Lee Young (Director, Namyangju Migrant Welfare Center)
A Helping Hand of Hope, 20 Years of Miracles
Since 1999, WeFriends has advocated for recognizing migrant health rights as fundamental human rights in Korean society and striving to realize this vision.
“Promoting Health and Well-being for Migrants Without Exclusion and Discrimination”
WeFriends operates with the conviction that a healthy migrant community contributes to a better quality of life for all Koreans. Our mission encompasses the following:.
1. Advocates for Migrant Health Rights
2. Ensuring a Health Safety Net for All
“Leading NGO in Korea for a Healthy Society Together with Migrants”
1. We develop services and resources to ensure migrants enjoy the highest attainable physical and mental health standards.
2. We challenge and seek to change all discriminatory perceptions, systems, and environments that hinder migrants’ health.
3. We collaborate with like-minded individuals and organizations to promote a healthy society in partnership with migrants.
We work with 35 counseling centers and over 650 medical institutions nationwide.
We address the medical issues migrants face through a network of local NGOs, counseling centers, and medical institutions, implementing practical projects based on the community’s needs.
We also conduct medical and water purification support activities overseas.
Since 2007, we have conducted medical camps and supported health centers in underserved areas of Nepal. Starting in 2017, we have provided water purification facilities to schools and medical institutions in Myanmar.
As
a public interest corporation registered with the Ministry of Health and Welfare, we maintain transparent financial operations.
We are a nonprofit, incorporated association registered with the Ministry of Health and Welfare. Our financial transparency is verified through annual audits by certified accounting firms and regular government inspections, with financial reports publicly available on our website.
Together We Go, Together We Overcome, Together We Stand
Kim Misun
Executive Director, WeFriends
In enduring the COVID-19 pandemic, which propelled humanity from a public health crisis into a societal disaster, we reflected on our way of life and experienced the grand hypothesis of infectious diseases: we are all interconnected.
However, while the coronavirus threatened everyone regardless of age, gender, race, or nationality, the response methods significantly varied based on a society’s economic strength, information capacity, and inclusiveness.
Notably, for migrants, refugees, and those without proper residency status, the pandemic instilled a fear akin to death itself. Their health inevitably suffered substantially due to the stigma of social discrimination and hatred.
Historically, people have erected walls to fend off fearful external invasions. From ancient mountain fortresses to modern ethnic separation barriers and walls blocking immigrant border crossings, these structures have symbolized a solid refusal to accept others by easily separating “us” from “them.”
However, walls cannot exist indefinitely. Human-made barriers inevitably develop cracks, and the walls within people’s hearts eventually crumble over time.
In Korean society, tangible and intangible barriers have long existed, treating migrants as mere cheap labor rather than as people. Yet, there have always been those who saw them as our neighbors and critical players in making our society sustainable. They believed that the health of migrants is the driving force behind our societal progress.
For the past 20 years, with the support of Hyundai Motor Group and the Community Chest of Korea, who demonstrated this belief in action, we have been able to protect the physical and mental health of migrants in more vulnerable situations during the COVID-19 pandemic. Furthermore, we have been able to help them nurture new dreams and hopes.
We extend our gratitude to Hyundai Motor Group and the Community Chest of Korea for walking alongside us in dismantling the barriers of separation and discrimination against migrants. We now look forward to a strengthened partnership to create greater hope as we strive to rise again, transcending all boundaries and vulnerabilities.
Beyond Boundaries and Vulnerabilities to Health for All!
The year 2024 marks the 25th anniversary of WeFriends, an organization that has been responding to the healthcare needs and issues of migrant workers in South Korea by founding the Medical Mutual-Aid Union for Migrant Workers in Korea.
Over the past 25 years, the number of migrants in our society has grown, including not only migrant workers but also foreign nationals of Korean descent, marriage migrants, refugees, international students, and children from migrant backgrounds. Although relevant policies and systems have been established, the reality faced by these groups is more severe than ever, with not only violations of labor rights but also various forms of human rights abuses, discrimination, hate, exclusion, and inequality.
Since last year, the government has announced the largest-ever introduction of foreign labor, expanding the sectors where migrant workers can be employed beyond manufacturing and agriculture/fisheries to include service industries. Along with attracting international students into the labor market, policies have been implemented to increase the number of seasonal workers and pilot the introduction of domestic workers—a truly unprecedented set of policies. However, on the other hand, the government has imposed a “regional restriction” on migrant workers under the Employment Permit System, limiting their ability to change workplaces. Additionally, it has cut the entire budget for migrant worker support centers and shut some down, reflecting contradictory and regressive policies that undermine the lives of migrants and the activities of organizations supporting them.
In its 25th year, WeFriends has chosen the slogan for 2024 as “Beyond Boundaries and Vulnerabilities to Health for All!” to emphasize the need for a healthy life as the foundation for the dignified lives of migrants and refugees, despite the retreating policies regarding migrants.
Following last year’s efforts, this year WeFriends continues to focus on the health of vulnerable groups among migrants and refugees, especially children and women. Specifically, we are analyzing the “Post-COVID WeFriends Aid Enrollment Motivation and Health Management Survey,” which was conducted during the pandemic, to better understand the healthcare realities and medical needs of migrants as they emerge from the pandemic. We are also conducting an outcome evaluation of our medical support through WeFriends Aid, aiming to develop future support directions and long-term plans through a systematic evaluation of WeFriends’ medical support efforts. Mental health surveys of migrant workers conducted in 2020 and 2022 will also continue this year, focusing on Sri Lankan and Cambodian migrant worker groups. These efforts are aimed at strengthening mental health promotion and suicide prevention programs for migrant workers.
Building on 25 years of efforts to promote the health rights of migrants, WeFriends is committed to overcoming the various institutional barriers and socio-cultural boundaries that limit migrants’ and refugees’ access to healthcare services. We will work tirelessly to eliminate health inequalities and establish an inclusive healthcare system.
Together
We Go History
A 20-Year Journey Towards Reducing Health Inequality and Building an Inclusive Healthcare System
The Journey of the Migrant Health Improvement Project Through Designated Contributions by the Community Chest of Korea
Migrant Health Improvement Project
Through Designated Contributions by the Community Chest of Korea
A society where everyone is healthy by caring for the health of migrants, we also promote the health of our society.
“To save lives, we have walked this path together with persistence and continuity”
The Migrant Health Improvement Project has been a 20-year journey aimed at protecting the lives and improving the health of migrants with low access to healthcare.
Through ongoing barrier-free efforts, we have reduced the barriers to health inequality and established a civil society healthcare safety net through networks with counseling centers, medical institutions, local governments, and migrant communities.
Key Themes : Promoting the health rights and protecting the lives of migrants, Reducing inequality,Barrier-free, Establishing a migrant healthcare safety net
Project Period : 2004 ~ 2022
Project Budget : 4.07 billion KRW
Target Beneficiaries : 213,997 migrants, refugees, and children/youth from migrant backgrounds
Supported Countries : 56 countries
Medical Expense Support
Financial support for migrant patients’ hospital stays, surgeries, medical tests, and medication costs
Key Milestones of the Project
Mobile Medical Services
On-site check-ups and treatment for migrants in medically underserved areas (basic physical measurements, blood tests, urine tests, chest X-rays, ECGs, and ultrasounds)
Support for Migrant Free Clinics’ Medical Supplies
Essential medicine provided 189 times to migrant free clinics nationwide
4,209 people
7,234 people
189,000 people
Flu Vaccinations
Support for flu vaccinations to prevent infectious diseases and strengthen herd immunity
2,350 people
Medical Interpretation and Caregiving Support for Migrant Patients
Providing medical interpretation and caregiving services for migrant patients undergoing hospitalization, surgery, or treatment
216 people
Migrant Worker Health Education
Conducted training on topics such as occupational disease prevention, industrial accident prevention, first aid, sexual violence prevention, and mental health
788 people
Publication of Report on civil society
Migrant Medical Support Activities
Published a report documenting private sector efforts to support migrant healthcare amidst insufficient systems and low social awareness
Emergency Kits and Hospitalization Sets Support
Provided 400 emergency kits for agricultural migrant workers and 1,000 hospitalization sets for migrant patients
Multilingual Mental Health Guidebook Publication
Published a guidebook in six languages (Korean, Vietnamese, Chinese, Mongolian, Thai, English), containing basic mental health information, self-assessment tools, and mental health service contacts
of White
on Migrant Medical Support
Published a white paper covering 10 years of efforts to address migrant health issues and improve their well-being
Multilingual Medical
Interpretation
Manual Publication
Published and distributed 3,000 copies of a medical interpretation manual containing key medical inquiries and terms categorized by department, to facilitate communication between migrant patients and healthcare providers
Psychological and Emotional Support for Migrant Children
Provided comprehensive psychological assessments, individual therapy, and parent coaching for children from migrant backgrounds
Publication of Casebook on Psychological and Emotional Support for Migrant Children
Published a casebook detailing stories of psychological and emotional support and parent coaching provided to migrant children from 2016 to 2019
Migrant Worker Suicide Prevention Project
Conducted a survey to identify the mental health status of migrant workers adapting to Korea’s work and living environment, established partnerships with mental health institutions, strengthened counseling skills for migrant activists, and produced multilingual suicide prevention videos and online training
Publication of Report on Mental Health Survey of Migrant Workers
Published a report on the mental health status, suicide awareness, and usage of mental health services among 202 migrant workers from five countries (Nepal, Myanmar, China, Vietnam, Thailand)
Together
We Go Activity
“Everyone has the right to a standard of living adequate for the health and well-being of themselves”
(Universal Declaration of Human Rights)
Migrant Medical Support Project - Expert Reviews - Overview of Medical Support Achievements
Strengthening the Health Capacity of Migrants Beyond Vulnerability
Kim Cheolhwan
Family Medicine Physician
Director of Siheung Hope Medical Welfare
Social Cooperative Hope Clinic, Co-Chair of the Citizens’ Coalition for Economic Justice
Community Chest of Korea designated donation project supports medical care for migrants in medical blind spots.
Having observed the project’s progress from the beginning, my comprehensive evaluation is as follows.
First, the most significant feature of this project is its long-term, consistent support. From 2004 to 2022, over 19 years, it provided approximately 2.9 billion KRW, supporting over 4,200 migrants with medical care. While many organizations offer one-time support, maintaining consistent assistance over such an extended period is challenging. Hyundai Motor Group’s commitment is highly commendable and serves as a model of corporate social contribution in our country.
Second, the project’s meticulous selection of support recipients through expert review is crucial. Migrants residing and working in Korea often suffer injuries or illnesses, and swift treatment for them and their children is essential. The medical support provided was prioritized based on urgency and importance. The Migrant Workers Counseling Center received applications for medical support, and decisions were made after a collective review by a medical review committee of five medical experts. This system of expert review has significantly enhanced the efficiency of fund allocation.
Third, the project extends beyond mere financial aid for medical expenses. It encompasses various health support initiatives such as medication assistance, health education, vaccinations, medical interpretation/caregiver services, and suicide prevention programs. These efforts have empowered vulnerable migrants to improve their health capabilities and develop self-care skills to address their health issues independently.
I express my profound gratitude and respect to all involved in Hyundai Motor Group who have empathized with the suffering of migrants working under challenging conditions and have extended their support through this project for 20 years. Thank you.
Overview of Medical Support Achievements
Project Period : 2004~2022
Supported Medical Expenses : 2,926,231,638 KRW
Participants in Medical Support : 4,209 people from 56 countries
Contributing to Unmet Medical Needs and Improving Quality of Life
Since its inception in 2004, the Migrant Medical Support Project has played a key role in ensuring that migrants do not lose their health due to economic barriers when injured or ill. The project provided a healthcare safety net for migrants, with participants selected based on the urgency and severity of their condition through a medical review board of specialists. This approach increased the accessibility of healthcare for migrants, addressing unmet medical needs and enabling them to recover and return to society, ultimately improving their quality of life.
Establishing a Social Support System as a Practical Solution
In addition to direct financial support for medical expenses, the project worked in collaboration with numerous medical institutions to reduce the total medical costs, ensuring a stable treatment environment for migrants. While the medical support covered 26% of the total treatment costs on average, hospital collaborations to reduce fees helped lower the financial burden by approximately 40%. WeFriends’ medical support has thus been evaluated as a practical alternative, creating a social support system for protecting the health of migrants.
Overview of Medical Expense Support Over 20 Years
(Unit : people)
(Unit : won)
Total Cases Supported 4,209 cases
Total Medical Expenses Supported
2,916,231,638KRW
Comparison of Medical Expense Support and Childbirth Cases
Average Medical Costs and Medical Support by Gender
3,507,810 2,059,878 547,384 905,767
Contributing to Maternal Protection
Among the various categories, the support for obstetric and gynecological medical expenses for migrant women was the highest, with 1,508 cases, accounting for 35.8% of the total cases. Overall, the financial burden of total medical costs has increased annually, and private medical expense support has played a significant role in protecting the health of vulnerable migrant women and ensuring the health rights of newborn migrant children after birth.
ⓐ Since 2022, normal deliveries have not been supported, with the focus shifting to high-risk deliveries (miscarriage, stillbirth, premature birth, pregnancy complications), resulting in a decrease in childbirth cases. Pregnancy and childbirth are natural parts of the life cycle, and migrants are also preparing for childbirth after pregnancy. WeFriends is focusing its support on migrants facing difficulties due to highcost, severe medical treatments during high-risk pregnancies and childbirth.
When examining medical support by gender, women overwhelmingly received obstetric and gynecological care, followed by internal medicine, genitourinary, gastrointestinal, and neurological care.
Top 10 Medical Categories by Gender
For men, the highest medical support categories were the cardiovascular, gastrointestinal, musculoskeletal, and nervous systems, along with medication costs. The severity of illnesses among men was generally higher than among women.
Medical Support by Age Group
By age group, the majority of support cases were for individuals in their 30s, followed by those in their 20s, 40s, and 50s. Notably, children under the age of 10 ranked fifth, indicating a growing demand for healthcare services for young children from migrant backgrounds.
(Unit : people)
Support was provided to migrants from a total of 56 countries. The highest support for childbirth costs went to women from the Philippines, Vietnam, Mongolia, and Thailand, ranking 1st through 4th. Meanwhile, countries with higher cases of illness treatment, such as China, Bangladesh, Nepal, Sri Lanka, Uzbekistan, and Nigeria, ranked 5th through 10th.
When examining the top 10 medical categories by length of stay, the most common disease for migrants staying less than 4 years was in obstetrics and gynecology, followed by internal medicine, neurology, surgery, and musculoskeletal system disorders.
Obstetrics and Gynecology
and Gynecology
Together We Go Activity
“Health is a state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity.”
Raising Awareness of the Sanctity of Life for Migrant Workers Through Civil Efforts
Kim Hyunsoo
M.D. Psychiatrist, Director Seoul Suicide Prevention Center
Migrant workers have been living among us as neighbors for over 30 years. They fill essential labor roles across various sectors, from small factories, construction, agriculture, and fisheries to logistics, services, and domestic work.
However, over the past 20 years, while the policy on foreign labor has not allowed family accompaniment, the maximum duration of stay has extended to nearly ten years. As environmental changes enable more permanent settlement, migrant workers face mental health challenges during their adaptation process.
Economic pressure from not meeting their family’s expectations, workplace relationships, and human rights violations, among other factors, compound to create a sense of isolation, pushing them toward a suicide crisis.
Living within a society that grapples with fragile mental health and suicide crises, migrant workers cannot escape these impacts. Yet, discussions or policy approaches for mental health and suicide prevention that include migrants remain insufficient. In this context of limited social awareness, WeFriends has been implementing a customized suicide prevention program for migrant workers since 2020. Here are some key aspects worth noting.
First, despite the scarcity of research data on migrant workers’ mental health, WeFriends has conducted surveys to raise awareness domestically and internationally and establish a foundation for its suicide prevention program.
Second, by forming multilateral agreements between mental health welfare centers or suicide prevention centers and migrant support organizations within the community, WeFriends has built a counseling support network for mental health and suicide crises. This approach is expected to be highly effective in increasing accessibility for migrant workers.
Lastly, in a situation where suicide prevention content for migrant workers is lacking, WeFriends has created multilingual suicide prevention education videos tailored to the characteristics of their home countries. These videos, produced with participation from migrants and experts, aim to improve awareness and provide information on suicide prevention. Additionally, efforts to enhance the counseling capabilities of migrant community counselors are commendable for offering practical assistance.
I extend my heartfelt gratitude to Hyundai Motor Group and the Community Chest of Korea for their long-term corporate social responsibility efforts, which ensure that migrant workers who chose migration for a better life can safely navigate psychological crises.
Migrant Worker Suicide Prevention Project
SAVE YOURSELF! SAVE LIVES!
Migrant Worker Suicide Prevention Project Save Yourself! Save Lives!
Project Period: 2020~2022
Participants in the
Suicide Prevention Project: 1,250 people
A Step Toward Respect for Life
In the past 4-5 years, the number of suicides among migrant workers in Korea has been rising, sounding an alarm across society. Since the onset of the COVID-19 pandemic in 2020, migrant workers have faced social exclusion due to institutional discrimination in pandemic control measures and disaster relief, as well as social stigma towards certain nationalities. These experiences have heightened the psychological crisis among migrant workers, amplifying feelings of social isolation. In the absence of governmental policies addressing mental health and suicide prevention for migrants, WeFriends has been taking the initiative to address the growing suicide rates among migrant workers. Building on its history of responding to the physical health needs of migrants and developing policy alternatives, WeFriends is now working to promote mental health as well.
Building Public-Civil Society Governance for Migrant Workers’ Mental Health
WeFriends has approached mental health issues faced by migrant workers from a rights-based perspective, focusing on prevention, early crisis intervention, and practical support activities. By forming partnerships between migrant support organizations and public institutions like suicide prevention centers in areas with large migrant populations, WeFriends has a public-civil society governance system to support the mental health and suicide prevention needs of migrant workers. Through surveys, life-saving gatekeeper training, capacity-building programs for migrant counselors, and expert roundtable discussions, WeFriends is systematically creating crisis intervention strategies to protect and promote the mental health rights of migrant workers.
SAVE YOURSELF! SAVE LIVES!
1
Migrant Worker Mental Health Survey
2 3 4 2020, 2022
Capacity-Building Training for Migrant Counselors
2020~2022
91 people 16 organizations
We conducted a survey and in-depth interviews with 202 migrant workers from five countries (Nepal, Myanmar, China, Vietnam, Thailand) to assess their mental health status and understand their awareness and experiences with suicide. Furthermore, we published a bilingual (Korean and English) report on the survey results. gatekeeper https://mental.pama.kr
Community-Based Mental Health Support and Public-Civil Society Partnership Networking
We established a public-civil society partnership for suicide prevention and mental health support in areas with high concentrations of migrant workers through partnerships between private migrant support organizations and public suicide prevention centers. This network provides counseling and treatment referrals for high-risk groups.
Migrant
Provided skills training and distributed manuals to migrant counselors and community leaders who have direct contact with migrant workers
Migrant Worker Suicide Prevention Gatekeeper Training
900 people
Offered online suicide prevention gatekeeper training, aimed at increasing awareness of mental health and encouraging migrant workers to seek help when needed
- Produced multilingual suicide prevention education videos in Nepali, Burmese, Chinese, Vietnamese, Thai, and Korean established
- Online learning center: https://mental.pama.kr/
Human Story Together We Go
Stories of Change, Hope, and Life
Through our Migrant Health Improvement Project, we met various migrants, healthcare providers, and medical social workers on the ground. We shared stories of the changes and hope that have emerged after providing support, capturing the essence of life and hope for the future.
“We Work Together, We Live Together”
For ten years, Kim Jaegeun, the CEO of Daesung Auto, has been working alongside migrant workers. Three Nepalese workers who dream of a brighter future diligently work at Daesung Auto. We sat down with CEO Kim and the workers—Sandesh, Rahul, and Tanka—to hear about their lives in Korea and future plans.
Rai Rahul
Khadha Tanka Bahadur
Limbu Sandesh
Kim Jaegeun, CEO
Tanka, Dreaming of a Green Tea Company Infused with Himalayan Purity
I was an elementary school teacher in Nepal before coming to Korea. Daesung Auto was my first job here. The first six or seven months were tough because of the language barrier, but it’s getting more manageable now.
Koreans are kind people. I’ve been lucky to meet many good people here. I meet friends working in Munsan and Paju on holidays, go shopping, and have fun together. I’ve had some health issues with my back and arms, but I found good treatment through internet research.
I plan to work in Korea for about ten years and then return to Nepal to start a green tea company. Nepal has excellent tea, and I want to develop it into a product known to many. Working is sometimes hard, but thinking about my dream keeps me motivated.
Sandi, the Aspiring Auto Shop Owner and YouTuber
I used to work as a fitness trainer in Nepal before coming to Korea as a migrant worker. Initially, everything was unfamiliar, and life in Korea was tough, but I’ve adapted well. A Vietnamese friend taught me much about the job when my Korean was poor.
I dream of buying land in Nepal and running an auto shop using the skills I’ve learned at Daesung Auto. There are still many manual cars in Nepal, so I am diligently learning everything about car assembly from my boss and colleagues.
Korea is truly a well-organized country where people follow laws and rules. There’s no littering or jaywalking.
I love Korean food and the people here. I even run a YouTube channel to share my experiences in Korea with my friends in Nepal.
Rahul,
Dreaming of Building Cars in Nepal
Kim Jaegeun, the Migrant Workers’ Friend
I came to Korea in 2023. Sandi, who works with me, is my friend from back home. I worked on a farm in Nepal and Korea, where I started with sheet metal work before moving to Daesung Auto to learn car parts assembly.
Korean cars are famous worldwide, and I take great pride in being part of their production. Many people in Nepal also drive Korean vehicles. Although Nepal doesn’t produce cars yet, I dream of learning automotive technology in Korea and opening a car factory in Nepal. It’s a big dream, but I want to aim high as I work hard.
Everyone I work with, including my boss and colleagues, has excellent skills. I feel fortunate to learn from them. I love everything about Korea, especially the weather.
Korea had many migrant workers in Germany and Saudi Arabia during the 1960s and 70s, and I have friends who were migrant workers. Working with migrant workers is not difficult for me. Over the years, many things have happened. Once, three migrant workers I worked with suffered severe burns in a dormitory fire. I used all my savings to save them. While the money was spent, I saved their lives. Later, their embassy thanked me with a plaque for saving their citizens. Another time, a former migrant worker invited me to his home country, where he and his family welcomed me warmly. It was genuinely touching.
The workers we have now are more than just employees; I teach them advanced skills to help them pursue their dreams. Thanks to these hardworking migrant workers, Korea’s industry is advancing. I hope they receive more social security services. Our Korean staff also learn to communicate and develop a global mindset by working with migrant workers. Ultimately, it’s essential to communicate, understand, and work together without making distinctions or discrimination. After all, we are all the same people.
“A Healthy Mother Means a Healthy Baby”
Rota
Migrant Woman, Combodia
Mao first saw Rota at a Cambodian restaurant in Korea and instantly fell in love. They became a couple and dated for a year before marrying in Cambodia, surrounded by their families’ blessings. Both families faced financial difficulties, so in 2019, Rota and her husband returned to Korea. She worked on a farm and worked in a plastic factory to make ends meet. One day, six years into their marriage, they were blessed with the news of a baby on the way. But their joy was short-lived when Rota faced the threat of preterm labor at 35 weeks.
What symptoms led you to go to the hospital?
After becoming pregnant, I stopped working on the farm due to poor health. I was fine as long as I rested and ate well. But around the seventh month, I suddenly experienced severe abdominal pain. I was terrified. We were living with a couple of friends at the time, and they took me to the hospital. The doctor said I needed to be admitted immediately. My husband rushed over from work. I think he was more shocked than I was.
How did you feel about being hospitalized?
I wasn’t as worried about my pain as I was about the baby’s health. The doctor said if there were complications, the baby would need to be in an incubator. I couldn’t even think about the hospital bills; I was just worried about the baby.
I was hospitalized for about a month. My husband stayed by my side the whole time, unable to work. It was comforting, but I also worried about our finances since neither of us earned money. We also had to send money to our families in Cambodia every month, which was stressful. But our families in Cambodia called every day, telling us not to worry. That reassurance was more important than the money at that moment.
The hospital significantly reduced our bill after considering our situation. Still, it was a massive amount for us. It wasn’t enough to cover the bill even after pooling our savings and the money friends and coworkers had gathered for us. However, we could pay the entire hospital bill with support from WeFriends and Hyundai Motor Group. We are deeply grateful for that help.
How is your health now?
Fortunately, the baby was born healthy. I struggled a bit after giving birth, but I am fine now. I had weekly checkups for a month after discharge, but I’m getting stronger and no longer need to visit the hospital. My husband helps a lot with cooking and cleaning. However, our baby doesn’t sleep at night and cries a lot, so it’s challenging. (Laughs)
What are your hopes for your child? And what are your future plans?
My husband dreams of our child becoming a doctor. (Laughs) He imagines the baby treating us when we’re sick in the future. For me, I want the baby to be healthy.
I will return to Cambodia with the baby in about three or four months. It’s hard for my husband to work and get proper sleep with the baby here, and it would also be challenging for the baby. It’s sad to be apart from my husband, but it seems necessary for our family. In the distant future, we hope to buy a large piece of land and start a mushroom farm. We want to live happily together.
Any advice for migrant mothers in Korea who are expecting?
A healthy mother means a healthy baby. Eat well and rest plenty. Take care of each other and help one another. It’s overwhelming when unexpected health issues arise. I was fortunate to meet good people who helped me a lot. Thanks to them, both my baby and I are healthy. I hope to give back and help others in return.
“I Thought I Was Dead, but Your Help Saved Me!”
Somsak
Migrant Worker, Thailand
Somsak, a Thai national who fears sweet potatoes more than anything, has been a migrant worker in Korea for six years. Throughout this time, he has diligently worked in poultry farms, livestock sheds, and fields. Still, the most challenging job was harvesting endless sweet potato vines and carrying heavy crates of sweet potatoes. Was it the strenuous labor? Earlier this year, he had to undergo emergency surgery for acute myocardial infarction. We met with him during his recovery to discuss his experiences and current condition.
How is your health now?
I’ve improved a lot. However, I can’t lift heavy objects or engage in strenuous exercise. I’m trying hard to recover quickly. I don’t drink alcohol, smoke, or even drink coffee. I’m making an effort to eat healthily and take my medication regularly. I don’t ever want to be sick again.
What symptoms led you to go to the hospital?
It was during the Lunar New Year. I was at home, living as usual, when I suddenly felt unwell. At first, I thought it was just an upset stomach and vomited. Then, the pain moved up from my stomach, and I started having difficulty breathing. I had never experienced anything like this before. I had never been seriously ill, so it was shocking.
I was so scared that I didn’t even think of calling 119. Instead, I contacted a friend for help. Fortunately, my friend immediately took me to a nearby hospital. The small hospital couldn’t handle my condition, so they transferred me by ambulance to a larger hospital. I could barely breathe and had to undergo emergency surgery as soon as I arrived. At that moment, I thought, “I’m going to die.” My wife cried a lot.
How did you feel when you woke up after the surgery?
I had only one thought: “I’m alive!” Nothing else mattered. Just “I’m alive!” But as I started to recover, I began to worry about the hospital bills. I was hospitalized for about ten
days, and the bill came to 100 million won. In Thailand, that amount could be used to build a large house. My mind went blank. I felt so sorry for my wife.
However, the organization that helped me spoke with the hospital’s social welfare team, and they significantly reduced the bill. After an interim settlement, they allowed me to pay the remaining amount in installments. Hearing that WeFriends would also help made me incredibly happy and grateful. It felt like I could finally breathe. I was in such despair. Thank you so much. Words can’t express my gratitude. I’m diligently paying off the hospital bills every month.
What was the most challenging part about being sick?
My wife had a more challenging time than I did. I was too sick to think clearly, and she had to take care of me despite her limited Korean. It was a major surgery, but thankfully, people around us helped, allowing us to communicate effectively with the hospital. I consider myself very lucky.
Do you have any advice for migrant workers in Korea?
Everyone, please don’t smoke or drink too much! Take care of your health. Hospital bills are very high if you get sick. You’ll end up spending all your earnings on medical expenses. Let’s all live healthily!
“I Hope My Baby Will Be Happy in the Korea
I Love”
Phuong Migrant Woman, Vietnam
Drawn by the allure of K-pop and K-dramas, Phuong came to Korea on a student visa. For the first year, she focused on learning Korean and studying, but working in restaurants to support her family back in Vietnam became her priority. Fortunately, Phuong found satisfaction in Korea’s clean and safe environment, built a family, and gave birth to her precious baby, Linh. Although her first experience with pregnancy and childbirth was challenging, nothing prepared her for the anxiety of seeing her newborn suffer from high fever and cough. How did this young mother navigate these difficulties?
Was the process of pregnancy and childbirth in Korea difficult for you?
When I first found out I was pregnant, I was very stressed because I didn’t know what to do. I turned to YouTube to find information and studied a lot. The doctor also guided what I needed to do as an expectant mother, which helped me get through childbirth safely. Naomi Center also provided a lot of necessary information. Although I didn’t have health insurance, I joined WeFriends Aid through WeFriends, which helped cover medical expenses when my baby was sick.
What was wrong with Linh?
I was distraught and heartbroken when Linh had a fever, was sick, and kept coughing. At the hospital, the doctor said she had pneumonia and acute bronchiolitis and
needed to be admitted immediately. I couldn’t work while caring for her, so my husband was the only one working. He works at a fish shop in Dongmun Market. The hospital bills were huge for us, but WeFriends helped us with the costs, for which we are very grateful. I was amazed when I learned later that the funds came from Hyundai Motors. I see Hyundai cars everywhere in Korea, and it was incredible and heartwarming to know that the company helped cover Linh’s medical expenses. I hope Linh grows up healthy and becomes more intelligent than us so that she can help those in need.
What do you hope for from Korean society?
Koreans are kind, and I love that Korea is a clean and safe country. I also enjoy Korean food and life here. I was lucky to meet many good people in Korea. Initially, communicating was difficult because I didn’t know much Korean, but things became more manageable once I learned the language.
Since Linh was born, my perspective on the world has changed a lot. Now, wherever I go, I see children first. Above all, I hope children can grow up healthy and secure. I don’t want Linh to be teased or discriminated against for being Vietnamese. I hope she grows healthy and happy in the Korea I love. I also wish everyone living in Korea happiness.
Practicing Love, Safeguarding Migrant Health
Han Sangung Professor of Nephrology, Hanyang University Guri
Hospital
Professor Han Sangwoong’s interest in volunteer work began during his university years. As a senior, he participated in rural volunteer activities with senior medical staff, which sparked his commitment to service. Later, as a resident, he became president of the Korean Resident Doctors’ Association, actively engaging in providing medical care for the homeless at Seoul Station. His involvement with WeFriends’ migrant worker mobile clinics started by chance in 1999. Witnessing the dire medical conditions of migrant workers, he sought ways to involve Hanyang University Hospital, where he was affiliated. With the support of Hyundai Motor Group, the WeFriends’ mobile clinic continued, and Professor Han has consistently met with migrants in need.
Two Decades of Migrant Medical Support Memories
Hanyang University Guri Hospital has long been a destination for migrant worker patients from Namyangju. However, in the early 2000s, the medical welfare system was not as developed as today, making hospital admissions challenging for low-income patients. Migrant workers, lacking legal protection, faced even more significant hurdles. Professor Han persuaded the hospital to collaborate with WeFriends to support migrant health rights.
“The founding principle of our university is ‘practicing love.’ With so many migrant workers coming to our hospital, supporting them aligns with our mission and enhances its reputation as a community contributor. I even presented at the board meeting to make this case.”
Once the hospital established a support system, staff became accustomed to caring for migrant workers. This culture of care extended beyond doctors to radiologists, clinical pathologists, and nurses, who eagerly participated in WeFriends’ mobile clinics for migrant workers.
“The migrant workers we meet at free or mobile clinics are generally young and healthy. Despite their hard work in Korea, their eyes reflect gratitude for the help they receive. This mutual joy enriches our interactions.”
A New Paradigm in Inclusive Healthcare Policy
South Korea still has over 400,000 migrant workers in medical blind spots. Professor Han argues that society must adopt a broader perspective and implement more
51 proactive policies for migrant workers. Most migrant workers are young and healthy, contributing positively to the health insurance fund through their premiums. Establishing preventive health check-up systems is crucial in maintaining their health. Policies could include mandatory health screenings for migrant workers at their workplaces and inclusive health insurance systems for undocumented workers.
“Rather than building new screening centers at high costs, hospitals could be commissioned to create regional hub hospitals with migrant health programs. Migrants could pay some of their medical fees, and hospitals would offer discounts supported by civil organizations. The government should facilitate these connections to ensure seamless support. WeFriends’ activities highlight essential solutions for migrant health issues. While WeFriends receives support from corporations like Hyundai Motor Group, public funding is also necessary to sustain these efforts. This support must extend to all vulnerable migrant workers, including the undocumented.”
Migrant health rights directly impact our society’s productivity. We must integrate migrants as community members rather than isolating them. This requires both systemic support and a shift in societal attitudes. Voluntary participation from medical professionals, regional cooperation, sustained corporate support, and the efforts of specialized NGOs like WeFriends will help us move towards a more inclusive and sustainable society alongside migrant workers.
Ahn Byungeun Director, Suwon Suicide Prevention Center
South Korea is notorious for having the highest suicide rate among OECD member countries. What about migrant workers? Do they have someone to turn to in Korea when they feel the urge to end their lives? The WeFriends “Migrant Worker Suicide Prevention Project” was born out of this concern. I spoke with Ahn Byeongeun, Director of the Suwon City Suicide Prevention Center, who collaborates on this project, to discuss ways to improve the mental health of migrant workers and prevent suicides.
Diverse Vulnerabilities and Mental Health Issues of Migrant Workers
“Migrant workers from the same country do not necessarily share the same problems. For instance, those with poor Korean language skills are more likely to feel isolated. Additional vulnerabilities, such as being female, having a lower educational background, or childhood trauma, require special attention. Whether they have a supportive family to return to also makes a huge difference.”
There have been cases where migrant workers, devastated by their families’ insistence on staying in Korea to earn money, ended their own lives. With such complex and diverse vulnerabilities, what should be the first step in addressing the mental health of migrant workers?
“Migrant workers are just like us. When we’re struggling, we all want someone to listen. Listening to their stories is the most important thing.” Director Ahn believes that while the psychological issues of migrant workers may vary, the first step to solving them is through ‘listening.’
Warmth and Compassion Over Professionalism
Anyone Can Save a Neighbor’s Life
“I hope counselors in the field don’t rely too heavily on psychiatrists or view counseling migrant workers as overly difficult unless it’s a psychiatric emergency. Meeting clients at risk of suicide is undoubtedly challenging, especially with language barriers. However, simply listening well and helping find practical solutions can greatly aid in suicide prevention. When someone is at risk of suicide, they are trapped in a mindset where they see no solution other than death. Listening to them and showing them ways to improve their situation can save their lives.”
There are many such cases. A migrant worker who suffered physical and verbal abuse in a factory for three years met
a counselor, changed workplaces, and later expressed, “Thanks to you, I escaped from hell. Had it been any later, I might have died. I’m so grateful.” Director Ahn emphasizes that a kind neighbor extending a helping hand can be the most effective counseling, even more so than professional knowledge.
Proactive and Preemptive Suicide Prevention Methods
Director Ahn stresses the importance of providing suicide prevention education to migrant workers before they arrive in Korea.
“Supporting at-risk migrant workers is crucial, but establishing education and systems for suicide prevention is equally important. The suicide prevention videos created by WeFriends feature firsthand accounts from fellow citizens who migrated to Korea earlier. It would be beneficial if migrant workers could watch these videos before coming to Korea. Knowing the potential challenges and where to seek help can prevent mental issues like anxiety and fear.”
The WeFriends “Migrant Worker Suicide Prevention Project,” now in its fifth year, is increasingly important and necessary. Recently, suicide has become the second leading cause of death among migrant workers, following traffic accidents, with a noticeable increase in suicides among Nepalese workers. As the number of foreign residents in Korea continues to rise and the country records unprecedentedly low birth rates, reliance on migrant workers grows. However, efforts to create safe workplaces and societies for them lag behind. To ensure that our neighbors who have traveled from distant lands to Korea no longer face the end of their lives in loneliness, our society needs more friends of hope.
Towards a Warm Society
Embracing Multicultural Families
In 2008, Dr. Han Dongik, the director of Womanpia Women’s Hospital, was the first to reach out to WeFriends. His commitment to providing medical support to migrant women began with a simple one-page consent form. Migrants often find it easy to give up visiting a hospital if they face discomfort or difficulty. Still, Womanpia, under Dr. Han’s leadership, is renowned in northern Gyeonggi Province for its high utilization rate among migrants. We visited Womanpia in Uijeongbu to discuss Dr. Han’s experiences and reflections.
Hello, Dr. Han. Thank you for your long-term cooperation. Today, the waiting room is bustling with expectant mothers, and I also see quite a few migrant women.
About 15% of the women giving birth at our hospital are migrants. In the past, we had many mothers from Mongolia, Kazakhstan, and Uzbekistan. These days, most are from Vietnam and Thailand, with a notable number from Nigeria. Many are referred by migrant support centers, which provide significant assistance, including translation services. Sometimes factory owners bring pregnant women, and often, coworkers accompany them. Eating, sleeping, and giving birth are basic human needs. In the past, our communities would collectively care for needy children, even sharing breast milk. When I see expectant mothers in a foreign land, penniless and in despair, I feel a natural urge to help. Fortunately, my fellow doctors share this sentiment and actively participate.
Reading feedback from migrant mothers who gave birth here warms my heart. Do you remember Kona from Cambodia? She was so grateful for your careful attention during her crisis.
Yes, I remember. About a week after giving birth at our hospital, her baby developed a heart valve problem and needed to be transferred to a larger hospital. Without language skills, she would have struggled to find the right hospital. I couldn’t just send her off with a “Go to a university hospital” directive. Moreover, hospitals typically resist accepting transfers before 32 weeks. So, I called Uijeongbu St. Mary’s Hospital and requested special consideration for this migrant. Thankfully, they understood and provided much-needed assistance.
When we go abroad, we often don’t know where things are. Knowing what support is available, or which organizations can help is difficult if we fall ill in a foreign place. This is incredibly challenging for migrants who require long-term, costly treatments. Without access
to hospitals that offer discounts, their lives can become extremely difficult. WeFriends must actively promote the support they provide to those in need.
It’s challenging for undocumented migrant women in Korea to navigate pregnancy and childbirth without health insurance. Womanpia has been a great help to them. What is the most urgent need on the ground?
Ultimately, it comes down to medical expenses. Without insurance, even Koreans find hospital costs to be overwhelming, and that’s the biggest issue. We usually offer around a 50% discount, but even then, it’s still a significant amount of money for them. Sometimes, depending on the situation, we tell them to go ahead without paying or ask them to bring whatever they can. However, there are always those who can’t pay; in those cases, there’s nothing we can do.
Domestic violence in multicultural families is also a severe issue. Some pregnant women fleeing abusive husbands stay in shelters run by nuns, and we can’t charge them at all. Seeing them find stability and their babies thrive warms my heart. However, there have been frustrating cases where people posing as WeFriends representatives directed undocumented mothers to our hospital only to extort a portion of the discounted fees. As the number of uninsured foreign mothers increases, hospitals face financial burdens. However, with support from companies like Hyundai Motor Group and WeFriends, I hope more hospitals will join this effort.
I hope there will be more people in our society with your inclusive and open-hearted mindset. What more can be done?
Korea is experiencing a low birthrate era. With a declining population, we inevitably rely on foreign labor. Our society wouldn’t function without them. Supporting migrants and multicultural families is essential. Medical policies must adapt to a multicultural society.
Koreans are very hospitable to foreign tourists and known for their kindness and safety. I hope this attitude extends to migrant workers, who are even closer neighbors than tourists. As an advanced medical country, Korea should protect the fundamental health rights of the migrants living among us. Despite lacking government support and institutional frameworks, civil initiatives by socially conscious companies and hospitals can lead the way. I hope our society evolves into a healthier, warmer multicultural community.
Han Dongik Director, Womanpia Women’s Hospital
Becoming Strong Stepping Stones for Each Other
Connected Lives
“During COVID-19, it became painfully clear that if anyone in society is unhealthy, we all suffer. This isn’t just about infectious diseases; it’s also about the impact on our psyche when we hear about strangers committing suicide. Ultimately, everyone in our interconnected society must live well for us to live well.”
So says Song Jiwon, a social worker at Korea University Ansan Hospital for 19 years. As a hub hospital in the southern Gyeonggi region, it serves Ansan and migrant patients from Siheung, Hwaseong, and Osan. Through warm solidarity, Song realizes the value of coexistence with these communities.
“Traditionally, Ansan has had the highest number of foreigners. However, as factories moved out of Ansan, migrant workers relocated to Siheung and Hwaseong for jobs. Nowadays, Hwaseong has many foreign workers, while Siheung has a growing number of foreign children and teenagers. Just yesterday, Hwaseong West Police Station contacted us because they don’t have a university hospital and asked if Korea University Ansan Hospital could accept their patients.”
Healing the Wounds with Warmth
With regional changes, the reasons migrants visit the hospital have evolved. The first generation of migrant workers who arrived in Korea in the mid to late 1990s are now middle-aged, leading to an increase in chronic diseases like liver disease and hypertension. This underscores the urgent need for healthcare support for undocumented migrants who cannot access health insurance.
“In the past, we saw many injury patients. I still vividly remember the first migrant patient I met. He had suffered various hardships under his employer and decided to quit. On his last day, out of spite, he tried to steal something from the factory, fell from a ladder, and was rushed to the emergency room with severe head injuries. That was around 2007, and back then, there were many cases of ‘bad bosses.’”
When employers treat their workers poorly, it’s only natural for them to react negatively. The societal stigma then falls on migrant workers, exacerbating their suffering, which in turn affects the broader community. This cycle of pain continues without someone to warmly embrace these wounded individuals. This is why companies and hospitals have taken the lead in providing medical support to migrants.
The Child Raised by the Whole Village
“Myeong-ho, a case supported by WeFriends, left a lasting impression on me. His mother, a legal immigrant from China, gave birth to him prematurely and without insurance coverage. Overwhelmed by the hospital bills, she fled Korea, leaving him behind. The hospital wanted to send the baby back to China quickly, but the pediatric chief said, ‘After all the effort to treat him, it would be a shame if he died.’ So, residents brought special formula, and nurses pooled money to buy diapers. Everyone rallied to care for Myeong-ho.”
Myeong-ho, who seemed unlikely to survive six months, was nurtured for ten months and discharged to a group home in Ansan. The group home director became his guardian, applied for his nationality at the Chinese embassy, and secured his foreign resident number. With a disability, Myeong-ho now receives health insurance and continues his connection with Korea University Ansan Hospital. This miraculous outcome was born from the collective determination to save a fragile life. What is Song’s wish, having witnessed this living miracle?
“No one is immune to crises like injury or illness. Having institutions that provide help during such times acts as a stepping stone. When people overcome severe hardships, it strengthens them. I hope migrants and we can be stepping stones for each other. Most issues we face today can be resolved through maintaining and valuing social solidarity.”
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Song Jiwon Medical Social Work Team Leader
Korea University Ansan Hospital
More Than Words
When Won Taerin began working as a Thai interpreter at Uijeongbu EXODUS, everything felt unfamiliar and overwhelming. The heavy responsibility of solving the difficulties faced by migrant workers often left her feeling lost and burdened. One day, arriving early for an appointment to accompany a migrant to the hospital, she was in a cafe, sipping iced coffee. That iced coffee became her small respite. Despite her busy and challenging days, she continues to start her day with a cup of iced coffee. We met with Taerin to discuss her journey and experiences.
insurance, so what costs us a few thousand won for a prescription can cost them hundreds of thousands. They often send their earnings back home, leaving little for their medical needs. In emergencies, they may turn to social media fundraising or seek help from centers like ours, but these solutions aren’t always enough. In such cases, WeFriends is incredibly supportive. Covering part of their medical expenses gives them hope and strength to pay off the remaining costs.
What motivates you to continue this work?
When I started, my child was in kindergarten. Balancing work, childcare, and studies was tough. Every morning, I thought about quitting but hearing the stories of those waiting for me at the office made it impossible to stop. That’s how 16 years have passed. (Laughs) I love that migrants can receive safe counseling here and that I can provide the necessary help.
Thailand Counselor, Uijeongbu EXODUS
How did you start your work in migrant interpretation and translation?
I was an ordinary housewife. I used to help a Thai friend who recently arrived in Korea with translations for hospital visits and other tasks. Then, a friend working at Uijeongbu EXODUS suggested I interview for a position there. At the time, I didn’t know much about labor laws or have formal training in translation, so I initially refused and offered to volunteer instead. But then, I was hired. (Laughs) At first, I didn’t know what I was doing. I was apprehensive, and I could hardly speak. But my colleagues were patient and taught me everything, bringing me to where I am today.
How was your first experience accompanying a migrant to the hospital?
I was really nervous. Meeting with employers over unpaid wages was scary, but hospitals were even more frightening because the language was different. I didn’t have much hospital experience, so I didn’t know what to do. I wrote down everything the doctors and nurses said, and if I didn’t understand, I asked them to write it down so I could look it up later and explain it to the patients. Interpreting was challenging, but I also had to learn about medical expenses and how to communicate with the social work office. There was so much to study in various areas. I’m still diligently learning every day.
What are the biggest challenges faced by migrants?
The main reason people come to me is language difficulty. Although translation apps are good, people still prefer human help. Unfortunately, this can lead them to brokers, resulting in more problems. Most migrants lack health
Recently, a worker who injured his arm sought help. His living conditions were also dire. When I visited, it was clear the place was uninhabitable. We arranged new housing, moved his belongings, and accompanied him to the hospital for months. I even bought his plane ticket home once his treatment was finished. Later, when I visited Thailand for personal reasons, he and his family came to see me. They expressed their gratitude, and it was deeply touching. Knowing they’re doing well and hearing from them gives me the courage to continue my work.
Lastly, what would you like to say to migrants living in Korea?
Earning money is important, but I urge you to study Korean. The more language skills you have, the more power you gain. It also enables you to help others. It may be exhausting, but study whenever you can! And don’t ignore your health—go to the hospital if you’re sick. Ignoring pain with just a painkiller or patch can lead to more significant issues. Take care of your health. Let’s all live healthily together!
Won Taerin
A Space of Coexistence, a Fence of Hope
In 2003, Lee Young first set foot in the Maseok Furniture Industrial Complex, describing it as “an island where people exist but are isolated like a deserted island.” This area, spanning approximately one million pyeong, housed over 430 factories and 2,000 migrant workers laboring in harsh conditions. Twenty years later, Lee remains a steadfast protector of migrant workers in this area as the director of the Namyangju Migrant Welfare Center. We sat with her to discuss the community’s unique history and ongoing challenges.
The Maseok Furniture Industrial Complex is inseparable from migrant workers. What makes this area unique?
Since the early 1990s, a significant influx of migrant workers has formed an economic symbiosis with the local Korean community. Employers couldn’t sustain their businesses without migrant workers, and Hansen’s disease patients relied on the rent they received from these workers. If migrant workers weren’t paid, their landlords would confront the factories on their behalf. They even tolerated delayed rent payments. The history of this region mirrors the broader process of migrant workers settling in Korean society.
Lee Young Director, Namyangju Migrant Welfare Center
Who typically seeks help at the Namyangju Migrant Welfare Center?
Our center is frequented by those needing labor and medical consultations. As the initial group of migrant workers ages, they increasingly face health issues. Additionally, many come to learn Korean to change their residency status, including migrant workers and marriage migrants. Well-established communities from the Philippines, Bangladesh, Vietnam, and China are active here.
What medical services are most needed by the local community?
Migrant workers in the industrial complex primarily suffer from musculoskeletal issues and respiratory diseases. However, they often fail to receive timely treatment, leading to deteriorating health. The furniture complex generates a significant amount of fine dust. If given the chance, I’d like to investigate the health and work environment issues migrant workers face in this area.
Undocumented migrants cannot access health insurance, so even minor ailments like a common cold can result in costly treatment. This financial burden makes it challenging to access medical interpretation and caregiving services for severe illnesses like cancer. One friend couldn’t care for his father during his final days back home, and now he feels compelled to care for his hospitalized colleagues in Korea. However, such individual efforts cannot improve the situation without systemic support.
WeFriends’ medical interpretation and caregiving services have been a substantial help to migrant patients. The presence of organizations like WeFriends, which are dedicated to addressing migrant health rights, is crucial. Tackling medical issues involves numerous challenges that a single center cannot resolve alone. Hyundai Motor Group’s 20-year support for the migrant medical aid project has been invaluable.
What should we prepare to live harmoniously with migrants?
Currently, Korea’s immigration policies seem to focus on bringing in workers cheaply for short-term solutions or addressing low birth rates and population declines through migrant labor. Both approaches are risky long-term. Rather than exploiting migrant workers for short-term gains, we need systemic changes, including legislation against racial discrimination, to build a society where we live together harmoniously.
Migrant workers are no longer outsiders but new neighbors living with us. Policies based on mutual understanding and respect are essential. We need to strive to view and understand them as equals.
