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Articles
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Published: 2024-11-29

Addressing the Teen Mom Situation in Thailand: A Systematic Review on Challenges, Initiatives and Recommendations for Improvement

Faculty of Public Health, Chiang Mai University, Chiang Mai 50200
Health Promotion Center Region 1, Department of Health, Ministry of Public Health, Chiang Mai 50100
Health Center for Ethnic Group, Marginal People and Migrant Worker, Lampang 52190
challenges of teen mom public health Thailand unwanted pregnancy

Abstract

Teenage pregnancy in Thailand poses significant public health challenges with implications for societal welfare and economic development. This systematic review analyzed the challenges faced by teenage mothers in Thailand, evaluated existing initiatives, and proposed evidence-based recommendations. A comprehensive literature search was conducted using the Scopus and Web of Science databases and others focusing on literature from 2016 to 2023. Keywords included “teenage pregnancy,” “teen mom,” “unwanted pregnancy,” and “unintended pregnancy” resulting in the selection of 36 studies. The PRISMA framework was followed to ensure a systematic approach. Data extraction focused on societal, educational, economic, and health-related challenges as well as the effectiveness of current interventions. Results indicated that teenage mothers in Thailand face substantial societal stigma, educational disruptions, economic difficulties, and significant health risks. Current initiatives and policies are insufficient in coverage and effectiveness. This review highlights the need for comprehensive sex education, improved access to contraception, youth-friendly sexual and reproductive health services, and targeted support programs for teenage mothers, emphasizing a multi-sectoral approach involving government agencies, Non-Governmental Organizations (NGOs), educational institutions, healthcare providers, and communities. The findings suggest that better-targeted interventions and collaborative efforts are required to reduce teenage pregnancy and improve the quality of life for teenage mothers in Thailand to foster a healthier and more inclusive society.

Keywords: challenges of teen mom, public health, Thailand, unwanted pregnancy

 

Abstrak

Mengatasi Situasi Ibu Remaja di Thailand: Tinjauan Sistematis tentang Tantangan, Inisiatif dan Rekomendasi untuk Perbaikan. Kehamilan remaja di Thailand menimbulkan tantangan kesehatan masyarakat yang signifikan dan berimplikasi pada kesejahteraan masyarakat dan pembangunan ekonomi. Tinjauan sistematis ini menganalisis tantangan yang dihadapi oleh ibu remaja di Thailand, mengevaluasi inisiatif yang ada, dan mengusulkan rekomendasi berbasis bukti. Pencarian literatur yang komprehensif dilakukan dengan menggunakan database Scopus dan Web of Science serta database lainnya yang berfokus pada literatur dari tahun 2016 hingga 2023. Kata kunci yang digunakan termasuk “teenage pregnancy,” “teen mom,” “unwanted pregnancy,” dan “unintended pregnancy” yang menghasilkan 36 penelitian. Kerangka kerja PRISMA diikuti untuk memastikan pendekatan yang sistematis. Ekstraksi data difokuskan pada tantangan sosial, pendidikan, ekonomi, dan kesehatan serta efektivitas intervensi yang ada saat ini. Hasil penelitian menunjukkan bahwa ibu remaja di Thailand menghadapi stigma sosial yang cukup besar, gangguan pendidikan, kesulitan ekonomi, dan risiko kesehatan yang signifikan. Inisiatif dan kebijakan yang ada saat ini tidak memadai dalam hal cakupan dan efektivitas. Tinjauan ini menyoroti perlunya pendidikan seks yang komprehensif, peningkatan akses terhadap kontrasepsi, layanan kesehatan seksual dan reproduksi yang ramah remaja, dan program dukungan yang ditargetkan untuk ibu remaja, dengan menekankan pendekatan multisektoral yang melibatkan lembaga pemerintah, NGOs, lembaga pendidikan, penyedia layanan kesehatan, dan masyarakat. Temuan ini menunjukkan bahwa intervensi yang ditargetkan dengan lebih baik dan upaya kolaboratif diperlukan untuk mengurangi kehamilan remaja dan meningkatkan kualitas hidup ibu remaja di Thailand untuk mendorong masyarakat yang lebih sehat dan inklusif.

Kata Kunci: kehamilan yang tidak diinginkan, kesehatan masyarakat, tantangan ibu remaja, Thailand

References

  1. Aramnit, W., & Wongsawat, P. (2019). Sex and unintended pregnancy among school students: Reproductive health problems in adolescents. Journal of Multidisciplinary in Social Sciences, 15 (3), 93–99.
  2. Areemit, R.S., Manaboriboon, B., In-Iw, S., Arunakul, J., Bongsebandhu-Phubhakdi, C., Kamol, N., Thunyapipat, C., Leelathipkul, L., & Areekul, W. (2023). Five-year trend of adolescent hospitalizations and deaths in Thailand: A secondary national data health situation analysis. Journal of Prevention, 44 (1), 127–142. doi: 10.1007/s10935-022-00716-w.
  3. Aung, E.E., Liabsuetrakul, T., Panichkriangkrai, W., Makka, N., & Bundhamchareon, K. (2018). Years of healthy life lost due to adverse pregnancy and childbirth outcomes among adolescent mothers in Thailand. AIMS Public Health, 5 (4), 463–476. doi: 10.3934/publichealth.2018.4.463.
  4. Ballard, J., Wieling, E., & Dwanyen, L. (2020). Parenting practices in the Karen Refugee Community. Contemporary Family Therapy, 42, 95–107. doi: 10.1007/s10591-019-09509-6.
  5. Ballon, J.J.R., & Tamoria, J.R. (2023). Factors contributing to and biological concepts about early pregnancy among Filipino adolescent mothers. International Journal of Public Health Science, 12 (1), 100–109. doi: 10.11591/ijphs.v12i1.21066.
  6. Chainok, L., Kongvattananon, P., & Gordon, S.C. (2022). Lived experiences of adolescents undergoing legal abortion in a Province of Thailand. Pacific Rim International Journal of Nursing Research, 26 (3), 376–389.
  7. Chalernphon, A. (2021). A narrative review of adolescents’ knowledge, attitudes and utilisation of contraception in Cambodia, Lao PDR, Myanmar, Thailand and Vietnam [Master’s thesis, University of Canterbury]. University of Canterbury Library. doi: 10.26021/10912.
  8. Cho, H., Lee, K., Choi, E., Cho, H.N., Park, B., Suh, M., Rhee, Y., & Choi, K.S. (2022). Association between social support and postpartum depression. Scientific Reports, 12 (1), 3128. doi: 10.1038/s41598-022-07248-7.
  9. Cox, G.R., & Thompson, N. (2022). The Hmong. In Managing death: International perspectives (pp. 113–119). Springer International Publishing. doi: 10.1007/978-3-031-05559-1.
  10. Espiritu, Y. (2020). Refugee lifemaking practices: Southeast Asian women. In S. Hune & G.M. Nomura (Eds.), Our voices, our histories: Asian American and Pacific Islander women (pp. 189–204). New York University Press. doi: 10.18574/nyu/9781479815067.003.0017.
  11. Ha, T., Givens, D., Shi, H., Nguyen, T., Nguyen, N., Shrestha, R., Frank, L., & Schensul, S.L. (2023). Assessing barriers and utilization of sexual and reproductive health services among female migrant workers in Vietnam. International Journal of Environmental Research and Public Health, 20 (14), 6368. doi: 10.3390/ijerph20146368.
  12. Hotz, V.J., McElroy, S.W., & Sanders, S.G. (2018). The impacts of teenage childbearing on the mothers and the consequences of those impacts for government. In R. Maynard (Eds.), Kids having kids: Economic costs and social consequences of teen pregnancy (pp. 55–94). Routledge. doi: 10.4324/9780429452635-3.
  13. Hymas, R., & Girard, L.C. (2019). Predicting postpartum depression among adolescent mothers: A systematic review of risk. Journal of Affective Disorders, 246, 873–885. doi: 10.1016/j.jad.2018.12.041.
  14. Idris, I.B., Sulaiman, S.K.B., Hod, R., Khazaei, H., & Abdullah, N.N. (2022). A qualitative study to explore the determinants of risky sexual behaviors and pregnancy among female adolescents in Sabah, Malaysia. Obstetrics and Gynecology International, 2022, 1866326. doi: 10.1155/2022/1866326.
  15. Khan, S., & Idris, I.B. (2023). The effect of early teenage pregnancy on depression and mental health in Malaysia. Journal of Iranian Medical Council, 6 (3), 566–583. doi: 10.18502/jimc.v6i3.12865.
  16. Leekuan, P., Kane, R., & Sukwong, P. (2021). Narratives on sex and contraception from pregnant adolescent women in a Northern Province in Thailand: A phenomenological study. INQUIRY: Journal of Health Care Organization, Provision, and Financing, 58, 469580211056219. doi: 10.1177/00469580211056219.
  17. Li, Z., Patton, G., Sabet, F., Subramanian, S.V., & Lu, C. (2020). Maternal healthcare coverage for first pregnancies in adolescent girls: A systematic comparison with adult mothers in household surveys across 105 countries, 2000–2019. BMJ Global Health, 5 (10), e002373. doi: 10.1136/bmjgh-2020-002373.
  18. Maravilla, J.C., Betts, K.S., Cruz, C.C., & Alati, R. (2017). Factors influencing repeated teenage pregnancy: A review and meta-analysis. American Journal of Obstetrics and Gynecology, 217 (5), 527-545. doi: 10.1016/j.ajog.2017.04.021.
  19. Mason-Jones, A.J., Sinclair, D., Mathews, C., Kagee, A., Hillman, A., & Lombard, C. (2016). School-based interventions for preventing HIV, sexually transmitted infections, and pregnancy in adolescents. The Cochrane Database of Systematic Reviews, 11 (11), CD006417. doi: 10.1002/14651858.CD006417.pub3.
  20. Ministry of Public Health, Thailand. (2017). National reproductive health development policy and strategy (2017-2026). Retrieved from: https://www.moph.go.th/
  21. Mörk, E., Sjögren, A., & Svaleryd, H. (2020). Consequences of parental job loss on the family environment and on human capital formation-Evidence from workplace closures. Labour Economics, 67, 101911. doi: 10.1016/j.labeco.2020.101911.
  22. Muthuta, M. (2021). Public policy related to fertility in Thailand: Past, present and the way forward. International Journal of Crime, Law and Social Issues, 8 (1), 8–21.
  23. Nawae, F., Ueranantasun, A., & Dureh, N. (2022). A repeated teenage pregnancy in Southernmost of Thailand. Proceedings of The International Halal Science and Technology Conference, 15 (1), 225–231. doi: 10.31098/ihsatec.v15i1.613.
  24. Orr, C., Fisher, C.M., Preen, D.B., Glauert, R.A., & O’Donnell, M. (2020). Exposure to family and domestic violence is associated with increased childhood hospitalisations. PLoS One, 15 (8), e0237251. doi: 10.1371/journal.pone.0237251.
  25. Plesons, M., Cole, C.B., Hainsworth, G., Avila, R., Biaukula, K.V.E., Husain, S., Janušonytė, E., Mukherji, A., Nergiz, A.I., Phaladi, G., Ferguson, B.J., Philipose, A., Dick, B., Lane, C., Herat, J., Engel, D.M.C., Beadle, S., Hayes, B., & Chandra-Mouli, V. (2019). Forward, together: A collaborative path to comprehensive adolescent sexual and reproductive health and rights in our time. Journal of Adolescent Health, 65 (6S), S51–S62. doi: 10.1016/j.jadohealth.2019.09.009.
  26. Psacharopoulos, G., & Patrinos, H.A. (2018). Returns to investment in education: A decennial review of global literature. Education Economics, 26 (5), 445–458. doi: 10.1080/09645292.2018.1484426.
  27. Sanghirun, K., Fongkaew, W., Viseskul, N., & Lirtmunlikaporn, S. (2021). Perspectives of parents regarding sexual and reproductive health in early adolescents: A qualitative descriptive study. Pacific Rim International Journal of Nursing Research, 25 (1), 60–74.
  28. Sanitya, R., Marshall, A.I., Saengruang, N., Julchoo, S., Sinam, P., Suphanchaimat, R., Phaiyarom, M., Tangcharoensathien, V., Boonthai, N., & Chaturachinda, K. (2020). Healthcare providers’ knowledge and attitude towards abortions in Thailand: A pre-post evaluation of trainings on safe abortion. International Journal of Environmental Research and Public Health, 17 (9), 3198. doi: 10.3390/ijerph17093198.
  29. Sriprapandh, K. (2022). Education model development of media health literacy for adolescents in Upper Northern Thailand: A process of change for social upliftment. In C. Yamahata (Eds.), Social transformations in India, Myanmar, and Thailand: Volume II: Identity and grassroots for democratic progress (pp. 223–231). Palgrave Macmillan. doi: 10.1007/978-981-16-7110-4_13.
  30. Tabain, M., Bradley, D., & Yu, D. (2019). Central Lisu. Journal of the International Phonetic Association, 49 (1), 129–147. doi: 10.1017/S0025100318000129.
  31. Tasijawa, F.A., Tehusalawany, J., Lameky, V.Y., Siahaya, A., & Tiwery, I.B. (2021). Is adolescent fertility high in Maluku Province? Indonesian Demographic and Health Survey (IDHS) data analysis in 2017. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 6 (3), 543–549. doi: 10.30604/jika.v6i3.581.
  32. Teerawichitchainan, B., Prachuabmoh, V., & Knodel, J. (2019). Productive aging in developing Southeast Asia: Comparative analyses between Myanmar, Vietnam and Thailand. Social Science and Medicine, 229, 161–171. doi: 10.1016/j.socscimed.2018.09.053.
  33. Thepthien, B.O., & Celyn, C. (2022). Risky sexual behavior and associated factors among sexually-experienced adolescents in Bangkok, Thailand: Findings from a school web-based survey. Reproductive Health, 19 (1), 127. doi: 10.1186/s12978-022-01429-3.
  34. Thongsomboon, W., Kaewkiattikun, K., & Kerdcharoen, N. (2020). Perceived stress and associated factors among pregnant women attending antenatal care in urban Thailand. Psychology Research and Behavior Management, 13, 1115–1122. doi: 10.2147/PRBM.S290196.
  35. Todd, N., & Black, A. (2020). Contraception for adolescents. Journal of Clinical Research in Pediatric Endocrinology, 12 (Suppl 1), 28–40. doi: 10.4274/jcrpe.galenos.2019.2019.S0003.
  36. Trading Economics. (2017). Thailand adolescent fertility rate, births per 1,000 women ages 15-19. Retrieved from: https://tradingeconomics.com/thailand/adolescent-fertility-rate-births-per-1-000-women-ages-15-19-wb-data.html
  37. United Nations Educational, Scientific and Cultural Organization (UNESCO). (2018). International technical guidance on sexuality education: An evidence-informed approach. doi: 10.54675/UQRM6395.
  38. United Nations International Children's Emergency Fund (UNICEF). (2024). Government, UNFPA, and UNICEF launch groundbreaking report on adolescent pregnancy in Lao PDR. Retrieved from: https://www.unicef.org/laos/press-releases/government-unfpa-and-unicef-launch-groundbreaking-report-adolescent-pregnancy-lao
  39. Waleewong, O., & Yueayai, K. (2022). Patterns of socioeconomic inequities in SDGs relating to children’s well-being in Thailand and policy implications. International Journal of Environmental Research and Public Health, 19 (20), 13626. doi: 10.3390/ijerph192013626.
  40. Wu, J., Ju, L-H., Lin, P-H., & Lyu, Y. (2022). The Relationship between form and ritual in cultural sustainability. Sustainability, 14 (15), 9157. doi: 10.3390/su14159157.
  41. Wungrath, J., Chanwikrai, Y., Khumai, N., & Sutan, P. (2022). Perception towards food choice among low-income factory worker parents of pre-school children in Northern Thailand: A qualitative study. Malaysian Journal of Public Health Medicine, 22 (3), 98–106. doi: 10.37268/mjphm/vol.22/no.3/art.1682.
  42. World Health Organization (WHO). (2015). Global standards for quality health-care services for adolescents: A guide to implement a standards-driven approach to improve the quality of health care services for adolescents. Retrieved from: https://www.who.int/publications/i/item/9789241549332vol.2

How to Cite

Wungrath, J., Phrommasen, P., & Ritthimon, W. (2024). Addressing the Teen Mom Situation in Thailand: A Systematic Review on Challenges, Initiatives and Recommendations for Improvement. Jurnal Keperawatan Indonesia, 27(3), 129–145. https://doi.org/10.7454/jki.v27i3.1242