Youth Friendly Health Services for Rural Thai Teenagers
Authors: C. Sridawruang
Young people today has sexual activities differing from those of earlier generations, in that teenagers are likely to have multiple partners, and are frequently in short-term relationships or with partners that are not well known to them. The proportion of teenage mothers in Thailand has increased. Young people were not specifically addressed during the overall very successful HIV-prevention campaigns. Because of this missed opportunity, they are still unaware of the risk of unsafe sexual behavior. Aims: To describe the reproductive health care services in perspectives of rural Thai teenagers Methods: This survey was one part of a mixed method approach taken using survey and focus groups with 439 teenagers aged 12-18 years in 5 villages, Udon Thani, Thailand. The standard questionnaire survey had been used for collecting data. The numeric data was checked and analyzed by using descriptive statistics. Results: Most teenager respondents stated that they do not know where sexual reproductive health services provided for them. Most teenagers felt difficult to access and talk with health staff about sexual related issues. They stated that discussing, or consulting with health providers might not be safe. Teenagers might lose opportunities to access and get advice from health care services. The mean knowledge score of contraception and condom reproductive was 6.34 from a total score 11. Most teenagers especially girls expressed a need for counseling services and reported a need for telephone services. Conclusions: The need of appropriate information focusing on sexual relationships and contraception should be designed to help young people make wise decisions and there should be set health care services for Thai teenagers to make sure that teenagers could access easily. Health care providers need to be trained to improve their knowledge, attitudes and skills in reproductive health care practices for Thai teenagers.
Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1125043Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 898
 K. Wellings, J. Wadsworth, M. A. Johnson, J. Field, L. Whitaker, and B. Field, Provision of Sex Education and Early Sexual Experience-the Relations Examined. British Medical Journal, 311. 1995. pp. 417-420.
 J. Lindsay, A. M. A. Smith, and D. A. Rosenthal, Conflicting Advice? Australian Adolescents' Use of condoms or the Contraceptive Pill. Family Planning Perspectives, 31, 1999. pp. 190-214.
 WHO. The second decade: improving adolescent health and development. Adolescent health and development programme. Geneva: WHO Press, 1998.
 K. Edgardh, Sexual behaviour and early coitache in a national sample of 17 year old Swedish girls. Sexually Transmitted Infection, 76, 2000. pp. 98-102.
 R. J. DiClemente, G. M. Wingood, R. Crosby, C. Sionean, B. K. Cobb, K. Harrington, et al. Parental Monitoring: Association with adolescents' risk behaviours. Pediatrics, 107(6), 2001. pp. 1363-1368.
 C. Vundule, F. Maforah, R. Jewkes, and E. Jordann, Risk factors for teenage pregnancy among sexually active black adolescents in Cape Town. South African Medical Journal, 91, 2001. pp. 73-80.
 A. Rasamimari, B. Dancy, M. Talashek, and C. Gi, Predictors of sexual behaviours among Thai young adults. Journal of the association of nurses in AIDS care, 18(6), 2007. pp. 13-21.
 S. Thato, S. Rachukul, and C. Sopajaree. Obstetrics and perinatal outcomes of Thai pregnant adolescents: A retrospective study. International Journal of Nursing Studies, 44, 2007. pp. 1158-1164.
 S. Isaranurug, L. Mo-suwan, and C. Choprapawon, Diiferences in Socio-Economic status, service utilisation, and pregnancy outcomes between teenage and adult mothers. J Med Assoc Thai 89, 2006. pp. 145-151.
 D.R. Allen, J. W. Carey, C. Manopaiboon, R. A. Jenkins, W. Uthaivaravit, P. H. Kilmarx, et al. Sexual health risks among young Thai women: implications for HIV/STD prevention and contraception. AIDS Behav, 7(1), 2003. pp. 9-21.
 I. Shah, and E. Ahman. Age patterns of unsafe abortion in developing country regions. Reproductive Health Matters, 12(24 Supplement), 2004. pp. 9-17.
 A. P. McCauley, C. Salter, K. Kiragu, and J. Senderowitz, Meeting the needs of young adults (Vol. 23). Maryland: Population Information Program, Center for Communication Programs, The Johns Hopkins School of Public Health, 1995.
 WHO, Adolescent pregnancy-Unmet needs and Undone deeds. A review of the literature and programmes. Department of Child and Adolescent Health and Development. Geneva: WHO Press, 2007.
 UNFPA. Reproductive Health of Women in Thailand. Bangkok: UNFPA Country Technical Services Team for East and South-East Asia, 2005.
 S. Pachauri, and K. G. Santhya, Contraceptive behaviours of adolescents in Asia: issues and challenges. In S. Bott, S. Jejeebhoy, I. Shah & C. Puri (Eds.), Towards adulthood: exploring the sexual and reproductive health of adolescents in South Asia (pp. 108-113). Geneva: World Health Organisation, 2003.
 S. Bott, and S. Jejeebhoy, Adolescent sexual and reproductive health in South Asia: an overview of findings from the 2000 Mumbai conference. In S. Bott, S. Jejeebhoy, I. Shah & C. Puri (Eds.), Towards adulthood: exploring the sexual and reproductive health of adolescents in South Asia (pp. 3-28). Geneva: World Health Organisation, 2003.