scholarly journals STUDY OF THE STATE OF REPRODUCTIVE HEALTH IN YOUNG WOMEN AMONG THE POPULATION OF LVIV REGION

2021 ◽  
Vol 9 (2) ◽  
pp. 166-173
Author(s):  
Olena S. Shkolnуk ◽  
Olena K. Yefimenko ◽  
Yevheniya B. Sharhorodska ◽  
Oleksandra N. Malanchuk

In Ukraine, the state of pregnancy in adolescent girls aged 13–17 years is considered early or adolescent pregnancy. The problems of teenage pregnancy are extremely relevant in Ukraine: in ten years, almost 100,000 girls aged 16–17 became mothers, solving the problems of teenage births. The urgency of the problem of pregnancy in young girls gives grounds to consider and treat this issue as a serious social and psychological problem that requires further study and development of measures to prevent it. The purpose of the research is to study the state of reproductive health in young women among the population of Lviv region, determining the frequency of adolescent pregnancy and taking into account the contribution of gynecological pathology and menstrual disorders. A retrospective analysis of the primary medical records of 134 young women was conducted. We studied the frequency of adolescent births, social status, medical surveillance coverage during pregnancy, reproductive history in adolescent women for 4 years in Lviv Regional Clinical Hospital. Analysis of the prevalence of adolescent pregnancy showed that the frequency of childbirth in young women remained stable for four years: in 2014–2017, in the maternity wards of Lviv Regional Clinical Hospital, 134 women under the age of 18 gave birth, which is 0.82–0.98% of the total number of births. A significant majority (p <0.05) of them (78 women) were 17 years old (that is 58.2%) and 84 women lived in rural areas (62.7%); 97 women were not married (72.4%). Only 1/3 (34.3%) of young women were registered in a women's clinic before 12 weeks of pregnancy, and 10.4% of them were not followed up by doctors at all during pregnancy. The study of menstrual dysfunction, namely irregular menstruation, showed the presence of this indicator in more than 1/2 (80–59.7%) out of 134 young women. According to the results of the study, despite their young age, 127 (94.8%) of 134 women were pregnant for the first time, and 7 (5.2%) women had consecutive pregnancy. Among 7 (5.2%) women who had consecutive pregnancy, only 4 (3.0%) had an uncomplicated pregnancy, and three (2.2%) subjects had a history of one (0.7%) silent miscarriage, premature birth, medical abortion. More than 1/3 (50–37.3%) of young women gave birth to children with poor health. The most common cause of reproductive disorders in young women of the main group was prematurity of newborns (37.3%). The data obtained indicate the feasibility of studying adolescent motherhood, which will be especially valuable in the context of developing effective demographic policies.

2020 ◽  
Vol 1 (2) ◽  
pp. 21
Author(s):  
Puspa Ayu Larasanti ◽  
Baiq Iin Rumintang

Latar Belakang : Setiap hari di negara berkembang, 20.000 anak perempuan di bawah usia 18 melahirkan. Pada tahun 2014 kasus kehamilan remaja mencapai 33,4 juta remaja. Berdasarkan hasil studi pendahuluan yang peneliti lakukan, Kabupaten Lombok Barat merupakan wilayah yang memiliki jumlah ibu hamil terbanyak pada tahun 2017 dengan 15,246 jiwa dibandingkan Wilayah Kota Mataram dengan 10,021 Jiwa, hasil studi kasus kehamilan remaja pada tahun 2017 kasus tertinggi berada di wilayah Puskesmas Lingsar dengan 135 Kasus. Penggunaan media yang tepat dalam memberikan pendidikan kesehatan menjadi salah satu solusi untuk menyelesaikan permasalahan dalam mengurangi kejadian kehamilan remaja. Video merupakan media yang tepat karena video memiliki durasi yang tidak terlalu panjang. Tujuan : Untuk mengetahui adanya Pengaruh Pendidikan Kesehatan Menggunakan Media Video Terhadap Peningkatan Pengetahuan Remaja Putri Mengenai Dampak Kehamilan Usia Remaja Di SMPN 1 Lingsar tahun 2018. Metode : Desain penelitian ini dilaksanakan dengan menggunakan rancangan penelitian One Group Pre-test Post-test. Teknik pengambilan sampel pada penelitian ini menggunakan Simple Random Sampling dengan sampel berjumlah 40 responden. Peneliti memberikan intervensi berupa pendidikan kesehatan menggunakan media video mengenai dampak kehamilan remaja yang berdurasi 10 menit. Pemberian pendidikan kesehatan diberikan selama 1 hari dan berlangsung 1 jam dengan 2x pemberian pendidikan kesehatan menggunakan media video yaitu setelah pretest dan  sebelum posttest. Hasil : Sebelum diberikan intervensi responden yang mendapatkan skor 76-100 (Kriteria Baik) sebanyak 2 responden (5,0%), kemudian setelah diberikan intervensi responden yang mendapatkan skor 76-100  (Kriteria Baik) meningkat menjadi 37 responden (92,5%)  Hasil uji statistik dengan Wilcoxon Test diperoleh nilai p value = 0,000 atau p < α=0,05 Kesimpulan : Ada Pengaruh Pendidikan Kesehatan Menggunakan Media Video Terhadap Peningkatan Pengetahuan Remaja Putri Mengenai Dampak Kehamilan Usia Remaja Di SMPN 1 Lingsar Tahun 2018 AbstractBackground: Every day in developing countries, 20,000 girls under the age of 18 give birth. In 2014 cases of teenage pregnancy reached 33.4 million adolescents. Based on the results of a preliminary study conducted by researchers, West Lombok Regency is the region that has the highest number of pregnant women in 2017 with 15,246 people compared to Mataram City Region with 10,021 Souls, the results of the 2017 teenage pregnancy case study the highest case in the Lingsar Health Center with 135 Case. The use of appropriate media in providing health education is one solution to solve the problem in reducing the incidence of teenage pregnancy. Video is the right media because the video has a duration that is not too long.Aim : This research is to know the influence of Health Education Using Media Video to Improving Young Women Knowledge About The Impact Of Teenage Adolescent Pregnancy At SMPN 1 Lingsar 2018.Method : The design of this study was conducted using the One Group Pre-test Post-test design. Sampling technique in this study using Simple Random Sampling with a sample amounted to 40 respondents. Researchers provide intervention in the form of health education using video media about the impact of teen pregnancy which lasted 10 minutes. Provision of health education is given for 1 day and lasts 1 hour with 2x of health education using video media and that is after pretest and before posttest.Results : Before the intervention of respondents who got the score of 76-100 (Good Criteria) as much as 2 respondents (5.0%), then after given the intervention of respondents who get score 76-100 (Good Criteria) 37 respondents (92.5%) Results of statistical tests with Wilcoxon Test obtained P value = 0,000 or p <α = 0.05Conclusion : There is an Effect Health Education Using Video Media To Increasing Young Women Knowledge About The Impact Of Teenage Adolescent Pregnancy at SMPN 1 Lingsar in Year 2018


2016 ◽  
Vol 49 (1) ◽  
pp. 1-14 ◽  
Author(s):  
Jessica D. Gipson ◽  
Andrew L. Hicks

SummaryPartnership and fertility patterns of young Filipinos have changed dramatically from previous generations, with a widening gap between sexual initiation and marriage, and concurrent increases in teenage pregnancy and unwanted fertility. Further understanding of young adults’ social contexts and partnership patterns are needed to inform reproductive health programmes and policies affecting young Filipinos. Multivariate Poisson regression models were conducted with longitudinal and inter-generational data from the Cebu Longitudinal Health and Nutrition Survey (1998–2009) to examine the predictors of young women’s fertility. Age at first sex, and number and duration of partnerships each independently and significantly predicted women’s fertility by 2009 after controlling for contextual influences. Young women with more conservative attitudes towards dating, sex and marriage, and who perceived their mothers to have more conservative attitudes, had higher fertility than their peers, as did young women with mothers who reported more adolescent sexual behaviours. In contrast, fertility was lower among daughters who had higher levels of communication with their mothers. Given high levels of unintended fertility and teenage pregnancy in the Philippines, the findings indicate that the interval between sexual initiation and first and subsequent partnerships may be ideal intervention points for reproductive health services for young Filipinos.


2016 ◽  
Vol 41 (4) ◽  
pp. 285-291
Author(s):  
Dipjyoti Konwar ◽  
Vinita Bhargava ◽  
Bhanumathi Sharma

This paper offers a picture of the life of young women in rural India, specifically in the state of Assam. It is drawn from a doctoral work that is in progress. India is one of the fastest growing economies in the world, yet nearly 69% of its population live in rural areas (Census of India, 2011). Numerous castes, creeds and religions co-exist in society with differing practices and opinions. Although conflicts of interest and incidents of violence occur from time to time, the ‘multi-cultural, multi-lingual, multi-dimensional’ Indian society still manages to hold itself together against all odds. Assam is a state with a predominantly rural makeup. The doctoral work drawn from for the purposes of this paper was conducted using a sample of 60 adolescent girls in school settings in Assam. The macro-philosophy of the research was to understand the impact of cash transfer in the form of scholarships on their overall wellbeing. The demographic profile of the state introduces the reader to the construct of the Assamese society. The three life sketches of young women narrated exemplify their dreams for a good life amidst challenges, both substantial and emotional. They show immense potential for a fulfilled life. There is need for support and guidance at different levels to enhance their capabilities. Importance of affective scaffolding at a personal level and affirmative action at governmental level is essential.


Author(s):  
Radha Kumari Paladugu ◽  
Pavan Chand Donipudi ◽  
Divya Chimata ◽  
Manasa Jasti

Background: Teenage or adolescent pregnancy is a major public health problem worldwide. Studies show that teenage mothers are more likely to experience pregnancy-related complications and maternal death compared to adult mothers. Hence, this study was conducted to study the socio-demographic profile and the maternal and fetal outcomes associated with teenage pregnancy and compare it with those of mothers aged 20-30 years.Methods: A cross-sectional comparative study was conducted in Government General Hospital, Guntur from April 2016 to October 2016. 50 adolescent mothers aged <19 years and 50 mothers aged 20-30 years were respectively selected as cases and controls. Data on socio-demographic profile, obstetric complications and fetal outcome was collected using a pre-designed, pre-tested, semi-structured questionnaire by face-to-face interview. Data was analysed by entering it in MS Excel worksheet.Results: Mean age was 18.2 years in adolescent mothers and 23.2 years in controls. Mean age at marriage was 17.3 years in adolescent mothers and 19.9 years in adults. Among teenage mothers 48% were Hindus, 72% upper lower socio-economic class, 88% from rural areas, 32% illiterates, 72% housewives and 32% had consanguineous marriages. Prevalence of under-nutrition (36% vs 14%, p<0.05), PROM (20% vs 4%, p<0.05), PPH (20% vs 4%, p<0.05) was significantly higher in adolescent mothers compared to adults. Prevalence of PIH was significantly lower in adolescent mothers compared to adults (8% vs 28%, p<0.05).Conclusions: Complications like maternal under-nutrition, PROM, PPH, preterm delivery and low birth weight babies were higher in teenage mothers compared to adult mothers. PIH was higher in adult mothers compared to adolescent mothers.


2017 ◽  
Vol 14 (1) ◽  
pp. 174-181
Author(s):  
Maura Mbunyuza-deHeer Menlah

This article reports on a proposed evaluation plan that has been developed to assess the work done by the State Information Technology Agency (SITA). The SITA programme was implemented in response to the South African government’s call to improve the lives of the populations in some rural areas through technology. The programme was meant to address slow development in  rural  areas  that  lack  technological  innovations  and  advances.  In  the proposed evaluation plan a review is made of secondary data, deciding how strategic priorities are to be determined, as well as analysis of the rural context environment. The researcher gives an account of how the evaluation strategies are to be piloted and rolled out thereafter. Lessons learnt are recorded and reported upon. A proposed evaluation plan will be developed, based on the lessons learnt in line with the objectives of the project.


2006 ◽  
Vol 3 (2) ◽  
pp. 79-82 ◽  
Author(s):  
Camil Castelo-Branco ◽  
Juan E. Blumel ◽  
Maria J. Cancelo ◽  
Loreto Pantoja ◽  
Lorena Binfa ◽  
...  

Author(s):  
Simon Butt ◽  
Tim Lindsey

Many Indonesians—primarily those living in rural areas—still follow customary law (adat). The precise rules and processes of that adat differ significantly from place to place, even within short distances. This chapter shows that for many decades, adat has been subservient to national law. State-made law overrode it, leaving it applicable only in a very small proportion of cases where no national law applied, where judges could apply it as ‘living law’. Even in these cases, many judges ignored adat or distorted it when deciding cases. The 1945 Constitution was amended in 2000 to require the state to formally recognize and respect customary law, as practised in traditional communities. The Constitutional Court has given effect to this in various judicial review cases, as have some statutes enacted in the past decade or so. However, this constitutional and statutory ‘protection’ has been impeded in practice by requirements for traditional communities to be formally ‘recognized’ by their local governments, many of whom have been unresponsive to calls for recognition.


2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Jie Li ◽  
Syeda Zerin Imam ◽  
Zhengyue Jing ◽  
Yi Wang ◽  
Chengchao Zhou

Abstract Background Adolescent pregnancy is a risk factor for suicide. We aimed to assess the prevalence of suicide attempts among young women with adolescent pregnancy in Bangladesh and to explore its associated factors. Methods In this cross-sectional study, we surveyed young women with adolescent pregnancy in urban and rural areas in Bangladesh to assess suicide attempts, socio-demographic and pregnancy-related characteristics, perceived health status, and perceived social support. Binary logistic regression analysis was conducted to explore the relationship between potentially related factors and suicide attempts. Results Of the participants, 6.5% (61/940) reported suicide attempts in the past 12 months, and the majority (88.5%) of the attempts happened within one year after the pregnancy. Participants with more years after first pregnancy (odds ratio (OR) = 0.47, 95% CI: 0.37–0.61) and more perceived social support from friends (OR = 0.69, 95% CI: 0.55–0.86) were less likely to have suicide attempts, and those perceived bad health status compared with good/fair health status (OR = 8.38, 95% CI: 3.08–22.76) were more likely to attempt suicide. Conclusions Women with adolescent pregnancy were at high risk of suicide attempts, especially those during the first postnatal year. The risk of suicide attempts attenuated with the time after pregnancy, and perceived social support from friends was a protective factor and perceived bad health status was a risk factor for suicide attempts among young women who have experienced adolescent pregnancy.


2021 ◽  
Vol 18 (S1) ◽  
Author(s):  
Asha S. George ◽  
Tanya Jacobs ◽  
Mary V. Kinney ◽  
Annie Haakenstad ◽  
Neha S. Singh ◽  
...  

Abstract Background The Global Financing Facility (GFF) offers an opportunity to close the financing gap that holds back gains in women, children’s and adolescent health. However, very little work exists examining GFF practice, particularly for adolescent health. As momentum builds for the GFF, we examine initial GFF planning documents to inform future national and multi-lateral efforts to advance adolescent sexual and reproductive health. Methods We undertook a content analysis of the first 11 GFF Investment Cases and Project Appraisal Documents available on the GFF website. The countries involved include Bangladesh, Cameroon, Democratic Republic of Congo, Ethiopia, Guatemala, Kenya, Liberia, Mozambique, Nigeria, Tanzania and Uganda. Results While several country documents signal understanding and investment in adolescents as a strategic area, this is not consistent across all countries, nor between Investment Cases and Project Appraisal Documents. In both types of documents commitments weaken as one moves from programming content to indicators to investment. Important contributions include how teenage pregnancy is a universal concern, how adolescent and youth friendly health services and school-based programs are supported in several country documents, how gender is noted as a key social determinant critical for mainstreaming across the health system, alongside the importance of multi-sectoral collaboration, and the acknowledgement of adolescent rights. Weaknesses include the lack of comprehensive analysis of adolescent health needs, inconsistent investments in adolescent friendly health services and school based programs, missed opportunities in not supporting multi-component and multi-level initiatives to change gender norms involving adolescent boys in addition to adolescent girls, and neglect of governance approaches to broker effective multi-sectoral collaboration, community engagement and adolescent involvement. Conclusion There are important examples of how the GFF supports adolescents and their sexual and reproductive health. However, more can be done. While building on service delivery approaches more consistently, it must also fund initiatives that address the main social and systems drivers of adolescent health. This requires capacity building for the technical aspects of adolescent health, but also engaging politically to ensure that the right actors are convened to prioritize adolescent health in country plans and to ensure accountability in the GFF process itself.


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