Strengthening contraceptive uptake for migrants in border areas Tak Province, Thailand and internally displaced in Kayin State, Myanmar, 2020–2024
Issued Date
2026-01-01
Resource Type
ISSN
00107824
eISSN
18790518
Scopus ID
2-s2.0-105033244951
Pubmed ID
41763468
Journal Title
Contraception
Rights Holder(s)
SCOPUS
Bibliographic Citation
Contraception (2026)
Suggested Citation
Tun N.W., Wai N.S., Gilder M.E., Win A.K., Eh H., McGready R. Strengthening contraceptive uptake for migrants in border areas Tak Province, Thailand and internally displaced in Kayin State, Myanmar, 2020–2024. Contraception (2026). doi:10.1016/j.contraception.2026.111423 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/115883
Title
Strengthening contraceptive uptake for migrants in border areas Tak Province, Thailand and internally displaced in Kayin State, Myanmar, 2020–2024
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Author's Affiliation
Corresponding Author(s)
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Abstract
Objectives: We analyzed contraceptive utilization among rural migrant populations accessing fixed and outreach clinics under the Strengthening Migrant Access to Reproductive Healthcare in Tak Province, Thailand initiative (SMARH-T), and internally displaced at fixed clinics in Eastern Myanmar. Study Design: Observational, retrospective review of contraceptive utilization from 2020 to 2024 at 19 outreach clinics (all in Thailand) and four fixed clinics (two in Thailand, two in Myanmar). SMARH-T was launched in 2021 only in Thailand. Results: Consultations in conflict affected Myanmar fixed clinics was lower than in Thailand. Outreach clinics hosted the majority (54.6%) of the 20,959 consultations, mostly for short-acting hormonals (66.9%) and mainly depot medroxyprogesterone acetate (88.4%). Women chose implants (96%) at consultations involving long-acting reversible contraceptive methods (31.7%). Total consultations increased 4.2-fold from 2020 to 2024. Conclusions: Outreach clinics enhanced accessibility and significantly increased contraceptive uptake for marginalized populations. This model effectively expands reproductive healthcare in rural, border, resource-limited settings.