Ontology highlight
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
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]