Laos vs. Thailand

Laos is a predominantly rural country with a youthful population - almost 55% of the population is under the age of 25.  Its progress on health and development issues has been uneven geographically, among ethnic groups, and socioeconomically.  Laos has made headway in poverty reduction, with the poverty rate almost halving from 46% in 1992/93 to 22% in 2012/13.  Nevertheless, pronounced rural-urban disparities persist, and income inequality is rising.  Poverty most affects populations in rural and highland areas, particularly ethnic minority groups. 

The total fertility rate (TFR) has decreased markedly from around 6 births per woman on average in 1990 to approximately 2.8 in 2016, but it is still one of the highest in Southeast Asia.  TFR is higher in rural and remote areas, among ethnic minority groups, the less-educated, and the poor; it is lower in urban areas and among the more educated and those with higher incomes.  Although Laos' mortality rates have improved substantially over the last few decades, the maternal mortality rate and childhood malnutrition remain at high levels.  As fertility and mortality rates continue to decline, the proportion of Laos' working-age population will increase, and its share of dependents will shrink.  The age structure shift will provide Laos with the potential to realize a demographic dividend during the next few decades, if it can improve educational access and quality and gainfully employ its growing working-age population in productive sectors.  Currently, Laos primary school enrollment is nearly universal, but the drop-out rate remains problematic.  Secondary school enrollment has also increased but remains low, especially for girls. 

Laos has historically been a country of emigration and internal displacement due to conflict and a weak economy. The Laos civil war (1953 - 1975) mainly caused internal displacement (numbering in the hundreds of thousands).  Following the end of the Vietnam War in 1975, indigenous people in remote, war-struck areas were resettled and more than 300,000 people fled to Thailand to escape the communist regime that took power.  The majority of those who sought refuge in Thailand ultimately were resettled in the US (mainly Hmong who fought with US forces), and lesser numbers went to France, Canada, and Australia. 

The Laos Government carried out resettlement programs between the mid-1980s and mid-1990s to relocate ethnic minority groups from the rural northern highlands to development areas in the lowlands ostensibly to alleviate poverty, make basic services more accessible, eliminate slash-and-burn agriculture and opium production, integrate ethnic minorities, and control rebel groups (including Hmong insurgents).  For many, however, resettlement has exacerbated poverty, led to the loss of livelihoods, and increased food insecurity and mortality rates.  As the resettlement programs started to wane in the second half of the 1990s, migration from the northern highlands to urban centers - chiefly the capital Vientiane - to pursue better jobs in the growing manufacturing and service sectors became the main type of relocation.  Migration of villagers from the south seeking work in neighboring Thailand also increased.  Thailand is the main international migration destination for Laotians because of the greater availability of jobs and higher pay than at home; nearly a million Laotian migrants were estimated to live in Thailand as of 2015.

Thailand has experienced a substantial fertility decline since the 1960s largely due to the nationwide success of its voluntary family planning program.  In just one generation, the total fertility rate (TFR) shrank from 6.5 children per woman in 1960s to below the replacement level of 2.1 in the late 1980s.  Reduced fertility occurred among all segments of the Thai population, despite disparities between urban and rural areas in terms of income, education, and access to public services.  The country's "reproductive revolution" gained momentum in the 1970s as a result of the government's launch of an official population policy to reduce population growth, the introduction of new forms of birth control, and the assistance of foreign non-government organizations.  Contraceptive use rapidly increased as new ways were developed to deliver family planning services to Thailand's then overwhelmingly rural population.  The contraceptive prevalence rate increased from just 14% in 1970 to 58% in 1981 and has remained about 80% since 2000. 

Thailand's receptiveness to family planning reflects the predominant faith, Theravada Buddhism, which emphasizes individualism, personal responsibility, and independent decision-making.  Thai women have more independence and a higher status than women in many other developing countries and are not usually pressured by their husbands or other family members about family planning decisions.  Thailand's relatively egalitarian society also does not have the son preference found in a number of other Asian countries; most Thai ideally want one child of each sex.

Because of its low fertility rate, increasing life expectancy, and growing elderly population, Thailand has become an aging society that will face growing labor shortages.  The proportion of the population under 15 years of age has shrunk dramatically, the proportion of working-age individuals has peaked and is starting to decrease, and the proportion of elderly is growing rapidly.  In the short-term, Thailand will have to improve educational quality to increase the productivity of its workforce and to compete globally in skills-based industries.  An increasing reliance on migrant workers will be necessary to mitigate labor shortfalls.

Thailand is a destination, transit, and source country for migrants. It has 3-4 million migrant workers as of 2017, mainly providing low-skilled labor in the construction, agriculture, manufacturing, services, and fishing and seafood processing sectors.  Migrant workers from other Southeast Asian countries with lower wages - primarily Burma and, to a lesser extent, Laos and Cambodia - have been coming to Thailand for decades to work in labor-intensive industries.  Many are undocumented and are vulnerable to human trafficking for forced labor, especially in the fisheries industry, or sexual exploitation.  A July 2017 migrant worker law stiffening fines on undocumented workers and their employers, prompted tens of thousands of migrants to go home.  Fearing a labor shortage, the Thai Government has postponed implementation of the law until January 2018 and is rapidly registering workers.  Thailand has also hosted ethnic minority refugees from Burma for more than 30 years; as of 2016, approximately 105,000 mainly Karen refugees from Burma were living in nine camps along the Thailand-Burma border.

Thailand has a significant amount of internal migration, most often from rural areas to urban centers, where there are more job opportunities.  Low- and semi-skilled Thais also go abroad to work, mainly in Asia and a smaller number in the Middle East and Africa, primarily to more economically developed countries where they can earn higher wages.