Atuyambe Lynn, Mirembe Florence, Johansson Annika, Kirumira Edward K, Faxelid Elisabeth
Makerere University Institute of Public Health, Kampala.
Afr Health Sci. 2005 Dec;5(4):304-9. doi: 10.5555/afhs.2005.5.4.304.
In Uganda, morbidity and mortality among adolescent mothers and their children are high. Social factors behind this problem need to be better understood.
To explore problems that pregnant adolescents face in order to design appropriate policies and interventions.
This was a descriptive study that utilized qualitative methods for data collection. The study population comprised of pregnant adolescents, adolescent mothers, opinion leaders, In-charge of health unit, and Traditional Birth Attendants (TBAs) in Wakiso district, Uganda. Six Focus Group Discussions (FGDs) with adolescent mothers and pregnant adolescents, and six key informant interviews were conducted with leaders in-charge of health units and TBAs. A moderator and a note taker facilitated the FGDs, which were tape recorded with consent from participants. Qualitative content analysis was done.
Discussions revealed that pregnant adolescents faced domestic physical violence. Furthermore, they were psychologically violated by parents and partners, and the community within which they lived. Pregnant adolescents were treated inhumanely and overworked with household chores and had inadequate food to eat. Adolescents experienced stigma and as a result some had carried out unsafe abortions. Key informant interviews and FGDs revealed that health workers were rude and unsympathetic to pregnant adolescents. This significantly contributed to delayed health care seeking when adolescents were ill.
Pregnant adolescents lack basic needs like shelter, food and security. They also face relational problems with families, partners and the community. There is, therefore, a need to sensitize the community and school personnel about adolescent reproductive health issues. In addition, adolescent friendly services need to be established/strengthened. Continuous in-service training for health workers with emphasis on counseling skills for young people is urgently needed.
在乌干达，青少年母亲及其子女的发病率和死亡率很高。这一问题背后的社会因素需要得到更好的理解。
探讨怀孕青少年面临的问题，以便制定适当的政策和干预措施。
这是一项描述性研究，采用定性方法收集数据。研究对象包括乌干达瓦基索区的怀孕青少年、青少年母亲、意见领袖、卫生单位负责人和传统助产士。对青少年母亲和怀孕青少年进行了六次焦点小组讨论（FGD），并对卫生单位负责人和传统助产士进行了六次关键 informant 访谈。一名主持人和一名记录员协助进行焦点小组讨论，并在参与者同意的情况下进行录音。进行了定性内容分析。
讨论表明，怀孕青少年面临家庭身体暴力。此外，他们还受到父母、伴侣和他们生活的社区的心理侵犯。怀孕青少年受到不人道的对待，家务劳动过度劳累，食物不足。青少年遭受耻辱，因此一些人进行了不安全堕胎。关键 informant 访谈和焦点小组讨论表明，卫生工作者对怀孕青少年粗鲁且缺乏同情心。这在很大程度上导致青少年生病时延迟寻求医疗护理。
怀孕青少年缺乏住房、食物和安全等基本需求。他们还面临与家庭、伴侣和社区的关系问题。因此，有必要提高社区和学校人员对青少年生殖健康问题的认识。此外，需要建立/加强青少年友好服务。迫切需要对卫生工作者进行持续的在职培训，重点是年轻人的咨询技能。
