Journal of Medicine and Medical Science Vol. 2(3) pp. 734-740, March 2011
Available online http://www.interesjournals.org/JMMS
Copyright © 2011 International Research Journals
Full Length Research Paper
The model development of participatory education on
adolescent reproductive life (PEARL) programme to
prevent unintended pregnancy among Myanmar
migrant adolescent and youth in samut sakhon
province, Thailand: (situational analysis)
Kyaw Min
1
MBBS, MCTM, Ph.D PH (candidate), Surasak Taneepanichskul
2
MD., MSc,
FRCOGT, Kanittha Charmroonsawasdi
3
Ph.D, Ratana Somrongthong
4
Ph.D, Damrong
Reinprayoon
5
MD., MPH
1
Faculty of Medicine, Department of Medicine, AIMST University, Bedong, Kedah State, Malaysia
2
Dean, College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand
3
Department of Family Health, Mahidol University, Bangkok, Thailand
4
College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand
5
Director of Red Cross Volunteers Bereau, Thai Red Cross Society, Bangkok, Thailand
Accepted 21 March, 2011
Pregnancy among young adolescents is a significant problem in the world. Migrant workers from Myanmar come
from a variety of geographical locations and ethnic groups. According to Samut Sakorn provincial health office
data, there are 1,507 antenatal care cases, 1,517 delivery cases and 113 abortion cases among 7,000 Myanmar
migrant women in 2009. Abortion rate is three times more than 2008 in same population. The objective of the
situational study was to get the information from the adolescent (15-19 years) and youth (20-24 years) Myanmar
migrants in relation to their knowledge, behavior, practice and supportive services to reduce unintended
pregnancy for “PEARL” model intervention. Qualitative research method was applied among a total of 30
Myanmar migrants for in-depth interviews. Myanmar migrants were selected by random sampling in the aged
group 15 – 24 years old. In addition, 5 in-depth interviews were conducted with key informants from provincial
health office and NGOs. The researcher carried out the NIVO version 9, qualitative analysis soft ware. In the
finding, youth age (20-24) was mostly found married and separated cases. Male respondents had more active in
sexual behavior than female respondents. Family and social support was one factor to relate two ways. Family
especially living together with relatives or parents reduced high risk of sexual behavior and social environment
supports could get health information especially family planning pills. But social support would be risk to have an
information and experience to get high risk of sexual behavior. Education was an important fact in sexual
behavior, knowledge and attitude. It had also highly related with leisure activities and personal goal. And then
rarely respondents used condom when they have sexual intercourse. Findings were applied and validated at
research proposal. Developing appropriate IEC (Information, Education, and Communication) materials for
different target groups of migrants, e.g., adolescent and young people especially young people with appropriate
education level should be done. The sustainability of the services and education section should be ensured.
Key words: Adolescent, Youth, Myanmar Migrants, Participatory Education, Unintended Pregnancy, Peer Volunteer
INTRODUCTION
Adolescent, the period between childhood and adulthood
is a time of profound biological, social, and psychological
*Corresponding author: dr_kyawmin@yahoo.com;
+60164531454
changes accompanied by increased interest in sex. This
interest places young people at risk of unintended
pregnancy, with consequences that present difficulties for
the individual, family, and community (DiCenso, 1999).
There are negative associations between early childbear-