Sy Alvin Duke R, Dela Luna Kim Leonard G, Malimban Rowel C, Estadilla John Oliver H, Maglinab Jasper M, Jeon Jihwan, Ji Heyeon
Department of Epidemiology and Biostatistics, College of Public Health, University of the Philippines Manila, Philippines.
Department of Nutrition, College of Public Health, University of the Philippines Manila, Padre Faura St, Ermita, Manila, Philippines.
J Educ Health Promot. 2024 Aug 29;13:324. doi: 10.4103/jehp.jehp_2133_23. eCollection 2024.
Adolescent pregnancy remains to be a significant social and public health problem in the Philippines, despite the widespread implementation of a comprehensive sexual and reproductive health (SRH) law. The current study explored the perceptions on teenage pregnancy and adolescent-oriented services across different views of stakeholders.
Twelve focus group discussions involving sets of teenage boys and girls, teenage mothers, and parents of the teenage mothers were conducted. Data analysis using a descriptive qualitative approach adopting both inductive and deductive thematic analysis was implemented on the gathered data.
Four main themes emerged from the focus groups. First, discussants expressed community perceptions, emphasizing factors perceived to contribute to the occurrence of teenage pregnancy cases. Second, the adolescents expressed the coping responses they used or have observed in others to cope with teenage pregnancy, while the teenage mothers and their parents highlighted their immediate feelings toward the event. Last, the participants verbalized their perceptions of community services including criticisms and suggestions to improve the delivery of these services.
The findings underscore the importance of stratifying and customizing the delivery of adolescent services as well as the possibility of expanding the content and coverage of community actions. This study also suggests that there is a need to create local ordinances that are culturally specific based on the Republic Act 10354 or the Responsible Parenthood and Reproductive Health Act of 2012. These ordinances must be coupled with other programs on reproductive health including training of personnel, ensuring the availability of resources, and reframing service delivery to the needs of adolescents. Further research is needed to explore variability of perceptions across contexts and cultures and the need for more appropriate service delivery models, thus contributing to a better understanding of teenage pregnancy and more tangible impact toward its reduction.
尽管全面性健康和生殖健康（SRH）法律已广泛实施，但青少年怀孕在菲律宾仍是一个重大的社会和公共卫生问题。本研究探讨了不同利益相关者对青少年怀孕及面向青少年服务的看法。
开展了12次焦点小组讨论，参与者包括青少年男孩和女孩、青少年母亲以及青少年母亲的父母。对收集到的数据采用描述性定性方法进行分析，同时运用归纳和演绎主题分析。
焦点小组讨论产生了四个主要主题。首先，讨论者表达了社区的看法，强调了被认为导致青少年怀孕案例发生的因素。其次，青少年表达了他们自己应对或观察到他人应对青少年怀孕的方式，而青少年母亲及其父母则强调了他们对该事件的即时感受。最后，参与者阐述了他们对社区服务的看法，包括对改善这些服务的批评和建议。
研究结果强调了分层和定制青少年服务的重要性，以及扩大社区行动内容和覆盖范围的可能性。本研究还表明，有必要根据第10354号共和国法案或2012年《负责任的父母和生殖健康法案》制定符合当地文化特色的地方法规。这些法规必须与其他生殖健康项目相结合，包括人员培训、确保资源可得性以及根据青少年需求重新调整服务提供方式。需要进一步研究，以探索不同背景和文化下看法的差异，以及对更合适服务提供模式的需求，从而有助于更好地理解青少年怀孕问题，并对减少青少年怀孕产生更切实的影响。
