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REPRODUCTIVE AWARENESS BEHAVIOUR AND PROFILES OF ADOLESCENT POST ABORTION PATIENTS IN BLANTYRE, MALAWI
Abstract
ABSTRACT
Background: Adolescent sexuality and its sequelae are now acknowledged as major public
health, social and economic problems in Malawi, for which appropriate programmes and
services are being designed and implemented.
Objectives: To identify the profiles of adolescent post abortion patients, their reproductive
and contraceptive knowledge and factors related to the index pregnancy.
Setting: Queen Elizabeth Central Hospital, Blantyre, Malawi.
Design: Cross-sectional, descriptive study.
Methods: All adolescents treated for incomplete abortion, January to December 1997 were
eligible. Data was collected by means of interviewer-administered questionnaire, one for
each, during reproductive health education and/or post abortion contraceptive counselling
and service provision. This was subsequently analysed using EPI-INFO 6.0 data analysis
packages.
Results: Of the 465 adolescents treated during this period, 446 (95.9%) were enrolled in the
study. Their mean age was 17.5 years (SD 1.3), that at menarche and sexual debut 14.3 years
(SD 1.4) and 15.7 years (SD 1.75) respectively. The unmarried adolescents formed 43.9%,
while students comprised 38.6% of the total. Their level and accuracy of knowledge on
reproductive biology was poor. While their contraceptive knowledge was high, its use was
very low, 70.9% vs 9.5% respectively. The number of sexual partners one had had ranged
from 1 to 10 with a median of 1. The index pregnancy was reportedly unwanted by 45.1 %.
The young (< 16 years), more educated, single and students were more likely to have
unwanted pregnancy.
Conclusions: Sexual activity starts early in Malawi, with poor contraception, thus predisposing
to unwanted pregnancy. Lack of appropriate reproductive awareness appears to be partly
responsible for that. These need to be addressed through the national reproductive health
programmes and services.
Background: Adolescent sexuality and its sequelae are now acknowledged as major public
health, social and economic problems in Malawi, for which appropriate programmes and
services are being designed and implemented.
Objectives: To identify the profiles of adolescent post abortion patients, their reproductive
and contraceptive knowledge and factors related to the index pregnancy.
Setting: Queen Elizabeth Central Hospital, Blantyre, Malawi.
Design: Cross-sectional, descriptive study.
Methods: All adolescents treated for incomplete abortion, January to December 1997 were
eligible. Data was collected by means of interviewer-administered questionnaire, one for
each, during reproductive health education and/or post abortion contraceptive counselling
and service provision. This was subsequently analysed using EPI-INFO 6.0 data analysis
packages.
Results: Of the 465 adolescents treated during this period, 446 (95.9%) were enrolled in the
study. Their mean age was 17.5 years (SD 1.3), that at menarche and sexual debut 14.3 years
(SD 1.4) and 15.7 years (SD 1.75) respectively. The unmarried adolescents formed 43.9%,
while students comprised 38.6% of the total. Their level and accuracy of knowledge on
reproductive biology was poor. While their contraceptive knowledge was high, its use was
very low, 70.9% vs 9.5% respectively. The number of sexual partners one had had ranged
from 1 to 10 with a median of 1. The index pregnancy was reportedly unwanted by 45.1 %.
The young (< 16 years), more educated, single and students were more likely to have
unwanted pregnancy.
Conclusions: Sexual activity starts early in Malawi, with poor contraception, thus predisposing
to unwanted pregnancy. Lack of appropriate reproductive awareness appears to be partly
responsible for that. These need to be addressed through the national reproductive health
programmes and services.
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