The risk of unintended pregnancy and subsequent unsafe abortion among women in Eastern Burma and refugees and migrants in Thailand is considerable. Identifying avenues for reducing unplanned pregnancy within this especially vulnerable population has been widely recognized as a public health, service delivery, and research priority. The Mae Tao Clinic (MTC) in Mae Sot, Thailand operates one of the largest and most comprehensive health facilities along the Thailand-Burma border. This current project aims to understand better the factors that influence implant uptake in this setting, including health worker biases and patient misinformation.
This study is part of a larger MTC project that aims to understand and evaluate LARC use and distribution among patients who visit MTC. In 2011-2013, the same research team conducted a pilot study looking at barriers to IUD utilization among post-abortion care (PAC) clients as well as family planning clients. Since then, an interventional study was conducted to train healthcare workers and clinicians about IUD information and insertion; numbers for IUD usage among patients increased significantly after this study.