The two research camps MRML and MLO can be found 80 km south of Mae Sariang city, deep within the tropical forest regarding the Thailand-Myanmar edge

Usage of the camps is hard through the monsoon period from to October june. Health insurance and nourishment services are offered mainly by refugee wellness employees trained by international NGO’s.

Wellness Aspects

Wellness solutions within the two refugee camps are focused on communicable infection control. Reproductive health solutions are covering mainly pre- and post-natal care and household preparation for maried people. The requirements of unmarried youth for dilemmas pertaining to reproductive and health that is sexual perhaps not completely addressed, as the refugee culture will not enable them usage of condoms or reproductive training or other intimate wellness services, for fear that information and access may market promiscuity.

Assessment strategies

A stratified randomized survey that is cross-sectional carried away to evaluate understanding of reproductive health problems, mindset, philosophy and norms and standard of living of young refugees aged 15 – 24 years. The study structure and concerns had been according to an adolescents’ intimate behavior questionnaire produced by Cleland et al [7]. The questionnaire was pre-tested, edited and modified to our setting as recommended by Cleland et al. Qualitative practices were utilized to give and triangulate findings through the study. The device is versatile with every concern basically sitting on its very own. It was used commonly by experienced groups and it is therefore thought to have content or consensual legitimacy i.e. “a number of industry experts agree that a measure is legitimate” [8]. The questionnaire had been translated from English into Karen and right back translated to English by two translators that are independent discrepancies had been confirmed. An interest guide was created for the qualitative interviews to explore; youth life that is daily training when you look at the camps; their primary reproductive and health problems; future life expectations and feasible solutions. Six for the guys and seven females allowed their interviews to be tape-recorded. This is for total well being’ in this research: associated with evaluation of joy, pleasure, sense of satisfaction [9], emotions of optimism/hope, and life as significant [10].


Centered on an expected prevalence of base level knowledge of major reproductive health problems of 50%, and absolute precision set at 5% (d = 0.05), it absolutely was predicted that an example measurements of 403 youth, rounded to 400, ended up being required; we permitted for a 5% fall out or refusal to participate. The sampling that is primary had been a listing of 5,183 households and college dormitories.

The stratified two-stage sampling that is random ended up being performed making use of SRS (Simple Random Sampling) pc software. A sample proportional to area size had been produced making use of random numbers, to choose 400 households and college dormitories when you look at the first phase. All youth aged 15-24 years who lived in the 400 randomly selected houses were listed with the support of the community health workers; in houses and school dormitories with more than one eligible person, one young person from the household list was randomly selected in the second stage. If a selected household would not offer an eligible individual within the age groups 15-24, an additional home ended up being arbitrarily chosen.

When it comes to one-to-one semi-structured interviews, youth had been purposely chosen by a wellness worker plus the mind master associated with the college, to add various many years, women and men, and married and unmarried youth; all interviews had been documented and analysed utilizing the framework approach [11].

Ethical approval was presented with because of the London class of Hygiene and Tropical Medicine and also by the Karen Ethical Committee in Thailand. Spoken consent was acquired by two camp representatives, a trained teacher and mom.

Information Analysis

Survey data had been analysed SPSS that is using for pc software (SPSS Inc, Chicago, Illinois, United States Of America, variation 11.0). Constant generally distributed variables had been described by their mean and deviation that is standardSD), of course non-normally distributed, the median (range) had been reported. Percentage got for categorical information and presented in contingency tables or cake maps. Comparison of faculties associated with two camp populace samples ended up being made making use of EPI. Information software (Version 6.04d).

For the analysis that is multivariate dichotomized the 10 concerns to’ proper’ and’ no- or wrong’ knowledge to evaluate the relationship between understanding of reproductive health conditions and marital status, using confounding ramifications of intercourse, age bracket, training, past intercourse training and work with pay, under consideration.