Health Service Needs Among Teenage Mothers at a Secondary Hospital in Southern Thailand
Keywords:
Health service needs, Teenage mothers, Secondary hospital, Qualitative researchAbstract
Teenage mothers are a vulnerable group requiring specific health services appropriate to their age, health status, and psychosocial contexts. The quality of health services for these mothers should be professional and standardized, responding to the receiver’s needs congruently and appropriately. This qualitative descriptive research aimed to understand the need for health services among teenage mothers at a secondary hospital in southern Thailand. Participants were teenage mothers who visited this hospital for antenatal care, labor, and postpartum services, including young mothers referred from community hospitals and private clinics. Twenty-three participants were selected through purposive sampling. Data were gathered through documentation and individual in-depth interviews, and content analysis was the analysis method.
The findings included four main issues with 13 sub-issues regarding the need of health services among teenage mothers at a secondary hospital in southern Thailand, as follows:
1. The need for physical and psychosocial care, with seven sub-issues: 1) pain relief and intimate care in the delivery room; 2) presenting of parents or relatives in the delivery room; 3) providing information on care, treatment, progress of birth, and related infant care; 4) fostering a successful parturition; 5) family planning counseling; 6) advising and supporting in solving complicated life problems; and 7) adequate caring by skillful personnel.
2. Service behavioral needs, with two sub-issues: 1) receiving respect and acceptance of self and 2) non-stigmatized behavior.
3. The need for a support system, with two sub-issues: 1) having adequate access to modern medical equipment and 2) having mobile phone availability in the delivery room.
4. Environmental requirements, with two sub-issues: 1) proportional and uncrowded service areas and 2) a warm and relaxed environment in delivery room.
The study's findings can be basic information for administrators and healthcare providers to offer better services for teenage mothers in secondary hospital contexts and to develop specific competencies for caring for teenage mothers.
References
Aumtanee, A. (2016). Qualitative research in nursing (3rd ed.). Chulalongkorn University.
Buaboon, N., & Kongvattananon, P. (2021). Teenagers’ experiences in using a youth friendly health service: A descriptive qualitative research. Journal of The Royal Thai Army Nurses, 22(3), 209-218. (in Thai)
Department of Health. (2021). Integrated teenage mother care manual 2021. CG Tool.
Department of Health Service Support. (2020). Health service system standards manual 2020 (Edition for the promotion and development of healthcare facilities). Ministry of Public Health.
Jumklang, S., Srisuriyawet, R., & Homsin, P. (2017). Correlated factors with decision making of birth control implant used based on the information-motivation behavioral skills model (IMB Model) among teen mothers. The Journal of Faculty of Nursing Burapha University, 25(2),31-42. (in Thai)
Khamvongsa, J. (2018). The effects of continuous support program during labor by nurses on pain levels and pain coping behaviors in primiparous adolescents at Buengkan Hospital. Udonthani Hospital Medical Journal, 26(3),164-175. (in Thai)
Medical Records Department, Songkhla Hospital. (2022). Strategic group data 2022. Songkhla Hospital Thailand.
Meethanyakorn, R., & Moolsart, S. (2015). Expectation and perception toward service quality of labor mother in Nakorn-Nayok Hospital. Eastern Asia University Heritage Journal Science and Technology, 9(2), 135-149. (in Thai)
Mekkamol, K., & Wichienprapa, A. (2018). The roles of nurses in teenage mother’s caring. Journal of Health Science Research, 12(2), 69-77.
Nurses' Association of Thailand. (2015). Declaration of patient rights and obligations. Nurses' Association of Thailand.
Office of Reproductive Health. (2017). National strategy for the prevention and solution of adolescent pregnancy problems 2017-2026 under the act for prevention and solution of adolescent pregnancy problems 2016. (2nd ed.). Thepphen Vanit.
Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1985). A conceptual model of service quality and its implication for future research. Journal of Market, 49(4), 41-45.
Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1990). Delivery quality service: Balancing customer perception and expectation. The Free Press.
Phoodaangau, B., Deoisres, W., & Chunlestskul, K. (2013). Maternity experience: A new role of unexpectedly pregnant students. Thai Journal of Nursing Council, 28(2), 58-74.
Pothitavorn, P. (2021). Nursing care of women in reproductive age and newborns. Chanmueang Printing.
Quosdorf, A., Peterson, W. E., Rashotte, J., & Davies, B. (2020). Connecting with adolescent mothers: Perspectives of hospital-based perinatal nurses. Global Qualitative Nursing Research, 7, 2333393619900891. https://doi.org/10.1177/2333393619900891
Robb, Y., McInery, D., & Hollins Martin, C. J. (2013). Exploration of the experiences of young mothers seeking and accessing health services. Journal of Reproductive and Infant Psychology, 31(4), 399–412. http://dx.doi.org/10.1080/02646838.2013.832181
Srijaiwong, S., Khieo-lueang, D., Kosai, N., Suwanarod, P., & Muenglaeng, S. (2021). Health system development for unintended adolescent pregnancy. Boramrajonani College of Nursing Uttaradit Journal, 13(1), 14-28. https://he01.tci-thaijo.org/index.php/unc/article/view/242186/169410
Srisawat, K., Panyapinunukun, C., & Asadorndecha, S. (2018). Nurse’s role for teenage pregnancy. Journal of The Royal Thai Army Nurses, 19(Suppl.), 1-7. (in Thai)
Sriwongphanit, N. (2014). Guidelines for caring for teenage mothers. Cooperative League of Thailand.
Thompson, G. (2016). Meeting the needs of adolescent parents and their children. Paediatrics & Child Health, 21(5), 273. https://doi.org/10.1093/pch/21.5.273
Tipswong, R. (2016). Key system drivers of universal health coverage. In Thai Health Insurance System Research Office (Ed.), Study of future scenarios and pathways to sustainable universal health coverage in Thailand (pp. 77-85). Ministry of Public Health.
United Nations Population Fund. (2013). Teenage mothers: Challenges in adolescent pregnancy. Advance Printing.
World Health Organization [WHO]. (2024). Adolescent -pregnancy. https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy
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