Evidence map›Paper›PMID 42877027›Full record

ArticleFrontiers in global women's health2026

Between borders and barriers: disability prevalence, pregnancy outcomes and maternal care access on the Thai-Myanmar border, a mixed methods study.

Qin van de Stadt, Taco Jan Prins, Suphak Nosten, Mupawjay Pimanpanarak, May Myo Thwin, Ko Ko Aung, May Mon Mon Theint, Aung Myat Min, Mary Ellen Gilder, Nay Win Tun and 3 more

Abstract read
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Article in Frontiers in global women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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5 · Who and what money

Authors and funding

13 authors.

Qin van de StadtAthena Institute, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
Taco Jan PrinsDepartment of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Suphak NostenShoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Ramat, Thailand.
Mupawjay PimanpanarakShoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Ramat, Thailand.
May Myo ThwinShoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Ramat, Thailand.
Ko Ko AungShoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Ramat, Thailand.
May Mon Mon TheintShoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Ramat, Thailand.
Aung Myat MinShoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Ramat, Thailand.
Mary Ellen GilderShoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Ramat, Thailand.
Nay Win TunShoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Ramat, Thailand.
Dirk EssinkAthena Institute, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
Chaisiri AngkurawaranonDepartment of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Rose McGreadyShoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Ramat, Thailand.

Funding

Wellcome Trust
6 · The paper itself

Abstract

Introduction: Research on the intersection of displacement, disability, and pregnancy remains scarce globally. At the Thai-Myanmar border tens of thousands of displaced individuals including over 12,000 refugees with documented disabilities reside. The objective of this analysis is to assess the prevalence of pregnant People With Disabilities (PWD) among displaced populations and to explore perspectives on disability and barriers to accessing maternal care in this setting. Methods: This mixed-methods study included a retrospective analysis of 49,038 clinical records of refugees and migrants who gave birth or received antenatal care at clinics operated by the Shoklo Malaria Research Unit. Logistic regression was used to compare pregnancy outcomes between pregnant people with and without disabilities. The qualitative component included five in-depth interviews with migrant PWD and five focus group discussions with healthcare staff and migrant community health volunteers providing maternal care. Deductive and inductive thematic analyses were conducted to examine experiences of accessing, receiving, and providing care. Results: Documented prevalence of pregnant PWD was low at 0.62% (305/49,038; 95% CI 0.55-0.70). Women with disabilities reported barriers including stigma, transportation difficulties, financial constraints, and reliance on accompaniment to attend clinics. Those who accessed care described respectful communication and supportive interactions with staff. Healthcare providers expressed strong commitment to equitable care. Quantitative findings included higher antenatal care attendance and lower loss to follow-up among women with disabilities. Discussion: The low documented prevalence of disability may reflect underrepresentation or underreporting of pregnant PWD in maternal services or a healthy migrant effect. Quantitative results reported favourable ANC use and perinatal outcomes, which aligned with accounts of respectful communication, equal treatment, and participation in decision-making. Future research should use standard tools, disaggregate findings by disability type, severity, and ethnicity to uncover specific needs.

Indexed as

communitydisabilityhealthcare workerslow resource settingmaternal care perspectivesmigrationpregnancy outcomes

Identifiers

PMID42877027
PMCPMC13661930

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.