Prevention of unwanted pregnancy in adolescents

2021 ◽  
Vol 6 (7) ◽  
pp. 1149-1158
Author(s):  
Rifka Fatchurrahmi ◽  
Mutingatu Sholichah
Keyword(s):  
Reproductive Health ◽  
Unwanted Pregnancy ◽  
Transitional Period ◽  
Sex Characteristics ◽  
Preventive Interventions ◽  
Community Based ◽  
Cognitive Changes ◽  
Secondary Sex Characteristics ◽  
Unwanted Pregnancies ◽  
Yogyakarta City

Adolescence is a transitional period between children and adults, where there is rapid growth, secondary sex characteristics arise, fertilization is achieved and psychological and cognitive changes occur. However, the level of adolescent knowledge about reproductive health is still low. As a result of the lack of knowledge of adolescents about reproductive health, among others, the increase in the number of unwanted pregnancy. Unwanted pregnancy in adolescents also occurs in one area in Yogyakarta city, so that community-based preventive interventions are needed. The intervention provided was in the form of psychoeducational activities for adolescents and parents. Parents are given intervention because they have a role in preventing unwanted pregnancies in adolescents, for example by maintaining effective communication with adolescents and getting used to being open mind. The results of this activity have proven to be effective because they can increase knowledge significantly.

ABORTION-SEEKING BEHAVIOUR AMONG NIGERIAN WOMEN

2008 ◽  
Vol 40 (2) ◽  
pp. 247-268 ◽  
Author(s):  
AKINRINOLA BANKOLE ◽  
GILDA SEDGH ◽  
BONIFACE A. OYE-ADENIRAN ◽  
ISAAC F. ADEWOLE ◽  
RUBINA HUSSAIN ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Unwanted Pregnancy ◽  
Demographic Characteristics ◽  
Unsafe Abortion ◽  
Community Based ◽  
Nigerian Women ◽  
Women’S Experiences ◽  
Women's Experiences ◽  
Unwanted Pregnancies

SummaryThis study used data from a community-based survey to examine women’s experiences of abortion in Nigeria. Fourteen per cent of respondents reported that they had ever tried to terminate a pregnancy, and 10% had obtained an abortion. The majority of women who sought an abortion did so early in the pregnancy. Forty-two per cent of women who obtained an abortion used the services of a non-professional provider, a quarter experienced complications and 9% sought treatment for complications from their abortions. Roughly half of the women who obtained an abortion used a method other than D&C or MVA. The abortion prevalence and conditions under which women sought abortions varied by women’s socio-demographic characteristics. Because abortion is illegal in Nigeria except to save the woman’s life, many women take significant risks to terminate unwanted pregnancies. Reducing the incidence of unwanted pregnancy and unsafe abortion can significantly impact the reproductive health of women in Nigeria.

Intimate Partner Violence and the Sexual and Reproductive Health Outcomes of Women in Ghana

2019 ◽  
Vol 46 (6) ◽  
pp. 969-980 ◽  
Author(s):  
Eric Y. Tenkorang
Keyword(s):  
Reproductive Health ◽  
Health Outcomes ◽  
Sexual Violence ◽  
Partner Violence ◽  
Pregnancy Loss ◽  
Sexual And Reproductive Health ◽  
Unwanted Pregnancy ◽  
Community Level ◽  
Individual Level ◽  
Unwanted Pregnancies

Few studies have examined the relationships between intimate partner violence (IPV) and the sexual and reproductive health outcomes of women in sub-Saharan countries in general and Ghana specifically. This study began to fill the gap by investigating whether individual- and community-level IPV influenced unwanted pregnancy and pregnancy loss among women in Ghana. Nationally representative cross-sectional data were collected from 2,289 ever-married women, and multilevel modeling was used to estimate individual- and community-level effects. At the individual level, IPV was significantly associated with unwanted pregnancy and pregnancy loss. Women with experience of both physical and sexual violence were more likely to have reported an unwanted pregnancy and a pregnancy loss. However, only those experiencing sexual violence reported unwanted pregnancies. Similarly, community-level IPV was associated with sexual health outcomes. Respondents in communities with higher levels of sexual violence were significantly more likely to have had unwanted pregnancies. The findings corroborate calls for policy makers to consider IPV a reproductive health issue. They also emphasize the need to move beyond individual-level interventions to consider structural and community contexts when addressing the sexual and reproductive health outcomes of women in Ghana.

scholarly journals Do parents and adolescents talk about reproductive health? Myanmar adolescents' perspective

2013 ◽  
Vol 1 (1) ◽  
pp. 40-45 ◽  
Author(s):  
Yin Thet Nu Oo ◽  
Ko Ko Zaw ◽  
Kyu Kyu Than ◽  
The Mg Mg ◽  
Kyi Kyi Mar ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Effective Means ◽  
Unwanted Pregnancy ◽  
Transitional Period ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
The People ◽  
Health Complications ◽  
Structured Questionnaire ◽  
Hiv Aids

Adolescence is a transitional period and an important stage in an individual's life. Adolescents are at risk of adverse reproductive health outcomes such as unplanned or unwanted pregnancy, unsafe abortions, maternal health complications, and sexually transmitted diseases (STDs) including HIV/AIDS. Previous studies indicate that adolescents whose parents talk to them about sex tend to be less sexually active and more likely to use an effective means of contraception. The objective of the study was to find out the level and content of communication between adolescents and their parents. Ease of communication, future intentions to discuss with parents and confidence in parents' knowledge of reproductive health were also examined. A cross sectional descriptive study using structured questionnaire was conducted among 91 adolescents (11-19 years old) in North Okkalapa Township of Yangon Division, Myanmar. The majority of the people there had little knowledge on pubertal changes and STDs, and moderate knowledge on contraception. Sixty three percent of adolescents communicated at least once with their parents on reproductive health within the last 6 months: 6.8% with fathers and 62.6% with mothers. Only 15.4% talked more than three times. Girls were more likely to communicate with mothers than boys (79% vs. 33%, P<0.001). The main topic of discussion among mother and girls is menstruation, and among mothers and boys, HIV/AIDS/STDs are mainly discussed. Regarding the ease of communication, only 15% felt comfortable talking with parents. Most of the adolescents (89%) had positive attitude towards communicating with their parents. The findings suggest the need to involve parents in existing adolescent reproductive health programs and design interventions focusing on parents to promote parent-adolescent communication. DOI: http://dx.doi.org/10.3329/seajph.v1i1.13219 South East Asia Journal of Public Health 2011:1:40-45

scholarly journals Introducing emergency contraception in Bangladesh: A feasibility study

2001 ◽  
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Feasibility Study ◽  
Emergency Contraception ◽  
Unwanted Pregnancy ◽  
Psychological Injuries ◽  
Pregnancy And Delivery ◽  
Unwanted Pregnancies ◽  
Health Project ◽  
National Family Planning

Approximately 28,000 maternal deaths occur every year in Bangladesh due to pregnancy and delivery-related complications, while many more women suffer major physical and psychological injuries. Available statistics indicate an increase in menstrual regulation (MR) and abortions, most performed by untrained practitioners under unhygienic conditions. Introducing emergency contraception (EC) in the national family planning (FP) program in Bangladesh could substantially reduce unwanted pregnancies and as result MR/abortions should also decrease. Because MR/abortions in Bangladesh significantly contribute to high maternal morbidity/mortality, introducing EC could be an important reproductive health intervention to provide couples with a back-up support to prevent unwanted pregnancy. EC could also reduce the psychological worries and health risks associated with unwanted pregnancies, MR, and abortions. The Directorate of Family Planning in collaboration with the Population Council’s Frontiers in Reproductive Health Project, Pathfinder International, and John Snow Inc., is conducting this feasibility study to develop, test, and document operational details for introducing EC as a back-up support for existing FP methods. This report is an interim update of the study’s accomplishments so far.

scholarly journals Assessing the relationship between intimate partner violence, externally-decided pregnancy and unintended pregnancies among women in slum communities in Mumbai, India

2018 ◽  
Vol 45 (1) ◽  
pp. 10-16 ◽  
Author(s):  
Anindita Dasgupta ◽  
Anita Raj ◽  
Saritha Nair ◽  
Dattaram Naik ◽  
Niranjan Saggurti ◽  
...  
Keyword(s):  
Decision Making ◽  
Intimate Partner Violence ◽  
Reproductive Health ◽  
Unintended Pregnancy ◽  
Partner Violence ◽  
Multinomial Logistic Regression ◽  
Unwanted Pregnancy ◽  
Intimate Partner ◽  
Unwanted Pregnancies ◽  
The Relationship

BackgroundIndia contends with a high rate of intimate partner violence (IPV), which is associated with unintended pregnancy and reflects low levels of women’s decision-making control in relation to their reproductive health. Few studies from South Asia have examined the relationship between pregnancy decision-making, IPV and unintended pregnancy.AimThis study examined associations between unintended (mistimed and unwanted) pregnancy, women’s reports of pregnancy decided externally by husband or in-laws, and IPV, among a sample of married, postpartum women.MethodsData from the ‘Mechanisms for Relations of Domestic Violence to Poor Maternal and Infant Health in India’ study were analysed. Descriptive comparisons between levels of unintended pregnancy were run on all major variables. Unadjusted and adjusted multinomial logistic regression analyses assessed women’s reports of having externally-decided pregnancies and IPV victimisation in the year prior to pregnancy as factors in mistimed and unwanted pregnancies.ResultsMistimed and unwanted pregnancies were reported by 12.2% and 7.2% of women, respectively. Externally-decided pregnancies were reported by 8.8% of women. Some 29.4% of women reported experiencing physical and/or sexual IPV in the year prior to pregnancy. Women reporting externally-decided pregnancies were significantly more likely to have had mistimed pregnancies than intended pregnancies, as were women reporting IPV. Neither external pregnancy control nor IPV were associated with unwanted pregnancy.ConclusionsWomen’s exclusion from pregnancy decision-making and violence from husbands relate to their ability to time their pregnancies as they wish. The lack of significant association between external decision-making and IPV with unwanted pregnancy may be due to low reporting of unwanted pregnancy. The overall findings highlight the importance of integrating women’s involvement in reproductive health decision-making and IPV reduction messaging in programming for the women’s health sector.

scholarly journals KONSEKUENSI PSIKOLOGIS DAN SOSIAL-EKONOMI KEHAMILAN TAK DIKEHENDAKI PADA REMAJA

Populasi ◽  
2006 ◽  
Vol 5 (2) ◽  
Author(s):  
Yayah Khisbiyah
Keyword(s):  
Young People ◽  
Reproductive Health ◽  
Sexual Intercourse ◽  
Information Sources ◽  
Unwanted Pregnancy ◽  
External Influences ◽  
Important Phenomenon ◽  
The Status ◽  
Unwanted Pregnancies ◽  
Socioeconomic Consequences

The improvement of sex information sources through various channels has lately increased the knowledge on sex among the youth. This fact has nowbecome the basis of various sex practices which is particularly due to the status of youths which is sensitive towards every external influences. Young people are in a transitional position from childhood to adolescence. The field of reproductive health among the youth is one which is directly influenced by the process of the change. The extramarital sexual intercourse which has lately been increasingly popular has now become a serious problem. As a consequence, unwanted pregnancies have been an important phenomenon in the life of the youth. The paper describes the above tendency, and discusses the psychological and socioeconomic consequences caused by unwanted pregnancy among the youth

scholarly journals Why teach sexuality education in school? Teacher discretion in implementing comprehensive sexuality education in rural Zambia

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Joseph Mumba Zulu ◽  
Astrid Blystad ◽  
Marte E. S. Haaland ◽  
Charles Michelo ◽  
Haldis Haukanes ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Sexuality Education ◽  
Health Knowledge ◽  
School Teacher ◽  
Unwanted Pregnancy ◽  
Design Data ◽  
Comprehensive Sexuality Education ◽  
School Activities ◽  
International Agencies ◽  
Unwanted Pregnancies

Abstract Background Reproductive health problems such as HIV, unwanted pregnancy and unsafe abortion among adolescents are closely linked to insufficient knowledge about sexuality and reproduction and lack of access to contraceptives. Supported by international agencies, Zambia has introduced an ambitious nation-wide program for comprehensive sexuality education (CSE) to be implemented into ordinary school activities by teachers. The curriculum is firmly based in a discourse of sexual and reproductive rights, not commonly found in the public debate on sexuality in Zambia. This paper explores how teachers perceive the curriculum and practice discretion when implementing the CSE in mid-level schools in Nyimba district in Zambia. Methods Using a case study design, data were collected through in-depth interviews with 18 teachers and analyzed thematically drawing upon theories of discretion and policy implementation. Results Individual teachers make decisions on their own regarding what and when to teach CSE. This discretion implies holding back information from the learners, teaching abstinence as the only way of preventing pregnancy or cancelling sexuality education sessions altogether. Teachers’ choices about the CSE program were linked to lack of guidance on teaching of the curriculum, especially with regards to how to integrate sexuality education into existing subjects. Limited prioritization of CSE in the educational sector was observed. The incompatibility of CSE with local norms and understandings about adolescent sexuality combined with teacher-parent role dilemmas emerged as problematic in implementing the policy. Limited ownership of the new curriculum further undermined teachers’ motivation to actively include CSE in daily teaching activities. Use of discretion has resulted in arbitrary teaching thus affecting the acquisition of comprehensive sexual and reproductive health knowledge among learners. Conclusion The CSE had limited legitimacy in the community and was met with resistance from teachers tasked with its’ implementation. In order to enhance ownership to the CSE program, local concerns about the contents of the curriculum and the parent-teacher role dilemma must be taken into consideration. Not addressing these challenges may undermine the policy’s intention of increasing knowledge about sexuality and reproduction and empowering adolescents to access contraceptive services and avoid unwanted pregnancies.

scholarly journals The Sexual and Reproductive Health Context of an Internally Displaced Persons' Camp in Northeastern Nigeria: Narratives of Girls and Young Women

2022 ◽  
Vol 3 ◽  
Author(s):  
Heather M. Marlow ◽  
Michael Kunnuji ◽  
Adenike Esiet ◽  
Funsho Bukoye ◽  
Chimaraoke Izugbara
Keyword(s):  
Reproductive Health ◽  
Young Women ◽  
Sexual And Reproductive Health ◽  
Unwanted Pregnancy ◽  
Reproductive Age ◽  
Gender Based Violence ◽  
Forced Marriage ◽  
Internally Displaced ◽  
Unwanted Pregnancies ◽  
Gender Based

In humanitarian settings, ~35 million girls and young women of reproductive age (15–24) are in urgent need of sexual and reproductive health (SRH) information and services. Young women and girls in humanitarian contexts are particularly vulnerable to unwanted pregnancies, unsafe abortion, gender-based violence, and early and forced marriage. We sought to understand girls' and young women's experiences with unwanted pregnancy, abortion, contraception, sexually transmitted infections (STIs), gender-based violence (GBV), and forced marriage in an IDP camp in Northeastern Nigeria. We conducted 25 in-depth interviews with girls aged 15–19 (N = 13; 8 single and 5 married) and young women aged 20–24 (N = 12; 3 single and 9 married). All interviews were audiotaped, transcribed, translated, computer recorded and coded for analysis. The participants in our study fled from and witnessed violence to arrive in the IDP camp with little material support. Lack of necessities, especially food, has driven many to sex in exchange for goods or into forced marriages. This, in turn, leads to increased unwanted pregnancies and unsafe abortions. Participants had limited knowledge about contraception, and some information about SRH services available in the camp, but overall, knowledge and utilization of SRH services was low.

Correlates of mistimed and unwanted pregnancy among women in the Democratic Republic of Congo

2019 ◽  
Vol 52 (3) ◽  
pp. 382-399
Author(s):  
Tara Ballav Adhikari ◽  
Pawan Acharya ◽  
Anupa Rijal ◽  
Mala Ali Mapatano ◽  
Arja R Aro
Keyword(s):  
Logistic Regression ◽  
Family Planning ◽  
Reproductive Health ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Unwanted Pregnancy ◽  
Well Being ◽  
Birth Spacing ◽  
Republic Of Congo ◽  
Unwanted Pregnancies

AbstractUnwanted and mistimed pregnancies impose threats on the health and well-being of the mother and child and limit the acquisition of optimal sexual and reproductive health services, especially in resource-constrained settings like the Democratic Republic of Congo (DRC). This study aimed to determine the prevalence and correlates of mistimed and unwanted pregnancies among women in the DRC. Data were drawn from the 2013–14 DRC Demographic Health Survey (EDS-RDC II). Bivariate and multivariate logistic regression analysis was performed to identify correlates of mistimed and unwanted pregnancies. Sequential logistic regression modelling including distal (place of residence), intermediate (socio-demographic and socioeconomic factors) and proximal (reproductive health and family planning) factors was performed using multivariate analysis. More than a quarter (28%) of pregnancies were reported as unintended (23% mistimed and 5% unwanted). Women who wanted no more children (aOR 1.21; CI: 1.01, 1.44) had less than 24 months of birth spacing (aOR 2.14; CI: 1.80, 2.54) and those who intended to use a family planning method (aOR 1.24; CI: 1.01, 1.52) reported more often that their last pregnancy was mistimed. Women with five or more children (aOR 2.13; CI: 1.30, 3.49), those wanting no more children (aOR 13.07; CI: 9.59, 17.81) and those with more than 48 months of birth spacing (aOR 2.31; CI: 1.26, 4.23) were more likely to report their last pregnancy as unwanted. The high rate of unintended pregnancies in the DRC shows the urgency to act on the fertility behaviour of women. The associated intermediate factors for mistimed and unwanted pregnancy indicate the need to accelerate family planning programmes, particularly for women of high parity and those who want no more children. Likewise, health promotion measures at the grassroots level to ensure women’s empowerment and increase women’s autonomy in health care are necessary to address the social factors associated with mistimed pregnancy.

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