Personal factors influencing unplanned teenage pregnancy among high school learners at Collins Chabane Local Municipality, Limpopo Province

Ntiyiso V. Khosa, Augustine K. Tugli, Tobias J. Mokwena, Seani A. Mulondo

Abstract

Teenage pregnancy is a significant psychosocial issue in both developed and developing countries, including South Africa, leading to poor academic performance and school dropout rates. The study aimed to determine personal factors that influence unplanned teenage pregnancy among high school learners in Collins Chabane Local Municipality in Limpopo Province. A quantitative approach was employed in the study. The researcher used a cross-sectional descriptive design. A simple random sampling technique was followed to select 340 female learners, and only one school was recruited to participate in the study. The respondents completed the self-administered questionnaires. Data analysis was conducted using the Statistical Package of Social Science version 25.0. Face validity and reliability were ensured. Ethical considerations such as anonymity, confidentiality, and voluntary participation were ensured. The study revealed that 57.7% of the respondents disagreed that lack of self-confidence about sexual activities could lead to unplanned pregnancies, and 59.7% did not fear losing partners when asked about the use of contraceptives or the non-use of contraceptives. The promotion of contraceptives among youth is crucial for reducing unplanned pregnancies. Education about contraception use, abstinence, and open communication can help adolescents to make informed decisions about their health

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Bearak JM, Popinchalk A, Beavin C, Ganatra B, Moller AB, Tunçalp Ö, Alkema L. Country-specific estimates of unintended pregnancy and abortion incidence: a global comparative analysis of levels in 2015–2019. BMJ Global Health. 2022;7(3):e007151.

Ranatunga ID, Jayaratne K. Proportion of unplanned pregnancies, their determinants and health outcomes of women delivering at a teaching hospital in Sri Lanka. BMC pregnancy and childbirth. 2020;20:1-15.

Fathalla MF. Safe abortion: The public health rationale. Best Practice & Research Clinical Obstetrics & Gynaecology. 2020;63:2-12.

Seidu AA, Ameyaw EK, Ahinkorah BO, Baatiema L, Dery S, Ankomah A, Ganle JK. Sexual and reproductive health education and its association with ever use of contraception: a cross-sectional study among women in urban slums, Accra. Reproductive Health. 2022;19(1):7.

Derefinko KJ, Ashby S, Hayes T, Kaplan C, Bursac Z, García FI, Madjlesi A, Tonkin L, Bowden M, Popescu F, and Waters T. Sexually transmitted infections and contraceptive use in adolescents. American Journal of Preventive Medicine. 2020;58(4):536-46.

Akuiyibo S, Anyanti J, Idogho O, Piot S, Amoo B, Nwankwo N, Anosike N. Impact of peer education on sexual health knowledge among adolescents and young persons in two North Western states of Nigeria. Reproductive health. 2021;18:1-8.

Kemigisha E, Bruce K, Ivanova O, Leye E, Coene G, Ruzaaza GN, Ninsiima AB, Mlahagwa W, Nyakato VN, Michielsen K. Evaluation of a school-based comprehensive sexuality education program among very young adolescents in rural Uganda. BMC Public Health. 2019;19:1-11.

Mbizvo MT, Kasonda K, Muntalima NC, Rosen JG, Inambwae S, Namukonda ES, Mungoni R, Okpara N, Phiri C, Chelwa N, and Kangale C. Comprehensive sexuality education linked to sexual and reproductive health services reduces early and unintended pregnancies among in-school adolescent girls in Zambia. BMC Public Health. 2023;23(1):348.

Gichane MW, Wamoyi J, Atkins K, Balvanz P, Maman S, Majani E, Pettifor A. The influence of cash transfers on engagement in transactional sex and partner choice among adolescent girls and young women in Northwest Tanzania. Culture, Health & Sexuality. 2022;24(1):1-15.

Freedman J, Rakotoarindrasata M, de Dieu Randrianasolorivo J. Analysing the economies of transactional sex amongst young people: Case study of Madagascar. World Development. 2021;138:105289.

Wangamati CK. Comprehensive sexuality education in sub-Saharan Africa: adaptation and implementation challenges in universal access for children and adolescents. Sexual and Reproductive Health Matters. 2020;28(2):1851346.

Mostert K, Sethole KM, Khumisi O, Peu D, Thambura J, Ngunyulu RN, Mulaudzi MF. Sexual knowledge and practice of adolescent learners in a rural South African school. African health sciences. 2020;20(1):28-38.

Worku MG, Tessema ZT, Teshale AB, Tesema GA, Yeshaw Y. Prevalence and associated factors of adolescent pregnancy (15–19 years) in East Africa: a multilevel analysis. BMC Pregnancy and Childbirth. 2021;21:1-8.

Camper Jr BM. A case study analysis among former urban gifted high school dropouts: Walden University, 2019.

Mavhandu-Mudzusi AH, and Mhongo BG. Adolescents’ Sexual Education: Parental Involvement in a Rural Area in KwaZulu-Natal, South Africa. Africa Journal of Nursing and Midwifery. 2021;23(1):15 pages.

Duckett LJ. Quantitative research excellence: Study design and reliable and valid measurement of variables. Journal of Human Lactation. 2021;37(3):456-63.

Vinny KN, Gladys MA, Lufuno M. Unhealthy sexual practices among youth in Vhembe District, Limpopo province: A cross-sectional study. African Journal of Reproductive Health. 2024;28(6):85-94.

Campbell S, Greenwood M, Prior S, Shearer T, Walkem K, Young S, Bywaters D, and Walker K. Purposive sampling: complex or simple? Research case examples. Journal of Research in Nursing. 2020;25(8):652-61.

Mason J, Classen S, Wersal J, and Sisiopiku VP. Establishing face and content validity of a survey to assess users’ perceptions of automated vehicles. Transportation research record. 2020;2674(9):538-47.

Uzun Z, Öğretmen T. Test equating with the Rasch model to compare pre-test and post-test measurements. Journal of Measurement and Evaluation in Education and Psychology. 2021;12(4):336-47.

Tian J. The Impact of Sex Education on the Status of Women in the United States. Journal of Education, Humanities and Social Sciences. 2023;8:607-12.

Jiskrova GK, Vazsonyi AT. Multi-contextual influences on adolescent pregnancy and sexually transmitted infections in the United States. Social Science & Medicine. 2019;224:28-36.

Hosseini F, Alidousti Shahraki K, Azizzadeh Forouzi M, Ahmadi A, Dehesh T. The effect of cognitive behavioral counseling on sexual knowledge, motivation to avoid risky sexual relationships, and sexual depression in female university students. Trends in psychiatry and psychotherapy. 2020;42:122-8.

Brody C, Reno R, Chhoun P, Kaplan K, Tuot S, Yi S. Female entertainment workers and condom use negotiation in the post-100% condom use era, Cambodia. Archives of sexual behavior. 2020:1-10.

Turner N, Götmark F. Human fertility and religions in sub-Saharan Africa: A comprehensive review of publications and data, 2010-2020. African Journal of Reproductive Health. 2023;27(1):119-71.

Šaffa G, Kubicka AM, Hromada M, and Kramer KL. Is the timing of menarche correlated with mortality and fertility rates? PloS one. 2019;14(4):e0215462.

nAjayi AI, Odunga SA, Oduor C, Ouedraogo R, Ushie BA, and Wado YD. " I was tricked": understanding reasons for unintended pregnancy among sexually active adolescent girls. Reproductive Health. 2021;18:1-11.

Ahinkorah BO, Hagan Jr JE, Seidu AA, Sambah F, Adoboi F, Schack T, and Budu E. Female adolescents’ reproductive health decision-making capacity and contraceptive use in sub-Saharan Africa: What does the future hold? PloS one. 2020;15(7):e0235601.

Duby Z, Jonas K, McClinton Appollis T, Maruping K, Dietrich J, and Mathews C. “Condoms are boring”: navigating relationship dynamics, gendered power, and motivations for condomless sex amongst adolescents and young people in South Africa. International Journal of Sexual Health. 2021;33(1):40-57.

Dombola GM, Manda WC Chipeta E. Factors influencing contraceptive decision making and use among young adolescents in urban Lilongwe, Malawi: a qualitative study. Reproductive health. 2021;18:1-11.

Moges Y, Worku SA, Niguse A, Kelkay B. Factors associated with the unplanned pregnancy at Suhul General Hospital, Northern Ethiopia, 2018. Journal of Pregnancy. 2020;2020(1):2926097.

Govender D, Naidoo S, and Taylor M. “My partner was not fond of using condoms and I was not on contraception”: understanding adolescent mothers’ perspectives of sexual risk behaviour in KwaZulu-Natal, South Africa. BMC Public Health. 2020;20:1-17.

Mbachu CO, Agu IC, Obayi C, Eze I, Ezumah N, Onwujekwe O. Beliefs and misconceptions about contraception and condom use among adolescents in south-east Nigeria. Reproductive Health. 2021;18:1-8.

Owoko SO. Factors Influencing Contraceptive Use among Adolescent Girls Aged 14-19 Years in Homa Bay County, Kenya: JKUAT-COHES; 2023.

Kwami RD. Perception of Contraceptives Use and its Impact on the Sexual Behaviours of Adolescents in Senior High Schools in the Krachi-East District: University of Cape Coast; 2020.

Odongo LA. SOCIO-ECONOMIC AND CULTURAL DETERMINANTS OF THE SLOW DECLINE IN FERTILITY IN MIGORI COUNTY, KENYA: KENYATTA UNIVERSITY; 2023.

Khosa NV. Factors influencing unplanned pregnancy among learners in a selected high school in Collins Chabane Municipality, Limpopo Province, South Africa, 2019.

Tinago CB, Frongillo EA, Warren AM, Chitiyo V, Cifarelli AK, Fyalkowski S, Pauline Vl. Development and assessment of the feasibility of a community-based peer support intervention to mitigate social isolation and stigma of adolescent motherhood in Harare, Zimbabwe. Pilot and Feasibility Studies. 2021;7(1):110.

Ochen AM, Chi PC, Lawoko S. Predictors of teenage pregnancy among girls aged 13–19 years in Uganda: a community-based case-control study. BMC pregnancy and childbirth. 2019;19:1-14.

Wamoyi J, Heise L, Meiksin R, Kyegombe N, Nyato D, and Buller AM. Is transactional sex exploitative? A social norms perspective, with implications for interventions with adolescent girls and young women in Tanzania. PloS one. 2019;14(4):e0214366.

Vinny KN, Gladys MA, Lufuno M. Healthy Sexual Practices among Adolescents Living in Africa: A Systematic Review. Gender and Behaviour. 2023;21(2):21895-905.

Ruzibiza Y. ‘They are a shame to the community…’ stigma, school attendance, solitude, and resilience among pregnant teenagers and teenage mothers in Mahama refugee camp, Rwanda. Global public health. 2021;16(5):763-74.

Moolla A, Constance M, Ngcobo N, Mngadi S, Govathson C, Long L, and Pascoe SJ “I want one nurse who is

friendly to talk to me properly like a friend”: Learner preferences for HIV and contraceptive service provision in Gauteng, South Africa. Research Square. 2023.

Ouma L, Bozkurt B, Chanley J, Power C, Kakonge R, Adeyemi OC, Kudekallu RJ, and Leahy Madsen E. A cross-country qualitative study on contraceptive method mix: contraceptive decision-making among youth. Reproductive Health. 2021;18(1):105.

Ntombela NP, Kharsany AB, Soogun A, Yende-Zuma N, Kohler H-P, and McKinnon LR. Prevalence and risk factors for HIV infection among heterosexual men recruited from socializing venues in rural KwaZulu-Natal, South Africa. AIDS and Behavior. 2021:1-10.

Niemeyer Hultstrand J, Omer Abuelgasim K, Tydén T, Jonsson M, Maseko N, and Målqvist M. The perpetuating cycle of unplanned pregnancy: underlying causes and implications in Eswatini. Culture, health & sexuality. 2021;23(12):1656-71.

Gelaw T, Ketema TG, Beyene K, Gurara MK, Ukke GG. Fear of childbirth among pregnant women attending antenatal care in Arba Minch town, southern Ethiopia: a cross-sectional study. BMC Pregnancy and Childbirth. 2020;20:1-7..

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