Factors Influencing Repeated Pregnancy Among Unmarried Adolescent Mothers In Katavi Region, Tanzania

Abstract

Background: Despite the efforts, the rates of adolescent pregnancy are still high in Tanzania. After the first pregnancy adolescent mothers are more at risk of repeat conception within two years. Repeated pregnancies are associated with an increasing maternal and perinatal outcomes. Katavi is a leading region in the country with 45% adolescent pregnancy. There is a scarcity of studies, on factors influencing repeated pregnancy among unmarried adolescent mothers in the region. Aim: This study explored factors influencing repeated pregnancy among unmarried pregnancy mothers at Mamba health center in Katavi region Methodology: An exploratory study adopting qualitative approach was used. The study was conducted at Mamba health centre in Mlele district - Katavi Region. Purposive sampling was used to sample the study participants. Sixteen respondents were interviewed. Thematic analysis was done to analyze qualitative data. QSR Nvivo version 14 was used to analyze these data. Results: The study established individual factors influencing repeated pregnancy which were inadequate sexuality knowledge, individual perceived barriers on contraceptive use, and guarantee for marriage. Furthermore, the social factors identified were power of decision making, peer pressure, and parent-child relationship. The study also identified structural factors influencing repeated pregnancy among unmarried adolescent girls; these included family problems and unfriendly health facilities environments. Conclusion: Inadequate sexuality education is observed as the crucial factor influencing repeated pregnancy. Parents as primary educators should be encouraged to talk with their children especially adolescent girls about sexuality education. Also, health care workers should make friendly environment for adolescents seeking reproductive services including family planning by ensuring privacy and confidentiality