The Role of Family Dynamics in Teenage Pregnancy and Childbearing in Sub-Saharan Africa

Mkwananzi, Sibusiso

doi:10.1007/978-3-030-14887-4_16

Cited by 4 publications

(3 citation statements)

References 50 publications

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“…The trend changes in teen pregnancy prevalence declined significantly from 15.9% in 2000 to 12.5% in 2016. This finding is consistent with studies conducted in sub-Saharan Africa and Ethiopia, which have shown a declining trend in teenage pregnancy [37,38]. The possible reason could be the government and non-government organizations have taken various measures or interventions to create a favorable environment for teenagers to access reproductive health care services and to change cultural attitudes within the communities towards early marriage.…”

Section: Discussionsupporting

confidence: 90%

Trends change in teen pregnancy among adolescent women in Ethiopia based on Ethiopian demographic and health surveys: Multivariate decomposition analysis

Alamneh Gebeyehu,

Teshome,

Teshager

et al. 2023

PLoS ONE

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Background Teenage pregnancy may adversely affect their health, economic, and social life. Evidence shows that no studies in Ethiopia used decomposition analysis to identify factors for the trend change in teen pregnancy. Therefore, this study aimed to examine the trends and identify contributing factors to teen pregnancy in Ethiopia using multivariate decomposition analysis. Method We obtained the data on adolescent women from three Ethiopian Demographic and Health Surveys. A weighted sample of 3266 in 2005, 4009 in 2011, and 3381 teenagers in 2016 were involved in this study. Statistical analysis was performed using STATA 14. Multivariate decomposition analysis was used to identify contributing factors to the change in teen pregnancy. The coefficient value with a 95% confidence interval was used to identify significant factors associated with teen pregnancy. Results The prevalence of teen pregnancy in Ethiopia decreased significantly from 15.9% [95% CI: 14.3, 17.7] in 2005 to 12.5% [95% CI: 10.8, 14.3] in 2016. Multivariate decomposition analysis showed that approximately 83% of the overall change in teen pregnancy over time was due to differences in women’s composition. Age, marital status, education status, working status, contraceptive use, and sexual status before age 18 were statistically significant contributing factors to the decline in teen pregnancy over time. Conclusion The prevalence of teen pregnancy in Ethiopia decreased significantly over time. The overall decline in teenage pregnancy is due to differences in population composition. Public health interventions should focus on changing cultural norms or attitudes regarding early marriage and pregnancy within religious leaders and uneducated communities.

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Section: Discussionsupporting

confidence: 90%

Trends change in teen pregnancy among adolescent women in Ethiopia based on Ethiopian demographic and health surveys: Multivariate decomposition analysis

Alamneh Gebeyehu,

Teshome,

Teshager

et al. 2023

PLoS ONE

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“…Confirming the argument that family characteristics determine the risk for teenage pregnancy [28]. The need to look for survival strategies at family and sometimes individual level becomes apparent and as such, such a context of dare need is a negative factor that increases the risk of teenage pregnancy [29]. Because, when the children assess the home's economic situation, all they see is that the homes are in need.…”

Section: Discussionmentioning

confidence: 95%

Financial Limitations and Economics of Survival - Predictors of Adolescent Pregnancies: Evidence from Teenage Boys and Girls in Luuka District, Uganda

Kabwigu¹

2022

TIJPH

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The purpose of this article is to demonstrate evidence that adolescents, particularly girls, experience financial challenges. And such financial limitations are predictors for adolescent pregnancy. Through a case-control study design, research was conducted in Luuka district, Uganda, to examine predictors of adolescent pregnancy. Mixed methods were used to collect qualitative and quantitative data. This article is written from the qualitative data collected through key informant interviews, in-depth interviews, and focus group discussions with health practitioners, parents, community leaders, and adolescents. Findings show that due to financial limitations in the community and in their families, adolescent girls are affected at a personal level. Consequently, as a means to find a solution to their financial needs, some take on petty trade, others transactional sex as personal survival strategies. These adopted strategies instead expose them to greater vulnerability, making the financial circumstances a predictor for adolescent pregnancies.

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“…Globally 77 percent of women of reproductive age have their need for family planning satisfied, yet only 56 percent of women in sub-Saharan Africa who want to avoid pregnancy are currently using a modern method (UN DESA 2020). Documented barriers include a lack of sexual and reproductive health knowledge in addition to problems of access and cost (Bellizzi et al 2015;Mkwananzi 2020;Munakampe, Zulu, and Michelo 2018;Singh, Darroch, and Ashford 2014). Other factors responsible for low contraception use include religious prohibitions, familial resistance, gendered social norms around sexual behavior, and health concerns-particularly the unwelcome side effects associated with hormonal birth control (Bongaarts 2014;Kassa, Abajobir, and Gedefaw 2014;Plautz and Meekers 2007;Sedgh, Singh, and Hussain 2007).…”

Section: Introductionmentioning

confidence: 99%

“If the Woman Doesn't Prevent, You Will Become Pregnant”: Exploring Male Involvement in Contraceptive Use Preceding Unplanned Pregnancy in Sierra Leone

McLean

Thulin

2022

Studies in Family Planning

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Globally, millions of unintended pregnancies occur each year resulting in a host of social, economic, and health-related problems. Improving knowledge of and access to family planning services is an effective way to prevent unintended pregnancy, and research suggests that men's involvement promotes greater contraceptive uptake. To explore this issue, we assess contraceptive knowledge, attitudes, and behaviors among Sierra Leonean men who experienced an unplanned pregnancy. Findings indicate that men's participation in family planning was limited due to barriers including inadequate knowledge about contraception, poor access to services, and gender norms that consider family planning a woman's responsibility. As a result, men often resorted to a pattern of control that put the onus of contraceptive use on women and blamed women when they became pregnant, without considering their own role in pregnancy prevention. We suggest that family planning policies and interventions both engage men and address the barriers to their participation in reproductive health.   "If the Woman Doesn't Prevent, You Will Become Pregnant" March  Studies in Family Planning ()  "If the Woman Doesn't Prevent, You Will Become Pregnant"

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The Role of Family Dynamics in Teenage Pregnancy and Childbearing in Sub-Saharan Africa

Cited by 4 publications

References 50 publications

Trends change in teen pregnancy among adolescent women in Ethiopia based on Ethiopian demographic and health surveys: Multivariate decomposition analysis

Trends change in teen pregnancy among adolescent women in Ethiopia based on Ethiopian demographic and health surveys: Multivariate decomposition analysis

Financial Limitations and Economics of Survival - Predictors of Adolescent Pregnancies: Evidence from Teenage Boys and Girls in Luuka District, Uganda

“If the Woman Doesn't Prevent, You Will Become Pregnant”: Exploring Male Involvement in Contraceptive Use Preceding Unplanned Pregnancy in Sierra Leone

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