By Tin Htet Paling / The Irrawaddy | July 31, 2017

WAINGMAW & MYITKYINA, Kachin State — Noticing she had a growing abdomen, 22-year-old ethnic Kachin woman Nang Tsin went to the only immediately available healthcare service nearby—a midwife. When the midwife revealed she was pregnant, Nang Tsin’s face grew flushed in front of the health worker, as the young woman had been seeing a local man in secret.

“My waistline became very obvious,” Nang Tsin, an internally displaced person (IDP) said, recalling the discovery of her pregnancy about six months ago as she nursed her two-month-old boy inside a 15 square-foot room of bamboo matting.

The midwife sent her for an emergency scan at the nearest clinic and the result showed that the baby was due in less than four months. When The Irrawaddy asked if she was aware of what caused her pregnancy, she responded, “I didn’t know,” with a soft voice.

Nang Tsin is one of some 150 women aged between 18 and 35 living at St. Joseph Mai Na Camp for IDPs in Waingmaw Township, Kachin State. The camp currently houses 1,472 people who fled from nearby villages, mostly in Waingmaw Township.

The camp has sheltered ethnic Kachin fleeing conflict since the 17-year-old ceasefire agreement between the Myanmar Army and the Kachin Independence Army broke down in 2011. To date, more than 100,000 have been displaced.

Even though doctors and nurses visited Kachin camps to raise awareness about reproductive health, Nang Tsin said she could not attend the talks as she was at school.

When The Irrawaddy visited the camp last week, women with infants wrapped in a blanket either on their backs or close to their chests was a common sight. According to the camp management, there are 74 children under two years old in the camp.

Nang Tsin poses for a portrait together with her 40-year-old mother Ja Mai at their bamboo shelter in Mai Na Camp in Waingmaw Township. (Photo: Tin Htet Paing/ The Irrawaddy)

A Lack of Sex Education

Though Nang Tsin may not be considered particularly young to have a baby, the fact that she lacked basic knowledge of pregnancy betrays the poor situation of sexual and reproductive health awareness in the camp.

Currently six months pregnant, Nang Tsin’s 40-year-old mother Ja Mai gave birth to her first child when she was 18.

She stopped receiving contraceptive injections believing that she had already reached menopause but the mother of six unexpectedly became pregnant again earlier this year. Living hand-to-mouth and working to provide for the family, Ja Mai said she didn’t even know that her daughter had a boyfriend.

According to Kachin-based Htoi Gender and Development Foundation, which has been working with women in the region—both in IDP camps and villages—advocating for reproductive rights and awareness of gender issues since 2011, women and girls in the camps can be more vulnerable than those who live outside of the camps because of the many social problems they must confront daily.

Nang Pu, founder of the Kachin State Women’s Network and the director of Htoi, told The Irrawaddy that many young women and girls living in IDP camps often face unwanted or unplanned pregnancies due to a lack of sufficient education, healthcare, livelihood opportunities, friendship and family support.

“They don’t get any emotional support to heal the trauma caused by displacement,