Factors contributing to high teenage pregnancy among teenagers aged 15-19 years at Kawaala health center IV, Kampala district. A cross-sectional study.
DOI:
https://doi.org/10.51168/p7qb7p87Keywords:
Teenage pregnancy, Adolescents aged 15-19 years, Kawaala Health Center, Kampala districtAbstract
Background.
Teenage pregnancy countrywide is growing rapidly among school-going pupils, and it leads to teenagers dropping out of school to care for their babies. This study determined the factors contributing to high teenage pregnancies among teenagers aged 15-19 years attending Kawaala Health Centre IV.
Methodology.
The study was a descriptive cross-sectional study by design, and it employed quantitative data collection methods. A simple random sampling method was used to select 30 pregnant mothers for the study. A questionnaire was used to collect data that was analyzed manually, and the results were presented in the form of tables, graphs, and pie charts.
Results.
(60%) Of the respondents were aged 17-19 years, (53.3%) had a primary level of education, and (40%) were married. The cultural factors identified were (66.7%) lack of parental guidance, (70%) peer pressure, (63.3%) sexual harassment and (60%) myths and misconceptions, socio-economic factors identified were (66.7%) poverty, (86.7%) lack of access to the health facility and (20%) misuse of media, individual factors identified were lack of knowledge about contraception (60%) and peer pressure (40%).
Conclusion.
The established factors were: Lack of knowledge about contraception, peer pressure, sexual harassment, myths and misconceptions, poverty, lack of access to the health facility, misuse of media, and lack of parental guidance.
Recommendation.
Ministries should establish an approach that is more holistic to equip the teenagers with appropriate knowledge on sexuality and access to sexual and reproductive health services, rather than traditional coaching approaches that focus on improving sexual ability, attitudes, and norms.
References
Albert M (2017). Adolescent Pregnancy and Policy in Uganda: Backgrounder, vol. 14.
Bezuidenhout and Joubert (2018). Protecting the Next Generation in Sub-Saharan Africa: Learning from Adolescents to Prevent HIV and Unintended Pregnancy. GuttmacherMonograph.
Daniel T.T. (2015). Factors Contributing to Teenage Pregnancy in South Africa: Institute for Gender and Youth Studies, University of Venda, South Africa. J Sociology Soc Anth, 6(2): 273-277 (2015). https://doi.org/10.1080/09766634.2015.11885667
Gouws E, Burger S, Kruger N (2018). The Adolescent Johannesburg: Heineman Publishers.
Jewkes R, Morrell R., Christofides N. (2018). Empowering teenagers to prevent pregnancy: lessons from South Africa.” Culture, Health & Sexuality: 11 (7). https://doi.org/10.1080/13691050902846452
Ferede, T. A., Muluneh, A. G., Wagnew, A., & Walle, A. D. (2023). Prevalence and associated factors of early sexual initiation among female youth in sub-Saharan Africa: A multilevel analysis of recent demographic and health surveys. BMC Women’s Health, 23(1), 147. https://doi.org/10.1186/s12905-023-02298-z
Kakal, T., Nalwadda, C., van Reeuwijk, M., van Veen, M., Kusters, L., Chatterjee, O., Owekmeno, C., & Kok, M. (2022). Young people’s choice and voice concerning sex and relationships: Effects of the multicomponent Get Up Speak Out! Programme in Iganga, Uganda. BMC Public Health, 22(1), 1603. https://doi.org/10.1186/s12889-022-13919-x
Kintu, M. J., & Zhu, C. (2016). Student Characteristics and Learning Outcomes in a Blended Learning Environment Intervention in a Ugandan University. Electronic Journal of E-Learning. https://www.semanticscholar.org/paper/Student-Characteristics-and-Learning-Outcomes-in-a-Kintu-Zhu/2642dc90b2eeb3072aed4db3aedefc982bd837b5
Kyegombe, N., Meiksin, R., Wamoyi, J., Heise, L., Stoebenau, K., & Buller, A. M. (2020). Sexual health of adolescent girls and young women in Central Uganda: Exploring perceived coercive aspects of transactional sex. Sexual and Reproductive Health Matters, 28(1), 1700770. https://doi.org/10.1080/26410397.2019.1700770
Manzi, F., Ogwang, J., Akankwatsa, A., Wokali, O. C., Obba, F., Bumba, A., Nekaka, R., & Gavamukulya, Y. (n.d.). International Online Medical Council (IOMC). Retrieved January 14, 2025, from https://www.iomcworld.org/
Panda, A., Parida, J., Jena, S., Pradhan, A., Pati, S., Kaur, H., & Acharya, S. K. (2023). Perception, practices, and understanding related to teenage pregnancy among the adolescent girls in India: A scoping review. Reproductive Health, 20(1), 93. https://doi.org/10.1186/s12978-023-01634-8
Scott, S., Nguyen, P. H., Neupane, S., Pramanik, P., Nanda, P., Bhutta, Z. A., Afsana, K., & Menon, P. (2021). Early marriage and early childbearing in South Asia: Trends, inequalities, and drivers from 2005 to 2018. Annals of the New York Academy of Sciences, 1491(1), 60–73. https://doi.org/10.1111/nyas.14531
Strasburger, V. C., Jordan, A. B., & Donnerstein, E. (2012). Children, adolescents, and the media: Health effects. Pediatric Clinics of North America, 59(3), 533–587, vii. https://doi.org/10.1016/j.pcl.2012.03.025
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