may have been conducted on the subject. With regard to Vietnamese victims of trafficking with family living in Cambodia, their specific social and ethnic environment appeared to play an important role in the reintegration process.
The term reintegration refers to renewed reunion or incorporation with a social unity. In many cases reintegration into the family is considered to be most desirable. This means that women or children are re-unified with the family and will go back to live in the village or town in which they used to live. As such, this is also a re-unification with friends, neighbours and other villagers. For many, it has a consoling effect to be back in the trusting environment in which they have lived before with the people they have known all their life.
There are, however, many reasons why a victim of trafficking does not want to be re-united with his or her family or village. In the case of women or girls who come out of commercial sex work, some anticipate that the stigmatisation would make their life too difficult once they returned. An NGO-worker commented:
"The stigmatisation of the society
increases the problem. People back in the village judge victims of trafficking
on the basis of assumptions. They cause them to become isolated from society
and return to their former job. When we ask the victims, they say that if the
people in the village don't accept them, they will go to another place. Their
reputation is too bad to be able to go back home."
In the case where her own family member was involved in the trafficking of a victim, reintegration in the family might only increase the chances of becoming victim of trafficking again. Also, parents might not want to accept the victim back, as their daughter's experience could put shame on the whole family. Others might have no family to go back to. Those who are old enough to take care of themselves might decide that village life is not what they want to go back to. For these women, reintegration means setting up a new life in a new environment and as such creating a new place for themselves in society. In this case reintegration means re-incorporation into respectable social pursuits.
In the case of children, similar problems can arise with reintegration into the family.[11] In some cases, the child might not want to go back home, because of problems in the family or because the child prefers to live on the street. There are also families who do not want to accept their child back, because they feel it would cause too many problems. Reintegration is not at all possible when there is no family to go back to and no extended family willing to take care of the child or when the family of the child cannot be found. An organisation might also decide that the family situation is not suitable and therefore an alternative solution must be sought.
Most important for successful reintegration, in whichever environment, is that the child or woman has a place - physically, emotionally and economically - in which risk factors[12] for repeated trafficking are sufficiently under control. However, considering the numbers of victims of trafficking returning into their former trafficked situation, this is not always easily achieved, be it with or without external support.
Although there are several organisations trying to guide reintegration
processes of victims of trafficking, there remains a majority of victims who
return to their village or reintegrate into a new environment without any
support from outside. These cases are, of course, more difficult to
investigate. In our research we relied heavily on organisations that could
introduce us to cases they have helped reintegrate. However, we also have been able
to follow up on cases where reintegration happened without any support. This
makes it possible to draw comparisons and identify factors that may influence
the success or failure of reintegration processes.
Support for the reintegration of victims of trafficking differs by the kind of victim as well as by organisation. Assistance can vary between some financial support for the trip back home for those who are left at the border after deportation by Thai authorities, to extensive counselling, skills training, guidance in seeking employment and re-establishing relations with family and village. In most cases, this assistance is part of a larger assistance scheme that provides the means, physically and mentally, to re-enter "society" after a brief stay in the relatively safe and isolated environment of the shelter in which women and children could initially "recover" from their trafficking experiences. Obviously, the purpose of this kind of assistance programme is to prevent them from becoming again victims of trafficking.
As there are different kinds of victims of trafficking, support mechanisms have to be adapted to the individual case. Assistance for children is usually not limited to the children themselves, but includes the whole family in order to create an environment in which risk factors for repeated trafficking are reduced.[13] While children are supported with the necessary means to attend school, parents of the trafficked child are provided with credit or other means that can help them earn an income for the family. Before actual reintegration several visits to the family are made in order to assess the needs and the attitudes of the family. In some cases local authorities are informed in order to assure physical and social safety of the returned child. Follow-up visits are made to make sure money is appropriately spent and children are not again falling victim to abuse.
Support for victims of trafficking who have reached an age that allows them to generate their own income is usually directed at improving their ability to contribute to family income or to become self-supporting. Therefore skills training, credit provision or sometimes just a gift of rice or medicine is provided. Preparatory visits, counselling and follow-up visits are made to assure that factors leading to repeated trafficking are sufficiently under control. However, organisations do not always have the funds or time to pay thorough attention to any particular case. Especially when the person has been integrated in remote areas, regular follow-up visits and counselling are difficult to maintain.
Support for the reintegration of trafficked men or elderly women is, at best, limited to some money for the trip home. We did not find any organisation that provides shelter, counselling or other kind of support for the reintegration of this group of adult male or elderly victims of trafficking. This shows that the impact of trafficking on this group of people or their needs regarding family survival has so far been disregarded by organisations that work on the issue of trafficking.
Probably most victims of trafficking will find their way back to their family or to a new environment by themselves. This is true for workers as well as beggars who have been trafficked to Thailand and deported by the Thai police, but also for commercial sex workers who have managed to quit the brothel on their own. Besides, there are victims of trafficking who have been offered help, but decided to reintegrate on their own, without any support.
On the other hand, reintegration efforts can also have opposite effects than intended. A young woman decided to go back into commercial sex work after she found that the organisation was reluctant to help her. She recounted:
"They insulted me and said that I was
from a bad family. They said that although I was young, I was romoah[14].
They said that I would never correct myself and that I would go back to my old
place. I was very angry and I left… I went back to Svay Pak[15]."
This example shows the kind of assumptions a victim of trafficking for commercial sex faces in society, including in organisations that aim to assist with reintegration. The example also suggests the kind of psychological wisdom that must be employed when dealing with these victims of trafficking.
Other reasons for denying support are related to the unwillingness of a person to spend too much time learning skills, being counselled, and staying in the shelter, because the person does not see the value of this and wants to be with her family as soon as possible without any interference. Receiving support means also that special attention is paid to the person and often the family. Not everyone wants this special attention, as it might give rise to gossip and jealousy among neighbouring families and could therefore hinder the reintegration process.
The distinctions made between victims of trafficking, social environment and support mechanisms represent also the three distinctive perspectives on reintegration. First, there are the individual victims of trafficking who are reintegrated and have to deal with their trafficking experiences as well as with other economic, social and psychological factors. The way these individual victims of trafficking view their reintegration is often strongly related to the way the second and third dominant parties view their reintegration. The second party consists of the social environment into which a victim of trafficking is reintegrated. The different layers within the social environment, i.e. family, village and society, also represent different interests and values, which in turn have an impact on the reintegration process. Third, there is the perspective of the organisations working on reintegration of victims of trafficking. Although organisations might be working on the basis of different philosophies, they do work within a similar framework and use similar strategies to reintegrate victims of trafficking. In order to understand the various, and sometimes contradictory, approaches or opinions regarding reintegration, it will be important to keep these different aspects of reintegration in mind.
Chapter Three
factors influencing reintegration

While the trafficking problem is found to be complicated because of the many different factors involved, such as the age and gender of the victim and purposes of trafficking, the reintegration of victims of trafficking is likewise a very complex process. For, when factors leading to trafficking in the first place have not been resolved or even new factors have come up, the risk of repeated trafficking or a voluntary return to the dependent situation to which a victim had initially been trafficked is high. Even where assistance is provided to reduce certain risk factors, other factors out of the influence sphere of assistance providers might be too strong to prevent victims of trafficking becoming again involved in their old job or situation.
In this chapter special attention will be paid to factors influencing the reintegration of victims of trafficking. The focus will be on economic situation, health and religion. These factors are again related to the social situation of individual victims of trafficking, as will be discussed in more detail in the next chapter. All these factors are very much interrelated and the distinctions made are aimed to help create a clear picture of how these factors influence reintegration processes against the background of the different victims of trafficking, the different social environments and the different kinds and use of support mechanisms.
As poverty is an important, though not sole, factor leading to trafficking, the economic situation in which a victim of trafficking is reintegrated has a huge impact on the success or failure of the reintegration process. This is not only a question of sheer economic survival, it is also a question of accepting the fact that the living they earn will not reach a level as high as the promises made before being trafficked. For psychological as well as economic reasons, establishing some kind of economic stability plays an important role in the reintegration process.
Although almost none of the informants of our survey benefited economically from their trafficked situation, one should recognise that in a minority of cases, victims of trafficking did manage to acquire enough funds to be used for renovating the family's house, buying a motorbike or draft animals.[16] In such cases, their economic contribution might facilitate reintegration. Still, in a majority of the cases the economic situation of the victims of trafficking and their family has, at best, remained the same, at worst, deteriorated. Organisations working in the area of reintegration have recognised the importance of economic stability for these victims of trafficking and have provided assistance to attend these needs.
Economic stability in cases where children were the victims of trafficking is not so much directed at the children themselves, but at the family as a whole, and the parents in particular. According to the ideology of most organisations, children are by definition dependent on their parents. The parents are responsible for an economic situation to which children may not be main contributors. Therefore, assistance is directed at parents' ability to increase family income while children are supported to attend school. However, the reality of Cambodian life shows that for many families children are important contributors to family income as the examples of several cases of reintegrated children can also illustrate.
A handicapped boy in Battambang expressed his optimism for the future after returning from Thailand. He was taken to Thailand with the promise that he could earn money to treat his leg, but was forced to go begging. After about one year he was arrested and brought back to Cambodia, where he was reintegrated into his family with assistance from an organisation. His family receives financial support to do some small business, while he is provided with the necessary school materials to continue his study. He said:
"Life now is much easier compared to
before I went [to Thailand]… The angka[17] supports me with
school materials. I can share some with my brothers and sisters, the rest I
keep for myself. The money that they gave me is kept by my parents so that they
can spend money easier than before."
Similar kind of support was provided to a mother of two children, 10 and 11 years old. The children had been trafficked to Thailand where they had to beg and sell candy. The mother used the financial reintegration support for her little house and for her travel to Poipet where she wanted to do some small business. When she fell sick, she had to use all her money for medicine. As there was no more support funds left, the two sons had to help her find money. She said:
"When the angka came to visit our house, they saw that I was very poor and
that my children were working by helping me collect et chai[18]. So they took
them back to the angka… They want
them to study. [They said] if they stay with their mother they can't
study."
When children become older it is well recognised among the organisations working on reintegration that they become important contributors in household activities and family income. Promises of well-paying job opportunities in Phnom Penh or Thailand are appealing as they could relieve the financial situation of the family, and this leads often to a trafficking situation. Where these promises have proven to be false, nothing is left but to return home where their help is still badly needed. A 16-year-old girl in Svay Rieng explained why she wanted to go back home as soon as possible after she was released from a brothel with help from an organisation:
"I stayed perhaps two months in the angka. Then I asked them permission to
go back home, because it coincided with the rainy season. We must transplant
rice… I would have liked to stay a long time with them, but I know that my parents
faced difficulties at home. They are old and my brothers and sisters are young.
There is no one to take care and help them, so I wanted to return."
A 17-year-old handicapped boy, who was trafficked to Thailand as a beggar, resumed his begging activities almost immediately after he left the organisation's care:
"I told the angka that I needed to go back to my parents. I want to stay in the
angka, but I had to find money for my
mother, because she had nothing to eat. In one day I can beg 1,000 or 2,000
riel, but on some days I don't get anything… If I don't get anything I don't
come back home [a place under the trees in Phnom Penh]. I don't want to come
back without anything for my mother. Then I rather stay at another place [on
the street] and go back when I have some money."
When organisations focus on the reintegration of more adult victims of trafficking, they often try to make the former victims economically self-sufficient in the reintegration situation. This is done in many different ways.
Victims of trafficking who come from an organisation are often brought back home with some financial assistance that will help them buy rice for the family, raise pigs or chickens, or set up some small business that allows the former victims to earn a little money selling vegetables or spices. This is, however, not always a successful undertaking. Several informants complained how the money was lost, because the piglets or chickens died or while setting up a small business did not bring the profit they had expected. A mother in Svay Rieng explained why her daughter, who had been trafficked into commercial sex work, returned to Phnom Penh to earn money:
"She had never studied and therefore she
was not clever. The organisation offered her to set up a small business in her
own village. They provided her money to buy something to sell and to buy thatch
to build a hut for selling. But she was not successful… She could not get
benefit from her business. She sold cigarettes, prahoc[19] and salt, but
many people bought on credit. By the time she had finished all her goods, there
were still a lot of people who owed her money, but she didn't dare to ask them
for the money. So she left again to earn money in Phnom Penh. If she stayed at
home, we would have nothing to eat."
In this case, the girl did not succeed in becoming self-sufficient with her small-business in the village. Although her mother and also the organisation blamed this failure on her lack of capacity, part of the problem might also be related to her perceived circumstances within the village as a reintegrated young woman. It was apparently difficult for her to ask impertinently for the money back that she extended in credit to her neighbours. As a result, the material means meant to support reintegration of the girl were lost because of her vulnerable social situation in the village.
The most typical kind of support for victims of trafficking, especially those coming out of commercial sex work, is skills training. The idea that many organisations and agencies promote is that learning specific skills enables the young women to earn their own living and at the same time helps build up self-esteem. The skills which organisations have concentrated on in training young women are hairdressing, sewing and cooking. However, not all girls and women are able or persistent enough to complete the training. It takes a long time before one knows how to cut and sew clothes, especially for those who cannot read and write. Some women or girls cannot afford to stay away from home for such a long time without contributing to family income. Others are already too used to earning more money in much less time and go back into commercial sex work.
For those who complete the training, it is not always easy to earn a living with these skills. Marketability is a major problem. In most of the villages people are too poor to have their hair dressed so often that a hairdresser would be able to earn enough for survival. Likewise, because of poverty most villagers buy cheap second-hand clothing, as they cannot afford to have new "modern-style" clothes made at a tailor.
In a village in Battambang two women who had been trafficked in commercial sex work had received training in hairdressing. The meephum[20] commented:
"The angka
sent them home to live with their families and gave them materials for
hairdressing to earn some money. But in the countryside it is not like in the
city. In the countryside they can earn only 500 or 1,000 riel[21] with
hairdressing. If many people needed their hair to be cut, it is maybe possible.
But now nobody needs it. Only during Pchum
Ben[22] or New Year they
can earn some money."
In these cases, the skills in which the young women were trained were not of much use in their village and could certainly not provide them enough income to be self-sufficient.
However, there are young women who successfully put into practice the skills they learn, very often with assistance of the organisation. For girls who have learned to cook and clean, jobs are found in restaurants or individual households. More commonly, young women who got training in sewing can, through contacts of the organisation, get a job in a garment factory. The garment factories are typically found near the city, so this is a reintegration option that is quite different than attempting to provide skills to enable reintegration into a village. Within the garment industry these young women who have been victims of trafficking have found a respectable job that gave them the opportunity to be economically independent. Often they share a room or small house with other young women, which is important, as some might not be able or willing to return back to the village from which they originated.
Working in a garment factory does not bring in a lot of money and requires having to work under unfavourable conditions.[23] These bad working conditions and low pay induce some young women who have been provided a job in a garment factory by an organisation to go back into commercial sex work. Other women, however, do well, as in the case of a young woman who managed to be promoted after several months. She is now supervising a group of women in the factory and earns more than twice what a beginning woman earns in a garment factory. Another young woman working in a garment factory commented:
"I do not like so much to work in the
factory… I have to sew pullovers from 6:30 in the morning till 3:00 in the
afternoon. I earn $40 per month. Sometimes I can save some money to send home…I
hope that if I work in the factory, I can earn enough money to find another job
in the future."
While some women have found a new place in the emerging industrial society that allows them to support themselves by working in a garment factory, others did so through marriage combined with skills training. For example, a young woman who was trafficked in commercial sex work found her husband in one of the bars she was working. He helped her get out and brought her to an organisation that offered skills training. She said:
" I can't earn enough with sewing. I
tried to sew in the market, but it didn't work. Now I sew at home… I also
depend on my husband. He and I earn the money to support our family."
As has been illustrated by the several examples discussed, the assistance provided to help victims of trafficking and/or their family become economic self-sufficient is not always successful to prevent repeated trafficking. Whereas the organisations might consider hairdressing, sewing or setting up a small business as desirable and respectable activities for former victims of trafficking, after reintegration these skills become in many cases irrelevant, as they are not adapted to the circumstances in which victims of trafficking have to live.
In addition to the problem of marketability there is also a matter of moral and practical dilemmas over income and working conditions in different work areas, such as the factory or the brothel. This is also related to the degree and kind of choice woman and girls have within the decision-making process regarding income earning activities in Cambodia's slowly modernising urban sector. Calculating women and girls might deliberately choose to go back into commercial sex work, as it is most lucrative. Those with low capacity for learning or training might not have much choice to find other ways of becoming self-sufficient. And for those forced by family members, there might be no other choice at all, regardless of the assistance provided. But for others, wage earning in the factories is an attractive alternative to the situation of commercial sex work, so the investment in reintegration efforts for this group will have the desired results.
We can see that a focus on purely the economic factor in the reintegration process disregards the importance of social, psychological, health, religious and other factors that influence the reintegration process. These factors are often more difficult to control by organisations or even completely outside their influence. An example of a relatively well-off and educated family in Svay Rieng shows that economic factors are sometimes not the main cause for young women being trafficked into commercial sex work, nor would a poor economic situation be the reason for an unsuccessful reintegration. In some cases it may be the personality of the woman that has made her susceptible to becoming a victim of trafficking and, after she was reintegrated, volunteering to go back into commercial sex work. The question is whether, in such cases, it was indeed the personality or the social environment that caused the so-considered inappropriate behaviour and subsequent trafficking of the girl. In this case, the stepmother commented:
"It is not the money she needed. I gave
her always lots of money. She could not even spend it all. Her father also gave
her money. I gave her 500 riel every day to buy dessert or cake. She didn't
need to buy food or clothes, because that we provided already. She didn't know
how to use the money properly. She distributed it among the children on the
street. She could not be educated, she just wanted to have pleasure."
Even though this research focussed predominantly on victims of trafficking who returned through an organisation, most victims of trafficking return on their own without any kind of assistance. Some might have been able to bring back a little money, while others have lost more than they earned. In such cases, an accumulated debt burden driven by a feeling of responsibility for one's dependents is another factor that causes repeated trafficking. A meephum in Battambang was complaining about the misery that was caused in his village because men who were once tricked to work in Thailand could not easily get out of a debt-trap:
"They were told they could earn a lot of
money. They had to pay the meekcol[24] a recruitment
fee. But when they were in Thailand, they could not earn anything. They had to
sell their cow, rice field, to repay their debt. Now they are poorer than
before… Therefore they go back again to try to earn money. I want to prohibit
them from going there. They can earn some money here. If they still go, they
will lose all. They should make an effort to earn money here."
The meephum was referring to a vicious circle in which villagers find themselves when an accumulated debt burden was hoped to be solved by migration, but instead led to more debt, impoverishment, migration, debt, etc. A 70-year-old woman in the same village also became trapped in this vicious circle. She had been taken to Thailand for begging and had been rescued and returned to the border. But she decided to go back once more because she did not bring any money home with her when she came back the first time, and she had to support four orphaned grandchildren:
"I went to Thailand because my
grandchildren cannot yet earn money. I went [the second time] with a recruiter
who got the first 5,000 baht that I begged. After that we could divide the
money in half. I begged maybe 6,000 or 7,000 baht. This I had to split with the
boss and the guide who brought me back also gets 1,000… It is miserable to have
to earn money like this. Some people can earn some money, others can't. I went
because of poverty… From what I earned [this second time], I could buy food for
my grandchildren and me… Now I don't want to go again. I am old, I'm afraid to
die in Thailand."
With regard to reintegration there are several economic and social currents outside the influence of the individual or organisation which are mixed with personal factors of capability, choice and responsibility and as such create a complex context for reintegration. Only with great sensitivity to each case can success be achieved. Programmatic answers that do not take all these factors into consideration are bound to be unsuccessful.
Many women and children who are reintegrated have to deal with health problems that are related to the fact that they were victims of trafficking. The kind and seriousness of the health problems vary, just as the influence these health problems have on the life of the person being reintegrated. Diseases vary from easily curable skin diseases to HIV/AIDS and mental health problems. Those who come back through organisations usually get some medical treatment before reintegration. Where treatment has to continue after reintegration, modern and/or traditional medicines are sought, involving the victims as well as their families in high expenditures. These expenses as well as the (temporary) loss of labour weigh hard on the economic situation of the family or household in which the person was reintegrated.
Skin diseases are often contracted in places that house beggars, brothels, but also IDCs[25] in Thailand where hygiene is not adequate for the many people they have to accommodate. In most cases these are rather easy to treat. For others, the health consequences of trafficking are more serious. Children who are trafficked to Thailand for begging purposes are reported to have been injected with certain drugs that made them crippled, in order to make them more pitiable. These children are maimed for life. Many children or elderly women who were handicapped already have on purpose or due to the circumstances in which they had to live become weaker and therefore more dependent.
Girls and women who were trafficked in commercial sex work have been exposed to various sexually transmitted diseases (STDs) and complications caused by abortions. Girls or women who are taken care of by an organisation usually get medical treatment in the shelter and when necessary after reintegration. For others such diseases can cause a high financial burden, as they are (temporarily) unfit to work while expenses for medicines have to be made. A young woman in Phnom Penh, who herself had been trafficked in commercial sex work, recounted how her sister became again indebted with a brothel owner because of her disease:
"First they sold her, but she earned
money to return to the brothel owner [and buy her freedom]. Afterwards she fell
sick in the brothel. I brought her home to take care of her, but she did not
get better so I brought her to the hospital… She had dirt in her vagina. The
doctor said she had broken intestines, her uterus was scratched, because she
had an abortion. The doctor could not cure her… She went to a krou khmer[26] He said she fell
sick because of magic. She spent $200 to pay the krou khmer. When she was cured she went back to the brothel,
because she had debts again."
As in this case, for treatment of diseases often a mixture of modern and traditional medicine is used.