Informing family planning research priorities: a perspective from the front line in <scp>A</scp>sia

Jimenez-Soto, Eliana; Dettrick, Zoe; Firth, Sonja; Byrne, Abbey; Vincente, Sophie La

doi:10.1111/tmi.12094

Cited by 2 publications

(1 citation statement)

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“…The relatively closed nature of the refugee camp and more mobile nature of migrants may affect needs, access and uptake. A poor understanding of marginalized populations prevents effective service provision due to a lack of local insight sensitive to the cultural, social and educational values of women in remote and rural areas [14, 15]. A 2010 survey among community health providers on reproductive health along the Thailand-Myanmar border reported a lack of knowledge about reproductive health and FP as one of the biggest health issues in the communities [16].…”

Section: Introductionmentioning

confidence: 99%

Family planning knowledge, attitudes and practices in refugee and migrant pregnant and post-partum women on the Thailand-Myanmar border – a mixed methods study

et al. 2016

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BackgroundLack of data in marginalized populations on knowledge, attitudes and practices (KAP) hampers efforts to improve modern contraceptive practice. A mixed methods study to better understand family planning KAP amongst refugee and migrant women on the Thailand-Myanmar border was conducted as part of an ongoing effort to improve reproductive health, particularly maternal mortality, through Shoklo Malaria Research Unit (SMRU) antenatal and birthing services.MethodsCross-sectional surveys and focus group discussions (FGDs) in currently pregnant women; and in-depth interviews (IDIs) in selected post-partum women with three children or more; were conducted. Quantitative data were described with medians and proportions and compared using standard statistical tests. Risk factors associated with high parity (>3) were identified using logistic regression analysis. Qualitative data were coded and grouped and discussed using identified themes.ResultsIn January-March 2015, 978 women participated in cross-sectional studies, 120 in FGD and 21 in IDI. Major positive findings were: > 90 % of women knew about contraceptives for birth spacing, >60 % of women in the FGD and IDI reported use of family planning (FP) in the past and nearly all women knew where they could obtain FP supplies. Major gaps identified included: low uptake of long acting contraception (LAC), lack of awareness of emergency contraception (>90 % of women), unreliable estimates of when child bearing years end, and misconceptions surrounding female sterilization. Three was identified as the ideal number of children in the cross-sectional survey but less than half of the women with this parity or higher in the IDI actually adopted LAC leaving them at risk for unintended pregnancy. Discussing basic female anatomy using a simple diagram was well received in FGD and IDIs. LAC uptake has increased particularly the IUD from 2013–2015.ConclusionDefinitive contextual issues were identified during this study and a significant range of action points have been implemented in FP services at SMRU as a result, particularly in regard to the IUD. The importance of the role and attitudes of husbands were acknowledged by women and studies to investigate male perspectives in future may enhance FP practice in this area.Electronic supplementary materialThe online version of this article (doi:10.1186/s12978-016-0212-2) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Family planning knowledge, attitudes and practices in refugee and migrant pregnant and post-partum women on the Thailand-Myanmar border – a mixed methods study

et al. 2016

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Health and health systems, environment, sustainable development, contraception and sexual and reproductive health

2014

Reproductive Health Matters

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Informing family planning research priorities: a perspective from the front line in Asia

Cited by 2 publications

References 13 publications

Family planning knowledge, attitudes and practices in refugee and migrant pregnant and post-partum women on the Thailand-Myanmar border – a mixed methods study

Family planning knowledge, attitudes and practices in refugee and migrant pregnant and post-partum women on the Thailand-Myanmar border – a mixed methods study

Health and health systems, environment, sustainable development, contraception and sexual and reproductive health

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