Dataset Information

Access to community-based reproductive health services and incidence of low birthweight delivery among refugee and displaced mothers: a retrospective study in the Thailand-Myanmar border region.

ABSTRACT:

Objectives

Over 2.4 million people have been displaced within the Thailand-Myanmar border region since 1988. The efficacy of community-driven health models within displaced populations is largely unstudied. Here, we examined the relationship between maternal healthcare access and delivery outcomes to evaluate the impact of community-provided health services for marginalised populations.

Setting

Study setting was the Thailand-Myanmar border region's single largest provider of reproductive health services to displaced mothers.

Participants

All women who had a delivery (n=34 240) between 2008 and 2019 at the study clinic were included in the performed retrospective analyses.

Primary and secondary outcome measures

Low birth weight was measured as the study outcome to understand the relationship between antenatal care access, family planning service utilisation, demographics and healthy deliveries.

Results

First trimester (OR=0.86; 95% CI=0.81 to 0.91) and second trimester (OR=0.86; 95% CI=0.83 to 0.90) antenatal care visits emerged as independent protective factors against low birthweight delivery, as did prior utilisation of family planning services (OR=0.82; 95% CI=0.73 to 0.92). Additionally, advanced maternal age (OR=1.36; 95% CI=1.21 to 1.52) and teenage pregnancy (OR=1.27, 95% CI=1.13 to 1.42) were notable risk factors, while maternal gravidity (OR=0.914; 95% CI=0.89 to 0.94) displayed a protective effect against low birth weight.

Conclusion

Access to community-delivered maternal health services is strongly associated with positive delivery outcomes among displaced mothers. This study calls for further inquiry into how to best engage migrant and refugee populations in their own reproductive healthcare, in order to develop resilient models of care for a growing displaced population globally.

SUBMITTER: Perera S

PROVIDER: S-EPMC8804650 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Access to community-based reproductive health services and incidence of low birthweight delivery among refugee and displaced mothers: a retrospective study in the Thailand-Myanmar border region.

Perera Sudheesha S Maung Cynthia C Hla Sophia S Moo Moo Hsa H Than Lwin Saw S Bruck Catherine C Smith Terrence T Bakker Menno M Akhoon Cassim C Sarkar Indra Neil IN

BMJ open 20220131 1

<h4>Objectives</h4>Over 2.4 million people have been displaced within the Thailand-Myanmar border region since 1988. The efficacy of community-driven health models within displaced populations is largely unstudied. Here, we examined the relationship between maternal healthcare access and delivery outcomes to evaluate the impact of community-provided health services for marginalised populations.<h4>Setting</h4>Study setting was the Thailand-Myanmar border region's single largest provider of repro ...[more]

PMID: 35105627

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Dataset Information

Access to community-based reproductive health services and incidence of low birthweight delivery among refugee and displaced mothers: a retrospective study in the Thailand-Myanmar border region.

Objectives

Setting

Participants

Primary and secondary outcome measures

Results

Conclusion

Publications

Access to community-based reproductive health services and incidence of low birthweight delivery among refugee and displaced mothers: a retrospective study in the Thailand-Myanmar border region.

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