Nshutiyukuri Claudine, Uwingabire Fauste, Musabwasoni Marie Grace Sandra, Rutayisire Jean Bosco, Rutayisire Reverien, Kaberuka Gerard, Ishimwe Bazakare Laetitia, Benimana Immaculée, Mutabazi Leon, Mukeshimana Madeleine
Nursing and Midwifery Department, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Partners in Health, Kigali, Rwanda.
Womens Health (Lond). 2024 Jan-Dec;20:17455057241310299. doi: 10.1177/17455057241310299.
Adolescents worldwide engage in sexual activity, with the proportion rising gradually from the middle to late stages of adolescence. The incidence of early sexual initiation among female youth in sub-Saharan Africa is reported to be 46%. The increasing number of teenage pregnancies in Rwanda indicates that adolescents do not correctly use sexual and reproductive health services. In 2019, the Eastern Province of Rwanda documented 36% of all teenage pregnancies. Despite the availability of these services to youth through adolescent sexual and reproductive health (ASRH) focal persons, nurses, or midwives leading youth corners at the Health Center level, why they are not used remains unknown.
To explore teenage mothers' perspectives, knowledge, and attitudes toward pregnancy and the utilization of sexual and reproductive health services in the Eastern Province of Rwanda.
Qualitative descriptive study.
A qualitative descriptive design combined with the theory of reasoned action was used to capture teenagers' unique perspectives on knowledge about teenage pregnancy and attitudes toward ASRH service utilization. An in-depth interview was used to collect data from 25 informants across 3 districts in the Eastern Province of Rwanda, followed by traditional content analysis.
Three major themes emerged, including lack of knowledge about teenage pregnancy, unfavorable attitudes toward ASRH service utilization, and the perceived negative impact of teenage pregnancy, including disrupting education, limiting career opportunities, and posing health risks to both mothers and infants.
While all young mothers were under pressure from the multitude of impacts of teenage pregnancy, parenthood, and social responsibilities, they had limited knowledge and selective utilization of ASRH services, mimicking potential gaps in education and mobilization of youth on available ASRH services with special emphasis on preventive components. Exploring the perceived enablers and challenges facing ASRH service utilization among the study population is necessary.
全球青少年都有性行为，且这一比例从青春期中期到晚期逐渐上升。据报道，撒哈拉以南非洲地区年轻女性过早开始性行为的发生率为46%。卢旺达青少年怀孕数量的增加表明青少年没有正确使用性与生殖健康服务。2019年，卢旺达东部省记录了所有青少年怀孕案例中的36%。尽管通过青少年性与生殖健康（ASRH）协调员、护士或在卫生中心层面负责青少年咨询角的助产士为青少年提供了这些服务，但他们为何不使用这些服务仍不为人知。
探讨卢旺达东部省青少年母亲对怀孕的看法、知识和态度，以及对性与生殖健康服务的利用情况。
定性描述性研究。
采用定性描述性设计并结合理性行动理论，以了解青少年对青少年怀孕知识的独特看法以及对利用ASRH服务的态度。通过深入访谈从卢旺达东部省3个地区的25名受访者收集数据，随后进行传统内容分析。
出现了三个主要主题，包括对青少年怀孕缺乏了解、对利用ASRH服务持负面态度，以及青少年怀孕带来的负面影响，包括扰乱教育、限制职业机会，以及对母亲和婴儿都构成健康风险。
虽然所有年轻母亲都承受着青少年怀孕、为人父母和社会责任带来的多重影响的压力，但她们对ASRH服务的了解有限且使用具有选择性，这反映出在针对现有ASRH服务对青少年进行教育和动员方面可能存在差距，尤其在预防方面。有必要探索研究人群在利用ASRH服务方面所面临的可感知的促进因素和挑战。
