Abstract
BackgroundAdolescent pregnancy remains a global health concern, contributing to 11% of all births worldwide and 23% of the overall burden of disease in girls aged 15–19 years. Premature motherhood can create a negative cycle of adverse health, economic and social outcomes for young women, their babies and families. Refugee and migrant adolescent girls might be particularly at risk due to poverty, poor education and health infrastructure, early marriage, limited access to contraception and traditional beliefs. This study aims to explore adolescents’ perceptions and experiences of pregnancy in refugee and migrant communities on the Thailand-Myanmar border.MethodsIn June 2016 qualitative data were collected in one refugee camp and one migrant clinic along the Thailand-Myanmar border by conducting 20 individual interviews with pregnant refugee and migrant adolescents and 4 focus group discussions with husbands, adolescent boys and non-pregnant girls and antenatal clinic staff. Inductive thematic analysis was used to identify codes and themes emerging from the data.ResultsStudy participants perceived adolescent pregnancy as a premature life event that could jeopardise their future. Important themes were premarital sex, forced marriage, lack of contraception, school dropout, fear of childbirth, financial insecurity, support structures and domestic violence. Supportive relationships with mothers, husbands and friends could turn this largely negative experience into a more positive one. The main underlying reasons for adolescent pregnancy were associated with traditional views and stigma on sexual and reproductive health issues, resulting in a knowledge gap on contraception and life skills necessary to negotiate sexual and reproductive choices, in particular for unmarried adolescents.ConclusionsAdolescents perceive pregnancy as a challenging life event that can be addressed by developing comprehensive adolescent-friendly sexual and reproductive health services and education in refugee and migrant communities on the Thailand-Myanmar border. Creating a more tolerant and less stigmatising environment in these communities and their governing bodies will help to achieve this goal.
Highlights
Adolescent pregnancy remains a global health concern, contributing to 11% of all births worldwide and 23% of the overall burden of disease in girls aged 15–19 years
Pregnancy and motherhood put these adolescents at a higher risk of death, health problems, social stigma, school dropout, unemployment, poverty and domestic violence
This study was set up to get a better understanding of the views and experiences of adolescent pregnancy in refugee and migrant communities on the ThailandMyanmar border, where poverty, poor education and health facilities, early marriage, difficult access to contraception and traditional beliefs may cause particular difficulties
Summary
Adolescent pregnancy remains a global health concern, contributing to 11% of all births worldwide and 23% of the overall burden of disease in girls aged 15–19 years. Premature motherhood can create a negative cycle of adverse health, economic and social outcomes for young women, their babies and families. Complications of pregnancy and childbirth, including unsafe abortions, make pregnancy one of the leading causes of death in adolescent girls Health problems such as anaemia, malaria, sexually transmitted infections, in particular HIV, postpartum haemorrhage and mental disorders are strongly associated with negative outcomes of adolescent pregnancy. Premature motherhood significantly reduces the chances of continuing education, developing skills and finding paid work, creating a negative cycle of adverse health, economic and social outcomes [5]. A large body of evidence has highlighted the damaging consequences for adolescent mothers and their babies [6,7,8,9]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
