Evaluation of the Adolescent Pregnancy Prevention and Solution Project in Nakhon Sawan province

Abstract

Teenage pregnancy was a major health problem in Thailand. This research was an Integration Operations to Adolescent Pregnancy prevention and solving Project in Nakhonsawan province. It was mixed-method research as a concurrent parallel design that comprised of qualitative research and descriptive research. This project was introduced during 2015 – 2019. The study setting was the district included 4 districts as Muang, Thakli, Nongboa, and Maewong (8 sub districts) to employ 9 missions: 1) Leadership and accountability development for strengthening the stakeholder. 2) Health care providers had been promoted parents’ skills as talking to their teens about relationship. 3) Setting a mechanism to promote schools’ manners about teaching their students about life’s skills and comprehensive sexuality education. 4) Determined the risky group among teens by teen risk screening. 5) Communication campaigns about improving teen consideration on sex, delayed first sexual relationship, and effective contraceptive use in teens. 6) Promote youth-friendly health services that were comprehensive. 7) The comprehensive services were integrated health, education and social.  8) Local governments promote a creative area and subsidize resources for teens to act in creative activities in their communities.  9) Develop the database for monitoring and evaluation of the project and knowledge management. Samples were health care personnel, health officer at district health center, health personnel at subdistrict health center, teacher, community leader, youth, and parents who had teenage cousins. Data collection was employed the focused group discussion and extraction from health data center then analyzed by content analysis.  

          Results showed: the network were health personnel, local government, school, village health volunteer, community leader, and youth council. They cooperated their routine works for prevention and solving teenage pregnancy. After 3 years working, there was a good change of Adolescent Pregnancy. Networks pooled efforts to solve and prevent Adolescent Pregnancy. Lastly, the governor launched the provincial policy to attack the Adolescent Pregnancy. Key success factors were launching the policy, cooperation of network, access to teenage services and changed mindset about sex education for teenagers among parent, guardian, teacher and network. Proposed policy were: 1) Adolescent Pregnancy surveillance and activities should focus in upper elementary school (P. 4 – 6) 2) promote teens’ participation in all activities of Adolescent Pregnancy prevention and control 3) working should be based on evidence based practices as action research and 4) program should involve teens’ family and include all range of age among students