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

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

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

Conditions
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Teenage Pregnancy

Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 20 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

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

What is the study measuring?
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Primary Outcome Measures

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

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Thai-Myanmar border