Evaluation of Implementation on Driving Strategies for Preventing and Addressing Adolescent Pregnancy Issues among the Network Partners in Samutprakan Province

Abstract

This research evaluates strategies aimed at preventing and addressing adolescent pregnancy issues in Samutprakan province. The study includes two groups of informants: 12 representatives from 5 ministries, private sector sub-committees, and civil society, and 40 individuals responsible for tackling adolescent pregnancy problems in five hospitals. Data collection involved in-depth interviews, focus group discussions, and secondary data analysis from January to September 2022. Findings indicate a declining trend in adolescent pregnancies. However, challenges remain, including repeated pregnancies, inadequate birth control, high-risk behaviors, limited understanding of sexuality, insufficient participation, and limited access to reproductive health services. Most network partners lack an integrated action plan, and involvement of parents, guardians, and communities is inconsistent. Strategies should be revised to ensure comprehensive coverage of target groups. Input factors, such as strategy mapping, should encourage partner participation and resource allocation. Integration among agencies is essential for effective implementation. Results: The study show a 54.8% achievement toward the goal of reducing adolescent pregnancies. Adolescents in schools receive care, consultation, and systematic referrals for pregnancy-related issues. The local plan incorporates adolescent pregnancy problems, leading to clearer implementation. Indicators tied to responsible agencies and performance systems are effective. However, some indicators lack designated agencies and performance information, causing inconsistencies. Suggestions: To improve strategies, establish a clear driving structure aligned with strategic indicators. Define roles and responsibilities to foster horizontal and vertical support. Enhance understanding of integrated operations and reproductive health knowledge. Promote shared ownership and awareness to encourage collaboration. Strengthen the Children's Council's role for comprehensive coverage. Increase involvement of families and communities through local government organizations. Enhance the efficiency of strategies to reach all teenager groups effectively.