Teenage pregnancy and associated factors in Ethiopia: a systematic review and meta-analysis

Mamo, Kassa; Siyoum, Melese; Birhanu, Adamu

doi:10.1080/02673843.2021.2010577

Cited by 17 publications

(15 citation statements)

References 24 publications

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“…In this study, the overall prevalence of teenage pregnancy was 24.88%, which is higher than the studies conducted in Ethiopia 23.59% [ 3 ], Cameroon 8.7% [ 22 ], Kenya 23.3% [ 23 ], Nigeria 22.9% [ 24 ] and South Africa 19.2% [ 25 ]. This might be because of the large sample size and the fact that we included participants from different countries with a wide variety of socioeconomic status and cultural norms.…”

Section: Discussioncontrasting

confidence: 62%

“…It is estimated that 16 million girls aged 10–19 years give birth every year, accounting for almost 11% of all births worldwide [ 1 ]. Even if there is global improvement in maternal health [ 2 ], teenage pregnancy is still a common public health problem in developing countries [ 3 ] and can lead to intergenerational cycles of poverty, poor education, and unemployment [ 4 ]. Over one million babies born to teenage girls die before their first birth day, and each year 70,000 teenage girls die during pregnancy and child birth [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of teenage pregnancy and its associated factors in high fertility sub-Saharan Africa countries: a multilevel analysis

2023

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Background Teenage pregnancies are persistently high among adolescent women in high fertility countries in sub-Saharan Africa. It has been attributed to the high unmet need for family planning in this population. The aim of this study was to determine the prevalence and factors associated with teenage pregnancy in high fertility countries in sub-Saharan Africa. Methods Data for this study was obtained from the most recent Demographic and Health Surveys. A total weighted sample of 33,391 adolescent girls who had ever had sexual contact were included. A multilevel mixed-effect binary logistic regression model was fitted to identify the significant associated factors for teenage pregnancy. Finally, the Adjusted Odds Ratio (AOR) with a 95% confidence interval was used to declare as statistically significant. Results The overall teenage pregnancy in sub-Saharan Africa high frtility countries was 24.88% (95% CI, 24.42, 25.35). Educational status; no formal education (AOR = 1.39, 95% CI, 1.23, 1.56) and primary education (AOR = 1.45, 95% CI, 1.30, 1.62), not working (AOR = 1.32, 95% CI, 1.21, 1.45), being married (AOR = 67.88, 95% CI, 61.33, 75.12), poor (AOR = 1.47, 95% CI, 1.32, 1.65) and middle wealth quantile (AOR = 1.21, 95% CI, 1.07, 1.35), knowledge about contracptives (AOR = 2.45, 95% CI, 2.19, 2.74), unmet need for family planning (AOR = 2.42, 95% CI, 2.14, 2.74), Angola (AOR = 9.59, 95% CI, 7.82, 11.77), Chad (AOR = 3.05, 95% CI, 2.49, 3.74), DR.Congo (AOR = 3.77, 95% CI, 3.06, 4.65), and Mali (AOR = 1.84, 95% CI, 1.47, 2.28) were factors significantly associated with teenage pregnancy. Conclusions This study found that teenage pregnancy remains a common public health problem in the study areas. Level of education, marital status, occupation, wealth index, unmet need for family planning, knowledge about contraceptives, and country were significantly associated with teenage pregnancy. Hence, for sustainable development goal 3 to be realized by 2030, there must be investment in policy implementation and evaluation, as well as engagement with stakeholders in adolescents’ sexual and reproductive health.

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Section: Discussioncontrasting

confidence: 62%

Section: Introductionmentioning

confidence: 99%

Prevalence of teenage pregnancy and its associated factors in high fertility sub-Saharan Africa countries: a multilevel analysis

2023

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“…5,18,19,22 In addition, early childbirth and childhood malnutrition of a mother influence pelvic diameters. 23,24 Subgaleal hemorrhage (41%), caput succedaneum (29%), cephalohematoma (21%), skeletal fractures (18%), soft tissue injuries (14%), and peripheral nerve Funnel plot with pseudo 95% confidence limits injuries (13%) were the types of birth trauma. Most of those neonatal birth traumas are severe and life-threatening.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Patterns of Neonatal Birth Trauma in Ethiopia: Systematic Review and Meta-Analysis

Balis

Hunde²,

Lami

2023

Global Pediatric Health

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Introduction. Neonatal death is still alarming in low-income countries including Ethiopia, accounts 30 death per 1000 alive births. Birth trauma is the second most common contributing factors for the death. Nevertheless, there is no aggregate evidence on the prevalence and patterns of neonatal birth trauma in Ethiopia. Therefore, this study aimed to assess the pooled prevalence and patterns of neonatal birth trauma in Ethiopia. Methods. Searching databases including PubMed, MEDLINE, Popline, SCOPUS, Web of Science, EMBASE, CINHAL (EBSCO), Google, Google Scholar, and lists of references were used to search literatures in Ethiopia. STATA version 14 was used for analysis, and the odds ratios of the outcome variable were determined using the random-effects model. Heterogeneity among the studies was assessed by computing values for I2 and P-values. Also, sensitivity analysis and funnel plot were done to assess the stability of pooled values to outliers and publication bias. Results. A total of 6 studies with a sample size of 3663 were included in this study. The overall prevalence of neonatal birth trauma was 15% (95% CI: 13-16). Subgaleal hemorrhage (39%), cephalohematoma (27%), and caput succedaneum (24%) were the most common neonatal birth trauma in Ethiopia. Meta-analyses and sensitivity analyses showed the stability of the pooled odds ratios, and the funnel plots did not show publication bias. Conclusion. This systematic review and meta-analysis revealed a high prevalence of neonatal birth trauma in Ethiopia. Moreover, most of the neonatal birth injuries were severe and life-threatening that need medical attention to safe the neonates and its life long complications.

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“…Despite a global drop in adolescent birth rates (ABR), sub-Saharan Africa (SSA) continues to have around 100 births per 1,000 women in 2021, which is twice the global average [6]. Teenage pregnancy is a major reproductive health problem among young people in Ethiopia [7].…”

Section: Introductionmentioning

confidence: 99%

“…Different socio-demographic, cultural, and other individual factors are associated with teenage pregnancy [7,8]. In recorded literature, employment status, poverty, marital status, type of occupation, culture, peer pressure, early marriage, forced marriage, rape, the need for a dowry, community contraceptive use, and community wealth status were factors associated with teenage pregnancy in recorded literature [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Multilevel analysis of the factors associated with teenage pregnancy Ethiopia; using the recent 2019 Ethiopia mini demographic and health survey

Abrham

Assefa

Molla

et al. 2023

Preprint

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Introduction: Teenage pregnancy is a major reproductive health problem. It can result in serious health and social issues. Even if teenage pregnancy has adverse obstetric and perinatal outcomes, the magnitude is still high in Ethiopia. Therefore, this study aimed to determine the magnitude and associated factors of teenage pregnancy. Method: This study was based on the nationally representative 2019 Mini Ethiopian Demographic and Health Survey data. We used a total weighted sample of 2100 teenage in the survey. A multi-level logistic regression analysis was used to account for the hierarchal nature of the DHS data. In the multivariable multilevel analysis, those variables with p-value < 0.05 were considered as significantly associated with teenage pregnancy Result: Based on this study result the prevalence of teenage pregnancy is 11.8%. Use of contraceptives (AOR=8.517832, 95% CI [5.241808, 13.8413]), household head age (AOR=6.031393, 95% CI: [3.850781, 9.446837]), educational stats (AOR=0.5053326, 95% CI [0.3261638, 0.7829227]), community wealth status (AOR=1.631567, 95% CI [0.9582524, 2.777985]) were factors significantly associated with teenage pregnancy. Conclusion: Based on this study result the prevalence of teenage pregnancy among teenagers is still high. The multilevel modeling approach used in this study enables us to identify some factors at both the individual and community levels that are associated with teenage pregnancy. Educational status, household head age, contraceptive usage, and community wealth status have shown a significant positive association with teenage pregnancy.

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Teenage pregnancy and associated factors in Ethiopia: a systematic review and meta-analysis

Cited by 17 publications

References 24 publications

Prevalence of teenage pregnancy and its associated factors in high fertility sub-Saharan Africa countries: a multilevel analysis

Prevalence of teenage pregnancy and its associated factors in high fertility sub-Saharan Africa countries: a multilevel analysis

Prevalence and Patterns of Neonatal Birth Trauma in Ethiopia: Systematic Review and Meta-Analysis

Multilevel analysis of the factors associated with teenage pregnancy Ethiopia; using the recent 2019 Ethiopia mini demographic and health survey

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