Unplanned pregnancy among female students at universities in the Eastern Cape Province, South Africa

Given Mutinta

Abstract

Unplanned pregnancy has adverse effects including unsafe and illegal abortions causing maternal morbidity and mortality. Despite the adverse impact of unplanned pregnancy on women’s personal life, their families, and society, there is a dearth of knowledge on unplanned pregnancy in institutions of higher education and training in South Africa. As a result, the objective of this study was to assess unplanned pregnancy and underlying factors among unmarried female students in universities in Eastern Cape. This was a cross-sectional survey of 1269 unmarried female students from universities in Eastern Cape selected using multistage cluster sampling. The study found that the prevalence of unplanned pregnancy was 12.31%, Health Science student (AOR: 0.41, 95% CI [0.17, 0.99], p < 0.001) were less likely to experience unplanned pregnancy. Being financially supported by a family (AOR: 0.17, 95% CI: [0.07, 0.43], p< 0.001) and being aged less than or equal to 18 years during the first sexual intercourse (AOR: 6.32, 95% CI: [2.57, 15.54], p < 0.001) were associated with unplanned pregnancy. Rural residence (AOR=3.93; 95% CI: (1.21, 12.84), p < 0.001), not using contraceptives (AOR=10.63; 95%CI: 5.29, 21.37, p < 0.001) and having divorced parents (AOR=1.99; 95%CI: 1.14, 3.94), p < 0.001) were associated with unplanned pregnancy compared to their counterparts, respectively. The prevalence of unplanned pregnancy is high among unmarried female students in universities in Eastern Cape. Unplanned pregnancy was influenced by age at first sexual intercourse, non-use of contraceptives, divorced parents, the field of study, and the source of financial support. Universities and stakeholders should work together to support reproductive health programmes to prevent unplanned pregnancy. (Afr J Reprod Health 2022; 26[7]: 29-37).

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References

Abiodun OM and Balogun OR. Sexual activity and

contraceptive use among young female students of

tertiary educational institutions in Ilorin, Nigeria.

Contraception 2009; 79 (2); 146-149.

Agbor VN, Mbanga CM and Njim T. Adolescent deliveries

in rural Cameroon: an 8-year trend, prevalence and

adverse maternofoetal outcomes. Reprod Health.

; 14 (1):122.

Akanbi F, Afolabi KK and Aremu AB. Individual risk factors

contributing to the prevalence of teenage pregnancy

among teenagers at Naguru teenage Centre Kampala.

Uganda Prim Health Care. 2016; 6(4):1–5.

Creswell JW. Research Design Qualitative, Quantitative and

Mixed Methods Approaches (4th ed.). Thousand

Oaks, CA Sage; 2014.

Amoran OE. A comparative analysis of predictors of teenage

pregnancy and its prevention in a rural town in

Western Nigeria. Int J Equity Health. 2012; 11:37.

Ayele BG, Gebregzabher TG, Hailu TT and Assefa BA.

Determinants of teenage pregnancy in Degua

Tembien District, Tigray, northern Ethiopia: a

community-based case-control study. PLoS One.

; 13(7):e0200898.

Beyene A, Muhiye A, Getachew Y, Hiruye A, Mariam DH,

Derbew M, Dereje M and Fikre E. Assessment of the

magnitude of teenage pregnancy and its associated

factors among teenage females visiting Assosa

General Hospital. Ethiopian Med J. 2015; (2):25–37.

Brahmbhatt H, Kagesten A, Emerson M, Decker MR,

Olumide AO, Ojengbede O, Chaohua L, Freya LS,

Robert WB and Sinead DM. Prevalence and

determinants of adolescent pregnancy in urban

disadvantaged settings across five cities. J Adolesc

Health. 2014; 55(6 Suppl):S48–57.

Breuner CC, Mattson G, Child CoPAo and Health F.

Sexuality education for children and adolescents.

Pediatrics. 2016; 138(2):e20161348.

Cabezón C, Vigil P, Rojas I, Leiva ME, Riquelme R, Aranda

W and Carlos G. Adolescent pregnancy prevention: an

abstinence-centered randomized controlled intervention in a Chilean public high school. J Adolescent Health. 2005; 36(1):64-9.

Calvert C, Baisley K, Doyle AM, Maganja K, Changalucha

J, Watson-Jones D, Richard JH and David AR. Risk

factors for unplanned pregnancy among young

women in Tanzania.

Chen X-K, Wen SW, Fleming N, Demissie K, Rhoads GG

and Walker M. Teenage pregnancy and adverse birth

outcomes: a large population based retrospective

cohort study. Int J Epidemiol. 2007; 36(2):368-73.

Ezegwui H, Ikeako L and Ogbuefi F. Obstetric outcome of

teenage pregnancies at a tertiary hospital in Enugu,

Nigeria. Niger J Clin Pract. 2012; 15(2):147-50.

Bryman A. Social research methods (4th ed). Oxford

university press; 2012.

Ganchimeg T, Ota E, Morisaki N, Laopaiboon M,

Lumbiganon P, Zhang J, Yamdamsuren B,

Temmerman M, Say S, Tunçalp O, Vogel JP, Souza

JP and Mori R. Pregnancy and childbirth outcomes

among adolescent mothers: a World Health

Organization multicountry study. BJOG. 2014;

(1):40-8.

Garba I, Adewale TM, Ayyuba R and Abubakar IS.

Obstetric outcome of teenage pregnancy at Aminu

Kano teaching hospital: a 3-year review. J Med Trop.

; 18(1):43.

Gideon R. Factors associated with adolescent pregnancy and fertility in Uganda: analysis of the 2011 demographic

and health survey data. Am J Soc Res. 2013; 3(2):30–

Guilamo-Ramos V, Bowman AS, Santa Maria D, Kabemba

F and Geronimo Y. Addressing a critical gap in U.S.

National Teen Pregnancy Prevention Programs: the

acceptability and feasibility of father-based sexual and

reproductive health interventions for Latino

adolescent males. J Adolesc Health. 2018; 62(3):S81–

S6.

Habib MA, Raynes-Greenow C, Nausheen S, Soofi SB,

Sajid M, Bhutta ZA and Kirsten IB. Prevalence and

determinants of unintended pregnancies amongst

women attending antenatal clinics in Pakistan, BMC

Pregnancy Childbirth. 2017; 17 (1) 156.

Iklaki CU, Inaku JU, Ekabua JE, Ekanem EI and Udo AE.

Perinatal outcome in unbooked teenage pregnancies in

the University of Calabar teaching hospital, calabar,

Nigeria. ISRN Obstet Gynecol. 2012; 2012:246983.

Morgan DL. Integrating qualitative and quantitative

methods: A pragmatic approach. Sage Publications;

Iloki L, Koubaka R, Itoua C and Mbemba MG. Teenage

pregnancy and delivery: 276 cases observed at the

Brazzaville University hospital, Congo. J Gynecol

Obstet Biol Reprod. 2004; 33(1):37-42.

Isa AI and Gani IOO. Socio-demographic determinants of

teenage pregnancy in the Niger Delta of Nigeria. Open

J Obstet Gynecol. 2012; 2(03):239.

Izugbara C. Socio-demographic risk factors for unintended

pregnancy among unmarried adolescent Nigerian

girls. S Afr Fam Pract. 2015; 57(2):121-5.

Jonas K, Crutzen R, van den Borne B, Sewpaul R and Reddy P. Teenage pregnancy rates and associations with

other health risk behaviours: a three-wave crosssectional study among South African school-going

adolescents. Reprod Health. 2016; 13(1):50.

Kaphagawani NC and Kalipeni E. Sociocultural factors

contributing to teenage pregnancy in Zomba district,

Malawi. Glob Public Health. 2016; 12(6):694–710.

Krugu JK, Mevissen FEF, Prinsen A and Ruiter RAC.

Who’s that girl? A qualitative analysis of adolescent girls’ views on factors associated with teenage

pregnancies in Bolgatanga, Ghana. Reprod Health.

; 13(1):39.

Lim MS, Zhang XD, Kennedy E, Li Y, Yang Y, Li Y, YunXia L, Temmerman and Stanley L. Sexual and

reproductive health knowledge, contraception uptake,

and factors associated with unmet need for modern

contraception among adolescent female sex workers

in China. PloS One 2015; 10 (1).

Loaiza E and Liang M. Adolescent pregnancy: a review of

the evidence; 2013.

Lyamuya R. Obstetric outcome among adolescent

primigravidae delivering at Muhimbili National

Hospital Dar es Salaam. Tanzania: Muhimbili

University of Health and Allied Sciences; 2002.

Ma Q, Ono-Kihara M, Cong L, Xu G, Pan X, Zamani S,

Shahrzad MR and Masahiro, K. Unintended

pregnancy and its risk factors among university

students in eastern China. Contraception 2008; 77 (2):

-113.

Mayor S. Pregnancy and childbirth are leading causes of

death in teenage girls in developing countries. BMJ.

; 328(7449):1152.

McCurdy RJ, Schnatz PF, Weinbaum PJ and Zhu J.

Contraceptive use in adolescents in sub-Saharan

Africa: evidence from demographic and health

surveys. Conn Med. 2014; 78(5):261–72.

Mchunu G, Peltzer K, Tutshana B and Seutlwadi L.

Adolescent pregnancy and associated factors in south

African youth. Afr Health Sci. 2012; 12(4):426–34.

Naziru MT. Determinants of adolescent pregnancy: a casecontrol study in the Amenfi West District, Ghana;

Ngowa JDK, Kasia JM, Pisoh WD, Ngassam A and Noa C.

Obstetrical and perinatal outcomes of adolescent

pregnancies in Cameroon: a retrospective cohort study

at the Yaoundé general hospital. Open J Obstet

Gynecol. 2015; 5(02):88.

Okigbo CC and Speizer IS. Determinants of sexual activity

and pregnancy among unmarried young women in

urban Kenya: a cross-sectional study. PLoS One.

; 10(6):e0129286.

Peltzer K. Early sexual debut and associated factors among

in-school adolescents in eight African countries, Acta

Paediatrica 2010; 99 (8): 1242-1247.

Pradhan R, Wynter K and Fisher J. Factors associated with

pregnancy among adolescents in low-income and

lower middle-income countries: a systematic review.

Journal of Epidemiology Community Health. 2015;

(9):918.

Rasheed S, Abdelmonem A and Amin M. Adolescent

pregnancy in Upper Egypt. International Journal of

Gynaecology Obstet. 2011; 112(1):21–4.

Schipulle U. Adolescent pregnancies in Central Gabon: a

description of epidemiology and birth outcomes;

Sedgh G, Singh S and Hussain R. Intended and unintended

pregnancies worldwide in 2020 and recent trends,

Students. Family Planning 2021; 45 (3): 301-314.

Silk J and Romero D. The role of parents and families in teen pregnancy prevention: an analysis of programs and

policies. J Fam Issues. 2013;35(10):1339–62.

Somba MJ, Mbonile M, Obure J and Mahande MJ. Sexual

behaviour, contraceptive knowledge and use among

female undergraduates’ students of Muhimbili and

Dar es Salaam Universities, Tanzania: a crosssectional study, BMC Woman’s Health 2014; 14 (1): 94.

Sungwe C. Factors associated with teenage pregnancy in

Zambia. Lusaka: University of Zambia; 2015.

Thongnopakun S, Pumpaibool T and Somrongthong R. The

effects of an educational program on knowledge,

attitudes and intentions regarding condom and

emergency contraceptive pill use among Thai female

university students. Journal of Health Research. 2018;

(2); 30.

TO E, Omeichu A, Halle-Ekane GE, Tchente CN, Egbe EN and Oury J-F. Prevalence and outcome of teenage

hospital births at the Buea health district, south west

region, Cameroon. Reprod Health. 2015; 12(1):118.

UNFPA. Adolescent pregnancy: a review of the evidence.

New York: UNFPA; 2013.

UNFPA. Girlhood not motherhood. Preventing adolescent

pregnancy. New York: UNFPA; 2015.

WHO. Adolescent pregnancy fact sheet: World Health

Organization; 2018. Available

from: http://www.who.int/mediacentre/factsheets/fs3

/en/. Accessed 1 Feb 2018.

WHO. Adolescent Pregnancy. Geneva: World Health

Organization; 2014. Available

from: http://www.who.int/mediacentre/factsheets/fs3

/en/

Yakubu I and Salisu WJ. Determinants of adolescent

pregnancy in sub-Saharan Africa: a systematic review.

Reproductive Health. 2018; 15(1):15.

Zhou Y, Xiong C, Xiong J, Shang X, Liu J, Zhang M and

Pin Y. A blind area of family planning services in

China: unintended pregnancy among unmarried

graduate students, BMC Public Health. 2013; (1): 198

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