Experiences of adolescent pregnancy among Maasai in Kenya: Implications for prevention

Miriam A. Stats, David R. Hill, Josephine Ndirias

Abstract

Adolescent fertility rates are high in Kenya and increase the likelihood of maternal and infant morbidity and mortality. The objectives were to (1) explore the prevalence of unintended pregnancy among Maasai adolescent mothers, (2) understand the context in which pregnancy is occurring, and (3) suggest community-based strategies to prevent adolescent pregnancy. In in-depth, individual, qualitative interviews with Maasai females that gave birth during adolescence, pregnancy was unintended in 100% of cases. Our results suggest a desire among this population to prevent pregnancy and the need for contraception. Our recommendations include comprehensive sex education that targets very young adolescents, implementation of mechanisms to strive toward universal primary education, and the provision of resources and skills to adolescents that they need to practice safer sex. (Afr J Reprod Health 2022; 26[6]:36-44).

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Ganchimeg T, Ota E, Morisaki N, Laopaiboon M, Lumbiganon P, Zhang J, Yamdamsuren B, Temmerman M, Say L, Tunçalp Ö, Vogel JP, Souza JP, Mori R and WHO Multicountry Survey on Maternal Newborn Health Research Network. Pregnancy and childbirth outcomes among adolescent mothers: A World Health Organization multicountry study. BJOG: An International Journal of Obstetrics & Gynaecology 2014, 121, 40-48.

Chandra-Mouli V, Camacho AV and Michaud PA. WHO guidelines on preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries. Journal of adolescent health, 2013 52(5), 517-522.

Senderowitz J and Paxman JM. Adolescent fertility: Worldwide concerns. Population bulletin, 1985 40(2), 1-51.

World Health Organization. Adolescents: Health Risks and Solutions. 2017 Available from: http://www.who.int/mediacentre/factsheets/fs345/en/

Omar K, Hasim S, Muhammad NA, Jaffar A, Hashim SM and Siraj HH. Adolescent pregnancy outcomes and risk factors in Malaysia. International Journal of Gynecology & Obstetrics 2010, 111(3), 220-223.

Mtuy TB, Burton MJ, Mwingira U, Ngondi JM, Seeley J and Lees S. Knowledge, perceptions and experiences of trachoma among Maasai in Tanzania: Implications for prevention and control. PLoS neglected tropical diseases 2019, 13(6), e0007508.

World Health Organization. Adolescent pregnancy [electronic resource]: unmet needs and undone deeds: a review of the literature and programmes. 2007

McQueston K, Silverman R and Glassman A. Adolescent fertility in low-and middle-income countries: effects and solutions. Center for Global Development Working Paper 2012, 295.

Omoro T, Gray SC, Otieno G, Mbeda C, Phillips-Howard P, Hayes T, Otieno F and Gust DA. Teen pregnancy in rural western Kenya: a public health issue. International Journal of Adolescence and Youth 2018, 23(4), 399-408.

Juma M, Askew I, Alaii J, Bartholomew LK and van den Borne B. Cultural practices and sexual risk behaviour among adolescent orphans and non-orphans: a qualitative study on perceptions from a community in western Kenya. BMC public health 2014, 14(1), 1-9.

Okigbo CC and Speizer IS. Determinants of sexual activity and pregnancy among unmarried young women in urban Kenya: A cross-sectional study. PloS one 2015, 10(6), e0129286.

Heise L, Ellsberg M and Gottemoeller M. Ending violence against women. Population reports 1999, 27(4), 1-1.

Republic of Kenya Ministry of Health. Adolescent sexual and reproductive health in Laikipia County. African Institute of Development Policy. https://www.afidep.org/download/Fact-sheet_Laikipia-County-.pdf. 2016

Mpoke S, Johnson KE and Anderson NLR. Baseline survey of pregnancy practices among Kenyan Maasai. Western Journal of Nursing Research 1993, 15(3), 298-313.

Stats MA, Hill DR and Ndirias J. Knowledge and misconceptions surrounding family planning among Young Maasai women in Kenya. Global Public Health 2020, 15(12), 1847-1856.

Gale NK, Heath G, Cameron E, Rashid S and Redwood S. Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Medical Research Methodology 2013, 13(1), 117. https://doi. org/10.1186/1471-2288-13-117.

Ross DA, Dick B, Ferguson J and World Health Organization. Preventing HIV/AIDS in young people: a systematic review of the evidence from developing countries. World Health Organization. 2006

Pakdamana S and Azadgoli B. Maasai culture and its effect on sexual health: A field study on the disparities of knowledge within the community. The Columbia Journal of Global Health 2014, 4(1), 36-41.

Biddlecom AE, Hessburg L, Singh S, Bankole A and Darabi, L. Protecting the next generation in Sub-Saharan Africa: Learning from adolescents to prevent HIV and unintended pregnancy. 2007 New York: Guttmacher Institute.

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