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Adolescents’ narratives of coping with unintended pregnancy in Nairobi’s informal settlements

AIM: This study explored adolescent experiences and coping strategies for unintended pregnancy in two informal settlements—Viwandani and Korogocho—in Nairobi, Kenya. METHODS: Forty-nine in-depth-interviews and eight focus group discussions were conducted with male and female adolescents aged 15–19 y...

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Autores principales: Mumah, Joyce N., Mulupi, Stephen, Wado, Yohannes D., Ushie, Boniface A., Nai, Deladem, Kabiru, Caroline W., Izugbara, Chimaraoke O.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7595410/
https://www.ncbi.nlm.nih.gov/pubmed/33119610
http://dx.doi.org/10.1371/journal.pone.0240797
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author Mumah, Joyce N.
Mulupi, Stephen
Wado, Yohannes D.
Ushie, Boniface A.
Nai, Deladem
Kabiru, Caroline W.
Izugbara, Chimaraoke O.
author_facet Mumah, Joyce N.
Mulupi, Stephen
Wado, Yohannes D.
Ushie, Boniface A.
Nai, Deladem
Kabiru, Caroline W.
Izugbara, Chimaraoke O.
author_sort Mumah, Joyce N.
collection PubMed
description AIM: This study explored adolescent experiences and coping strategies for unintended pregnancy in two informal settlements—Viwandani and Korogocho—in Nairobi, Kenya. METHODS: Forty-nine in-depth-interviews and eight focus group discussions were conducted with male and female adolescents aged 15–19 years from households in two informal settlements. Participants were purposively selected to include adolescents of varying socio-demographic characteristics, including the married and unmarried, and adolescents who had never/ever been pregnant. Data were transcribed, translated verbatim and analyzed thematically. RESULTS: Adolescents attributed unintended pregnancy to poverty, sexual violence and inconsistent contraceptive use. Lack of parental support and guidance, as well as household conflicts also exposed girls to early sexual debut and risky sexual behavior. Decisions about pregnancy management centered on carrying the pregnancy to term or terminating it. Deciding to terminate a pregnancy was not always straightforward and was motivated by concerns about stigma or shame, and school disruption. Participants reiterated that carrying an unintended pregnancy to term disrupts adolescents’ schooling, with few girls returning to school after childbirth. Upon deciding to carry a pregnancy to term, adolescents used several coping strategies such as relocating from usual residence, hiding until delivery and planning to put up the child for adoption upon delivery. CONCLUSIONS: Early interventions to provide adolescents with comprehensive pregnancy prevention information and to address sexual violence and poverty can prevent unintended pregnancy in adolescents. Efforts to support adolescents to positively cope with unintended pregnancy and facilitate re-entry to school are also warranted.
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spelling pubmed-75954102020-11-03 Adolescents’ narratives of coping with unintended pregnancy in Nairobi’s informal settlements Mumah, Joyce N. Mulupi, Stephen Wado, Yohannes D. Ushie, Boniface A. Nai, Deladem Kabiru, Caroline W. Izugbara, Chimaraoke O. PLoS One Research Article AIM: This study explored adolescent experiences and coping strategies for unintended pregnancy in two informal settlements—Viwandani and Korogocho—in Nairobi, Kenya. METHODS: Forty-nine in-depth-interviews and eight focus group discussions were conducted with male and female adolescents aged 15–19 years from households in two informal settlements. Participants were purposively selected to include adolescents of varying socio-demographic characteristics, including the married and unmarried, and adolescents who had never/ever been pregnant. Data were transcribed, translated verbatim and analyzed thematically. RESULTS: Adolescents attributed unintended pregnancy to poverty, sexual violence and inconsistent contraceptive use. Lack of parental support and guidance, as well as household conflicts also exposed girls to early sexual debut and risky sexual behavior. Decisions about pregnancy management centered on carrying the pregnancy to term or terminating it. Deciding to terminate a pregnancy was not always straightforward and was motivated by concerns about stigma or shame, and school disruption. Participants reiterated that carrying an unintended pregnancy to term disrupts adolescents’ schooling, with few girls returning to school after childbirth. Upon deciding to carry a pregnancy to term, adolescents used several coping strategies such as relocating from usual residence, hiding until delivery and planning to put up the child for adoption upon delivery. CONCLUSIONS: Early interventions to provide adolescents with comprehensive pregnancy prevention information and to address sexual violence and poverty can prevent unintended pregnancy in adolescents. Efforts to support adolescents to positively cope with unintended pregnancy and facilitate re-entry to school are also warranted. Public Library of Science 2020-10-29 /pmc/articles/PMC7595410/ /pubmed/33119610 http://dx.doi.org/10.1371/journal.pone.0240797 Text en © 2020 Mumah et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Mumah, Joyce N.
Mulupi, Stephen
Wado, Yohannes D.
Ushie, Boniface A.
Nai, Deladem
Kabiru, Caroline W.
Izugbara, Chimaraoke O.
Adolescents’ narratives of coping with unintended pregnancy in Nairobi’s informal settlements
title Adolescents’ narratives of coping with unintended pregnancy in Nairobi’s informal settlements
title_full Adolescents’ narratives of coping with unintended pregnancy in Nairobi’s informal settlements
title_fullStr Adolescents’ narratives of coping with unintended pregnancy in Nairobi’s informal settlements
title_full_unstemmed Adolescents’ narratives of coping with unintended pregnancy in Nairobi’s informal settlements
title_short Adolescents’ narratives of coping with unintended pregnancy in Nairobi’s informal settlements
title_sort adolescents’ narratives of coping with unintended pregnancy in nairobi’s informal settlements
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7595410/
https://www.ncbi.nlm.nih.gov/pubmed/33119610
http://dx.doi.org/10.1371/journal.pone.0240797
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