Lydia Aziato1, Michelle J Hindin2, Ernest Tei Maya3, Abubakar Manu3, Susan Ama Amuasi3, Rachel Mahoe Lawerh4, Augustine Ankomah3. 1. Department of Adult Health, School of Nursing, College of Health Sciences, University of Ghana, Accra, Ghana. Electronic address: aziatol@yahoo.com. 2. World Health Organization, Department of Reproductive Health, Geneva, Switzerland. 3. Department of Population Family and Reproductive Health, School of Public Health, College of Health Sciences, University of Ghana, Accra, Ghana. 4. Department of Organization and Human Resource Management, University of Ghana Business School, Accra, Ghana.
Abstract
STUDY OBJECTIVE: To investigate the experiences and perceptions of adolescents who have experienced a recent pregnancy and undergone a termination of pregnancy. DESIGN: A vignette-based focus group approach was used to have adolescents reflect on scenarios that happen to others during an unwanted pregnancy. SETTING: The study was conducted in public health facilities in the 3 major urban areas of Ghana-Accra, Kumasi, and Tamale. PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: Adolescents, aged 10-19 years, who had a recent termination of pregnancy were recruited from public health facilities in the 3 sites. Fifteen focus groups were conducted and digitally recorded in English, Twi, Ga, and Dagbani. Transcripts were transcribed and translated, and thematic analysis was used for the analysis. RESULTS: Adolescents reported that the characters in the vignettes would feel sadness, depression, and regret from an unintended pregnancy and some male partners would "deny" the pregnancy or suggest an abortion. They suggested some parents would "be angry" and "sack" their children for becoming pregnant while others would "support" them. Parents might send the pregnant girl to a distant friend or grandparents until she delivers to avoid shame and gossip. Health professionals might encourage the pregnant girl or insult/gossip about the girl. CONCLUSION: Adolescent unintended pregnancies in Ghana are met with a range of reactions and these reactions influence the pregnancy choices young women make for continuation or termination of pregnancy.
STUDY OBJECTIVE: To investigate the experiences and perceptions of adolescents who have experienced a recent pregnancy and undergone a termination of pregnancy. DESIGN: A vignette-based focus group approach was used to have adolescents reflect on scenarios that happen to others during an unwanted pregnancy. SETTING: The study was conducted in public health facilities in the 3 major urban areas of Ghana-Accra, Kumasi, and Tamale. PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: Adolescents, aged 10-19 years, who had a recent termination of pregnancy were recruited from public health facilities in the 3 sites. Fifteen focus groups were conducted and digitally recorded in English, Twi, Ga, and Dagbani. Transcripts were transcribed and translated, and thematic analysis was used for the analysis. RESULTS: Adolescents reported that the characters in the vignettes would feel sadness, depression, and regret from an unintended pregnancy and some male partners would "deny" the pregnancy or suggest an abortion. They suggested some parents would "be angry" and "sack" their children for becoming pregnant while others would "support" them. Parents might send the pregnant girl to a distant friend or grandparents until she delivers to avoid shame and gossip. Health professionals might encourage the pregnant girl or insult/gossip about the girl. CONCLUSION: Adolescent unintended pregnancies in Ghana are met with a range of reactions and these reactions influence the pregnancy choices young women make for continuation or termination of pregnancy.
Authors: Sarah C Keogh; Easmon Otupiri; Philicia W Castillo; Naomi W Li; Joana Apenkwa; Chelsea B Polis Journal: Reprod Health Date: 2021-07-18 Impact factor: 3.223