Health System Development for Unintended Adolescent Pregnancy

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Sitanan Srijaiwong
Dujduean Khiaolueang
Nattamon Kosai
Patcha Suwanarod
Sukanya Muenglaeng

Abstract

Unintended adolescent pregnancy represents one of the most significant problems that continue escalating. Rapid expansion of urbanization direct impact on changing social culture which has socialized inappropriate sexual attitudes and behaviors, especially among adolescent. Unintended adolescent pregnancy affects both physical and psychological health among adolescent and their family. Moreover, it impacts on national social and economic. The most of pregnancy among adolescent are unintended pregnancy. The factors related to unintended adolescent pregnancy involve both individual and socio-environmental factors level.  Thus, the present study employed the Ecological Model to clarify these factors which might be able to explain the interactions of the individual and socio-environmental factors influencing unintended adolescent pregnancy.


The present study aims to study health system development for the prevention of unintended pregnancy among adolescent by using Ecological Model. The unintended adolescent pregnancy was a complex problem. So, using Ecological Model might be able to explain the interactions of the individual and socio-environmental factors, individual factors, interpersonal factors, organizational or institutional factors, community factors, and public policy factors. The findings of the present study might lead to health system development for the prevention of teenage sexual risk behaviors as suitable for modern Thai society.

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บทความวิชาการ (Academic article)

References

Aeamsamarng, P., Srisuriyawet, R. & Homsin, P. (2013). Risk factors of Unintended repeat pregnancy among adolescents. The Public Health Journal of Burapha University, 8(1), 55-67. (in Thai).

Beauchamp, T.L., & Childress, J.F. (2013). Principles of Biomedical Ethics. 7 thed. New Jersey: Pearson Education.

Boonyaporn, T., & Saetan, C. (2017). Nursing role: stress management of pregnant teenage. The Southern College Network Journal of Nursing and Public Health, 4(3), 271-281. (in Thai).

Bronfenbrenner, U. (1979). The Ecology of human development: experiments by nature and design. Cambridge, MA: Harvard University Press.

Buchan, J. & Dal-Poz, M. R. (2012). Skill mix in health care workforce: reviewing the evidence. Bulletin of the World Health Organization, 80(7), 575-580.

Exavery, A., Kante, A. M., Hingora, A. Mabaruku, G., Pemba, S. & Phillips, J. F. (2013). How mistimed and unwanted pregnancy affect timing of antenatal care initiation in three districts in Tanzania. Pregnancy and Childbirth, 13(35), 1-22.

Johnson, F. A. & Madise, N. J. (2009). Examining the geographical heterogeneity associated with risk of mistimed and unplanned pregnancy in Ghana. Journal of Biosocial Science, 41, 249-267.

Mchunu, G., Peltzer, K., Tutshana, B. & Seutlwadi. (2012). Adolescent pregnancy and associated factors in Sounth African youth. African Health Science, 12(4), 426-434.

McLeroy KR, Bibeau D, Steckler A, Glanz K. (1988). An ecological perspective on health promotion programs. Health education quarterly, 15, 351-77.

Mekkamol, K. & Wichainprapha, A. (2018). The roles of nurses in teenage mother’scaring. Journal of Health Science Research, 12(2), 69-77 (in Thai).

National Health Security Office of Thailand. (2011). The universal coverage project. Retrieved (2013, November 1) from: http://www.Nhso.go.th.

National Prevention Council. (2011). National prevention strategy america’s plan for better health and wellness. Office of the Surgeon General.

Pedrosa, A. A., Pires, R., Carvalho, P., Canavarro, M. C. & Dattilio, F. (2011). Ecological contexts in adolescent: The role of individual, sociodemographic, Familial and relational and adjustment pattern. Contemporary Family Therapy, 33, 107-127.

Phromchaisa P, Kantaruksa K, Chareonsanti J. (2014). Effect of social support enhancement on maternal role among adolescent pregnancy women. Nursing Journal, 41(2), 97-106.

Pungbangkadee, R. & Serisathien, Y. (2008). Nurses: Support and care of unwanted pregnant. Journal of Nursing Science, 26(2), 5-16.

Rahman, M. (2012). Women, s autonomy and unintended pregnancy among currently pregnancy women in Bangladesh. Maternal Child Health, 16, 1206-1214.

Rowland, S. (2010). Social predictors of repeat adolescent pregnancy and focused strategies. Best Practice & Research Clinical Obstetrics and Gynaecology, 24, 605-616.

Saejeng, K., Sukrat, B., Kovavisarat, E., Pomprapat, P., & Kanjanawetang, J. (2015). A practical guide for teenagers. Bangkok: Media Center and Kaewchaochom Publications. (in Thai).

Sauls D. J. & Grassley J. S. (2012). Evaluation of the supportive needs of adolescents during childbirth intrapartum nursing intervention on adolescents’ childbirth satisfaction and breastfeeding rates. Journal of

Obstetric, Gynecologic, & Neonatal Nursing, 41(1), 33–44.

Silva R. B., Contandriopoulos, A. P., Pineault R. & Tousignant P. (2011). A global approach to evaluation of health service utilization: Concepts and measures. Health care Polic, 6(4), 106-117.

Srijaiwong, S., Sindhu, S., Ratinthorn, A., & Viwatwongkasem, C. (2017). Factors influencing sexual behaviors among Thai adolescents. Journal of Population and Social Studies, 25(3), 171-193. doi: 10.25133/JPSSv25n3.002

Srisuriyawet, R. & Homsin, P. (2014). Mother-daughter sexual risk communication and psychosocial factors related to sexual experience among female students. The Public Health Journal of Burapha University, 9(2), 33-44. (in Thai).

Thato, S., Rachakul, S. & Sopajaree, C. (2007). Obstetrics and perinatal outcomes of Thai pregnant adolescents: A retrospective study. International Journal of Nursing Studies. 44, 1158-1164.

Tilghman, J., & Lovette, A. (2008). Prenatal care: The adolescent’s perspective. Journal of

Perinatal Education, 17, 50–53. doi:10.1624/105812408X298390

Tipwareerom, W., Powwattana, A., Rarpwongwattana, P. (2013). Predictors of risky sexual behaviors among adolescent boy, Phitsanulok province. Journal of Public Health Nursing, 27(1), 31-45. (in Thai).

Vivancos, R., Abubakar, I., Phillips-Howard, P. & Hunter, P. R. (2012). School-based sex education is associated with reduced risky sexual behaviour and sexually transmitted infections in young adults. Public Health, 127(1), 53-57. doi: 10.1016/j.puhe.2012.09.016

Vuttanont, U., Greenhalgh, T., Griffin, M. & Boynton, P. (2006). Smart boys and sweet girls and sex education needs in Thai teenager: A mixed method study, Lancet, 368, 2068-2080.

Waters, S. K., Cross, D. S. & Runions, K. (2009). Social and ecological structures supporting adolescent connectedness school: A theoretical model. Journal of School Health, 79(11), 516-524.

World Health Organization. (2012). Adolescent Pregnancy (Issues in Adolescent health and Development) Retrieved (2019, November 2) from http://www.who.int/mediacentre.

Yakasem, P. & Sittirit, S. (2012). Experiences of registered nurses in providing prenatal care for pregnant teenagers. Journal of Nursing and Education, 5(3), 145-156. (in Thai).

Zolna, M. & Lindberg, L. (2012). Unintended Pregnancy: Incidence and outcomes among young adult unmarried women in the United States. New York: Guttmacher Istitute.