A policy pathway to reducing teenage pregnancy in Africa

Autores

  • Opeyemi Odejimi University of Wolverhampton, United Kingdom
  • Denise Bellingham Young University of Wolverhampton, United Kingdom

DOI:

https://doi.org/10.7322/jhgd.79915

Palavras-chave:

Teenage pregnancy, social and economic determinants, Africa policy

Resumo

Background: Teenage pregnancy remains an important and complex issue around the world, with reports indicating that Africa has higher rates than other continents. Studies have indicated that social and economic determinants are associated with these higher rates. Therefore this study aims to identify the social and economic influencers of teenage pregnancy which would help develop a best-practice approach to reduce its incidence in Africa. Methods: Data sets from the World Bank Organisation between 2008 and 2010 specific to 51 Africa countries were obtained to conduct this study, based on  availability. Independent t-test, Spearman’s correlation and regression analysis were performed. The eight social and economic variables used in this study are: GDP per capita, GINI index, Female Literacy rate, Health expenditure, Unemployed female rate, Gender equality, Contraceptive prevalence and urban population rate. Results: Independent t-test revealed that in countries where teenage pregnancy rate is high, Literacy rate, contraceptive prevalence rate and Healthcare expenditure rate was low. Spearman correlation indicated that female literacy rate, Healthcare expenditure, GDP per capita and Contraceptive prevalence had a significant inverse relationship with teenage pregnancy rate. Logistic regression indicates that Female Literacy rate is the best predictor of teenage pregnancy in Africa. Conclusion: Result suggest that a practical approach to reduce teenage pregnancy rate in Africa is to implement strategies and policies aimed at improving female literacy rate, Health care expenditure and the GDP per capita of a country. Additionally, an increase in female literacy rate would concurrently increase Contraceptive prevalence rate.

Biografia do Autor

  • Opeyemi Odejimi, University of Wolverhampton, United Kingdom
    Masters of Public Health, School of Health and Wellbeing. University of Wolverhampton, United Kingdom
  • Denise Bellingham Young, University of Wolverhampton, United Kingdom
    Senior Lecturer at School of Health and Wellbeing, University of Wolverhampton, United Kingdom

Referências

References

Dangal, G. (2005) An update on teenage pregnancy. The Internet Journal of Gynaecology and Obstetrics [online]. 5(1) [Accessed 6 December 2011]. Available at: : < http://.ispub.com>

Gallaghers, M. (1999) The age of unwed mothers. Is teen pregnancy the problem? New York: Institute for American Values.

World Health Organisation (2006) Pregnant Adolescent: delivering on global promises of hope. Geneva: World Health Organisation.

Buvinic, M., and Kurz, K. (1998) Prospects for young mothers and their children: a review of the evidence on consequences of adolescent childbearing in developing countries. Paper presented at The Committee on Population,

National Research Council, National Academy of Sciences Workshop on Adolescent Reproduction in Developing Countries, March, 24–25:Washington.

World Health Organization (1996) Adolescent health – Inter country Consultation on the promotion of health of adolescent girls through maternal and child health programmes. Nicosia, Cyprus: World Health Organisation.

Aoyama, A. (2001) Reproductive health in the Middle East and North Africa: well-being for all [online]. World Bank. [Accessed 18 November 2011]. Available at: http://site.ebrary.com/lib/wolverhampton/>

Agbemenu, K. (2011) An integrated review of comprehensive sex education for adolescent girls in Kenya. Journal of nursing scholarship. 43 (1). pp 54-63.

World Health Organization (2002) Essential care: practice guide for pregnancy, childbirth and new born care. Geneva: World Health Organization.

World Health Organisation (2007) Adolescent pregnancy – Unmet needs and undone deeds. A review of the literature and programmes. Issues in Adolescent Health and Development. Geneva: World Health Organisation.

World Health Statistics (2011) World Health Statistics report, 2011. France: World Health Organization. 2011.

United Nation Development Programme (2003) Millennium development goals: A compact among nations3333 to end human poverty. New York: United National Development Programme.

Were, M. (2007) Determinants of teenage pregnancy: The case of Busia district in Kenya. Economics and human biology 5 pp. 322-339.

Abdsselam, B. (2011) Social Determinants of Reproductive Health in Morocco. African Journal of Reproductive Health. 15(2) pp.55-66.

Dev-Raj, A., Rabi, B., Amudha, P., Edwin, V., and Glyn, C. (2010) Factors associated with teenage pregnancy in South Asia: a systematic review. Health Science Journal. 4(1), pp3-14.

World Bank (2010) Determinants and Consequences of High Fertility: A Synopsis of the Evidence. Washington: World Bank Organisation.

World Bank Group (2012) The World Bank open data [online]. World Bank: New York. [Accessed 20 May 2012]. Available at: <http://data.worldbank.org/indicator>.

Daw-Namoro, S. (2009a) The Not-So-Visible Determinants of Youth Reproductive Health in Sub-Saharan Africa. University of Pittsburgh.pp1-20.

Daw-Namoro, S. (2009b) Youth Reproductive Health in Sub-Saharan Africa. Is Governance Part of the Problem? University of Pittsburgh. pp1-20.

World Health Organisation (2012) Early Marriage Adolescent and Young pregnancies. Report by the secretariat. Geneva: World Health Organisation.

Ewles, L. (2005) Key topics in public health: essential briefings on prevention and health promotion. Edinburgh: Elsevier Churchill Livingstone.

Gogna, M., Binstock, G., Fernandez, S., Ibarlucýa. I., and Zamberlinc, N. (2008) Adolescent Pregnancy in Argentina: Evidence-Based Recommendations for Public Policies. Reproductive Health. 16(31), pp.192–201.

Imamura, M., Tucker, J., Hannaford, P.,Oliveira da Silva, M., Astin, M., Wyness, L., Bloemenkamp, K., Jahn, A., Karro, H., Olsen, J., and Temmerman, M. (2007) Factors associated with teenage pregnancy in the

European Union countries: a systematic review. European Journal of Public Health, 17(6), pp.630–636.

Tripp, J., and Viner, R, (2005) ABC of adolescence Sexual health, contraception, and teenage pregnancy. British Medical Journal. 330, pp.590-593.

World Health Organisation (2004) Adolescent Pregnancy: Issues in adolescent health and development. Geneva: World Health Organisation.

Isaranurug, S., Mo-suwan, L., and Choprapawon, C.(2006) Differences in Socio-Economic Status, Service Utilization, and Pregnancy Outcomes between Teenage and Adult Mothers. Journal of Medical Association Thailand. 89 (2), pp.145-51.

Health Development Agency (2003) Teenage pregnancy and parenthood: a review of reviews. Evidence briefing. London: Health Development Agency.

Lemos, G. (2009) Freedom’s consequences: Reducing teenage pregnancy and their negative effects in the UK. [online]. Report by the Monument trust, Lemos & Crane. [Accessed 5 January 2012]. Available at: http://www.lemosandcrane.co.uk/home/resources/fq_dl865rte.pdf.

Sharma A., Verma K., Khatri S., Kannan A. (2002) Determinants of pregnancy in adolescents in Nepal. Indian Journal of Paediatrics. 69: pp.19-22.

Hobcraft, J. and Kiernan, k (1999) Childhood poverty, early motherhood and adult social exclusion. CASE paper 28. London: London School of Economics.

Gökçe, B., Ozsqahin, A., and Zencir, M. (2007) Determinants of adolescent Pregnancy in an urban area in Turkey: a population-based Case-control study. Journal of Biosocial Science. 39, pp.301–311.

World Health Organisation (2001) Advancing Safe Motherhood through Human Rights. Geneva: World Health Organization.

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Publicado

2014-06-01

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Artigos Originais