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Study On Adolescent Mothers' Pregnancy Decisions in Bangladesh, Saleh Ahmed - Using FP To Prevent High Risk Pregnancies Panel
Study On Adolescent Mothers' Pregnancy Decisions in Bangladesh, Saleh Ahmed - Using FP To Prevent High Risk Pregnancies Panel
Presented by,
Saleh Ahmed
BCC Technical Coordinator USAID/DFID NGO Health Service Delivery Project Bangladesh
Objectives
To share the study findings on adolescents pregnancy decisions in Bangladesh The appropriate measures can be taken by the development experts through this outcomes There would be scope to reduce the early pregnancy, which can control population growth in Bangladesh
Background
Bangladesh has made commendable progress in achieving MDGs 4 & 5. However, pregnancy among the adolescents is still very common in Bangladesh. 23% of total population is adolescent and among them 65% got married before their age 18 and 64.3% of them become pregnant Early marriage rate is very high 86% of women with no education were married before 18 years of age
Background
Contraceptive Prevalence Rate (CPR) among adolescents is only 47.1% while the national rate is 61% The median age at first marriage among women age 25-49 is 15.5 years compared with 24.2 years for men the same age Child Deaths are 50% higher for adolescent mothers compared to mothers age 20-29 15-19 has lowest birth interval 26% has 7-17 months and 21% has 18-23 months.
Source: (BDHS 2011)
Study description
Problem Statement
Population momentum effects can not be reduced for high level of early pregnancies
Lack of knowledge on the health consequences on adolescent pregnancies adolescents are becoming mother at their early ages
Study description
The study questions are:
Study methodology:
Cross sectional; applying both qualitative and quantitative methods. A total number of 50 pregnant adolescents of urban slum of Dhaka city were purposively interviewed
Macro level Policy implementation Focused BCC interventions Early marriage Birth registration Social prejudice
Micro level Lack of knowledge Spousal influence Participation in fertility decision Employment Education
Adolescent pregnancies
Findings
Have strong believe that if they dont get pregnant just after marriage than it might cause infecundity Are insisted by their family members for taking baby immediately after marriage Believe that use of FP methods before first pregnancy causes the infecundity for the women
Findings
Lack of knowledge/ information on reproductive and maternal health issues Incomplete knowledge/information on right use of modern FP methods and More dependency on traditional and short term methods Have believe that early pregnancy prevent RTI and treat irregular menstruation Pressurized by social and religious prejudice
Findings
Those who are not good looking feels that if they become mother their husband will not leave them For social security such as if they become pregnant then they can avoid sexual harassment When their family failed to give dowry as demanded by their husbands than they wanted to become pregnant quickly to delay the process
Conclusion
In conclusion it can be said thatlack of knowledge among adolescents on maternal health and family planning , and social and religious prejudices are the main determinants for adolescent pregnancies in Bangladesh.