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What Influences Adolescent Girls' Decision-Making Regarding
                Contraceptive Methods Use and Childbearing? A Qualitative
                Exploratory Study in Rangpur District, Bangladesh

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BACKGROUND: Bangladesh has the highest rate of adolescent
                pregnancy in South Asia. Child marriage is one of the leading
                causes of pregnancies among adolescent girls. Although the
                country's contraceptive prevalence rate is quite satisfactory,
                only 52% of married adolescent girls use contraceptive methods.
                This qualitative study is aimed at exploring the factors that
                influence adolescent girls' decision-making process in relation
                to contraceptive methods use and childbearing. METHODS AND
                RESULTS: We collected qualitative data from study participants
                living in Rangpur district, Bangladesh. We conducted 35 in-depth
                interviews with married adolescent girls, 4 key informant
                interviews, and one focus group discussion with community health
                workers. Adolescent girls showed very low decision-making
                autonomy towards contraceptive methods use and childbearing.
                Decisions were mainly made by either their husbands or
                mothers-in-law. When husbands were unemployed and financially
                dependent on their parents, then the mothers-in-law played most
                important role for contraceptive use and childbearing decisions.
                Lack of reproductive health knowledge, lack of negotiation and
                communication ability with husbands and family members, and
                mistrust towards contraceptive methods also appeared as
                influential factors against using contraception resulting in
                early childbearing among married adolescent girls. CONCLUSIONS:
                Husbands and mothers-in-law of newly married adolescent girls
                need to be actively involved in health interventions so that
                they make more informed decisions regarding contraceptive use to
                delay pregnancies until 20 years of age. Misunderstanding and
                distrust regarding contraceptives can be diminished by engaging
                the wider societal actors in health intervention including
                neighbours, and other family members.

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Reproducció del document publicat a:
                http://dx.doi.org/10.1371/journal.pone.0157664

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Articles publicats en revistes (ISGlobal)

# metadata.dc.title[].value
What Influences Adolescent Girls' Decision-Making Regarding
                Contraceptive Methods Use and Childbearing? A Qualitative
                Exploratory Study in Rangpur District, Bangladesh