scholarly journals Exploring Adolescent Characteristics, Experiences and Socio-environmental Responses on Premarital Pregnancy in Central Java Indonesia

2020 ◽  
Vol 202 ◽  
pp. 12030
Author(s):  
Zahroh Shaluhiyah ◽  
Antono Suryoputro ◽  
Aulia Novelira ◽  
Ratih Indraswari

The aim of this study was to explore the phenomena of premarital pregnancy by exploring adolescent characteristics, experiences and socio- environmental responses. It employs descriptive study and phenomenology approach using in-depth interviews to explore adolescent’s premarital pregnancy experiences. A total of 49 adolescents aged 12-19 years with premarital pregnancy were willing to participate in this study and 10 respondents were interviewed in more deeply. The data were analyzed using thematic content analysis. The average age of the respondents were 17 years old and most of them had low educational level. Their knowledge on sexual and reproductive health was categorized as lack of knowledge. Nearly half of them were more permissive so that partner influence to have sex is main factor that is difficult to resist by the respondents. Parents and community responses were initially forced to resist their premarital pregnancy, but it gradually became normally accept. Premarital pregnancy was more influenced by peer’s permissive attitude, frequent access to pornography, and lack of parental supervision. There were four respondents who tried to seek abortion. It is recommended to provide comprehensive sexual and reproductive health education to adolescents in order to prevent premarital pregnancy.

2020 ◽  
Vol 202 ◽  
pp. 12029
Author(s):  
Zahroh Shaluhiyah ◽  
Antono Suryoputro ◽  
Aulia Novelira ◽  
Ratih Indraswari

The aim of this study was to explore the phenomena of premarital pregnancy by exploring adolescent characteristics, experiences and socio- environmental responses. It employs descriptive study and phenomenology approach using in-depth interviews to explore adolescent’s premarital pregnancy experiences. A total of 49 adolescents aged 12-19 years with premarital pregnancy were willing to participate in this study and 10 respondents were interviewed in more deeply. The data were analyzed using thematic content analysis. The average age of the respondents were 17 years old and most of them had low educational level. Their knowledge on sexual and reproductive health was categorized as lack of knowledge. Nearly half of them were more permissive so that partner influence to have sex is main factor that is difficult to resist by the respondents. Parents and community responses were initially forced to resist their premarital pregnancy, but it gradually became normally accept. Premarital pregnancy was more influenced by peer’s permissive attitude, frequent access to pornography, and lack of parental supervision. There were four respondents who tried to seek abortion. It is recommended to provide comprehensive sexual and reproductive health education to adolescents in order to prevent premarital pregnancy.


2021 ◽  
Vol 31 (5) ◽  
pp. 983-998
Author(s):  
L’Emira Lama El Ayoubi ◽  
Sawsan Abdulrahim ◽  
Maia Sieverding

Providing adolescent girls with sexual and reproductive health (SRH) information protects them from risks and improves their well-being. This qualitative study, conducted in Lebanon, examined Syrian refugee adolescent girls’ access to SRH information about and experiences with puberty and menarche, sex, marriage, contraception, and pregnancy. We gathered data through three focus group discussions (FGDs) with unmarried adolescent girls, 11 in-depth interviews with early-married adolescents, and two FGDs with mothers. Our findings highlighted that adolescent participants received inadequate SRH information shortly before or at the time of menarche and sexual initiation, resulting in experiences characterized by anxiety and fear. They also revealed discordance between girls’ views of mothers as a preferred source of information and mothers’ reluctance to communicate with their daughters about SRH. We advance that mothers are important entry points for future interventions in this refugee population and offer recommendations aimed to improve adolescent girls’ SRH and rights.


2021 ◽  
pp. 1-14
Author(s):  
Subasri Narasimhan ◽  
Jessica D. Gipson

Abstract Amidst persistently high unintended pregnancy rates and lags in contraceptive use, novel methodological approaches may prove useful in investigating sexual and reproductive health outcomes in the Philippines. Systematic Anomalous Case Analysis (SACA) – a mixed-methods technique – was employed to examine predictors of women’s lifetime contraceptive use. First, multivariable, longitudinal Poisson regression models predicted fertility and sexual debut using the 1998–2009 Cebu Longitudinal Health and Nutrition Surveys (CLHNS), then regression outliers and normative cases were used to identify 48 participants for in-depth interviews (2013–2014) for further examination. Qualitative findings from 24 women highlighted ‘control over life circumstances’ was critical, prompting the addition of two items to the original quantitative models predicting any contraceptive use (n=532). Each of the items, ‘what happens to [them] is their own doing’ and ‘[I] do not [have] enough control over direction life is taking [me]’, significantly and independently predicted any contraceptive use (aOR: 2.37 (CI: 1.24–4.55) and aOR: 0.46 (CI: 0.28–0.77), respectively). The findings demonstrate the utility of SACA to improve the understanding and measurement of sexual and reproductive health outcomes and underscore the importance of integrating psychosocial constructs into existing models of fertility and reproductive behaviour in the Philippines to improve sexual and reproductive health outcomes.


Sexual Health ◽  
2014 ◽  
Vol 11 (4) ◽  
pp. 298 ◽  
Author(s):  
Liz Gill-Atkinson ◽  
Cathy Vaughan ◽  
Hennie Williams

Background Australia’s philanthropic sector is growing and could support efforts to improve sexual and reproductive health (SRH). However, philanthropy is often misunderstood in Australia and there is limited evidence of philanthropic support for SRH initiatives. Methods: We aimed to understand the barriers and facilitators to philanthropic funding of SRH initiatives in Australia. A qualitative approach was used and involved 13 in-depth interviews with professionals from the philanthropic sector, and from organisations and services involved in SRH. Results: Barriers to organisations in seeking philanthropic funding for SRH activities included insufficient resources for writing grant applications and the small financial value of philanthropic grants. Facilitators to seeking philanthropic funding for SRH included a perception that government funding is shrinking and that philanthropic research grants are less competitive than government grants. Philanthropic participants identified that barriers to funding SRH include the sensitive nature of SRH and the perceived conservative nature of philanthropy. Facilitators identified by these participants in supporting SRH initiatives included networking and relationships between grant-makers and grant-seekers. All participants agreed that philanthropy does and could have a role in funding SRH in Australia. Conclusions: The findings of this research suggest that barriers to philanthropic funding for SRH in Australia exist for organisations attempting to access philanthropic funding. Philanthropic organisations could provide more financial support to Australian SRH service providers, as happens in countries such as the United States and United Kingdom. Addressing these barriers and promoting the facilitators could lead to increased awareness of SRH by Australia’s philanthropic sector.


2017 ◽  
Vol 6 ◽  
Author(s):  
Tafadzwa Rugoho ◽  
France Maphosa

Background: Women with disabilities in Zimbabwe face numerous challenges in accessing sexual and reproductive health. Cultural belief still regards them as not sexually active. The government has also failed to promote policies that facilitate access to sexual and reproductive services by women with disabilities.Objectives: The reseach objectives were to explore the challenges faced by women with disabilities in accessing sexual and reproductive health in Zimbabwe.Method: The data were gathered using in-depth interviews with 23 purposively selected respondents. Thirteen women had physical disabilities, five were visually impaired, three were deaf and two were stammering. The respondents with physical disabilities were using wheelchairs, walking frames, prosthesis, crutches and caliper shoes. The participants’ ages ranged from 18 to 45 years. All interviews were transcribed and translated verbatim into English, and passages were extracted from the transcripts. Key themes and concepts were identified and coded to offer a rich framework for analysis, comparisons and presentation of the data.Results: Negative perceptions of health personnel towards people with disabilities, disability-unfriendly infrastructure at health facilities and absence of trained personnel for people with disabilities (sign language) are some of the challenges involved.Conclusion: The government, in partnership with other stakeholders, should address challenges faced by women with disabilities when accessing sexual and reproductive health services. Non-government, private hospitals and profit-making organisations should join hands with government in funding health requirements for women with disabilities.


2020 ◽  
Author(s):  
Jefferson Mwaisaka ◽  
Lianne Gonsalves ◽  
Mary Thiongo ◽  
Michael Waithaka ◽  
Hellen Sidha ◽  
...  

BACKGROUND Digital health usability assessments can help explain how mHealth applications targeting young people with sexual and reproductive health information performed and whether or not the intended purpose was achieved. Few digital health assessments have however been conducted to evaluate young people’s perceptions regarding mHealth system interactions and content relevance on a wide range of sexual and reproductive health (SRH) topics. Additionally, majority of randomized control trials (RCTs) have focused on push messaging platforms; the mHealth field therefore lacks enough RCTs investigating on-demand mHealth SRH platforms. OBJECTIVE The objective of our study was to explore young people’s experiences using an on-demand SRH mHealth platform in Kenya. METHODS We used qualitative data related to usability of an mHealth (ARMADILLO) platform collected at the end of the intervention period. Thirty (15 females & 15 males) in-depth interviews were held with the intervention participants to elicit their experiences, opinions and perspectives on the ARMADILLO’s design and platform’s content. Study participants were randomly selected from a list of intervention arm participants to participate in the in-depth interviews. Interviews were later transcribed verbatim, translated into English, coded and analyzed thematically using NVivo version 12. RESULTS Respondents reported varied user experiences and levels of satisfaction ranging from ease of use by majority of the respondents to systematic frustrations preventing some participants from progressing to other stages. Interesting mHealth platform’s features included immediate response participants received when requesting messages, weekly remunerated quizzes, educative and informative contents’ and messages’ perceived ‘ability’ to change behaviors. Proposed platform’s enhancements included revising some concepts and words for easy understanding; make the platform interactive where young people can seek clarity when they come across difficult terms or had additional questions about the information received. CONCLUSIONS The importance of understanding the range of health literacy and technological variations when dealing with young people cannot be overemphasized. Young people as mHealth end users must be considered throughout intervention development in order to achieve optimum functionality. Additionally, young people targeted with mHealth SRH interventions need to be sensitized on mHealth platform’s interactions or any other digital health applications if implemented in a non-research setting for optimal use by the targeted audience. CLINICALTRIAL Clinical trial registration: ISRCTN85156148


2019 ◽  
Author(s):  
Eric Badu ◽  
Isaac Mensah ◽  
Naomi Gyamfi ◽  
Elvis Agyei-Okyere ◽  
Eric Abodey ◽  
...  

Abstract Objective: This study aims to explore the knowledge and sources of accessing sexual and reproductive health services and care information among visually impaired women in Ghana. Qualitative data involving in-depth interviews and focus group discussions were conducted among 21 visually impaired women selected through purposive and snowballing sampling techniques. Thematic Analysis was used to analyse the data. Results: The study showed that visually impaired women were active seekers of SRH information (knowledgeable about SRH information and understand the relevance of accessing such information) and passive recipient of SRH information (through formal and informal sources). However, some contextual factors (lack of family and caregivers support services) created barriers for visually impaired women when accessing SRH information. Government advocacy and awareness campaigns on SRH services should consider both formal and informal sources. Family caregivers and SRH health centres should provide adequate support services for visually impaired women regarding information on SRH service.


2021 ◽  
Vol 10 (4) ◽  
pp. 801
Author(s):  
Ratih Indraswari ◽  
Zahroh Shaluhiyah ◽  
Bagoes Widjanarko ◽  
Antono Suryoputro

Reproductive health is always becoming an issue for adolescence. Lack of knowledge, permissive attitude, easy access to pornography and low parental supervision reported as a determinant of risky sexual behavior in adolescence. This study aimed to investigate mother’s perspectives in discussing reproductive health issues with their children aged 9-11 years old. The respondents were 8.046 mothers who had children aged 9-11 years old in Semarang, taken with a purposive sampling technique. Most mother (84.4%) were in adulthood, graduated from Senior High School (50.8%), unemployment (44%), and 47.2% was in low-middle income family. As much as 26.8% of mothers agreed that it is not necessary to inform their children about reproductive health. Talking about reproductive health is taboo for 41.9% of mothers and 38.5% felt awkward. Most of them (71.7%) encountered difficulties in starting reproductive health discussions with their children and 76.1% used other terms to name the genitals to feel more polite.  A mother who perceived that delivering reproductive health information is unnecessary (OR 1.44), taboo (OR 1.82), awkward (OR 1.93), and giving courtship permission (OR 1.28) to their children significantly becoming risk factors in practicing reproductive health education. Health workers should help the mothers improve their communication skills, especially in discussing reproductive health with children aged 9-11 years old.


2021 ◽  
Vol 9 (1) ◽  
pp. 23
Author(s):  
Nayebare Baturaine Barbara ◽  
Omona Kizito

Introduction: Young people in adolescent stage are very vulnerable. Sexual and reproductive health choices they make as they transition from childhood to adulthood determine a lot about their well-being.Objective: To assess the role of religious leaders in promoting adolescent sexual and reproductive health rights in Iganga Municipality.Methodology: Qualitative phenomenological design was used. Sample of 30 participants (25religious leaders and 5adolescents) were interviewed. Data was collected using in-depth interviews, transcribed, coded and analyzed using thematic content analysis.Results: Information shared by religious leaders to adolescents helped them to live responsible lives. Results also indicated that; religious leaders perceived promotion of ASRHR to imply elevation of sexual immorality. Religious leaders had both protective and preventive influences on promotion of ASRHR.Conclusion: Religious leaders greatly contribute to promotion of ASRHR by enhancing information sharing. Dialogues, therefore, enhances their awareness about ASRHR and gives them confidence to address the matter with adolescents.   


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