TABLE OF CONTENTS
ABSTRACT.............................................................................................................ii
DEDICATION.........................................................................................................v
ACKNOWLEDGEMENT......................................................................................vi
LIST OF FIGURES ................................................................................................ix
LIST OF TABLES..................................................................................................ix
LIST OF ABBREVIATIONS AND ACRONYMS ................................................x
CHAPTER ONE: INTRODUCTION............................................................................. 1
1.1 Background............................................................................................................... 1
1.2 Problem statement:.................................................................................................... 3
1.3 Purpose of the study.................................................................................................. 4
1.4 Specific objectives: ................................................................................................... 4
1.5 Research questions:................................................................................................... 4
1.6 Justification of the Study: ......................................................................................... 4
2.0 Introduction............................................................................................................... 6
3.1 Introduction............................................................................................................. 15
3.4.1Sample size determination. ................................................................................... 16
3.4.2 Sampling procedure and Rationale. ..................................................................... 16
3.4.3 Inclusion criteria. ................................................................................................. 16
3.4.4 Exclusion criteria. ................................................................................................ 17
3.5.0 Definition of study variables:............................................................................... 17
3.5.1 Independent Variables. ........................................................................................ 17
3.5.2 Dependent Variable. ............................................................................................ 17
3.7.0 Data collection procedure: ................................................................................... 18
Factors Contributing To High Teenage Pregnancies Among Mothers
viii
3.7.1 Data management................................................................................................. 18
3.7.2 Data processing and analysis. .............................................................................. 18
3.8 Ethical considerations. ............................................................................................ 18
3.9 Study limitations. .................................................................................................... 19
3.10 Dissemination of Results. ..................................................................................... 19
4.2 Factors contributing to high teenage pregnancy: .................................................... 23
4.3 Strategies to reduce prevalence of teenage pregnancies in the Healthcare setting. 24
REFERENCES ......................................................................................................31
APPENDIX 1: PARTCIPANT CONSENT FORM. .................................................... 34
APPENDIX IV: MAP OF UGANDA SHOWING KASESE DISTRICT.................... 39
ABSTRACT Globally, it has been estimated that approximately one million teenagers get pregnant each year, while about 24% of them are becoming pregnant before the age of 19 in Uganda of which Kilembe Community is among. The study with the objective to determine the factors contributing to teenage pregnancies was carried out at Kilembe Mine Hospital. Through across-sectional descriptive study design using quantitative approach and through convenient sampling, a total of 62teen age mothers were studied. Of 62teenage pregnant mothers selected, 44(71%) were aged 17-19 years and 18(29%) were 14-16 years, majority 30(48.4%) only attended primary, 40(64.5%) were students at the time of conception, 25(40%) of mothers were Protestants, 29(47%) of the mothers were Bakonjo tribe. On the factors contributing to high teenage pregnancy among mothers, the highly pronounced factors were; Poverty 58(93.5%), Family dysfunction 56(90.3%), lack of sex education 54(87.1%), Peer influence and social pressure 54(87.1%) school media 40(64.5%). While on strategies used to reduce teenage pregnancy among mothers, highest 52(84%) was making Adolescent health Service easily accessible, 50(81%) was for good attitude of health workers and promoting Guidance and counseling to teenagers. It is encouraged that, MOH should Develop a policy that allows adolescents to access contraceptives without discrimination, integrate more programs that target the adolescent health, carryout timely support supervision on the adolescence health services in the healthcare setting .The Hospital management should create contraceptive distribution site for adolescence as well as motivation of staffs to improve their attitude toward proper handling of adolescent. Nurses need to put more emphasis on adolescence sexual health as well as carrying out more research on teenage pregnancies. Community members should Institute bylaws to control sex abuses to adolescents and to promote girls child education and embrace Universal Primary Education/Secondary Education. Additionally community needs to embrace government poverty eradication program to improve house hold income.