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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; Maung, Cynthia; Hla, Sophia; Moo Moo, Hsa; Than Lwin, Saw; Bruck, Catherine; Smith, Terrence; Bakker, Menno; Akhoon, Cassim; Sarkar, Indra Neil.
Afiliación
  • Perera S; Center for Biomedical Informatics, Brown University, Providence, Rhode Island, USA.
  • Maung C; Mae Sot Clinic, Mae Sot, Thailand.
  • Hla S; Mae Sot Clinic, Mae Sot, Thailand.
  • Moo Moo H; Mae Sot Clinic, Mae Sot, Thailand.
  • Than Lwin S; Mae Sot Clinic, Mae Sot, Thailand.
  • Bruck C; Mae Sot Clinic, Mae Sot, Thailand.
  • Smith T; Mae Sot Clinic, Mae Sot, Thailand.
  • Bakker M; Mae Sot Clinic, Mae Sot, Thailand.
  • Akhoon C; Mae Sot Clinic, Mae Sot, Thailand.
  • Sarkar IN; Center for Biomedical Informatics, Brown University, Providence, Rhode Island, USA neil_sarkar@brown.edu.
BMJ Open ; 12(1): e052571, 2022 Jan 31.
Article en En | MEDLINE | ID: mdl-35105627
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Refugiados / Servicios de Salud Materna Tipo de estudio: Diagnostic_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Female / Humans / Newborn / Pregnancy País/Región como asunto: Asia Idioma: En Revista: BMJ Open Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Refugiados / Servicios de Salud Materna Tipo de estudio: Diagnostic_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Female / Humans / Newborn / Pregnancy País/Región como asunto: Asia Idioma: En Revista: BMJ Open Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido