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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2017 ; 12
(2
): e0172007
Nephropedia Template TP
gab.com Text
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English Wikipedia
Empirical lessons regarding contraception in a protracted refugee setting: A
descriptive study from Maela camp on the Thai-Myanmar border 1996 - 2015
#MMPMID28231251
Srikanok S
; Parker DM
; Parker AL
; Lee T
; Min AM
; Ontuwong P
; Oo Tan S
; Sirinonthachai S
; McGready R
PLoS One
2017[]; 12
(2
): e0172007
PMID28231251
show ga
Conflict settings and refugee camps can be chaotic places, with large and rapid
population movements, exacerbated public health problems, and ad hoc health
services. Reproductive health care that includes family planning is of heightened
importance in such settings, however, funding and resources tend to be
constrained and geared towards acute health services such as trauma management
and infectious disease containment. Here we report on the complexities and
challenges of providing family planning in a post-emergency refugee setting,
using the example of the largest refugee camp on the Thai-Myanmar border, in
existence now for over 30 years. Data from 2009 demonstrates an upward trend in
uptake of all contraceptives, especially long acting reversible contraception
(LARC) and permanent methods (e.g. sterilization) over time. Increased uptake
occurred during periods of time when there were boosts in funding or when
barriers to access were alleviated. For example a surgeon fluent in local
languages is correlated with increased uptake of tubal ligation in females. These
data indicate that funding directed toward contraceptives in this refugee setting
led to increases in contraceptives use. However, contraceptive uptake estimates
depend on the baseline population which is difficult to measure in this setting.
As far as we are aware, this is the longest reported review of family planning
services for a refugee camp setting to date. The lessons learned from this
setting may be valuable given the current global refugee crisis.