The model development of Participatory Education on Adolescent Reproductive Life (PEARL) Programme to prevent unintended pregnancy among Myanmar migrant adolescent and oouth in Samut Sakorn Province Thailand: (Intermediate outcome and impact analysis).

There are increasing abortion rate among Myanmar migrants in Samut Sakorn Province Thailand. The objective of the study was to develop a participatory education on adolescent reproductive life (PEARL) programme to prevent unintended pregnancy among Myanmar migrant adolescent and youth in the Province. Population for this study was Myanmar migrants both female and male 15-24 years of age both registered and unregistered living in Samut Sakorn province. The study design was a research and development (Action Research) after development of the model PEARL implementation was done between the two intervention groups “PEARL” “Teaching only” group comparing with “Control group” there had no intervention. The effectiveness of this program was assessed by pretest post 1 month post 3 months and post 1 year during the period from 17 July 2010 to 22 September 2011. During the study period there were 33 participants enrolled in each group. The study results found that all general characteristics and pretest mean scores of most of the measured variables were not significant difference among the three groups (p-value >.05). Comparison of the mean scores before and after 1 year intervention all of the knowledge variables (Knowledge on puberty KOP Knowledge on adolescent and youth pregnancy KOAYP knowledge on pregnancy prevention KOPP and knowledge on induced abortion KOIA) were significantly improved in “PEARL” group whereas KOP KOAYP and KOPP were also improved in “Teaching only” group (p-value .05). On the other hand significant improvement of attitude towards unintended pregnancy prevention and induced abortion were only found in “PEARL” group (p-value <.001). Regarding intension to refuse sex and to use condom in the next 6 months there had a significant improvement in “PEARL” group and “Teaching only” group (p-value <.001). Pairwise comparison among groups for post 1 year assessment was found that “PEARL” group had significant higher mean scores in 4 out of 4 knowledge variables (KOP KOPP and KOIA) (p-value < .05) attitude towards unintended pregnancy prevention and induced abortion (p-value < .05) and intension to refuse sex and to use condom in next 6 months (p-value < .001) than “Teaching only” group whereas all of the knowledge attitude norm for safe sex and induced abortion intension to refuse and to use condom in next 6 months were significantly higher than “Control” group (p-value < .001). Only one unintended pregnancy was noted at post 1 year assessment in “Control” group. This revealed that participatory education on unintended pregnancy prevention plus facilitation by peer volunteers (PEARL) had the best outcome improvement in knowledge attitude and intension to prevent unintended pregnancy among Myanmar migrants in Samut Sakorn Province Thailand. There should be continuous action plan for sustainable achievement to prevent unintended pregnancy among Myanmar migrants.