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Papers by MONICAH ANDRU
International journal of reproductive medicine, Apr 3, 2023
Despite the high rates of adolescent pregnancies, the utilization of modern contraceptives is sti... more Despite the high rates of adolescent pregnancies, the utilization of modern contraceptives is still low among adolescents in Uganda which highlights a missed opportunity for the prevention of unwanted pregnancies among adolescents. We explored the perception of parents and guardians regarding the use of modern contraceptives by adolescents and the roles parents and guardians play in the use of modern contraceptives by the adolescents. A descriptive qualitative study was conducted in one of the suburbs of Arua city in the West Nile subregion in Uganda. Fifteen (15) in-depth interviews were conducted with parents and or guardians to explore their perceptions and roles regarding the use of modern contraceptives by adolescents. Thematic analysis was used in qualitative data analysis. Parents did not support adolescents' use of modern contraceptives. Lack of parental support was related to perceptions that modern contraceptives promote sexual promiscuity, fear that it causes infertility and that it is incompatible with cultural, religious, and moral norms. Parents and guardians opted to emphasize the importance of abstinence, conformity with cultural and religious norms, and the need to focus on completing school instead of encouraging the use of modern contraceptives. Few parents and guardians supported the use of modern contraceptives, specifically condoms, to prevent unwanted pregnancy by the adolescents and parents/guardians, sexually transmitted infections, and early school dropouts. Parents and guardians expressed feelings of inadequacy related to discussions on contraception use with their adolescent children and therefore avoided talking about it. Our study reveals a lack of parental support regarding the use of modern contraceptives among adolescents. Public health interventions which promote intergenerational, socioculturally, and religiously appropriate communication should be instituted in the communities in order to promote sustainable adoption of modern contraceptive use among adolescents. 12 million birth occurred in the ages 15-19 years. Data on younger adolescents (below 15 years) was not readily available, but limited data from Angola, Mozambique, Bangladesh, and Nigeria estimates the occurrence of births in this age group at more than 10 per 1,000 girls. [1]. In Uganda, 25% of adolescent girls aged 15-19 were either pregnant or had given birth [2]. Adolescence, which is the period between the age of 10 to 19 years, is characterized by physical, social, psychological, and reproductive changes [1]. The resulting changes place adolescents at a high risk of pregnancy with its associated impacts [2-4]. Adolescent pregnancies have negative health and socioeconomic effects on the mother, child, and the society [2]. Complications of pregnancy and childbirth are the leading causes of maternal mortality and morbidity
Introduction: Disrespectful and undignified care during childbirth is a global challenge, particu... more Introduction: Disrespectful and undignified care during childbirth is a global challenge, particularly in less developed countries. Despite the increase in health facility births, women continue to suffer from disrespect and abuse during childbirth. This practice counters the efforts to encourage women to deliver in health facilities by a skilled birth attendant as a strategy to reduce maternal and neonatal mortality. The purpose of the study was to explore midwives' understanding of respectful maternity care and observe how their practice conforms to this concept. Methods: We conducted a qualitative study combining one-on-one interviews and observation methods of data collection. In-depth interviews were conducted with 17 midwives and 20 observations were done. Audio-recorded data were later transcribed verbatim and analyzed using the content analysis method. Observation data was summarized into a table 2 below.Results: Midwives understood respectful maternity care (RMC) as tre...
International journal of reproductive medicine, Apr 3, 2023
Despite the high rates of adolescent pregnancies, the utilization of modern contraceptives is sti... more Despite the high rates of adolescent pregnancies, the utilization of modern contraceptives is still low among adolescents in Uganda which highlights a missed opportunity for the prevention of unwanted pregnancies among adolescents. We explored the perception of parents and guardians regarding the use of modern contraceptives by adolescents and the roles parents and guardians play in the use of modern contraceptives by the adolescents. A descriptive qualitative study was conducted in one of the suburbs of Arua city in the West Nile subregion in Uganda. Fifteen (15) in-depth interviews were conducted with parents and or guardians to explore their perceptions and roles regarding the use of modern contraceptives by adolescents. Thematic analysis was used in qualitative data analysis. Parents did not support adolescents' use of modern contraceptives. Lack of parental support was related to perceptions that modern contraceptives promote sexual promiscuity, fear that it causes infertility and that it is incompatible with cultural, religious, and moral norms. Parents and guardians opted to emphasize the importance of abstinence, conformity with cultural and religious norms, and the need to focus on completing school instead of encouraging the use of modern contraceptives. Few parents and guardians supported the use of modern contraceptives, specifically condoms, to prevent unwanted pregnancy by the adolescents and parents/guardians, sexually transmitted infections, and early school dropouts. Parents and guardians expressed feelings of inadequacy related to discussions on contraception use with their adolescent children and therefore avoided talking about it. Our study reveals a lack of parental support regarding the use of modern contraceptives among adolescents. Public health interventions which promote intergenerational, socioculturally, and religiously appropriate communication should be instituted in the communities in order to promote sustainable adoption of modern contraceptive use among adolescents. 12 million birth occurred in the ages 15-19 years. Data on younger adolescents (below 15 years) was not readily available, but limited data from Angola, Mozambique, Bangladesh, and Nigeria estimates the occurrence of births in this age group at more than 10 per 1,000 girls. [1]. In Uganda, 25% of adolescent girls aged 15-19 were either pregnant or had given birth [2]. Adolescence, which is the period between the age of 10 to 19 years, is characterized by physical, social, psychological, and reproductive changes [1]. The resulting changes place adolescents at a high risk of pregnancy with its associated impacts [2-4]. Adolescent pregnancies have negative health and socioeconomic effects on the mother, child, and the society [2]. Complications of pregnancy and childbirth are the leading causes of maternal mortality and morbidity
Introduction: Disrespectful and undignified care during childbirth is a global challenge, particu... more Introduction: Disrespectful and undignified care during childbirth is a global challenge, particularly in less developed countries. Despite the increase in health facility births, women continue to suffer from disrespect and abuse during childbirth. This practice counters the efforts to encourage women to deliver in health facilities by a skilled birth attendant as a strategy to reduce maternal and neonatal mortality. The purpose of the study was to explore midwives' understanding of respectful maternity care and observe how their practice conforms to this concept. Methods: We conducted a qualitative study combining one-on-one interviews and observation methods of data collection. In-depth interviews were conducted with 17 midwives and 20 observations were done. Audio-recorded data were later transcribed verbatim and analyzed using the content analysis method. Observation data was summarized into a table 2 below.Results: Midwives understood respectful maternity care (RMC) as tre...