scholarly journals The implications of early marriage for HIV/AIDS policy

2004 ◽  
Author(s):  
Judith Bruce ◽  
Shelley Clark

This brief is based on a background paper prepared for the WHO/UNFPA/Population Council Technical Consultation on Married Adolescents, held in Geneva, Switzerland, December 9–12, 2003. The final paper is entitled “Including married adolescents in adolescent reproductive health and HIV/AIDS policy.” The consultation brought together experts from the United Nations, donors, and nongovernmental agencies to consider the evidence regarding married adolescent girls’ reproductive health, vulnerability to HIV infection, social and economic disadvantage, and rights. The relationships to major policy initiatives—including safe motherhood, HIV, adolescent sexual and reproductive health, and reproductive rights—were explored, and emerging findings from the still relatively rare programs that are directed at this population were discussed. Married adolescent girls are outside the conventionally defined research interests, policy diagnosis, and basic interventions that have underpinned adolescent reproductive health programming and many HIV/AIDS prevention activities. They are an isolated, often numerically large, and extremely vulnerable segment of the population, largely untouched by current intervention strategies. As stated in this brief, promoting later marriage, to at least age 18, and shoring up protection options within marriage may be essential means of stemming the epidemic.

1970 ◽  
Vol 6 (2) ◽  
pp. 9-12
Author(s):  
B Zaman ◽  
RM Shampa ◽  
MA Rahman

Introduction: Adolescent is an important segment of life while a child undergoes biological transformation.Objective: The study was conducted to assess the level of knowledge of mothers about reproductive health needs of their adolescent girls. Methods: This descriptive cross sectional study was conducted on the mothers having adolescent girls. Data was collected by face to face interview with a semi structured questionnaire and analyzed with SPSS. The knowledge of mothers was assessed by Likert scale.Place of study: The study was conducted at 5 schools of Dhaka city on 118 respondents over a period of four months.Results: It was revealed from the findings that among 118 mothers the mean age of respondents were 40.71 years with standard deviation ± 3.707 years. Majority (70%) of respondents were undergraduate qualified and rest were post graduats. Among the respondents, 64% of mothers did not want to provide information on reproductive health to their daughters. Seventy two percent of the respondents had average knowledge about puberty. Among the respondents, 47% had average knowledge regarding adolescent reproductive health problems and 77% of respondents had average knowledge about safe motherhood. Regarding the complication of unsafe abortion, 73% had average knowledge and 70% had average knowledge about consequence of early pregnancy. Fifty seven percent of the respondents had good knowledge about Sexually Transmitted Diseases. Sixty one percent of the respondents had good knowledge regarding the high risk behaviour of the adolescents. Significant statistical association was found between knowledge and education, knowledge and occupation, and knowledge and source of information of reproductive health (p<0.05).Conclusion: The study findings may be helpful for baseline information and would be beneficial to the policymakers and programme planners to sophisticate further strategy to increase mothers' knowledge about the reproductive health needs of their adolescent girls.Key words: Knowledge; adolescent; reproductive health needs DOI: 10.3329/jafmc.v6i2.7266JAFMC Bangladesh. Vol 6, No 2 (December) 2010 pp.9-12


2004 ◽  
Author(s):  
Judith Bruce ◽  
Shelley Clark

The majority of sexually active girls aged 15–19 in developing countries are married, and married adolescent girls tend to have higher rates of HIV infection than their sexually active, unmarried peers. Married adolescent girls represent a sizable fraction of adolescents at risk and experience some of the highest rates of HIV prevalence of any group. Nonetheless, married adolescents have been marginal in adolescent HIV/AIDS policies and programs and have not been the central subjects for programs aimed at adult married women. This paper offers a partial explanation for why married adolescents have so often been overlooked, the reasons why marriage might bring elevated risk of HIV, initial analytic tools to assist policymakers in determining how to accord appropriate levels of priority to the marriage process, five brief case studies, and a menu of potential policy interventions and actions to make married adolescents an integral part of reproductive health and HIV-prevention initiatives.


2021 ◽  
Vol 17 (1) ◽  
pp. 1-6
Author(s):  
Pulung Siswantara ◽  
Riris Diana Rachmayanti ◽  
Muthmainnah Muthmainnah ◽  
Febrianti Qisti Arrum Bayumi ◽  
Wandera Ahmad Religia

Background: According to Population and Family Planning Agency (BKKBN), adolescents are aged 10-24 years and are not married. Indonesian Basic Health Research (RISKESDAS) 2018 showed around 58.8% of adolescents aged 10-19 years had been married and had had a pregnancy. The Indonesian Demographic and Health Survey (SDKI) results revealed that risk behavior among male junior and senior high school students was around 8.06%, and female were 4.17%. This study aimed to determine the correlation between the Planning Generation (GenRe) Program knowledge and adolescents’ characteristics with dating experience in East Java Province. Method: This research was a cross-sectional study. Secondary data were collected from the 2019 Program Performance and Accountability Survey (SKAP) and were analyzed descriptively with cross-tabulation and chi-square tests. The risk estimate calculation was also carried out to identify the Odd Ratio (OR). The sample used was 5,300 adolescents in East Java Province after weighting. The research variables consisted of dating behavior in adolescents, age, gender, and adolescents' knowledge about GenRe, HIV/AIDS, drugs, and Sexually Transmitted Infections (STIs) and Adolescent Reproductive Health Program.Results: The results showed that 41.80% of adolescents in East Java had dated. There was a significant correlation between dating behavior with adolescents’ knowledge about GenRe, HIV/AIDS, drugs, and Sexually Transmitted Infections (STIs) and Adolescent Reproductive Health Program (P-Value = 0.00). Dating behavior also had a significant correlation with age (P-Value = 0.00) and gender (P-Value = 0.00). This study concluded that there was a correlation between dating behavior in adolescents in East Java Province with age, gender, and adolescents’ knowledge about GenRe, HIV/AIDS, drugs, Sexually Transmitted Infection (STIs), and Adolescent Reproductive Health Program. They were strengthening the GenRe program through the introduction, explanation of program activities, and the process of youth involvement. So far, teenagers only know the name of the GenRe program. This action needs to be applied to prevent negative effects caused by dating behavior, such as premarital sex, unwanted pregnancy, and early marriage.


2004 ◽  
Author(s):  
Nicole Haberland ◽  
Erica Chong ◽  
Hillary J. Bracken

This brief is based on a paper prepared for the WHO/UNFPA/Population Council Technical Consultation on Married Adolescents, held in Geneva, Switzerland, December 9–12, 2003. The consultation brought together experts from the United Nations, donors, and nongovernmental agencies to consider the evidence regarding married adolescent girls’ reproductive health, vulnerability to HIV infection, social and economic disadvantage, and rights. The relationships to major policy initiatives—including safe motherhood, HIV, adolescent sexual and reproductive health, and reproductive rights—were explored, and emerging findings from the still relatively rare programs that are directed at this population were discussed. Despite the program attention and funding that have been devoted to adolescents, early marriage and married adolescents have fallen largely outside of the field’s concern. Comprising the majority of sexually active adolescent girls in developing countries, this large and vulnerable subpopulation has received neither program and policy consideration in the adolescent sexual and reproductive health field, nor special attention from reproductive health and development programs for adult women. While adolescent girls, irrespective of marital status, are vulnerable in many settings and deserve program, policy, and resource support, the purpose of this brief is to describe the distinctive and often disadvantaged situations of married girls and to propose possible future policy and program options.


2020 ◽  
pp. 32-44
Author(s):  
Trang Dao Nguyen Dieu ◽  
Huy Nguyen Vu Quoc ◽  
Thanh Cao Ngoc ◽  
Ngoc Phan Thi Bich

Objectives: To describe the knowledge, attitudes, practices of reproductive health care among adolescent girls in A Luoi district, Thua Thien Hue province and to identify the related factors to reproductive health care in adolescent girls. To assess the results of intervention solutions of reproductive health care in adolescent girls. Methods: A cross-sectional study design. A study design for community intervention comparision with control group. Results: The percentage of adolescents with not good knowledge, attitudes and practices on reproductive health care has accounted for fairly high as respectively: 85.9%, 73.9%, 72.9%. There is an a relationship between education level, adolescent stage with general knowledge on adolescent reproductive health care (p < 0.05). There is a relationship between ethnicity, education level, adolescent stage with the general attitude on adolescent reproductive health care (p < 0.05). There is a relationship between knowledge, attitude, education level, adolescent stage, economic condition, the condition of the family living at the percentage of general practice on adolescent reproductive health care (p < 0.05). The effective of intervention: Good knowlegde increase from 10% to 24.1%. Good attitude increase from 16.7% to 61.4%. Good practice increase from 27.1% to 42.9%. The effective of intervention: change knowlegde: 21.6%, change attitude: 54.2%, change practice: 34.6%. Conclusion: There is need to enhance the communication and education reproductive health for aldolescent girls and to enhance communication knowlegde and skills for reproductive health staff. Keywords: adolescents, get married early, reproductive health.


2021 ◽  
Vol 1 (4) ◽  
pp. 162-170
Author(s):  
Dewi Novianti ◽  
Siti Fatonah

The high number of cases of early marriage in Bantul raises its problems. Communication literacy Adolescent reproductive health is still low, so the researchers conducted this study. Research on communication literacy, adolescent reproductive health, education aims to: knowing the knowledge of adolescent reproductive education in Sorowajan, Bantul. Second, the researcher wants to provide literacy in reproductive education health communication for adolescents in Sorowajan, Bantul. This research method is descriptive qualitative, by conducting interviews and Focused Group Discussions with the youth of Bantul's Sorowajan Village According to the study's findings, many teenagers who marry at a young age do so due to a lack of knowledge about adolescent reproductive health, poverty, and a lack of education. The government has carried out adolescent reproductive education through several programs, including the National Family Planning Coordinating Board (BKKBN) which has established Youth Family Development (BKR) groups whose targets are families with teenage children. Academics need to help the government carry out communication literacy on adolescent reproductive health, which in this case the researcher and the team have already done it.


Author(s):  
Vanusha A. ◽  
Parvathavarthini K.

Background: Reproductive health is an important area of concern in adolescent health. Assessment of unmet needs of unmarried adolescent girls during past five years revealed the felt needs are mostly unmet in areas related to menstrual hygiene, knowledge on consequences of early marriage, risk of teenage pregnancies, sexually transmitted infections, HIV and AIDS, unsafe abortions and breast feeding. This study is carried out to assess the knowledge of adolescent girls regarding menstruation, pregnancy, contraception, STD’s, AIDS, and breast feeding and to study the effect of health education program in terms of improvement in their knowledge.Methods: This study was carried out among adolescent girls from randomly selected government girls higher secondary schools of Pondicherry from class 8 to class12. A total of 300 students were included in the study. A pretested questionnaire (English/Tamil) was administered to students. This was followed by an interactive session with the students to clarify doubts. Students was asked to fill an immediate post-test questionnaire to evaluate the effect of intervention (health education). After a minimum period of six months the students was reassessed by a same pretest and post-test questionnaire.Results: There was a statistically significant improvement in knowledge scores in various aspects of reproductive health following periodic health education intervention program.Conclusions: The knowledge on reproductive health and responsible sexual behaviour among school going adolescents is inadequate. Appropriate strategy to reach this vulnerable group has to be formulated by health care professionals with coordination and support from school authorities.


2017 ◽  
pp. 85-99
Author(s):  
Nguyen Dieu Trang Dao ◽  
Thi Bich Ngoc Phan ◽  
Vu Quoc Huy Nguyen

Objectives: To describe the knowledge, attitudes, practices of reproductive health care among adolescent girls in A Luoi district, Thua Thien Hue province and identify the related factors to reproductive health care in adolescent girls. Methods: A cross-sectional study design was conducted in A Luoi district, Thua Thien Hue province. All 960 adolescent girls between 10 – 19 years old of 8 communes in A Luoi district participated in the study. Results: - The percentage of adolescents with not good knowledge, attitudes and practices on reproductive health care has accounted for fairly high as respectively: 85.9%, 73.9%, 68.4%. - The percentage of adolescents who have had sexual relative were 6.4%, in which 18% has used contraceptive methods. - The percentage of adolescents who get married early were 50% among adolescents who get married, the percentage of consanguineous marriage were 15.4%. - The percentage of pregnant adolescents were 4.9%. The proportion of adolescents with abortion were 0.1% - The percentage of lower genital tract infections in adolescents was 2.2%. - There is an a relationship between education level, adolescent stage with general knowledge on adolescent reproductive health care (p <0.05). - There is a relationship between ethnicity, education level, adolescent stage with the general attitude on adolescent reproductive health care (p <0.05). - There is a relationship between ethnicity, education level, adolescent stage, economic conditions, the condition of the family living at the percentage of general practice on adolescent reproductive health care (p <0.05) Conclusion: The knowledge, attitudes, practices of reproductive health care among adolescent girls are not good. There is an a relationship between education level, adolescent stage with general knowledge, general attitude and general practice on adolescent reproductive health care(p <0.05)There is need to enhance the communication and education reproductive health for aldolescent girls and enhance communication knowlegde and skills for reproductive health staff. Key words: adolescents, get married early, reproductive health


2022 ◽  
Vol 5 (1) ◽  
pp. 31-36
Author(s):  
Komala Dewi Muslimin ◽  
Yusring Sanusi Baso ◽  
Healthy Hidayanty ◽  
Syafruddin Syarif ◽  
Aminuddin Aminuddin ◽  
...  

From year to year the number of cases of people with HIV/AIDS has increased. This increase is also experienced in Indonesia, where adolescents infected with HIV/AIDS show a number that tends to rise. It is characterized by a teenager's ignorance about reproductive health and knowledge of his sexual state. So many teenagers are at risk for early marriage problems, pregnancy, sexually transmitted infections, and also HIV/AIDS. To look at the influence of HIV/AIDS education on the knowledge, attitudes, and Practice of Adolescent girls. Use Pre-Experiment with one group pre-test and post-test design. Sampling technique using purposive sampling and obtained the number of 47 students. The research was conducted in Senior High School 12 Makassar in September-October 2021. Data analysis using the McNemar Test. And statistical test results showed there was an influence on the use of HIV/AIDS education using web-based She Smart on knowledge where p-value = 0,000, attitude with a value of p-value = 0.000, and no significant difference in action with p-value = 0.500.  There is an influence on the use of web-based HIV/AIDS education using She Smart on knowledge and attitudes but no significant influence on actions before and after an intervention.


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