scholarly journals Prevalence of unintended pregnancy and needs for family planning among married adolescent girls living in urban slums of Dhaka, Bangladesh

2014 ◽  
Author(s):  
Fauzia Huda ◽  
Sabiha Chowdhuri ◽  
Bidhan Sarker ◽  
Noushin Islam ◽  
Anisuddin Ahmed
Keyword(s):  
Family Planning ◽  
Unintended Pregnancy ◽  
Adolescent Girls ◽  
Urban Slums

scholarly journals Delaying first pregnancy in reducing burden of unintended pregnancy among married adolescents in urban slums of Bangladesh

2018 ◽  
Vol 32 (4) ◽  
pp. 298-306 ◽  
Author(s):  
Fauzia Akhter Huda ◽  
Anisuddin Ahmed ◽  
Hassan R. Mahmood ◽  
Faisal Ahmmed ◽  
Alessio Panza ◽  
...  
Keyword(s):  
Unintended Pregnancy ◽  
Adolescent Girls ◽  
Design Methodology ◽  
Educational Status ◽  
Urban Slums ◽  
Age Difference ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
One Year

Purpose The purpose of this paper is to assess the effect of delaying first pregnancy in reducing burden of unintended pregnancy (UP) among married adolescent girls in urban slums of Bangladesh. Design/methodology/approach This cross-sectional survey was conducted among 783 married adolescents in five urban slums of Bangladesh during January 2013–January 2014. Findings Half of the respondents’ first pregnancy was reported as unintended. Of the respondents, 58 percent with no school education had experienced UP which was 38 percent among respondents with eight year’s education. Respondents who did not willingly agreed to their marriage experienced more UP (61 percent) than those who were agreed/got married by their own choice (51 percent). Respondents having five years of age difference with their husbands experienced more UP (58 percent) than those with ten years of age difference (46 percent). Respondents aged 14 years at first conception experienced 63 percent UP, while the respondents aged 18 years had 35 percent UP experience. Of the respondents, 66 percent who became pregnant within one year of marriage reported their pregnancy as unintended which was 29 percent among those who delayed their first pregnancy for three years. Originality/value Significant association was observed between pregnancy intention with respondents’ educational status (p=0.03), age difference with husbands (p=0.02), age at first conception (p<0.01) and delaying first pregnancy (p<0.001).

scholarly journals Expanding access to integrated family planning intervention packages for married adolescent girls in urban slums of Dhaka, Bangladesh

2017 ◽  
Author(s):  
Fauzia Akhter ◽  
Huda Hassan ◽  
Rushekh Mahmood ◽  
Sadia Afrin ◽  
Anisuddin Ahmed ◽  
...  
Keyword(s):  
Family Planning ◽  
Adolescent Girls ◽  
Urban Slums ◽  
Planning Intervention

“At Least I Didn’t Get Raped”: A Qualitative Exploration of IPV and Reproductive Coercion among Adolescent Girls Seeking Family Planning in Mexico

2020 ◽  
pp. 088626052095957
Author(s):  
Jasmine Uysal ◽  
Jamila K. Stockman ◽  
Elizabeth Miller ◽  
Teresita Rocha-Jimenez ◽  
Gudelia M. Rangel ◽  
...  
Keyword(s):  
Family Planning ◽  
Community Health ◽  
Unintended Pregnancy ◽  
Adolescent Girls ◽  
Partner Violence ◽  
Community Health Centers ◽  
Health Centers ◽  
Gender Based Violence ◽  
Reproductive Coercion ◽  
Increased Risk

Adolescent girls who report intimate partner violence (IPV) are at an increased risk of experiencing reproductive coercion (RC); both these forms of gender-based violence (GBV) are associated with unintended pregnancy. Yet little is known about these experiences among adolescent girls in Mexico. Qualitative data were collected as part of formative research for the adaptation of an evidence-based intervention to address RC and IPV in community health centers in Tijuana, Mexico. From September, 2017 to January, 2018, adolescent girls aged 16 to 20 years old ( n = 20) seeking voluntary family planning (FP) services were identified and recruited from two publicly funded community health centers. We conducted semi-structured, in-depth interviews and analyzed the transcripts using inductive and deductive techniques. Participants in this sample commonly described experiencing IPV and RC (including pregnancy coercion and contraceptive sabotage), which many girls reported resulted in unintended pregnancy. Further, participants’ narratives and general lack of knowledge on how to cope with IPV or RC illuminated the acceptability of offering GBV prevention intervention within FP clinics serving this population. Findings highlight an urgent need to prevent IPV and RC, and reduce risk for unintended pregnancy among adolescent girls in this region and the potential of FP clinics to serve as a safe space for intervention delivery. Findings contribute to the limited qualitative evidence from Mexico, describing adolescent girl’s experiences of IPV and RC, strategies for preventing pregnancy in the context of RC, and opportunities for support from FP providers.

scholarly journals The Effect of a Club in Making Differences in Knowledge, Attitude, and Practices on Family Planning Among Married Adolescent Girls in Urban Slums in Bangladesh

2019 ◽  
Vol 16 (20) ◽  
pp. 4037
Author(s):  
Fauzia Akhter Huda ◽  
Hassan Rushekh Mahmood ◽  
Faisal Ahmmed ◽  
Anisuddin Ahmed ◽  
Aniqa Tahmina Hassan ◽  
...  
Keyword(s):  
Family Planning ◽  
Adolescent Girls ◽  
Unmet Need ◽  
Modern Method ◽  
Urban Slums ◽  
Early Marriage ◽  
Asia Pacific ◽  
Health Strategy ◽  
Quasi Experimental ◽  
The Government

Early marriage and childbearing have led to Bangladesh having the highest adolescent fertility rate in the Asia Pacific region. Adolescent pregnancy is correlated with pregnancy-related complications, preterm delivery, delivery of low-birth weight babies, and spousal violence. A quasi-experimental study was conducted in four urban slums (two intervention and two control areas) of Dhaka from July 2014 to August 2016 to assess the effectiveness of a married adolescent girls club (MAG club) in reducing the unmet need for family planning (FP) among married girls between the ages of 14 and 19 (n = 1601, 799 in intervention and 802 in control areas). The percentages of the targeted population using any modern method of contraception were significantly higher among respondents in the intervention areas than those in the control areas (72.6% versus 63.5%). The unmet need for FP was significantly lower among respondents in the intervention areas than that of the control areas (16.2% versus 20.7%). The MAG club was a well-received strategy to provide comprehensive information on FP, which in turn helped improve contraceptive method practices and reduced the unmet need for FP among married adolescent girls in urban slums in Bangladesh. The government could leverage its existing resources to expand the MAG Club model in rural parts of the country to achieve the targets outlined in its Adolescent Reproductive Health Strategy.

Study of epidemiological determinants of undernutrition among adolescent girls in urban slums of Berhampur, Odisha: a cross-sectional study

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Sambedana Mohanty ◽  
Manasee Panda
Keyword(s):  
Nutritional Status ◽  
Nutrition Education ◽  
Adolescent Girls ◽  
Folic Acid Supplementation ◽  
Cross Sectional Study ◽  
Urban Slums ◽  
Sectional Study ◽  
Cross Sectional ◽  
Nutritional Needs ◽  
Structured Questionnaire

AbstractBackgroundAdolescent girls are vulnerable to many problems, undernutrition being the most common. This results in growth restriction resulting in stunting, wasting, underweight and last but not the least iron-deficiency anaemia. Nutritional needs are high during puberty which later leads to complications during pregnancy and its outcomes.Materials and methodsA field based cross-sectional study was carried out to assess the nutritional status of the girls and to determine the various factors responsible for undernutrition. After clearance from the Institution Ethical Committee (IEC) and permission from Child Development Programme Officer (CDPO), the study was conducted in the anganwadi centres (AWC) of urban slums in the field practice area of the Department of Community Medicine from the 1st October 2014 to the 31st October 2016. All the adolescent girls enlisted in the seven anganwadi centres were included as study subjects with their consent. A pre-designed, pre-tested and semi-structured questionnaire was used to collect data on following sections. (a) socio-demographic profile and (b) nutritional status. Dietary intake was taken using the 24-h recall method. Anthropometry was measured and haemoglobin (Hb) was estimated. SPSS version 21 was used for descriptive and analytic statistics.ResultsAmong the 160 girls 98(61.3%), 69(43.1%), 53(33.1%) were underweight, stunted and wasted, respectively. Anaemia was present among 144(90%) of the girls.ConclusionStrict monitoring of weekly iron and folic acid supplementation (WIFS) as well as nutrition education are essential measures to solve the problem of undernutrition among adolescent girls.

scholarly journals "I was tricked": understanding reasons for unintended pregnancy among sexually active adolescent girls

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Anthony Idowu Ajayi ◽  
Sally Atieno Odunga ◽  
Clement Oduor ◽  
Ramatou Ouedraogo ◽  
Boniface Ayanbekongshie Ushie ◽  
...  
Keyword(s):  
Unintended Pregnancy ◽  
Adolescent Girls ◽  
Rural Areas ◽  
Teenage Pregnancy ◽  
Formal Education ◽  
School Attendance ◽  
Clear Understanding ◽  
Sexually Active ◽  
Unintended Pregnancies ◽  
Study Setting

Abstract Background While the Kenya government is mobilizing high-level strategies to end adolescent pregnancy by 2030, a clear understanding of drivers of early unintended pregnancy in the country is a necessary precursor. In this study, we determine the prevalence, associated factors, and reasons for unintended pregnancy among sexually active adolescent girls (aged 15–19 in two Kenya counties with the highest rate of teenage pregnancy. Methods We used the “In Their Hands” (ITH) program's baseline evaluation data. The study adopted a mixed-methods design with 1110 sexually active adolescent girls in the quantitative component and 19 girls who were either pregnant or nursing a child in the qualitative. We used adjusted and unadjusted logistic regression to model factors associated with unintended pregnancy among respondents. We used a thematic analysis of qualitative data to examine girls’ reasons for having unintended pregnancy. Results Overall, 42% of respondents have had an unintended pregnancy; however, higher proportions were observed among girls who were 19 years (49.4%), double orphans (53.6%), never used contraceptive (49.9%), out-of-school (53.8%), and married (55.6%). After adjusting for relevant covariates, the odds of unintended pregnancy were higher among girls who resided in rural areas (AOR 1.64, 95% CI 1.22–2.20), had primary or no formal education (AOR 1.50 95% CI 1.11–2.02), and had never used contraceptive (AOR 1.69 95% CI 1.25–2.29) compared with their counterparts. Current school attendance was associated with a 66% reduction in the probability of having an unintended pregnancy. Participants of the qualitative study stated that the desire to maintain a relationship, poor contraceptive knowledge, misinformation about contraceptive side effects, and lack of trusted mentors were the main reasons for their unintended pregnancies. Conclusion A massive burden of unintended pregnancy exists among sexually active adolescent girls in the study setting. Adolescent boys and girls need better access to sexuality education and contraceptives in the study setting to reduce early unintended pregnancy.

scholarly journals Wealth-related inequalities in demand for family planning satisfied among married and unmarried adolescent girls and young women in sub-Saharan Africa

2021 ◽  
Vol 18 (S1) ◽  
Author(s):  
Martin K. Mutua ◽  
Yohannes D. Wado ◽  
Monica Malata ◽  
Caroline W. Kabiru ◽  
Elsie Akwara ◽  
...  
Keyword(s):  
Family Planning ◽  
West Africa ◽  
Adolescent Girls ◽  
Young Women ◽  
Rate Of Change ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Sexually Active ◽  
Sub Saharan ◽  
Over Time

Abstract Background The use of modern contraception has increased in much of sub-Saharan Africa (SSA). However, the extent to which changes have occurred across the wealth spectrum among adolescents is not well known. We examine poor-rich gaps in demand for family planning satisfied by modern methods (DFPSm) among sexually active adolescent girls and young women (AGYW) using data from national household surveys. Methods We used recent Demographic and Health Surveys and Multiple Indicator Cluster Surveys to describe levels of wealth-related inequalities in DFPSm among sexually active AGYW using an asset index as an indicator of wealth. Further, we used data from countries with more than one survey conducted from 2000 to assess DFPSm trends. We fitted linear models to estimate annual average rate of change (AARC) by country. We fitted random effects regression models to estimate regional AARC in DFPSm. All analysis were stratified by marital status. Results Overall, there was significant wealth-related disparities in DFPSm in West Africa only (17.8 percentage points (pp)) among married AGYW. The disparities were significant in 5 out of 10 countries in Eastern, 2 out of 6 in Central, and 7 out of 12 in West among married AGYW and in 2 out of 6 in Central and 2 out of 9 in West Africa among unmarried AGYW. Overall, DFPSm among married AGYW increased over time in both poorest (AARC = 1.6%, p < 0.001) and richest (AARC = 1.4%, p < 0.001) households and among unmarried AGYW from poorest households (AARC = 0.8%, p = 0.045). DPFSm increased over time among married and unmarried AGYW from poorest households in Eastern (AARC = 2.4%, p < 0.001) and Southern sub-regions (AARC = 2.1%, p = 0.030) respectively. Rwanda and Liberia had the largest increases in DPFSm among married AGYW from poorest (AARC = 5.2%, p < 0.001) and richest (AARC = 5.3%, p < 0.001) households respectively. There were decreasing DFPSm trends among both married (AARC = − 1.7%, p < 0.001) and unmarried (AARC = − 4.7%, p < 0.001) AGYW from poorest households in Mozambique. Conclusion Despite rapid improvements in DFPSm among married AGYW from the poorest households in many SSA countries there have been only modest reductions in wealth-related inequalities. Significant inequalities remain, especially among married AGYW. DFPSm stalled in most sub-regions among unmarried AGYW.

scholarly journals Unintended Repeat Pregnancies Among HIV Positive Women in Rio De Janeiro, Brazil

2018 ◽  
Vol 12 (1) ◽  
pp. 174-180
Author(s):  
Bernardo B. Wittlin ◽  
Alice W. Carvalho ◽  
Giulia P. Lima ◽  
Rune Andersson ◽  
Susanne Johansson ◽  
...  
Keyword(s):  
Viral Load ◽  
Family Planning ◽  
Antenatal Care ◽  
Unintended Pregnancy ◽  
Rio De Janeiro ◽  
Hiv Positive ◽  
Continuous Family ◽  
Unintended Pregnancies ◽  
Illegal Abortion ◽  
Hiv Positive Women

Introduction: High rates of unintended pregnancies among HIV positive women have been reported by several studies. Among repeated pregnancies, these rates may be higher. Our aim was to describe the unintended pregnancy rate in repeat gestations of the same group of HIV-positive women. Methodology: From a prospective cohort of HIV-infected pregnant women followed-up from 1995 to 2013 in an Antenatal Clinic (ANC) in Rio de Janeiro, we selected women who had at least two consecutive pregnancies. Patient data were prospectively obtained from standardized questionnaires. The main dependent variable was if the pregnancy was intended or unintended. Some of the other variables were: age, the interval between pregnancies, household income, CD4 cells count at admission in the ANC and at delivery, viral load<1000 copies/ml at admission and close to delivery, and attempts to illegal abortion. Results: From a total of 287 women included, the number of unintended pregnancies increased from 138 (63.6%) at first pregnancy to 198 (81.8%) at second pregnancy (p < 0.01). At first pregnancy, we observed 8 women who had made an attempt to illegal abortion (7 with an unintended pregnancy and 1 with a wanted pregnancy, p = 0.06), while at second pregnancy, 34 of them had made an attempt (33 with unintended pregnancy and 1 with a wanted pregnancy, p < 0.01). Regarding viral load suppression close to delivery, there was no statistic difference between first and second pregnancies (72,7% vs. 70,5%, p = 0.36) as well as between intended and unintended pregnancies (in first pregnancy: 80% vs. 86%, p = 0.4; in second pregnancy: 72% vs. 83%, p = 0,1). Conclusion: High rates of unintended pregnancies and illegal abortion attempts, along with their increase from one pregnancy to the subsequent, reinforce the need for continuous family planning practices in HIV-infected patients. The majority of the women were able to reach undetectable viral load at the end of the pregnancy, including those with unintended pregnancies. Implications: HIV infected patients presenting in antenatal care for sequential unintended pregnancies. Despite the fact that abortion is illegal in this country, a substantial number of women, still attempt it before attending antenatal care. Family planning actions should be performed during the antenatal care.

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