Preventing Early Pregnancy and Pregnancy-Related Mortality and Morbidity in Adolescents in Developing Countries: The Place of Interventions in the Prepregnancy Period

Cs, Christiansen; Gibbs, Susannah E.; Chandramouli,

doi:10.1155/2013/257546

Cited by 34 publications

(27 citation statements)

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“…Regarding studied sample perception regarding the importance and rights of reproductive health the result of the present study revealed that the majority of studied sample agreed that Follow-up for the mother during pregnancy in maternal and child care centers for early detection of the risk of pregnancy and control(Table1).This result was consistent to Christiansen et al, (2013) who studied "Preventing Early Pregnancy and Pregnancy-Related Mortality and Morbidity in Adolescents in Developing Countries". They revealed that the most of studied sample agreed that Follow-up for the mother during pregnancy in maternal and child care centers.…”

Section: Discussionsupporting

confidence: 85%

Women's Perception and Practice Regarding their Rights of Reproductive Health in Rural Area

Zaied

Aziz

Sabry

et al. 2017

Egyptian Journal of Health Care

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Reproductive health is a crucial feature of healthy human development and of general health. The aim of this study was to assess women's perception and practices regarding their rights of reproductive health in rural area. Design: A descriptive analytical research design was used in carrying out this study. Setting: The study was conducted at 3 Maternal and Child Health Care Centers at Benha City. Sample: A simple random sample of 250 women was used in this study. Tools: Tow tools were used. I-An interview questionnaire; consisted of a).Socio-demographic characteristics of the studied women, b).Women's knowledge about reproductive health, c). Women's knowledge about reproductive rights, d). Practices as reported by women regarding reproductive health, II-Women's perception scale: To assess women's perception about the importance of women's rights and reproductive health. Results: 82.2% of the studied women had correct knowledge about reproductive health, 67.2 % of the studied women had good knowledge about the reproductive health rights, and 63.6 % of the studied women reported practicing the good behaviors about reproductive health, 92.8% of the studied sample agreed and perceived the importance of reproductive health and rights. Conclusion: There were highly statistical significant relation between the studied women's reported practices and their knowledge about reproductive health. Also, there was highly statistical significant relation between the studied women"s knowledge about reproductive health and their perception of the importance of women"s rights on reproductive health. In addition, there were highly statistical significant relation between women"s practices and their perception of the importance of women"s rights to reproductive health. Recommendation: Health education program for women regarding importance and advantages of reproductive health practice and reproductive health rights for empowering women to understand their rights and change women"s practices rather than providing only knowledge, further research about obstacles of women"s reproductive health .

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Section: Discussionsupporting

confidence: 85%

Women's Perception and Practice Regarding their Rights of Reproductive Health in Rural Area

Zaied

Aziz

Sabry

et al. 2017

Egyptian Journal of Health Care

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“…In India, around 38% of maternal mortality occurred between the age group of 15-24 years during 2015-17 [21]. In lower-and middle-income countries, the young married couples face barriers in accessing quality maternal health care services because they are either overlooked or not reached by policies and programs [22][23][24].…”

Section: Introductionmentioning

confidence: 99%

Maternal Health Care Service Utilization Among Young Married Women in India, 1992-2016: Trends and Determinants

Singh

2020

Preprint

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Background: Utilizing maternal health care services can reduce a substantial proportion of maternal mortality. Maternal deaths among young women (15-24 years) shares 38% of total maternal mortality in India. However, there is a paucity of studies focusing on the maternity care needs of young women. This paper therefore aimed to examine the trends and determinants of full antenatal care (ANC) and skilled birth attendance (SBA) utilization among young married women in India.Methods: The study analysed data from the four rounds of National Family Health Surveys conducted in India during the years 1992–93, 1998–99, 2005–06 and 2015–16. Young married women aged 15-24 years with at least one live birth in the three years preceding the survey were considered for analysis in each survey round. We used descriptive statistics to assess the prevalence and trends in full ANC and SBA use. Pooled multivariate logistic regression was conducted to identify the demographic and socioeconomic determinants of the selected maternity care services.Results: The use of full ANC among young mothers increased from 27% to 46% in India, and from 9% to 28% in EAG (Empowered Action Group) states during the study period. SBA utilization was 88% and 83% during 2015-16 by showing an increment of 20% and 50% since 1992 in India and EAG states, respectively. Findings from multivariate analysis revealed significant difference in the use of selected maternal health care services by maternal age, residence, education, birth order and wealth quintile. Additionally, Muslim women, SC/ST women and women unexposed to mass media were less likely to utilize both the maternal health care services. Concerning the time effect, the odds of the utilization of full ANC and SBA among young women was found to increase over time.Conclusions: Utilization of full ANC remained unacceptably low, specifically in EAG states. Programmatic interventions, targeting women residing in EAG states, adolescents, illiterate, poor and Muslim and SC/ST women would help to increase full ANC utilization and to maintain the increasing trend of SBA use.

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“…The young married couples, in lower- and middle-income countries, face barriers in accessing quality reproductive health services because they are either overlooked by policies or are not reached by programs [5–7]. Their age, lack of education, limited social agency, power imbalance and inadequate negotiation skills in their marital relationships and their economic dependence trap them in a cycle of poverty with rapid and repeat childbearing [8].…”

Section: Introductionmentioning

confidence: 99%

Community based reproductive health interventions for young married couples in resource-constrained settings: a systematic review

et al. 2015

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BackgroundMost pregnancies among adolescent girls and young women aged 15–24 years occur in low- and middle-income countries (LMICs), and do so within marriage. The mortality rates and pregnancy-related morbidities are significantly higher among the women of younger age group in many South Asian and Sub-Saharan African countries. This paper presents a review of the available evidence on the effectiveness of community-based health interventions to improve the reproductive health status of young married couples in LMICs.MethodWe carried out a systematic review of research studies and evaluation reports of different community-level initiatives in improving access to contraception, pregnancy care and safe abortion services by young married couples, where women were in the age-group of 15–24 years.ResultsOf the 14 projects, which met inclusion criteria, eight met the quality criteria and were included in the review (five from India, two from Nepal and one from Malawi). Our analysis shows that community-based interventions consisting of counseling of young married women, and their husbands, family and community members, as well as capacity building of health workers were some of the effective measures in increasing contraceptive use, delaying pregnancy and improving pregnancy care. Stratifying young women in line with their specific reproductive health needs (newly married woman, pregnant woman, mother of one/more children) was found to be a successful innovative strategy. None of these projects explicitly addressed improving access to safe abortion care.ConclusionOur review suggests that multi-layered community-based interventions, targeting young married women, their families and the health system can improve utilization of reproductive health services among young couples in resource-constrained settings. There is less focus on strategies to delay first pregnancy as compared to spacing among young women. Further, family and community level barriers in most of the project settings restricted its effective implementation. The paper emphasizes the need for further research to fill the knowledge gaps that exist about improving utilization of reproductive healthcare services, especially safe abortion care among young married women in LMICs.

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Preventing Early Pregnancy and Pregnancy-Related Mortality and Morbidity in Adolescents in Developing Countries: The Place of Interventions in the Prepregnancy Period

Cited by 34 publications

References 5 publications

Women's Perception and Practice Regarding their Rights of Reproductive Health in Rural Area

Women's Perception and Practice Regarding their Rights of Reproductive Health in Rural Area

Maternal Health Care Service Utilization Among Young Married Women in India, 1992-2016: Trends and Determinants

Community based reproductive health interventions for young married couples in resource-constrained settings: a systematic review

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