Towards Realizing the Health-Related Millennium Development Goals for Migrants from Burma in Thailand

Ditton, Mary; Lehane, Leigh

doi:10.1525/jer.2009.4.3.37

Cited by 7 publications

(5 citation statements)

References 6 publications

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“…Needs for appropriate family planning in conflict affected areas are significant and recent research suggests use of LARCs are highly feasible [23]. Strengths and gaps in KAP towards FP in rural refugee and migrant women were identified in this study and provide an avenue for change, potentially impacting maternal mortality and morbidity in these marginalized populations [24, 25]. …”

Section: Discussionmentioning

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: Discussionmentioning

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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“…Fourteen studies published between 2002 and 2020 included data on the HIV prevalence among migrants originating from Southeast Asia [27,29,31,32,[34][35][36][37][38][39][40][41][42][43]. The study populations consisted of pregnant women, women and girls, children and adults of mixed gender, respectively.…”

Section: Southeast Asiamentioning

confidence: 99%

HIV Prevalence in Migrant Groups Based on Country of Origin: A Systematic Review on Data Obtained between 1993 and 2020

Schousboe

Wejse

2021

Sustainability

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The prevalence of internationally displaced people has been rising steadily within the last decade, creating enormous groups of migrants vulnerable to communicable diseases. This study aims to investigate HIV prevalence in migrant groups based on country of origin and present these results as weighted estimates on HIV prevalence based on geographical origin. Furthermore, HIV prevalence by country of origin is compared to WHO estimated prevalence in these countries. A systematic literature search has been conducted, and risk of bias in the included studies has been assessed. A ratio termed the Migration/Origin ratio, expressing weighted estimates on HIV prevalence among migrants by country of origin compared to the WHO estimated HIV prevalence in the country of origin, was constructed to compare the yields of this study to WHO prevalence estimates. Based on the search strategies covering the years 1990 to February 2021, 2295 articles were identified. The articles were screened by title and/or abstract, and retrieved articles were screened by full manuscript, leading to a final inclusion of 49 studies. HIV prevalence among migrants originating from the Middle East was 0.11%, Southeast Asia 1.50%, Eastern Europe 0.44%, Latin America 0.74%, North-, East-, West-, Central- and Southern Africa 1.90%, 3.69%, 2.60%, 3.75% and 3.92%, respectively. The overall Migration/Origin ratio was 2.1. HIV prevalence among migrants originating from countries with a high HIV prevalence was generally higher than among the autochthonous population. Several HIV prevalence estimates among migrants according to country of origin varied from WHO estimates.

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“…The United Nations' Millennium Development Goals (MDGs), discussed in Ditton and Lehane (2009a), apply to developing countries and can inform research questions that address the vital and urgent needs of a refugee population. For a developed country, such as the United States, directives do not exist for selecting research topics as long as the topic does not do harm to others and falls within the bounds of law.…”

Section: Initial Goalsmentioning

confidence: 99%

Ethical and Effective Ethnographic Research Methods: A Case Study with Afghan Refugees in California

Smith

2009

Journal of Empirical Research on Human Research Ethics

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SCHOLARLY STUDIES OF REFUGEES and other vulnerable populations carry special ethical concerns. In this invited case study of Afghan refugees in Fremont, California, I provide illustrations and recommendations of ethical research methods with refugees. I also compare and contrast some ethical issues in the U.S. with issues in Thailand. The qualitative, ethnographic methods I report here demonstrate how to conduct culturally sensitive investigations by ethically approaching gatekeepers and other community members to preserve autonomy, ensure confidentiality, build trust, and improve the accuracy of interpretations and results. Six groups at risk for being marginalized in multiple ways within refugee populations are described. Ten best practices are recommended for ethically acquiring an in-depth understanding of the refugees, their community, and appropriate research methods.

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Towards Realizing the Health-Related Millennium Development Goals for Migrants from Burma in Thailand

Cited by 7 publications

References 6 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

HIV Prevalence in Migrant Groups Based on Country of Origin: A Systematic Review on Data Obtained between 1993 and 2020

Ethical and Effective Ethnographic Research Methods: A Case Study with Afghan Refugees in California

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