Improving communication between parents and adolescents on reproductive health and HIV/AIDS

Diop, Nafissatou; Diagne, Alioune

doi:10.31899/rh4.1208

Cited by 5 publications

(6 citation statements)

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“…Although previous studies have shown that the risk of unintended pregnancy is higher among unmarried women [21,25], this study demonstrates that married women also experience unintended pregnancies. This result is indicative of unmet needs for family planning among urban women in union and the need to pay greater attention to groups traditionally thought to have lower need for family planning.…”

Section: Discussioncontrasting

confidence: 70%

“…In Senegal, a recent study demonstrated that about a third of female urban youth ages 15–24 reported being sexually experienced and among sexually experienced female youth, a third had premarital first sex; these youth are at risk of an unplanned pregnancy [ 23 , 24 ]. Other recent studies on youth in Senegal indicate that unintended pregnancies are often the consequence of a lack of knowledge about reproductive and sexual health as well as a lack of communication between young people and their parents [ 25 ].…”

Section: Introductionmentioning

confidence: 99%

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Unintended pregnancy: magnitude and correlates in six urban sites in Senegal

et al. 2013

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BackgroundIn Senegal, unintended pregnancy has become a growing concern in public health circles. It has often been described through the press as a sensational subject with emphasis on the multiple infanticide cases as a main consequence, especially among young unmarried girls. Less scientific evidence is known on this topic, as fertility issues are rarely discussed within couples. In a context where urbanization is strong, economic insecurity is persistent and the population is globalizing, it is important to assess the magnitude of unintended pregnancy among urban women and to identify its main determinants.MethodsData were collected in 2011 from a representative sample of 9614 women aged 15–49 years in six urban sites in Senegal. For this analysis, we include 5769 women who have ever been pregnant or were pregnant at the time of the survey. These women were asked if their last pregnancy in the last two years was ‘wanted ’then’, ‘wanted later’ or ‘not wanted’. Pregnancy was considered as unintended if the woman responded ‘wanted later’ or ‘not wanted’. Descriptive analyses were performed to measure the magnitude of unintended pregnancies, while multinomial logistic regression models were used to identify factors associated with the occurrence of unintended pregnancy. The analyses were performed using Stata version 12. All results were weighted.ResultsThe results show that 14.3% of ever pregnant women reported having a recent unintended pregnancy. The study demonstrates important distinctions between women whose last pregnancy was intended and those whose last pregnancy was unintended. Indeed, this last group is more likely to be poor, from a young age (< 25 years) and multiparous. In addition, it appears that low participation of married women in decision-making within the couple (management of financial resources) and the lack of discussion on family planning issues are associated with greater experience of unintended pregnancy.ConclusionThis study suggests a need to implement more targeted programs that guarantee access to family planning for all women in need. In urban areas that are characterized by economic insecurity, as in Senegal, it is important to consider strategies for promoting communication within couples on fertility issues.

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Section: Discussioncontrasting

confidence: 70%

Section: Introductionmentioning

confidence: 99%

Unintended pregnancy: magnitude and correlates in six urban sites in Senegal

et al. 2013

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“…Second, low levels of parent–child communication on sexual issues may be explained by the sharing of child-rearing responsibilities between the parents and other family members from the nuclear or the extended family unit [2,5,49]. Third, the formal nature of parent–child relationship is thought to be a factor that restrains the ease of discussion on sexual issues [2,50]. Regardless of these facts, more investigation is needed to determine aspects of parent–child communication such as the timing, the content, the openness or the frequency of communication which could be influential in young people sexual risk-taking in sub-Saharan African settings.…”

Section: Discussionmentioning

confidence: 99%

Effects of parenting practices on sexual risk-taking among young people in Cameroon

Sidze

Defo

2013

BMC Public Health

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BackgroundThere is scanty evidence regarding the impact of parenting practices on young people’s sexual risk-taking in sub-Saharan Africa. Moreover, the extent to which such practices have enduring consequences on adolescents and young adults is little documented. This study uses repeated measures of parent–child relationships, parental monitoring, and parent–child communication about sexual matters to shed some light in these two areas.MethodsThe analysis is based on time-dependent retrospective data on parenting practices which were retrieved from the Cameroon Family and Health Survey (CFHS). The study sample includes 447 sexually active and unmarried individuals aged 15–24 years old. Correlation analysis and multivariate logistic regressions are used.ResultsYoung males and females reported high levels of parental monitoring, moderate quality of parent–child relationships and low levels of parent–child communication on sexual matters. This study substantiates that the higher the quality of parent–child relationships, the lower the odds of young males having multiple sexual partners (0.63, p < 0.05), and the lower the odds of young females being sexually active (0.52, p < 0.10) or of having multiple sexual partners (0.64, p < 0.10) or of having occasional sexual partners (0.51, p < 0.05). Living with the biological father only was associated with higher odds of having multiple sexual partners (3.21, p < 0.10) and higher odds of occasional concurrent sexual partners (3.26, p < 0.10) among young males. Compared with their out-of-school counterparts, young males still enrolled in school were less likely to be sexually active in the last 12 months (0.33, p < 0.05) and less likely to have occasional concurrent sexual partners (0.57, p < 0.10), whereas young females still enrolled in school were more likely to be sexually active (2.25, p < 0.10) and less likely to use contraceptive consistently (0.36, p < 0.001).ConclusionsReproductive health programs and interventions for preventing young people’s risky sexual behaviors in sub-Saharan African settings must take into account the protective effects of parent–child relationships and the significance of parental monitoring over time.

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“…This project was undertaken by the Population Council with CEDPA India as partner to assess the extent to which an intervention focused on developing parenting skills, in general, and on enabling parents to overcome obstacles in communicating with their adolescent children about SRH matters, in particular, succeeded in breaking down hierarchical relations between parents and children and enhancing parent-child communication about physical maturation and SRH matters. The intervention was developed on curriculums that were used in two projects-Improving the communication between parents and adolescent in reproductive health and HIV/AIDS project, implemented by CEDPA and the Population Council in Senegal (Diop and Diagne, 2008), and Better Life Options programme, intended to empower adolescents, transform gender norms and encourage child-parent communication from adolescents' perspective, implemented by CEDPA (CEDPA, 2000); these were modified to reflect the Indian context and the parental perspective, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…Hence a first step was to develop an appropriate curriculum. CEDPA India, in partnership with the Population Council, reviewed available curriculums and opted to adapt syllabuses from two programmes: one implemented among parents in Senegal (Improving the communication between parents and adolescent in reproductive health and HIV/ AIDS) implemented by CEDPA and the Population Council (the intervention programme focused on parents and on HIV vulnerability) (Diop and Diagne, 2008); and a second implemented among adolescent girls in India (the Better Life Options programme) intended to empower adolescents, transform gender norms and encourage child-parent communication (CEDPA, 2000). CEDPA India synthesised the key lessons from each of these syllabuses, adapted them for implementation among parents, and created a curriculum comprising a total of 16 sessions for mothers, 16 sessions for fathers, and 4 sessions in which adolescent children of participants were also invited to attend.…”

Section: Designing the Curriculummentioning

confidence: 99%

Promoting parent-child interaction and communication for healthy development of adolescents: Lessons from a pilot project in rural Bihar

Jejeebhoy¹,

Zavier²,

Santhya³

et al. 2014

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Chapter 2 Profile of the lives of parents and adolescents 6 Chapter 3 Exposure to and perceptions about the intervention Chapter 4 Effects of the intervention: Parental knowledge, attitudes, socialisation practices and parent-child communication Chapter 5 Summary and recommendations Appendix 1 Calculation of standard of living index viii ix acknowledgements This study has benefited immeasurably from the inputs of many. We are extremely grateful to the Ford Foundation for its financial support which made this study possible, and to Vanita Nayak Mukherjee, Programme Officer for her interest in and inputs into this project. At CEDPA India, several colleagues have supported the project, in both implementation and management. We thank Swati Parmar, Priyanka Mukherjee, Sandeep Ojha and Nancy Mittal for technical advice and support in curriculum design and development, Sanjay Paul and Alpan Sinha in training and capacity building of project functionaries and Prakash Ranjan for project supervision and management. We are also grateful to the staff of Geeta Mahila Uthan Samiti (GMUS) who were responsible for field implementation of a challenging project, which they did diligently. At the Population Council, several colleagues have supported us in both the technical and the administrative aspects of this study. We would also like to thank M.A. Jose for ably managing the administrative aspects of the project, Shilpi Rampal for her support with data management, our former colleagues Ravi Prakash and Shagun Sabarwal for their support in preparing instruments, training of interviews and field monitoring of the baseline survey, and Komal Saxena for ably coordinating the printing of the report. We are grateful to Annu Kurien and Komal Saxena for their editorial contributions. We also appreciate the efforts of our investigators who painstakingly collected the data. Finally, and most importantly, we thank the mothers, fathers and their sons and daughters who took part in our intervention, and who generously gave us their time and shared their views and experiences with us during the course of the baseline and the endline surveys.

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Improving communication between parents and adolescents on reproductive health and HIV/AIDS

Cited by 5 publications

References 0 publications

Unintended pregnancy: magnitude and correlates in six urban sites in Senegal

Unintended pregnancy: magnitude and correlates in six urban sites in Senegal

Effects of parenting practices on sexual risk-taking among young people in Cameroon

Promoting parent-child interaction and communication for healthy development of adolescents: Lessons from a pilot project in rural Bihar

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