Perceived burden, causes and consequences of adolescent pregnancy in the rural Maharashtra: a cultural domain analysis

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Shiv H. Joshi ◽  
Abhishek V. Raut ◽  
Sourav Goswami ◽  
Subodh S. Gupta
Keyword(s):  
Adolescent Pregnancy ◽  
Teenage Pregnancy ◽  
Educational Status ◽  
Domain Analysis ◽  
Early Marriage ◽  
Excessive Bleeding ◽  
Cross Sectional ◽  
Perceived Burden ◽  
Cultural Domain ◽  
Cultural Domain Analysis

AbstractObjectivesThe existing level of the early age pregnancy necessitates in-depth discussions and study. The objective of this study is to explore the perception of rural population regarding adolescent pregnancy with reference to the perceived burden, causes and consequences.MethodsA cross-sectional study through cultural domain analysis using free listing and participatory learning and action (PLA) tool of ten seed analysis was used for exploring the perceptions of the community. Cognitive salience was estimated using the Sutrop (Su) index.ResultsThe perceived burden of adolescent pregnancy was around 18%. Early marriage (Su index = 0.274), love/relationship (Su index = 0.246), pre-marital sex (Su index = 0.215), rape/incest (Su index = 0.162), and poor educational status (Su index = 0.152) were the salient causes of adolescent pregnancy. The salient consequences identified were weak baby (Su index = 0.170), social stigma (Su index = 0.124), excessive bleeding during delivery (Su index = 0.114), mother may die (Su index = 0.112) and abortion (Su index = 0.109).ConclusionsTeenage pregnancy is perceived as a problem by the community. The causes of teenage pregnancy in this setting are multi-dimensional and are deeply embedded in the system of local values, beliefs and practices.

scholarly journals Prevalence of Adolescent Pregnancy in A Tertiary Care Hospital

2019 ◽  
Vol 57 (218) ◽  
Author(s):  
Shanti Sunuwar Subedi ◽  
Sajjan Sharma ◽  
Munjal Yadav
Keyword(s):  
Adolescent Pregnancy ◽  
Teenage Pregnancy ◽  
Tertiary Care Hospital ◽  
Social Stigma ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Educational Status ◽  
Developed Countries ◽  
Care Hospital ◽  
Cross Sectional

Introduction: WHO defines adolescent pregnancy as any pregnancy from a girl who is 10-19 years of age, the age being defined as her age at the time the baby is born. Globally, adolescent birth rate is 44 per 1000 women aged 15-19 years whereas 33 per 1000 in South East Asian region. The main objective of the study is to find the prevalence of adolescent pregnancy in a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted in Department of Obstetrics and Gynecology, Nobel Medical College and Teaching Hospital, Biratnagar over a period of six months from 1st January 2018 to 30th June 2018. Using the convenient sampling technique, 2688 samples were studied and the descriptive statistical analysis was done. Results: The prevalence of teenage pregnancy was found to be among 143 (5.3%) [5.3%±0.85% at 95% Confidence Interval]. Maximum adolescents of 95 (66.4%) presented at gestational age between 37 to 40 weeks. Regarding contraception, only 2 (1.4%) of teenage mothers had used Injectable Depo Provera. Conclusions: Adolescent pregnancy in developed countries is usually outside of marriage and carries a social stigma but in the context of developing countries it usually happens within marriage and half of them are planned reflecting educational status and contraception knowledge. Effective interventions need to be developed like strict enforcement of laws prohibiting teenage marriage.

Determinant Factors And Health Implications Of Early Marriage On The Girl Child In Otuan Community Bayelsa State Of Nigeria

2020 ◽  
Vol 11 (01) ◽  
Author(s):  
Letticia Ikiomoye Beredugo ◽  
Awoniyi Babafemi Adeyanju ◽  
Maureen Bunadoumene Nkamare ◽  
Binaebi Amabebe
Keyword(s):  
Peer Group ◽  
Psychosocial Problems ◽  
Early Marriage ◽  
Child Marriage ◽  
Cross Sectional Survey ◽  
Excessive Bleeding ◽  
Cross Sectional ◽  
Girl Child ◽  
Health Implications ◽  
Determinant Factors

The practice of early marriage for women remains rampant in developing nations around the world today, and it is a major problem contributing to maternal ill health and death in Nigeria. It has consequence on both social and health of not only the girl child but the children born to these young mothers. The aim of the study is to identify the determinant factors and health implications of early marriage on the girl-child in Otuan Community, Bayelsa State, Nigeria. A descriptive study was done using a descriptive cross-sectional survey type of design, One hundred and thirteen (113) respondents were recruited for the study. A self-developed pilot tested questionnaire was used to collect data from the respondents. The instrument was face validated by three experts in the field of Nursing and research; reliability was established using the test retested method and a retest coefficient of 0.82 was arrived at; and data generated were analysed. The study found that; majority of the respondents identified poverty/economic hardship, tradition and culture of the people, area of settlement, peer group and parental neglect as determinant factors that influences early girl-child marriage. The respondents also identified maternal and infant death, sexually transmitted diseases, child disability, prolonged sickness after birth and psychosocial problems as health implication of early girl-child marriage. The study further revealed that the girls had experienced excessive bleeding, anaemia, and prolonged/obstructed labour as complications during pregnancy. The study found that increased educational attainment among girls, risks, change of cultural norms that support early child marriage, and provision of economic opportunities for girls and their families as ways of preventing early girl-child marriage. it is recommended that proper education of girls and parents on the associated risk of early girl-child marriage and formulation of laws and policies to protect adolescent is advocated.

scholarly journals An Ethnomedical Perspective: Understanding Young Child Illness in Sri Lanka Using Cultural Domain Analysis

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 991-991
Author(s):  
Teresa Schwendler ◽  
Upul Senarath ◽  
Chithramalee De Silva ◽  
Safina Abdulloeva ◽  
Hiranya Jayawickrama ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Young Child ◽  
Domain Analysis ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Health And Nutrition ◽  
Child Feeding Practices ◽  
Infant And Young Child ◽  
Cultural Domain ◽  
Cultural Domain Analysis

Abstract Objectives To understand how community perspectives toward young child nutritional illness compare to biomedical perspectives in Sri Lanka. Methods This ethnographic sub-study was embedded in a multi-phase, mixed methods formative research design to understand infant and young child feeding practices in urban, rural, and estate sectors of Sri Lanka. Data were collected among caregivers of young children to understand nutritional illness using free lists (n = 150), pile sorts (n = 84), semi-structured interviews with caregivers (n = 21) and community leaders (n = 24). Data were collected in Sinhalese and Tamil languages and translated into English for analysis. Free list and pile sort data were analyzed using cultural domain analysis with Anthropac. Textual data were analyzed thematically using Dedoose. Data sets were combined for methodological triangulation. Results During interviews, caregivers described a combination of biomedical and traditional medicine approaches for treating common childhood illness, a reflection of the continued importance of traditional medical belief systems. Beliefs grounded in Ayurvedic medicine remain important drivers of health and nutrition-seeking behaviors. Consumption of ‘cold’ foods was frequently cited as an important cause of child illness. Some caregivers did explain that promoted foods such as eggs, leafy green vegetables, fruits, and green grams are appropriate dietary choices for good child health and nutrition. Cultural domain analysis revealed nutrition-related illnesses were less salient than other common young child illnesses such as fever, common cold, and cough. Low weight was the only nutritional illness that appeared in the top 15 most salient illnesses among participants. Despite a 17% average child stunting prevalence across all sectors of Sri Lanka, chronic malnutrition and stunting were not mentioned by nearly all participants, suggesting that a local understanding of this condition may not align with the biomedical importance placed on it by health professionals. Overweight/obesity did not appear to be a concern despite a growing national prevalence. Conclusions Policies and programs aimed at improving infant and young child feeding practices in Sri Lanka may benefit from understanding and incorporating community perspectives toward nutrition-related illnesses. Funding Sources UNICEF

scholarly journals Using Cultural Domain Analysis to Understand Community Perceptions of Infant and Young Child Foods in Sri Lanka

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 684-684
Author(s):  
Teresa Schwendler ◽  
Upul Senarath ◽  
Hiranya Jayawickrama ◽  
Safina Abdulloeva ◽  
Dhammica Rowel ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Young Child ◽  
Young Children ◽  
Local Food ◽  
Domain Analysis ◽  
Classification Systems ◽  
Herbal Remedies ◽  
Child Illness ◽  
Cultural Domain ◽  
Cultural Domain Analysis

Abstract Objectives 1) To understand how Sri Lankan caregivers conceptualize young child foods; 2) To explore local food classification systems; 3) To explain why some foods are culturally prescribed (remedies) or proscribed (taboos) for young children Methods Design: This ethnographic sub-study was conducted within a four-phase, mixed methods formative research design across rural, estate, and urban sectors of Sri Lanka. Data collection methods and sampling. Data were collected between Oct. 2020 – Feb. 2021 using free lists, pile sorts, and semi-structured interviews in urban (Batticaloa and Colombo), rural (Kilinochchi, Ratnapura, and Matara), and estate (Nuwara Eliya) sectors of Sri Lanka. Free lists (n = 150) and pile sorts (n = 84) were conducted among caregivers of young children. Both community leaders (n = 24) and caregivers (n = 21) were purposively sampled for interviews. Data analysis. Cultural domain analysis was conducted using Anthropac. Textual analysis of interview data followed an inductive approach whereby themes were identified, coded, and extracted for interpretation using Dedoose. Findings across methods were triangulated to enhance credibility. Results 1. Among all sectors of Sri Lanka, caregivers identified rice as the most important food for young children diets, highlighting the importance of this staple regardless of sector or ethnicity. Only 2 animal source foods (eggs and fish) were included within the top 15 most salient foods. 2. Local food classification systems highlight a ‘hot’ and ‘cold’ paradigm, reflecting the underlying Ayurvedic medical belief system, influencing dietary choices. 3. Overall, 48 food proscriptions were identified, including ‘egg’ and ‘fish, specifically during child illness. Some locally-available fruits and vegetables were also proscribed, depending on their ‘cold’ nature, level of digestibility, and relation to illness causation. Prescribed foods (n = 47) were also found, most of which were herbal remedies (22 food or spice mixtures) to address child illness. Conclusions Understanding local food definitions, food classification systems, and food rules may aid in shaping policies aiming to include culturally-appropriate strategies to improve feeding practices in Sri Lanka. Funding Sources UNICEF.

Cultural domain analysis

2020 ◽  
pp. 27-40
Author(s):  
H.J. François Dengah ◽  
Jeffrey G. Snodgrass ◽  
Evan R. Polzer ◽  
William Cody Nixon
Keyword(s):  
Domain Analysis ◽  
Cultural Domain ◽  
Cultural Domain Analysis

scholarly journals Results of Applying Cultural Domain Analysis Techniques and Implications for the Design of Complementary Feeding Interventions in Northern Senegal

2017 ◽  
Vol 38 (4) ◽  
pp. 512-527 ◽  
Author(s):  
Stephanie Zobrist ◽  
Nikhila Kalra ◽  
Gretel Pelto ◽  
Brittney Wittenbrink ◽  
Peiman Milani ◽  
...  
Keyword(s):  
Cluster Analysis ◽  
Young Child ◽  
Child Nutrition ◽  
Domain Analysis ◽  
Ethnographic Study ◽  
The Body ◽  
Analysis Techniques ◽  
Infant And Young Child ◽  
Cultural Domain ◽  
Cultural Domain Analysis

Background: Designing effective nutrition interventions for infants and young children requires knowledge about the population to which the intervention is directed, including insights into the cognitive systems and values that inform caregiver feeding practices. Objective: To apply cultural domain analysis techniques in the context of implementation research for the purpose of understanding caregivers’ knowledge frameworks in Northern Senegal with respect to infant and young child (IYC) feeding. This study was intended to inform decisions for interventions to improve infant and young child nutrition. Methods: Modules from the Focused Ethnographic Study for Infant and Young Child Feeding Manual were employed in interviews with a sample of 126 key informants and caregivers from rural and peri-urban sites in the Saint-Louis region of northern Senegal. Descriptive statistics, cluster analysis, and qualitative thematic analysis were used to analyze the data. Results: Cluster analysis showed that caregivers identified 6 food clusters: heavy foods, light foods, snack foods, foraged foods, packaged foods, and foods that are good for the body. The study also revealed similarities and differences between the 2 study sites in caregivers’ knowledge frameworks. Conclusions: The demonstration of differences between biomedical concepts of nutrition and the knowledge frameworks of northern Senegalese women with regard to IYC feeding highlights the value of knowledge about emic perspectives of local communities to help guide decisions about interventions to improve nutrition.

Teenage Pregnancy: Prevalence, Pattern and Predisposing Factors in a Tertiary Hospital, Southern Nigeria

2020 ◽  
pp. 1-5
Author(s):  
Michael Ifeanyi Onwubuariri ◽  
Terhemen Kasso
Keyword(s):  
Sex Education ◽  
Teaching Hospital ◽  
Teenage Pregnancy ◽  
Tertiary Hospital ◽  
Predisposing Factors ◽  
Early Marriage ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Contraceptive Usage ◽  
Port Harcourt

Background: Any pregnancy occurring in a young woman who has not reached her 20th birthday is considered as a teenage pregnancy. Globally, approximately a tenth of all births are to women younger than 20 years old and more than 90% of such births occur in developing countries. Socioeconomic deprivation, low contraceptive usage and early marriage are common contributing factors. Objective: This study aimed to determine the prevalence, pattern and predisposing factors to teenage pregnancy at University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt, Nigeria. Methodology: This was a retrospective cross-sectional study of 198 cases of teenage pregnancies managed at University of Port-Harcourt Teaching Hospital (UPTH), from 1st January 2008 to 31st December 2015. Results: The teenage pregnancy prevalence rate was 15 per 1,000 deliveries (1.5%). Low level of education (below secondary) was seen in 81.3% of the women. A socio-cultural factor like early marriage was noted in 56.1% of the women and only 26.8% of the teenage mothers had ever used any form of contraception. Conclusion: The teenage pregnancy rate in Port-Harcourt showed a downward trend. Contraceptive awareness creation for teenagers, implementation of teenage-friendly policies, education of the girl child coupled with promotion of moral and sex education will further reduce the trend.

Applied Anthropology and its Practice: Insights from the Classroom

2018 ◽  
Vol 40 (1) ◽  
pp. 58-62
Author(s):  
Michael Paolisso ◽  
Ellen J. Platts ◽  
Valerie M. J. Hall ◽  
Samantha J. Primiano ◽  
Brian Crawford ◽  
...  
Keyword(s):  
Graduate Students ◽  
Multidimensional Scaling ◽  
Domain Analysis ◽  
Applied Anthropology ◽  
Self Reflection ◽  
Qualitative And Quantitative ◽  
Cultural Domain ◽  
Cultural Domain Analysis

In order to assess the baseline ideas about applied anthropology held by a class of anthropology graduate students, the class participated in several pedagogical activities, both qualitative and quantitative. Students analyzed the results of the qualitative activity, a self-reflection on the nature of applied anthropology and the role of practice within it, and the quantitative activity, a cultural domain analysis using free listing, pile sorting, and multidimensional scaling. These activities and the subsequent analysis provided the students with a clearer understanding of their knowledge of applied anthropology, and the role of practice within it, to guide their engagement with the literature and future classes.

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