Teenage Pregnancies in Refugee and Migrant Adolescents on the Thai-Myanmar Border

Perceptions and Experiences of Teenage Pregnancies in Refugee and Migrant Adolescents on the Thai-Myanmar Border

This study is to explore perceptions, experiences, beliefs and knowledge around teenage pregnancy, motherhood, sexual and reproductive health, family planning and support structures adolescent refugees and migrants and to identify demographic, social and medical characteristics of study participants.

Study Overview

• Status: Completed
• Conditions: Teenage Pregnancy

Detailed Description

The study will be conducted as follows:

• 12-24 individual interviews with pregnant or postnatal adolescent girls (<20 years);
• 1 Focus group discussion of 6-10 non-pregnant female adolescents (<20 years);
• 1 Focus group discussion of 6-10 adolescent men (<20 years);
• 1 Focus group discussion of 6-10 Shoklo malaria research unit antenatal care staff;

Interviews and focus group discussion will be conducted with study participants who agree to participate in discussions about teenage pregnancy and motherhood, sexual and reproductive health. In-depth interviews and focus group discussion will be conducted in private meeting rooms in proximity to the antenatal clinic waiting areas. In-depth interviews and Focus group discussion will be co-facilitated by the principal investigator and a trained counsellor/midwife fluent in Karen, Burmese and English. Focus group discussion will be run separately for Burmese- and Karen-speaking participants and participants will be separated by subgroup. Focus group discussion will include 6-10 participants per group and for each focus group discussion to last between 45-60 minutes. Individual in-depth interviews will last approximately 60 minutes each.

• Study Type: Observational
• Enrollment (Actual): 54

Contacts and Locations

Study Locations

• Thailand
  • Tak
    • Mae Sot, Tak, Thailand, 63110
      • Shoklo Malaria Research Unit

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 12 years to 20 years (ADULT, CHILD)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

The participant will be adolescent mothers and non-pregnant adolescent aged 12 - <20 years, adolescent men aged < 20 years and ANC staff.

Description

Inclusion Criteria:

Inclusion criteria for adolescent mothers (subgroup 1) are:

• Aged 12 - <20 years
• Females
• Migrant or refugee status
• Myanmar nationality
• Any trimester of pregnancy or up to 12 month post partum
• Able and willing to participate and give informed consent

Inclusion criteria for non-pregnant female adolescents (subgroup 2) are:

• Aged <20 years
• Females
• Migrant or refugee status
• Myanmar nationality
• No past or current pregnancy
• Able and willing to participate and give informed consent

Inclusion criteria for adolescent men (subgroup 3) are:

• Aged <20 years
• Males
• Migrant or refugee status
• Myanmar nationality
• Able and willing to participate and give informed consent

Inclusion criteria for health staff (subgroup 4) are:

• No age restrictions
• Females or males
• Migrant, refugee or non-migrant status
• Any nationality
• Able and willing to participate and give informed consent

Exclusion Criteria:

• Any participant who is deemed by the researchers or health staff to be acutely physically or mentally unwell will be excluded.
• Participants who do not meet the age requirements, migration status or nationality requirements

Study Plan

How is the study designed?

Number of groups / cohorts

4

Cohorts and Interventions

Group / Cohort
pregnant/post-natal adolescents (<20 years); 12-24 individual with pregnant or postnatal adolescent girls (<20 years) will be interviewed.
non-pregnant female adolescents (<20 years); 1 Focus group discussion of 6-10 non-pregnant female adolescents (<20 years)
male adolescents (<20 year); 1 Focus group discussion of 6-10 adolescent men (<20 years)
SMRU health staff of antenatal clinics (ANC); 1 Focus group discussion of 6-10 Shoklo Malaria Research Unit antenatal clinic staff

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Thematic summary of adolescents' perceptions, experiences and beliefs in teenage pregnancy, motherhood, sexual and reproductive health, family planning and support structures adolescent refugees and migrants	up to 1 year
Descriptive summary of demographic, social and medical characteristics of study participants	up to 1 year

Secondary Outcome Measures

Outcome Measure	Time Frame
Summary of antenatal clinic staff perceptions	up to 1 year

Collaborators and Investigators

• Sponsor: University of Oxford

Study record dates

Study Major Dates

• Study Start: September 1, 2016
• Primary Completion (ACTUAL): September 21, 2016
• Study Completion (ACTUAL): September 21, 2016

Study Registration Dates

• First Submitted: July 13, 2016
• First Submitted That Met QC Criteria: August 31, 2016
• First Posted (ESTIMATE): September 7, 2016

Study Record Updates

• Last Update Posted (ACTUAL): March 14, 2017
• Last Update Submitted That Met QC Criteria: March 13, 2017
• Last Verified: March 1, 2017

More Information

Terms related to this study

• Keywords: Thai-Myanmar border
• Other Study ID Numbers: SMRU 1602

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES