Interventions for preventing unintended pregnancies among adolescents

Davids, Eugene Lee; Kredo, Tamara; Mathews, Catherine

doi:10.7196/samj.2019.v110i1.14281

Cited by 6 publications

(6 citation statements)

References 14 publications

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“…A Cochrane review of interventions for preventing unintended pregnancies among adolescents (Oringanje, Meremikwu, Eko, Esu, Meremikwu and Ehiri 2016) 26 was recently reviewed for implications for practice relevant for SA. 26 Davids, Kredo and Mathews (2019) 27 suggested that although SA schools are appropriate platforms for SRH demand generation, they may not be well placed to address the SRH challenges of adolescents and that structural constraints in accessing contraception need to be addressed. One study that looked at the feasibility of provision of a school based on site contraceptive clinic (Khoza, Zulu and Shung-King 2019) 28 found that there was support from learners, parents and the school principal, however concerns were raised related to con dentiality, increased risk of promiscuity and side effects related to the contraceptive methods.…”

Section: Discussionmentioning

confidence: 99%

Adolescent pregnancy and current contraceptive use among adolescent and young women aged 16-24 years in Durban and Soweto, South Africa

Beksinska¹,

Closson

Smit

et al. 2021

Preprint

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Background High rates of adolescent pregnancies in South Africa continues to be a pressing public health concern. This study examines (1) the prevalence of current contraceptive use; and (2) the independent association between adolescent pregnancy and effective contraception use. Methods This study uses baseline cross-sectional data from a youth-centered sexual and reproductive health (SRH) cohort study among youth (aged 16–24) in Soweto and Durban (2011–2017). Among 207/253 females reporting consensual sexual activity, crude and adjusted logistic regression examine associations between ever having an adolescent pregnancy (aged 15–19) or pregnancy at age 20–24 (ref no pregnancy) and effective contraception use (barrier and/or hormonal methods) in the last 6 months. Results Over one-third (34.3%, n = 71) of females reported a history of adolescent pregnancy and 13.0% (n = 27) had a pregnancy at age 20–24. Nearly all (95.9%, n = 94) first pregnancies were unintentional. Current effective contraceptive use was reported by 74.6% (n = 53) with an adolescent pregnancy, 66.6% (n = 18) of those pregnant at 20–24 years, and 46.8% (n = 51) of never pregnant females (p < 0.001). All effective contraceptive users pregnant at 20–24 years and 83% (n = 44) of the adolescent pregnancy group reported using hormonal methods vs. 52.9% (n = 27) of never pregnant females. In the adjusted model, a history of adolescent pregnancy was associated with 3.45 (95%CI = 1.75–6.82) times greater odds of effective contraceptive use (vs. no pregnancy). Conclusion suggest that adolescent females are accessing effective methods of contraception including hormonal methods only after a pregnancy event, highlighting the need for earlier provision of youth-friendly SRH services.

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Section: Discussionmentioning

confidence: 99%

Adolescent pregnancy and current contraceptive use among adolescent and young women aged 16-24 years in Durban and Soweto, South Africa

Beksinska¹,

Closson

Smit

et al. 2021

Preprint

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“…1 Health Economics and Epidemiology Research Office, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa (E-mail: cgovathson@heroza.org, lclong@bu.edu, lclong@bu.edu, spascoe@heroza.org); 2 Department of Global Health, Boston University School of Public Health, Boston, Massachusetts, 02118, USA (E-mail: c.a.russell@amsterdamumc.nl); 3 Department of Medical Microbiology, Amsterdam University Medical Center, Amsterdam, The Netherlands…”

Section: A U T H O R S ' a F F I L I At I O N Smentioning

confidence: 99%

A modelling framework for translating discrete choice experiment results into cost‐effectiveness estimates: an application to designing tailored and scalable HIV and contraceptive services for adolescents in Gauteng, South Africa

et al. 2023

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Introduction: South African youth and adolescents face a high burden of (Sexually Transmitted Infections) STIs, HIV and unintended pregnancies, but uptake of services remains low. To address this, tailored and scalable interventions are urgently needed. We developed a framework to fill the gap and translate the impact of facility-level attributes into a cost-effectiveness analysis for increasing HIV/contraceptive service uptake in adolescents using a discrete choice experiment (DCE). Methods: We used a DCE (n = 805) conducted in Gauteng, South Africa, which found that staff attitude, confidentiality, Wi-Fi, subsidized food, afternoon hours and youth-only services were preferred attributes of health services. Based on this, we simulated the uptake of services adapted for these preferences. We divided preferences into modifiable attributes that could readily be adapted (e.g. Wi-Fi), and challenging to modify (more nuanced attributes that are more challenging to cost and evaluate): staff attitude and estimated the incremental change in the uptake of services using adapted services. Costs for modifiable preferences were estimated using data from two clinics in South Africa (2019 US$). We determined the incremental cost-effectiveness ratio (ICER) for additional adolescents using services of 15 intervention combinations, and report the results of interventions on the cost-effectiveness frontier. Results: Greatest projected impact on uptake was from friendly and confidential services, both of which were considered challenging to modify (18.5% 95% CI: 13.0%−24.0%; 8.4% 95% CI: 3.0%−14.0%, respectively). Modifiable factors on their own resulted in only small increases in expected uptake.

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“…Usia remaja sangat rentan mengalami penyalahgunaan narkotika, psikotropika dan zat adiktif, merokok, alcohol, serta terlibat dalam perilaku penyimpangan seperti seks bebas. Sehingga faktor ini yang menyebabkan remaja sangat rentan dengan berbagai masalah kesehatan reproduksi seperti infeksi, penyakit menular seksual terutama HIV dan hepatitis, radang panggul, kemandulan, kehamilan ektopik, kehamilan tidak diinginkan, aborsi ilegal, persalinan tidak aman (Centers for Disease Control and Prevention, 2017;Chandra-Mouli et al, 2013;Clutterbuck et al, 2012;Davids, Kredo, & Mathews, 2020;Ghanem & Quinn, 2019;Jerman & Constantine, 2010;Mbadu Muanda, Gahungu, Wood, & Bertrand, 2018;Moni, Nair, & Devi, 2013;Oringanje et al, 2016;Paul Poteat et al, 2019;PUSLITBANG Upaya Kesehatan Masyarakat, 2015;Sully et al, 2018). Risiko yang dihadapi bukan hanya mempengaruhi remaja saja tetapi keluarga dan masyarakat juga.…”

Section: Pendahuluanunclassified

Strategi Layanan Kesehatan Reproduksi pada Remaja: Literature Review

Auri¹,

Jusuf²,

Ahmad³

2022

FHJ

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Remaja merupakan sasaran terpenting dalam program kesehatan reproduksi. Sifat khas remaja yaitu memiliki rasa ingin tahu yang besar, suka berpetualang, menyukai tantangan dan berani mengambil risiko atas perbuatannya tanpa pertimbangan yang matang, serta pengambilan keputusan dalam menghadapi permasalahan tidak tepat. Sehingga, mereka berpotensi mudah terjerumus dalam perilaku berisiko yang dapat menimbulkan dampak jangka pendek dan panjang dalam masalah kesehatan fisik dan psikis. Adapun tujuan penelitian ini adalah untuk mengetahui strategi layanan kesehatan reproduksi pada remaja. Penelitian ini menggunakan studi literatur. Penelusuran artikel menggunakan database PubMed dan Google Scholar tahun publikasi 2015 sampai dengan 2021. Peneliti mendapatkan 18 artikel yang relavan berdasarkan kriteria inklusi. Strategi layanan kesehatan reproduksi pada remaja dapat dilakukan melalui media masa seperti televisi, radio, leaflet dan pemberian buku saku. Ponsel juga dapat digunakan dengan cara menyediakan aplikasi dan layanan media sosial. Strategi-strategi ini dapat memberikan manfaat yang lebih baik karena dapat meningkatkan pengetahuan remaja dan yang terpenting adalah mampu menjaga rahasia remaja.

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Interventions for preventing unintended pregnancies among adolescents

Cited by 6 publications

References 14 publications

Adolescent pregnancy and current contraceptive use among adolescent and young women aged 16-24 years in Durban and Soweto, South Africa

Adolescent pregnancy and current contraceptive use among adolescent and young women aged 16-24 years in Durban and Soweto, South Africa

A modelling framework for translating discrete choice experiment results into cost‐effectiveness estimates: an application to designing tailored and scalable HIV and contraceptive services for adolescents in Gauteng, South Africa

Strategi Layanan Kesehatan Reproduksi pada Remaja: Literature Review

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