Determinants of poor pregnancy outcome among teenagers in Manicaland 2019.

Abstract

Teenage pregnancy is defined as any pregnancy occurring among adolescent girls below 19 years. The national teenage pregnancy prevalence in Zimbabwe is 27.2% and Manicaland province had 27.7%. Despite the availability of ASRH services to reduce both, HIV and teenage pregnancy remain a public health concern. We sought to establish the determinants of poor pregnancy outcome among teenagers in Manicaland, Zimbabwe, 2017MethodsSample size was 251 teenagers. Five key informants were interviewed. An analytic cross sectional study design, using interviewer administered questionnaire was used to get information from teenagers in Manicaland, 2017. The major findings of the study were that pregnancies were among ages 17 and 19, median age was 18 years IQR =20.17-19.After logistic regression the independent risk factors for poor pregnancy outcome were previous pregnancy problem [AOR =12.8 95%CI(3.9-42.4,p<0.001)] and distance of more than 5 kilometres from the clinic [AOR=16.3:95% CI 6.2-43.4, p<0.001)].Resuscitation of ASRH services, including outreach service and availing resources for continuity of ASRH services to teenagers were recommended