The prevalence of pregnancy among adolescent girls and young women across the Southern African development community economic hub : a systematic review and meta-analysis

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dc.contributor.author Yah, Clarence S.
dc.contributor.author Ndlovu, Sithembiso
dc.contributor.author Kutywayo, Alison
dc.contributor.author Naidoo, Nicolette
dc.contributor.author Mahuma, Tshepo
dc.contributor.author Mullick, Saiqa
dc.date.accessioned 2021-04-19T06:42:01Z
dc.date.available 2021-04-19T06:42:01Z
dc.date.issued 2020
dc.description.abstract BACKGROUND: Despite the high rate of HIV infections, there is still high rate of early unprotected sex, unintended pregnancy, and unsafe abortions especially among unmarried adolescent girls and young women (AGYW) 10-24 years of age in sub Saharan Africa. AGYW face challenges in accessing health care, contraception needs, and power to negotiate safer sex. This study aimed to estimate the rate of pregnancy among AGYW aged 10-24, 10-19 and 15-19 years in the Southern African Development Community (SADC) economic region. METHODS: A systematic review and meta-analysis was used to describe the prevalence of pregnancy among AGYW in 15 SADC member countries between January 2007 and December 2017. The articles were extracted from PubMed/MEDLINE, African Index Medicus, and other reports. They were screened and reviewed according to PRISMA methodology to fulfil study eligibility criteria. RESULTS: The overall regional weighted pregnancy prevalence among AGYW 10-24 years of age was 25% (95% CI: 21% to 29%). Furthermore, sub-population 10-19 years was 22% (95% CI: 19% to 26%) while 15-19 years was 24% (18% to 30%). There was a significant heterogeneity detected between the studies (I2 =99.78%, P<0.001), even within individual countries. CONCLUSION: The findings revealed a high pregnancy rate among AGYW in the SADC region. This prompts the need to explore innovative research and programs expanding and improving sexual and reproductive health communication to reduce risk and exposure of adolescents to early planned, unplanned and unwanted pregnancies, SRHR challenges, access to care, HIV/ STIs, as well as other risk strategies. en_ZA
dc.description.department School of Health Systems and Public Health (SHSPH) en_ZA
dc.description.librarian pm2021 en_ZA
dc.description.uri http://journals.tbzmed.ac.ir/HPP en_ZA
dc.identifier.citation Yah, C. S., Ndlovu, S., Kutywayo, A., Naidoo, N., Mahuma, T., & Mullick, S. (2020). The prevalence of pregnancy among adolescent girls and young women across the Southern African development community economic hub: A systematic review and meta-analysis. Health Promotion Perspectives, 10(4), 325–337. https://doi.org/10.34172/hpp.2020.51. en_ZA
dc.identifier.issn 228-6497 (online)
dc.identifier.other 10.34172/hpp.2020.51
dc.identifier.uri http://hdl.handle.net/2263/79487
dc.language.iso en en_ZA
dc.publisher Tabriz University of Medical Sciences en_ZA
dc.rights © 2020 The Author(s). This is an open access article distributed under the terms of the Creative Commons Attribution License. en_ZA
dc.subject Pregnancy en_ZA
dc.subject Adolescents en_ZA
dc.subject Prevalence en_ZA
dc.subject Systematic review en_ZA
dc.subject Southern Africa en_ZA
dc.title The prevalence of pregnancy among adolescent girls and young women across the Southern African development community economic hub : a systematic review and meta-analysis en_ZA
dc.type Article en_ZA


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