Adolescents in rural Tanzania: a qualitative study (Record no. 19755)
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000 -LEADER | |
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fixed length control field | 03446nam a22002897a 4500 |
003 - CONTROL NUMBER IDENTIFIER | |
control field | OSt |
005 - DATE AND TIME OF LATEST TRANSACTION | |
control field | 20240305193739.0 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
fixed length control field | 221128b |||||||| |||| 00| 0 eng d |
028 ## - PUBLISHER OR DISTRIBUTOR NUMBER | |
Source | Phone: +255 28 298 3384 |
Source | Fax: +255 28 298 3386 |
Source | Email: vc@bugando.ac.tz |
Source | Website: www.bugando.ac.tz |
040 ## - CATALOGING SOURCE | |
Language of cataloging | English |
Transcribing agency | DLC |
041 ## - LANGUAGE CODE | |
Language code of text/sound track or separate title | English |
100 ## - MAIN ENTRY--PERSONAL NAME | |
Personal name | Wemaeli Mweteni |
9 (RLIN) | 20431 |
222 ## - KEY TITLE | |
Key title | Power imbalance, Adolescent pregnancy, Antenatal care, Maternal mortality, Maternal morbidity, Rural Tanzania |
245 ## - TITLE STATEMENT | |
Title | Adolescents in rural Tanzania: a qualitative study |
260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
Place of publication, distribution, etc. | Mwanza, Tanzania: |
Name of publisher, distributor, etc. | Research Square & |
-- | Catholic University of Health and Allied Sciences [CUHAS – Bugando] |
Date of publication, distribution, etc. | 2020 |
300 ## - PHYSICAL DESCRIPTION | |
Extent | Pages 1-38 |
520 ## - SUMMARY, ETC. | |
Summary, etc. | Abstract;<br/><br/>Background: Adolescent girls (age 10-19 years) are at increased risk of morbidity and mortality due to pregnancy and childbirth complications, compared with older mothers. Low and middle-income countries, including Tanzania, bear the largest proportion of adolescent perinatal deaths globally. Most adolescent girls in Tanzania do not access antenatal care at health facilities, but the reasons for lack of antenatal care attendance are poorly understood.<br/><br/>Methods: We conducted a qualitative thematic analysis study of the experiences of pregnant adolescents with accessing antenatal care in Misungwi district, Mwanza Region, Tanzania. We recruited 22 adolescent girls who were pregnant or parenting a child aged less than 5 years, using purposive sampling, and collected data about their lived experiences using in-depth individual interviews (IDIs). IDI data were triangulated with data from eight focus group discussions (FGDs) involving young fathers and elder men/women, and nine key informant interviews (KIIs) conducted with local health care providers. FGDs, KIIs and all but two IDIs were conducted and audiotaped in Swahili. All Swahili recordings were transcribed verbatim in Swahili. Two IDIs were conducted in local vernacular (Sukuma), and were transcribed into Swahili (as Sukuma is uncommon), by bilingual research assistants. All Swahili transcripts were then translated to English. A team of researchers analysed transcripts using emergent thematic analysis and constant comparison technique.<br/><br/>Results: We identified four main themes: 1) Lack of maternal personal autonomy (Diminished power for decision making, Lack of financial and personal independence), 2) Stigma and judgment, 3) Vulnerability to violence and abuse, and 4) Knowledge about antenatal care.<br/><br/>Conclusion: Pregnant adolescent care seeking for antenatal services is compromised by a complex power imbalance that involves financial dependence, lack of choice, lack of personal autonomy in decision making, experiences of social stigma, judgement, violence and abuse. Multi-level interventions are needed to empower adolescent girls, and to address policies and social constructs that may contribute to observed power imbalance; addressing these barriers can improve access to antenatal care among pregnant adolescents, and potentially reduce maternal morbidity and mortality.<br/> |
700 ## - ADDED ENTRY--PERSONAL NAME | |
9 (RLIN) | 23170 |
9 (RLIN) | 22780 |
9 (RLIN) | 22811 |
9 (RLIN) | 23171 |
856 ## - ELECTRONIC LOCATION AND ACCESS | |
Uniform Resource Identifier | <a href="https://idl-bnc-idrc.dspacedirect.org/bitstream/handle/10625/60485/IDL-60485.pdf">https://idl-bnc-idrc.dspacedirect.org/bitstream/handle/10625/60485/IDL-60485.pdf</a> |
942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
Source of classification or shelving scheme | ddc |
Koha item type | RESEARCH ARTICLES |
Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Collection | Home library | Current library | Shelving location | Date acquired | Total checkouts | Full call number | Barcode | Date last seen | Price effective from | Koha item type |
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MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 11/28/2022 | RA0963 | RA0963 | 11/28/2022 | 11/28/2022 | RESEARCH ARTICLES |