Socio-cultural factors influencing teenage pregnancy in the East Mamprusi Municipality, Ghana

Joshua Dindiok Dubik, Patience Aniteye, Solina Richter


Teenage pregnancy puts a heavy cost on the mother and newborn child, family and the wider society. Despite measures taken by the Ghana Health Service to tackle the issue of teenage pregnancy, the phenomenon remains a public health concern that is widespread throughout the country. The study investigated the socio-cultural factors influencing teenage pregnancy in the East Mamprusi Municipality using an exploratory descriptive design. The study was conducted in rural communities in the East Mamprusi Municipality, in the North East Region of Ghana. Eighteen (18) participants were purposively sampled. Data collection was done by face to face interviews using an interview guide. The study found that polygamous families, parents’ desire for grandchildren, multiple sexual partners and poverty were reportedly influencing teenage pregnancy in the rural community. The bid to establish close family ties also accounted for early marriages. There is a culture of silence on matters of sexuality in the community. Teenage pregnancy is an observed phenomenon admitted by the participants and teenage girls are at risk of serious health complications. This phenomenon paints a gloomy picture of the girl child education in the municipality. (Afr J Reprod Health 2022; 26[5]: 120-130).

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WHO Adolescent health in South-East Asia Region 2022. Retrieved from

Phillips SJ and Mbizvo MT. Empowering adolescent girls in sub-Saharan Africa to prevent unintended pregnancy and HIV: a critical research gap. Int J Gynaecol Obstet. 2016;132(1):1–3.

United Nations Population Fund. Motherhood in childhood: facing the challenge of adolescent pregnancy. New York: UNFPA, 2013.

Darroch J, Woog V, Bankole A and Ashford LS. Adding it up: Costs and benefits of meeting the contraceptive needs of adolescents. New York: Guttmacher Institute; 2016.

UNFPA. Girlhood, not motherhood: Preventing adolescent pregnancy. New York: UNFPA; 2015.

WHO. Global health estimates 2015: deaths by cause, age, sex, by country and by region, 2000–2015. Geneva: WHO; 2016.

Aniteye P and Mayhew S. Attitudes and Experiences of Women Admitted to Hospital with Abortion Complications in Ghana. African Journal of Reproductive Health. 2011; 15(1), 47–56.

Neal S, Matthews Z, Frost M, Fogstad H, Camacho AV and Laski L. Childbearing in adolescents aged 12–15 years in low resource countries: a neglected issue. New estimates from demographic and household surveys in 42 countries. Acta obstetricia et gynecologica Scandinavica. 2012 Sep;91(9):1114-8.

World atlas. World Facts: Highest Teen Pregnancy Rates Worldwide 2015 [updated April 25, 2017. Available from: highest-teen-pregnancy-rates-worldwide.html

Ahinkorah BO, Kang M, Perry L, Brooks F and Hayen A. Prevalence of first adolescent pregnancy and its associated factors in sub-Saharan Africa: A multi-country analysis. PLoS One. 2021 Feb 4;16(2):e0246308.

United Nation Development Programme. Millennium development goals: A compact among nations to end human poverty. New York: United National Development Programme 2003

Yakubu I and Salisu WJ. Determinants of adolescent pregnancy in sub-Saharan Africa: a systematic review. Reproductive health. 2018 Dec;15(1):1-1.

Lieber E, Chin D, Li L, Rotheram-Borus MJ, Detels R, Wu Z and Guan J. Sociocultural contexts and communication about sex in China: informing HIV/STD prevention programs. AIDS Education and Prevention : Official Publication of the International Society for AIDS Education. 2009; 21(5), 415–429.

Nyarko K. Parental Attitude towards Sex Education at the Lower Primary in Ghana. International Journal of Elementary Education. 2014; 3(2), 21-29.

Gyan C. The effects of teenage pregnancy on the educational attainment of girls at Chorkor, a Suburb of Accra. Journal of Educational and Social Research. 2013; 3(3), 53 - 60.

Gunawardena N, Fantaye AW and Yaya S. Predictors of pregnancy among young people in sub-Saharan Africa: a systematic review and narrative synthesis. BMJ global health. 2019 Jun 1;4(3):e001499.

Izugbara CO. The Socio-Cultural Context of Adolescents’ Notions of Sex and Sexuality in Rural South-Eastern Nigeria. Sexualities. 2005; 8(5), 600–617.

Polit DF and Beck CT. Essentials of nursing research: appraising evidence for nursing practice. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2010.

Ghana Statistical Service. Population and Housing Census Report: Children, Adolescents and Young People in Ghana. 2013 Available from ple_in_Gh.pdf.

Bernard HR. Social research methods. Thousand Oaks, CA: Sage. 2000

Birhanu BE, Kebede DL, Kahsay AB and Belachew AB. Predictors of teenage pregnancy in Ethiopia: a multilevel analysis. BMC Public Health. 2019 Dec;19(1):1-0.

Oyedele O, Wright S & Maja T. Guidelines for Community Participation in Teenage Pregnancy Prevention Based on the Community-as-Partner Model. Journal of Scientific Research and Reports. 2015; 5(3), 234–247.

Wood K and Jewkes R. Blood Blockages and Scolding Nurses: Barriers to Adolescent Contraceptive Use in South Africa. Reproductive Health Matters. 2006; 14(27), 109–118.

Tabi MM, Doster C and Cheney T. A qualitative study of women in polygynous marriages. International nursing review, 2010, 57(1), 121-127.

Alamgir A. Islam and Polygamy : A Case Study in Malaysia. Procedia - Social and Behavioral Sciences. 2014. 114, 889–893.

Mbeba RM., Mkuye MS, Magembe GE, Yotham WL, Mellah A and Baptist S. Barriers to sexual reproductive health services and rights among young people in Mtwara district, Tanzania : a qualitative study. Pan African Medical Journal. 2012; 13(Supp 1), 1–6.

Ghana News Agency (GNA). Retrieved from

Ochiogu I, Miettola J, Ilika A and Vaskilampi T. Impact of Timing of Sex Education on Teenage Pregnancy in Nigeria: Cross-sectional Survey of Secondary School Students. Journal of Community Health. 2011; 36(3), 375–380.

Adongo BW. Assessing factors influencing early sexual initiation among adolescents (13 to 19 years) in Ghana: a qualitative study. IJCS 2018;11.

Jewkes R and Morrell R. Sexuality and the limits of agency among South African teenage women: Theorising femininities and their connections to HIV risk practices. Social Science & Medicine. 2012; 74(11), 1729-1737. doi:10.1016/j.socscimed.2011.05.020

Dunkle KL, Jewkes RK, Brown HC, Gray GE, McIntryre JA and Harlow SD. Transactional sex among women in Soweto, South Africa: prevalence, risk factors and association with HIV infection. Social science & medicine.2004 59(8), 1581-1592.

Madise N, Zulu E and Ciera J. Is poverty a driver for risky sexual behavior? Evidence from national surveys of adolescents in four African countries: original research article. African journal of reproductive health. 2007; 11(3), 83-98.

Naami A and Ayisha MI. "Empowering Persons with Disabilities to Reduce Poverty: A Case Study of Action on Disability and Development, Ghana." Journal of General Practice. 2013;

Ansu-kyeremeh K, Richter M, Vallianatos H and Aniteye P. Rural Women's Exposure to Health Messages and Understandings of Health. Journal of Healthcare Communications. 2016 1(3), 18.

Frost M, Cares A, Gelman K and Beam R. Accessing sexual and reproductive health care and information: Perspectives and recommendations from young Asian American women. Sexual & Reproductive Healthcare. 2016; 10, 9–13.

Nyarko K. Parental Attitude towards Sex Education at the Lower Primary in Ghana. International Journal of Elementary Education. 2014; 3(2), 21-29.

Ayalew M, Mengistie B and Semahegn A. Adolescent-parent communication on sexual and reproductive health issues among high school students in Dire Dawa, Eastern Ethiopia: a cross sectional study. Reproductive health. 2014 Dec;11(1):1-8.

Laila WO. Social and Cultural Dimensions of Adolescent Sexual Relationships in Thailand. Procedia - Social and Behavioral Sciences. 2015; 171, 606–612.

Aniteye P, O’Brien B and Mayhew SH. Stigmatized by association: challenges for abortion service providers in Ghana. BMC health services research. 2016 16(1), 486.

Were M. Determinants of teenage pregnancies: The case of Busia District in Kenya. Economics and Human Biology. 2007; 5(2), 322–339.


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