Trends and factors associated with repeated adolescent pregnancies in Tanzania from 2004-2016: evidence from Tanzania demographic and health surveys

Ngoda, Octavian Aron; Mboya, Innocent B.; Mahande, Michael Johnson; Msuya, Sia E.; Renju, Jenny

doi:10.11604/pamj.2021.40.162.29021

Cited by 4 publications

(6 citation statements)

References 11 publications

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“…Living with a partner was revealed in our study to contribute to recurrent teenage pregnancies. Ngoda et al [ 27 ] indicated that marriage is a factor that influences recurrent teenage pregnancy because married couples live together, encouraging unprotected sexual intercourse and consequent, recurring pregnancies for the teenager.…”

Section: Discussion Of Findingsmentioning

confidence: 99%

“…Inadequate knowledge on family planning was also identified as a contributor to recurrent teenage pregnancies. Albuquerque et al [ 46 ] and Ngoda et al [ 27 ] acknowledged that there is a low prevalence of recurrent pregnancies amongst teenage mothers who use contraceptives, as family planning protects mothers from unplanned pregnancies.…”

Section: Discussion Of Findingsmentioning

confidence: 99%

“…At the interpersonal level, teenager’s closest social circle such as peer pressure, living with a partner, parental support, and higher perceived parental monitoring [ 14 , 25 ] may influence the occurrence of recurrent teenage pregnancy and the teenager may face neglect by families and partners. Environmental factors such as having a high proportion of peers or friends who are teen parents, and home delivery of the first baby [ 25 , 27 ] influence recurrent teenage pregnancies and teenagers with recurrent pregnancies may face challenges such as stigmatization, accused of infidelity, and hostile attitude by some health care providers [ 21 , 26 ].…”

Section: Theoretical Frameworkmentioning

confidence: 99%

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A phenomenological study on recurrent teenage pregnancies in effutu municipality- Ghana.the experiences of teenage mothers

Boateng

Botchwey

Adatorvor³

et al. 2023

BMC Public Health

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Background Generally, recurrent teenage pregnancies are public health menaces that impede the quality of life of teenage mothers, their offspring, and society as a whole. However, there is paucity of information regarding factors influencing this social issue especially, in developing countries where Ghana is no exception. Moreover, this menace has been least investigated from the perspective of the teenager with multiple pregnancies. Hence, this study aimed at identifying the factors influencing recurrent teenage pregnancies and the challenges confronted by these teenage mothers. Method This study is a phenomenological qualitative study that was conducted in the Effutu Municipality in the Central Region of Ghana. Employing convenience and snowball sampling, 40 participants who were residents of the study area, had a child each, and were pregnant at the time of the study were included. Other participants included teenage mothers who had at least two (2) children. A face-to-face in-depth interview with the help of an interview guide was conducted. Proceedings were recorded, transcribed, and analysed using thematic analysis. Quotations were used in the result presentation. Results The results of the study revealed that factors influencing recurrent teenage pregnancies are multifactorial. It includes peer pressure, parental neglect, poverty, living with a partner, and inadequate knowledge of family planning. The teenager with recurrent pregnancy is confronted with financial difficulties and is faced with stigmatisation in the society where she finds herself. Conclusion To this effect, it is important to intensify education on family planning and good parental practices among parents with teenage mothers while providing a similar form of sensitization for members of the society about the harmful effects of stigmatisation on the teenage mother and her children. Again, a social support network for teenagers with recurrent pregnancies could be formed to help curb this public health menace.

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Section: Discussion Of Findingsmentioning

confidence: 99%

Section: Discussion Of Findingsmentioning

confidence: 99%

Section: Theoretical Frameworkmentioning

confidence: 99%

See 1 more Smart Citation

A phenomenological study on recurrent teenage pregnancies in effutu municipality- Ghana.the experiences of teenage mothers

Boateng

Botchwey

Adatorvor³

et al. 2023

BMC Public Health

View full text Add to dashboard Cite

show abstract

“…Experiencing another delivery before the age of 20 years may lead to unfavorable perinatal outcomes in a higher proportion than in the first childbirth. Repeated pregnancy in adolescence is more common in contexts of poverty, low education level, sexual initiation before the age of 15 years, early union, no use of effective contraceptive methods, and previous abortion or dead fetus birth [8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

Repeated adolescent pregnancy in Brazil from 2015 to 2019

Monteiro

Miranda

Bruno

et al. 2023

Rev. Assoc. Med. Bras.

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SUMMARY OBJECTIVE: The aim of this study was to assess the rate of repeated pregnancy in adolescence and its association with early marriage and education level. METHODS: This is a cross-sectional study conducted by searching the Live Births Data System. The study included all adolescents in the age group 10–19 years with live births from 2015 to 2019 (n=2,405,248), divided into three groups: G1: primiparas; G2: with 1 previous pregnancy; and G3: with two or more previous pregnancies. RESULTS: Total repeated pregnancies remained stable, along the years. In the age group 10–14 years, the decrease in the period was from 5.0 to 4.7%, whereas in the age group 15–19 years, it was from 27.8 to 27.3%. Being married or in a stable union increases by 96% the chance of repeated pregnancy in the age group 10–14 years (p<0.001; OR=1.96; 95% confidence interval [CI] 1.85–2.09). In the age group 15–19 years, the chance of repeated pregnancy among the married or in stable union increased 40% (p<0.001; OR=1.40; 95%CI 1.39–1.41)). Girls aged 10–14 years with an education level of<8 years had a 64% higher chance of repeated pregnancy (p<0.001; OR=1.64; 95%CI 1.53–1.75), and among those aged 15–19 years, there was a 137% higher chance of repeated pregnancy (p<0.001; OR=2.37; 95%CI 2.35–2.38). CONCLUSION: Repeated pregnancy in adolescence in Brazil remains very high over the years. There is an association between low education level and early marriage with repeated pregnancies in adolescence.

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“…This shows a significant decline from 18.9% in 2015 and 2016 which is significantly lower compared to the national average of 32%. 9 So unmet needs for Family Planning is high among adolescents aged 15 to 19 years in Tanzania and there is poor progress in rates of unmet need for modern contraception use (30% in 2004/05, 25.3% in 2010 and 26.5% in 2015/16 respectively. 8 )…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Modern Contraceptive Use Among Out of School Adolescent Girls in Majengo and Njoro Wards of Moshi Municipality, Tanzania

Nkenguye,

Ismail,

Urassa

et al. 2023

EAHRJ

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Background: Low uptake of modern contraceptives among adolescents remains a serious public health concern with over 20 million adolescents in need of modern contraceptives are not using any. In Tanzania where the adolescent fertility rate is 112 per 1000, only 15.2% of adolescents are using modern contraceptives. Contraceptive use stands out to be one of the key interventions to reduce the burden of adolescent pregnancy which is high in the country at 22%. There is little information on factors associated with modern contraceptive use among out of school adolescents, who are at an increased risk of adolescent pregnancies. Objective: To determine the prevalence and factors associated with modern contraceptive use among out of school adolescent girls in Moshi municipality, Kilimanjaro region. Methodology: This was a population based cross-sectional study, conducted in Moshi municipality in Kilimanjaro region 2 wards; Majengo and Njoro. The wards were randomly selected out of the 21 wards in the region. Household survey was conducted in the wards and adolescents aged 10 to 19 years who were out of school and consented and or assented to participate in the study were recruited. Data was collected using Kobo Collect TM on an Android device. Data was analysed using SPSS version 20. To determine the factors associated with modern contraceptive use, crude and adjusted analysis using logistic regression analysis was done. Results: A total of 298 out-of-school adolescents were enrolled, with a median age of 19 (IQR 17- 19) years. The prevalence of ever use of modern contraceptives among 154 sexually active adolescents was 51%, and 35% were current users of the methods. Two of common methods ever used were; injectables (27.3%) and male condoms (3.2%) respectively. Factors independently associated with ever use of modern contraceptives were; being married or cohabiting (aOR: 5.7) and having 2 or more sexual partners in the past 12 months (aOR: 5.9). Conclusion: Ever and current use of modern contraceptives among out-of-school adolescents were reported at 51% and 35% respectively. Respondent’s marital status and number of sexual partners was associated with ever use of modern methods. Strengthening of adolescent-friendly SRH services outside facility setting is needed given very few are currently using a modern method. Further, through inter-sectoral collaboration interventions to keep adolescent girls at school should be strengthened.

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Trends and factors associated with repeated adolescent pregnancies in Tanzania from 2004-2016: evidence from Tanzania demographic and health surveys

Cited by 4 publications

References 11 publications

A phenomenological study on recurrent teenage pregnancies in effutu municipality- Ghana.the experiences of teenage mothers

A phenomenological study on recurrent teenage pregnancies in effutu municipality- Ghana.the experiences of teenage mothers

Repeated adolescent pregnancy in Brazil from 2015 to 2019

Factors Associated with Modern Contraceptive Use Among Out of School Adolescent Girls in Majengo and Njoro Wards of Moshi Municipality, Tanzania

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