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Sample size per school.
Source publication
Background:
Sexuality plays a very significant role in the lives of both boys and girls. It is, therefore, considered important for schools to recognise and accept sexuality as part of the development process of the child. Professor Kader Asmal (previous South African Minister of Education) suggested that the earlier the school begins to teach lea...
Context in source publication
Similar publications
The issues of teenage pregnancy have been on the landscape in Ghana, especially in the Adentan Municipality. Most adults in Ghana hardly share sexually related matters with teenagers. Hence, contemporary teenagers have little knowledge about the physical changes that take place in their bodies during the transitional duration from childhood to adul...
Background
Teenage pregnancy has long been a worldwide social, economic and educational concern for the developed, developing and underdeveloped countries. Studies on adolescent sexuality and pregnancy are very limited in our country. Therefore, this study aims to assess the prevalence of teenage pregnancy and its associated factors among school ad...
Objective
To assess the prevalence of teenage pregnancy and associated factors among teenage schoolgirls aged 15–19 years in Wolaita Sodo town, southern Ethiopia.
Design
Cross-sectional survey.
Setting
This study was conducted among teenage girls from preparatory and high schools in Wolaita Sodo town, southern Ethiopia, between 1 April and 30 May...
Contraceptive use is a form of family planning and it is one practice among the most important health decisions that many people make and this does not exclude women living with HIV/AIDS. Lack of adequate information on available contraceptive methods and restriction of choices are the major constraints for contraceptive users to obtain a method th...
Citations
... To have a vivid understanding of the situation at hand is to have an accurate definition of teenage pregnancy (Kirchengast, 2016). Maxwell et al. (2016) agree that adolescents are aware of teenage pregnancy cases and the preventive measures. ...
... The first query's result agrees with Maxwell et al. (2016) study, which states that adolescents are aware of teenage pregnancy cases and their preventive measures. The students are aware of teenage pregnancy cases in 2020. ...
In a quantitative descriptive study, 216 college students, selected using purposive sampling, were assessed on their perception of teenage pregnancy based on: sources of knowledge on teenage pregnancy, knowledge of factors predisposing to teenage pregnancy, knowledge of contraceptive methods, and sexual behavior of the respondents. The study was conducted in the second semester of 2020-2021 in a private educational institution in Pagadian City and was administered using a survey questionnaire. The study used Frequency and Percentage Analysis. The results showed that students are aware of teenage pregnancies. The majority accurately defined teenage pregnancy and considered the school, mass media, and parents as their sources of knowledge. The students opined inadequate knowledge of contraceptives, lack of parental guidance, and frequent sex as the main predisposing factors to teenage pregnancy. All are aware of contraceptives and consider the school their primary source of knowledge. The non-usages of contraceptives are fear of the side effects, fear of making others aware of their sexual activities, and fear of asking for contraceptives resulting in insufficient knowledge. Some students engage in sexual activities and prefer to discuss sexual health matters with healthcare providers. The students need further understanding of contraceptive methods due to their inadequate knowledge and fear of side effects. Promoting abstinence and providing knowledge on sexual and reproductive health in the school to improve the student's knowledge and awareness of teenage pregnancy and sexual and reproductive health is vital.
... Teenage pregnancy can be prevented through abstaining from sex, using contraceptives such as pills and injections (65%), use of condoms (83%). 8 A study done in Ghana which revealed that the impact of teenage pregnancy on both teens and society, The study showed that 76.7% believes it brings about school drop-out (76.7%), poverty (25.5%), child abuse (4.3%) and over dependency on the society (2.3%). 12 In Nepal, 17% of adolescent women age 15-19 are already mothers with their first child. ...
... Regarding preventive measures, respondents had knowledge that abstinence from sex (55%) and use of condom (55%) as preventive measures which was inconsistent with the study done by Maxwel et. al. 8 which shows abstinence from sex (94%) and use of condom (83%). ...
Teenage pregnancy is a global problem mostly occurring in poor and marginalized community. Teenage pregnancy increases when girls are denied the right to make decisions about their sexual and reproductive health and well-being. The objective of this study was to assess knowledge regarding teenage pregnancy among adolescence girls of secondary school. A descriptive cross sectional study was conducted with sample size of 100 by using probability stratified sampling technique. Pretested (r=0.74) structured and semi structured questionnaires (lowest 1 and highest score 34) were used as instrument for data collection. Data was collected through self administered technique. Data analysis was done from descriptive (mean, SD, frequency, percentage) and inferential (independent t test, ANOVA test) statistics using SPSS version 16. The findings of the study showed that respondents were age group 13-15 years (51%), hindu (91%), chhetri (36%), class 9 and 10 (41%) and family (71%) as a source of information. The overall mean knowledge score of respondents was 25.81±3.46 with the minimum score 14 and maximum score 34. The mean knowledge about contributing factors was 12.34±1.82, consequences were 6.69±1.82 and preventive measures were 6.78±1.17. The knowledge score regarding teenage pregnancy was significant in relation to age and education status of respondents where p value were 0.002, 0.000 respectively. It is concluded that respondents had adequate knowledge. According to findings, teenage pregnancy awareness program should be carried out in school and community through mass media to prevent teenage pregnancy in adolescence.
... Several studies concerning teenage pregnancy in South Africa [11][12][13] , have reported clinical health adverse outcomes, and with increased trend 11 . Intriguingly, if contraceptives are available free of charge at the public health facilities, how could one explain the escalating and persistent number of teenage pregnancies in South Africa? ...
Teenage pregnancy has become a common global public health issue, associated with increased risk of obstetric complications and adverse neonatal outcomes. Teenagers are more prone to obstetric complications compared to older women. This study examined the maternal and neonatal adverse outcomes among teenagers, and compared them with older pregnant women. This study extracted maternal and neonatal adverse outcomes from 196 medical records of women delivered at Fort Beaufort Hospital from April 2017 to March 2018. Teenagers developed anaemia (13%) and pre-eclampsia (2.1%) during pregnancy as compared to older pregnant women. Most of the women delivered through normal vertex, although the teenagers had the highest percentage of caesarean section (27%) compared to the older women. Few proportions of women developed complications during delivery, however, obstructed labour (14.7%), prolonged labour (11.5%), foetal distress (14.8%) was more prevalent in teenagers. Most neonates were delivered at preterm birth and were alive across all age groups. However, few of the preterm births (23.2%) and very premature neonates (7.4%) occurred among the teenager mothers compared to older women. Few neonates had an Apgar score of less than 7 in 1 minute across all age groups. The risk of obstructed labour, prolonged labour, and foetal distress was predominant among teenagers compared to the older women. There was high incidence of vaginal deliveries, preterm babies and low Apgar score among teenagers compared to the older women. The findings of this study revealed that the teenagers start booking at the second trimester, which may impose the risk of complications if not observed at an early stage. There was high incidence of vaginal deliveries, preterm babies and low Apgar score among teenagers compared to the older women. Programmes to support early antenatal bookings for teenagers are important to address adverse maternal complications associated with late antenatal bookings.
... Predisposing factors for adolescent pregnancy include early marriage, gender-based violence [10,11], lack of comprehensive sexuality education [12], poor reproductive health services [13] and lack of skills and power to negotiate safer sex options [10]. Poor parental supervision and single motherhood (due to parental separation) [14], unstable families, poor mother-daughter relationships [15], limited conversations between parents and adolescents on issues around sex [7] have also been associated with adolescent pregnancy. ...
... Similar to other studies, participants in this study reported having been exposed to risks such as negative in uence from friends/peers who pressured them to have sex, culture/taboos and religious beliefs that prohibited communication about sex amongst young people [10,11]. Despite this, our ndings suggest that adolescents who did not become pregnant by 18 years were able to navigate choices, distinguished between healthy and unhealthy behaviours, and integrated multiple sources of information to protect themselves. ...
... Our ndings concur with other studies which have reported that adolescents have the ability to make positive decisions e.g. consistent condom use [11,22], which not only protect them from early pregnancies but also from infections such as HIV [16]. However, this is dependent on having supportive family and peers -especially those who provides them with relevant information [29]. ...
Background: Risky sexual behaviors contribute to increased risk of adolescent pregnancy and HIV infections. This qualitative study sought to understand factors that might buffer this risk amongst sexually-active adolescents in Soweto, South Africa.
Methods: We used purposive sampling to recruit women at age 24 years from Soweto, South Africa, who self-reported having sexual debut by age 15 years. Twenty women were recruited into 2 equal groups: (i) those who did not become pregnant before 18 years (n=10) and (ii) those who became pregnant before 18 years (n=10). In-depth qualitative interviews were conducted with the two groups of women to understand their family backgrounds, the conversations about sex to which they are exposed, sexual behaviors and steps they took, or didn’t take, during adolescence to prevent early pregnancies. Interviews were transcribed verbatim and thematically analyzed with the aid of MAXQDA software.
Results: Both groups of adolescents reported predisposing risks to early pregnancy including influence from peers and older friends to engage in early sex; unstable family relationships and limited conversations about sex. Key factors that differentiated the two groups were family structure and support, as well as, the adolescent’s ability to navigate choices and make decisions on consistent condom use, access to information and desire to complete schooling. Other supportive systems identified by those who did not become pregnant included life-orientation courses provided at school, access to health services, and positive peer influences.
Conclusion: The family is a key institution in supporting adolescents’ decisions regarding their behaviors and choices, as are peers and exposures to formal or informal information they receive about sex. Policy makers should work closely with other social support systems such as schools, healthcare providers and peers to ensure that adolescents have access to relevant information, including sex education, and contraceptives.
... One in four deaths among 15 -19-year-old female pregnancies are of maternal origin [10]. More also, another findings from a study carried out in Makhado municipality, South Africa indicated an increase in awareness of teenagers in that municipality about preventing teenage pregnancy 15 years after a sexual awareness program was initiated in the said locality [11]. Furthermore, a UK based study reported an increase in the knowledge of women about emergency contraception after taking part in an awareness study for 6 months [12]. ...
... The findings revealed that the majority of participants (70.40%) were aware of teenage pregnancy. This was a lot similar to the 68% and 68.95% average seen in a 2016 South African study [11] and 2018 Cameroonian study [22] respectively. ...
Introduction: Teenage pregnancy is a common public health problem with global estimates of 16 million teenage births yearly. It is one of the major causes of maternal and neonatal mortality worldwide with the majority of the cases seen in the low and middle-income countries. Cameroon has recorded the highest fertility rate among teenagers in the entire Central African region as of 2017. Notably, there are limited data available on assessing the awareness and prevention of teenage pregnancies among secondary and high school students in Cameroon. Thus, this study aimed at assessing the prevalence and associated factors of teenage pregnancy among secondary and high school students in the Tiko Health District, South West Region, Cameroon. Methods: A cross-sectional descriptive study was conducted whereby data was collected using self-administered questionnaires from 250 systematically sampled participants from five teaching institutions in the Tiko Health District. Data was analysed using the EPI Info software, version 7.0. The study was carried out from the 15 th November 2018 to the 20 th of May 2019. Results: We had a total of 250 participants. The prevalence of teenage pregnancy was 5.20% (95% CI 3.34-9.1). A total of 47.20% (95% CI: 37.56-53.6) of participants were sexually active. Having multiple partners was a major risk factor for teenage pregnancy (AOR: 3.2, 95%CI: 1.75-4.03, P-value: 0.03). After adjusting for confounders educational level was a risk factor for the awareness of teenage pregnancy (AOR: 0.54, 95%CI: 0.30-0.92, P-value: 0.04). Poor communication skills, social shyness, and lack of knowledge were potential barriers to contraceptive use. Conclusion: Having multiple sexual partners was a risk factor to the prevalence of teenage pregnancy. The majority of adolescents had considerate ideas of teenage pregnancy, its prevention, and its consequences. However, a good number of them lack adequate knowledge of a comprehensive sexuality education. Thus, measures have to be put in place to provide better sex education to adolescents.
... [5][6][7][8][9] The literature on pregnancy among secondary school students in the country focuses mainly on prevention of pregnancy and on the perceived disadvantages of pregnancy for such students. 2,[10][11][12][13][14] However, no published studies were found on social support for secondary school students who were already pregnant. This study attempts to fill this 384 Matlala gap by offering a model for systematic collaborative social support for pregnant students in secondary schools. ...
Pregnancy among secondary school students remains a public health problem and is associated with school dropout as well as poor maternal and child health outcomes. Schools in South Africa no longer expel pregnant students as was the case before 2000. Instead, the government encourages them to remain in class to complete their education, but pregnant students often face stigma, and some drop out of school as a result. To remain in class and access antenatal care, pregnant students require social support from teachers, parents and professional nurses. Unfortunately, teachers, parents and professional nurses support pregnant students on an ad hoc basis, and this calls for a model to facilitate collaborative social support. The purpose of this paper is to present and describe a model to facilitate collaborative social support for pregnant students attending secondary schools in South Africa, using the model description steps of Chinn and Kramer. The model is designed as a tool to enable pregnant students to remain in school, attend antenatal care and in the end, deliver healthy babies. The professional nurse, as a member and leader of the school health team which visits secondary schools to provide a package of school health services, is the agent or facilitator of the model.
Background: Reproductive health education is a major component in schools, which is delivered through Life Orientation and Life Science subjects. Providing sexual and reproductive health education and services remains a challenge in schools of many countries, as well as South Africa. Community health nurses have the responsibility to initiate and participate in reproductive health promotion initiatives in schools.
Aim: To explore the roles of community health nurses in the promotion of school learners’ reproductive health in schools.
Setting: This study was conducted in the clinics of Madibeng municipality in North West province, South Africa.
Methods: An exploratory qualitative research study was conducted using in-depth interviews for data collection. The population included community health nurses who were sampled purposively.
Results: Community health nurses revealed that their primary role was to provide health education to learners, particularly in clinics. Furthermore, they revealed that they did not visit schools and had no communication with teachers regarding learners’ reproductive health issues.
Conclusion: The Department of Education has opened a platform for the provision of reproductive health education in schools through various teacher-led initiatives. However, this has posed a significant challenge to teachers as they may not be willing to deliver sensitive and sexually themed information to learners. To ensure effective delivery of reproductive health education in schools, community health nurses, teachers and other relevant stakeholders must collaborate in schools.
Contribution: This article highlights the importance of community health nurses visiting schools to promote the reproductive health of school learners.
A gravidez na adolescência configura-se como problema de saúde pública, uma vez que pode ocasionar sérias complicações à saúde maternoinfantil. Objetiva-se conhecer a produção científica nacional e internacional sobre estratégias de educação em saúde para a prevenção da gravidez na adolescência. Revisão integrativa da literatura realizada no período de março a maio de 2020, mediante acesso à BVS utilizando os seguintes descritores em Ciências da Saúde: “educação em saúde”; “escola”; “adolescência OR adolescente”; “gravidez OR gestação”. A partir da combinação dos descritores, foi possível a seleção minuciosa de doze artigos científicos cujo enfoque foi conhecer as estratégias de educação em saúde desenvolvidas nas escolas no que se refere à prevenção de gravidez na adolescência. As pesquisas em todos os países inferem contribuições importantes ao afirmar que as estratégias de educação em saúde nas escolas são fundamentais para educação sexual dos adolescentes, porém necessitam ser mais provocativas, inovadoras e atrativas ao público adolescente. Descritores: Educação em Saúde, Escola, Adolescente, Gravidez. Health education for preventing pregnancy in adolescence: integrative review Abstract: Adolescent pregnancy is a public health problem since it can cause serious complications to mother-child health. The aim is to be aware of the national and international scientific production about health education strategies to prevent teenage pregnancy. Integrative literature review carried out from March to May 2020, through access to BVS using the following descriptors in Health Sciences: "Health education"; "school"; “Adolescence OR adolescent”; “Pregnancy”. From the combination of descriptors, it was possible to carefully select 12 scientific articles which focus was to know the health education strategies developed in schools regarding the prevention of teenage pregnancy. Researches in all countries infer important contributions when affirming that health education strategies in schools are fundamental for the sexual education of adolescents, although they need to be more provocative, innovative, and attractive to the adolescent public. Descriptors: Health Education, School, Adolescence, Pregnancy. Educación sanitaria para la prevención del embarazo en la adolescencia: revisión integrativa Resumen: El embarazo en la adolescencia es un problema de salud pública, ya que puede ocasionar graves complicaciones a la salud maternoinfantil. El objetivo es conocer la producción científica nacional e internacional acerca de las estrategias de educación en salud para la prevención del embarazo en la adolescencia. Revisión integrativa de la literatura realizada de marzo a mayo de 2020, mediante el acceso a la BVS utilizando los siguientes descriptores en Ciencias de la Salud: “educación en salud”; "escuela"; “Adolescencia OR adolescente”; “Embarazo OR gestación”. A partir de la combinación de descriptores, fue posible seleccionar cuidadosamente doce artículos científicos cuyo enfoque era conocer las estrategias de educación en salud desarrolladas en las escuelas, con relación a la prevención del embarazo adolescente. La investigación en todos los países infiere importantes contribuciones al afirmar que las estrategias de educación para la salud en las escuelas son esenciales para la educación sexual de los adolescentes, pero deben ser más provocativas, innovadoras y atractivas para el público adolescente. Descriptores: Educación en Salud, Escuela, Adolescente, Embarazo.
The South African Schools Act 84 of 1996 forbids discrimination against learners based on pregnancy, while the 2007 guideline document, Measures for Prevention and Management of Learner Pregnancy, stipulates teachers’ role in preventing and managing learner pregnancy. Teachers are, therefore, responsible for pregnant learners in the school environment. In the study, which was conducted in primary and secondary schools in Bapong, we aimed to explore and describe the perceptions of teachers regarding pregnancy of school learners. A qualitative exploratory and descriptive approach with purposive sampling was used. In-depth interviews were used for data collection and content analysis was done through Tesch’s approach using open coding. The findings suggest that, despite being against learner pregnancy, teachers are more concerned with the educational success of pregnant learners. They view learner pregnancy as a threat to teachers, other learners and the school environment because they are not trained to deal with pregnancy-related problems. The findings also indicate that the Departments of Health and Education should collaborate in order to initiate a partnership between teachers, school health nurses, and midwives regarding learner pregnancy in schools.
