Mental health needs among pregnant and parenting adolescent girls and young women in South Africa: A scoping review

Linneth N. Mabila, Livhuwani Muthelo, Masenyani O. Mbombi, Peter M. Mphekgwana, Reneilwe G. Mashaba, Cairo B. Ntimana, Kagiso P. Seakamela, Joseph Tlouyamma, Inos Dhau, Rathani Nemuramba, Katlego Mothapo, Eric Maimela


Teenage pregnancy and parenting pose a greater risk of developing mental health problems among pregnant and parenting adolescent girls and young women. We report on a scoping review of peer-reviewed articles to identify mental health needs and challenges among pregnant and parenting adolescent girls and young women. We adopted only five steps of the Arksey and O'Malley framework to facilitate the scoping review of 125 articles published between July 2002 and August 2022 from these databases (MEDLINE, SABINET, EBSCOhost, Science Direct) using search syntax. Major themes emerged from the thematic content analysis; challenges experienced by pregnant and parenting adolescent girls and young women and the recommended interventions, factors associated with mental health in pregnant women and parenting adolescent girls and young women, and the implications of mental health problems. Mental health challenges, among others, include depression, stress and anxiety, post-traumatic stress disorders, and suicidal thoughts. Limited mental health interventions are provided to the group, including social support, parental coaching and counselling, and guidance, which translates to an imbalance between targeted mental health interventions and mental health challenges. We recommend involvement and education of the community on social support, development of digital health programs and integration of mental health services amongst schools, clinics, and community development to support pregnant and parenting adolescent girls and young women. (Afr J Reprod Health 2023; 27 [2]: 101-129).

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Franjić S. Adolescent pregnancy is a serious social problem.

J Gynecol Res Obstet. 2018;4(1):006–8.

Kumar M, Huang KY, Othieno C, Wamalwa D, Madeghe B,

Osok J, Kahonge SN, Nato J and McKay MM.

Adolescent pregnancy and challenges in Kenyan

context: perspectives from multiple community

stakeholders. Glob Soc Welf. 2018;5(1):11–27.

Cahyaningtyasa DK, Astutib AW and Hanic U. Parents

involvement and barriers of programme

interventions to reduce adolescent pregnancy. J

Health Technol Assess Midwifery ISSN.


WHO. Adolescent pregnancy [Internet]. 2022 [cited 2022

Nov 9]. Available from:


Blum, R.W and Gates, W.H. Blum: Girlhood, not

motherhood: preventing adolescent... - Google

Scholar [Internet]. 2015 [cited 2022 Nov 9].

Available from:




Stats SA. Recorded live births [Internet]. 2020 Oct [cited

Aug 26]. Report No.: P0305. Available from:

Ramulumo MR and Pitsoe VJ. Teenage pregnancy in South

African schools: Challenges, trends and policy

issues. Mediterr J Soc Sci. 2013;4(13):755–755.

Bhana A, Kreniske P, Pather A, Abas MA and Mellins CA.

Interventions to address the mental health of

adolescents and young adults living with or affected

by HIV: state of the evidence. J Int AIDS Soc

[Internet]. 2021 Jun [cited 2022 Nov 9];24(Suppl 2).

Available from:


Eboreime E, Ezeokoli A and Adams K and Banke-Thomas

A. Prioritizing the mental health needs of pregnant adolescents in sub-Saharan Africa. J Glob Health

Neurol Psychiatry. 2022;

Molek K and Bellizzi S. Teenage motherhood in Africa:

The epidemic in the COVID ‐19 pandemic. Int J

Gynecol Obstet. 2022 Jul;158(1):218–9.

Barron P, Subedar H, Letsoko M, Makua M and Pillay Y.

Teenage births and pregnancies in South Africa,

-2021–a reflection of a troubled country:

Analysis of public sector data. S Afr Med J.


Hodgkinson S, Beers L, Southammakosane C and Lewin A.

Addressing the Mental Health Needs of Pregnant and

Parenting Adolescents. Paediatrics. 2014 Jan


Nakku JE, Okello ES, Kizza D, Honikman S, Ssebunnya J,

Ndyanabangi S, Hanlon, S and Kigozi, F. Perinatal

mental health care in a rural African district, Uganda:

a qualitative study of barriers, facilitators and needs.

BMC Health Serv Res. 2016;16(1):1–12.

Laurenzi CA, Gordon S, Abrahams N, du Toit S, Bradshaw

M, Brand A, Melendez-Torres GJ, Tomlinson M,

Ross DA, Servili C, Carvajal-Aguirre L, Lai J, Dua

T, Fleischmann A and Skeen S. Psychosocial

interventions targeting mental health in pregnant

adolescents and adolescent parents: a systematic

review. Reprod Health. 2020 Dec;17(1):65.

Goossens G, Kadji C and Delvenne V. Teenage pregnancy:

a psychopathological risk for mothers and babies?

Psychiatr Danub. 2015;27(suppl 1):499–503.

Duby Z, McClinton Appollis T, Jonas K, Maruping K,

Dietrich J, LoVette A, Kuo C, Vanleeuw L and

Mathews C. " As a Young pregnant girl… the

challenges you face”: exploring the intersection

between mental health and sexual and reproductive

health amongst adolescent girls and Young women

in South Africa. AIDS Behav. 2021;25(2):344–53.

Donenberg G, Merrill KG, Atujuna M, Emerson E, Bray B

and Bekker LG. Mental health outcomes of a pilot 2-

arm randomized controlled trial of an HIVprevention program for South African adolescent

girls and young women and their female caregivers.

BMC Public Health. 2021 Dec;21(1):2189.

WHO. Improving the health and development of newborns,

children and adolescents in the Eastern

Mediterranean Region: the regional implementation

framework for newborn, child and adolescent health,

-2023 [Internet]. Cairo: World Health

Organization. Regional Office for the Eastern

Mediterranean; 2021 [cited 2022 Nov 9]. Available


Mutumba M and Harper GW. Mental health and support

among young key populations: an ecological

approach to understanding and intervention. J Int

AIDS Soc. 2015;18:19429.

Levac D, Colquhoun H and O’Brien KK. Scoping studies:

advancing the methodology. Implement Sci.


Tricco AC, Lillie E, Zarin W, O’Brien K, Colquhoun H,

Kastner M, Levac, D, Carmen Ng, Sharpe, JP,

Wilson, K, Kenny, M, Warren, R, Wilson, C,

Stelfox, HT and Straus SE. A scoping review on the

conduct and reporting of scoping reviews. BMC Med

Res Methodol. 2016 Dec;16(1):15.

Arksey H and O’Malley L. Scoping studies: towards a

methodological framework. Int J Soc Res Methodol.


Pham MT, Rajić A, Greig JD, Sargeant JM, Papadopoulos

A and McEwen SA. A scoping review of scoping

reviews: advancing the approach and enhancing the

consistency. Res Synth Methods. 2014;5(4):371–85.

Osok J, Kigamwa P, Stoep AV, Huang KY and Kumar M.

Depression and its psychosocial risk factors in

pregnant Kenyan adolescents: a cross-sectional study

in a community health Centre of Nairobi. BMC

Psychiatry. 2018 Dec;18(1):136.

East PL, Chien NC and Barber JS. Adolescents’ pregnancy

intentions, wantedness, and regret: Cross-lagged

relations with mental health and harsh parenting. J

Marriage Fam. 2012;74(1):167–85.

Logsdon MC, Birkimer JC, Ratterman A, Cahill K and

Cahill N. Social support in pregnant and parenting

adolescents: Research, critique, and

recommendations. J Child Adolesc Psychiatr Nurs.


Berry KM, Parker WA, Mchiza ZJ, Sewpaul R, Labadarios

D, Rosen S and Stokes A. Quantifying unmet need

for hypertension care in South Africa through a care

cascade: evidence from the SANHANES, 2011-

BMJ Glob Health. 2017 Aug;2(3):e000348.

Xavier C and Benoit A, Brown HK. Teenage pregnancy and

mental health beyond the postpartum period: a

systematic review. J Epidemiol Community Health.


Apolot RR, Tetui M, Nyachwo EB, Waldman L, Morgan

R, Aanyu C, Al, Mutebi A, Kiwanuka SN and

Ekirapa E Maternal health challenges experienced by

adolescents; could community score cards address

them? A case study of Kibuku District– Uganda. Int

J Equity Health. 2020 Dec 1;19(1):191.

Estrin GL Ryan EG, Trevillion K, Demilew J, Bick D,

Pickles A and Howard LM. Young pregnant women

and risk for mental disorders: findings from an early

pregnancy cohort. BJPsych Open. 2019;5(2).

Muzik M and Rosenblum K. A Mental Health and Parenting

Intervention for Adolescent and Young Adult

Mothers and their Infants. J Depress Anxiety

[Internet]. 2016 [cited 2022 Nov 9];5(3). Available


Byford M, Abbott RA, Maughan B, Richards M and Kuh

D. Adolescent mental health and subsequent

parenting: a longitudinal birth cohort study. J

Epidemiol Community Health. 2014;68(5):396–402.

Mutahi J, Larsen A, Cuijpers P, Peterson SS, Unutzer J,

McKay M, John-Stewart G, Jewell T, Kinuthia J,

Gohar F, Lai J, Wamalwa D, Gachuno O and Kumar

M. Mental health problems and service gaps

experienced by pregnant adolescents and young

women in Sub-Saharan Africa: A systematic review.

eClinicalMedicine. 2022 Feb;44:101289.

Coyne CA and D’Onofrio BM. Some (but not much)

progress toward understanding teenage childbearing:

A review of research from the past decade. Adv

Child Dev Behav. 2012;42:113–52.

DeMarco N, Twynstra J, Ospina MB, Darrington M,

Whippey C and Seabrook JA. Prevalence of low

birth weight, premature birth, and stillbirth among

pregnant adolescents in Canada: a systematic review

and meta-analysis. J Pediatr Adolesc Gynecol.


Meltzer-Brody S, Bledsoe-Mansori SE, Johnson N, Killian

C, Hamer RM, Jackson C, Wessel J and Thorp JA

prospective study of perinatal depression and trauma

history in pregnant minority adolescents. Am J

Obstet Gynecol. 2013;208(3):211-e1.

Yakubu I and Salisu WJ. Determinants of adolescent

pregnancy in sub-Saharan Africa: a systematic

review. Reprod Health. 2018;15(1):1–11.

Roberts KJ, Smith C, Cluver L, Toska E and Sherr L.

Understanding mental health in the context of

adolescent pregnancy and HIV in sub-saharan

Africa: a systematic review identifying a critical

evidence gap. AIDS Behav. 2021;25(7):2094–107.

Barnet B, Duggan AK, Devoe M and Burrell L. The effect

of volunteer home visitation for adolescent mothers

on parenting and mental health outcomes: a

randomized trial. Arch Pediatr Adolesc Med.


Shri N, Singh M, Dhamnetiya D, Bhattacharyya K, Jha RP

and Patel P. The Burden of Adolescent Pregnancy,

Motherhood and Adverse Pregnancy Outcome in

Uttar Pradesh and Bihar [Internet]. In Review; 2022

Apr [cited 2022 Nov 9]. Available from:

LePlatte D, Rosenblum KL, Stanton E, Miller N and Muzik

M. Mental health in primary care for adolescent

parents. Ment Health Fam Med. 2012;9(1):39.

Moltrecht B, Dalton LJ, Hanna JR, Law C and Rapa E.

Young parents’ experiences of pregnancy and

parenting during the COVID-19 pandemic: a

qualitative study in the United Kingdom. BMC

Public Health. 2022 Mar 17;22(1):523.

Sorsdahl K, Naledi T, Lund C, Levitt NS, Joska JA, Stein

DJ and Myers B. Integration of mental health

counselling into chronic disease services at the

primary health care level: Formative research on

dedicated versus designated strategies in the Western

Cape, South Africa. J Health Serv Res Policy. 2021


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

Adolescent pregnancy and associated factors in

South African youth. Afr Health Sci. 2013 Feb


Huang CY, Costeines J, Kaufman JS and Ayala C.

Parenting stress, social support, and depression for

ethnic minority adolescent mothers: Impact on child

development. J Child Fam Stud. 2014;23(2):255–62.

Merikangas KR, He JP, Burstein M, Swanson SA,

Avenevoli S, Cui L, Benjet C, Georgiades K and

Swendsen J. Lifetime prevalence of mental disorders

in US adolescents: results from the National

Comorbidity Survey Replication–Adolescent

Supplement (NCS-A). J Am Acad Child Adolesc

Psychiatry. 2010;49(10):980–9.

Patchen L and Lanzi RG. Maternal Depression and rapid

subsequent pregnancy among first-time mothers.

MCN Am J Matern Child Nurs. 2013;38(4):215.

Pires R, Araújo-Pedrosa A and Canavarro MC. Examining

the links between perceived impact of pregnancy,

depressive symptoms, and quality of life during

adolescent pregnancy: The buffering role of social

support. Matern Child Health J. 2014;18(4):789–

Zhou Y, Zheng J, Li S, Zhou T, Zhang P and Li HB.

Alcoholic Beverage Consumption and Chronic

Diseases. Int J Environ Res Public Health. 2016 May


Brown JD, Harris SK, Woods ER, Buman MPN and Cox

JE. Longitudinal Study of Depressive Symptoms and

Social Support in Adolescent Mothers. Matern Child

Health J. 2012 May;16(4):894–901.

Mangeli M, Rayyani M, Cheraghi MA and Tirgari B.

Exploring the challenges of adolescent mothers from

their life experiences in the transition to motherhood:

a qualitative study. J Fam Reprod Health.


Steventon Roberts K, Smith C, Toska E, Cluver L, Haag K,

Wittesaele C, Langwenya N, Jochim J, Saal W,

Shenderovich Y and Sherr L. Risk factors for poor

mental health among adolescent mothers in South

Africa. Psychology, health & medicine. 2022 Dec


Gbogbo S. Early motherhood: voices from female

adolescents in the Hohoe Municipality, Ghana—a

qualitative study utilizing Schlossberg’s Transition

Theory. Int J Qual Stud Health Well-Being.


Ngum Chi Watts MC, Liamputtong P and Mcmichael C.

Early motherhood: a qualitative study exploring the

experiences of African Australian teenage mothers in

greater Melbourne, Australia. BMC Public Health.


Kheswa JG and Pitso TJ. Psychological well-being and

sexual behaviour of South African teenage mothers:

An overview. Mediterr J Soc Sci. 2014;5(10):563–

Pitso T, Kheswa J, Nekhwevha F and Sibanda M. The

psycho-social wellbeing of the teenage mothers.

Mediterr J Soc Sci. 2014;5(10):610–610.

Reiss F, Meyrose AK, Otto C, Lampert T and Klasen F,

Ravens-Sieberer U. Socioeconomic status, stressful

life situations and mental health problems in children

and adolescents: Results of the German BELLA

cohort-study. PloS One. 2019;14(3):e0213700.

Kutcher S, Perkins K, Gilberds H, Udedi M, Ubuguyu O,

Njau T, Chapota R and Hashish M. Creating

evidence-based youth mental health policy in subSaharan Africa: A description of the integrated

approach to addressing the issue of youth depression

in Malawi and Tanzania. Front Psychiatry.


Kumar SR, Davies S, Weitzman M and Sherman S. A

review of air quality, biological indicators and health

effects of second-hand waterpipe smoke exposure.

Tob Control. 2015 Mar;24(Suppl 1):i54–9.

Corcoran J. Teenage pregnancy and mental health.

Societies. 2016;6(3):21.

Huang S, Li J, Shearer GC, Lichtenstein AH, Zheng X, Wu

Y, Jin C, Wu S and Gao X. Longitudinal study of

alcohol consumption and HDL concentrations: a

community-based study. Am J Clin Nutr. 2017


Sanders MR, Divan G, Singhal M, Turner KM, Velleman

R, Michelson D and Patel V. Scaling up parenting

interventions is critical for attaining the Sustainable

Development Goals. Child Psychiatry Hum Dev.


Gelaye B, Rondon MB, Araya R and Williams MA.

Epidemiology of maternal depression, risk factors,

and child outcomes in low-income and middleincome countries. Lancet Psychiatry. 2016


Moodley J. The Significance of Intersectionality in Mental

Health-Care Policy in South Africa. In: The Palgrave

handbook of intersectionality in public policy.

Springer; 2019. p. 625–40.

Santos AL, Teston EF, Cecílio HP, Serafim D and Marcon

SS. Grandmothers' Involvement In The Care Of

Children Of Adolescent Mothers. REME Rev Min

Enferm [Internet]. 2015 [cited 2018 Jan 15]; 19 (1):



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