Verena I. Carrara|Celia Hogan|Cecilia De Pree|François Nosten|Rose McGready
Improved pregnancy outcome in refugees and migrants despite low literacy on the Thai-Burmese border: results of three cross-sectional surveys
Shoklo Malaria Research Unit|Shoklo Malaria Research Unit|Shoklo Malaria Research Unit|Shoklo Malaria Research Unit|Shoklo Malaria Research Unit
maternal infant health associated maternal education level highly associated literacy aimed estimating literacy rates among reproductive age women attending antenatal clinics camps refugees migrant clinics tak province northwestern thailand determine whether illiteracy impact birth outcomesthree reading assessments conducted using identical method time 199597 2003 2008 midwives chose random one four preset sentences woman asked read aloud scoring based passfail system pregnancy outcomes compared maternal literacy rateoverall 47 11492424 women able read significant improvement observed among migrant 34 2003 vs 46 2008 p 001 refugee 47 199597 49 2003 51 2008 women literate women significantly likely nonkaren ethnicity primigravidae nonsmokers remain free malaria pregnancy deliver health clinic significant improvements pregnancy outcome reductions premature births low birth weight newborns neonatal death 199597 2003 unrelated literacysignificant reductions poor pregnancy outcome time driven changes literacy rates remained low access early diagnosis treatment malaria population delivery skilled birth attendants despite ongoing low literacy appears played significant role