Abstract
Objectives
The aim of this study was to explore healthcare professionals’ experience of pregnant and motherhood in adolescence in Haiti.
Methods
The methodology for collecting and analyzing qualitative data was based on John Dewey’s social survey. The study was conducted in nine health institutions in the North and North-East departments of Haiti from October 2020 to January 2021. Data were collected through individual semi-structured interviews with 15 healthcare professionals. All interviews were audio-recorded. The recordings were listened to carefully and transcribed in verbatim form. After checking and validation, the verbatims in Word format were exported to QDA Miner software version 6.0.5 for coding. The data were analyzed using Paillé and Mucchielli thematic analyses.
Results
Health professionals such as gynecologists, nurses, midwives, nursing assistants, matrons and health workers took part in the study. These study participants indicate that teenage pregnancy and motherhood are social and public health problems whose negative consequences affect teenage girls, children, healthcare professionals, the healthcare system, and Haitian society in general. The services offered to adolescent girls are medical, educational, psychological, economic, and social in nature. When caring for pregnant adolescents during the transition to motherhood, healthcare professionals face many challenges that are linked to the socio-economic status and physiological reality of adolescents, as well as the healthcare system.
Conclusions
Programs involving home care visits should also be set up to offer ongoing support to pregnant or parenting teenagers. The distribution of food aid or materials such as clothing, hygiene products and baby kits should also be considered.
Funding source: International Development Research Centre (IDRC)
Funding source: Centre for Research on Social Innovations (CRISES)
Acknowledgments
We would like to thank Yolette Philibert, Gandhi C. Philibert and Rose-Carmelle Compère for their involvement in the field activities related to this research.
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Research ethics: This study was approved by the Laval University Ethics Committee (No: 2020-253/04-11- 2020), as well as by the Haitian National Bioethics Committee (No: Réf.1921-1).
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Informed consent: Participants were informed that their participation was completely voluntary and that they could withdraw from the study at any time without prejudice. In addition, prior to the interviews, all adult participants signed a consent form.
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Author contributions: All authors made significant contributions to the development and design or analysis and interpretation of data, to the development of the article, and/or to the critical revision of its intellectual content, and all authors endorsed the version submitted to the International Journal of Adolescent Medicine and Health.
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Competing interests: The authors declare no competing interests.
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Research funding: This study received financial support from the International Development Research Centre (IDRC) and the Centre for Research on Social Innovations (CRISES).
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Data availability: Not applicable.
References
1. Govender, D, Taylor, M, Naidoo, S. Adolescent pregnancy and parenting: perceptions of healthcare providers. J Multidiscip Healthc 2020;13:1607–28. https://doi.org/10.2147/jmdh.s258576.Search in Google Scholar PubMed PubMed Central
2. Organisation Mondiale de la Santé (OMS). Mortalité maternelle. Genève: OMS; 2019.Search in Google Scholar
3. Wright, LS, Maness, S, Branscum, P, Larson, D, Taylor, EL, Mayeux, L, et al.. Pastors’ perceptions of the Black Church’s role in teen pregnancy prevention. Health Promot Pract 2020;21:344–54. https://doi.org/10.1177/1524839919834269.Search in Google Scholar PubMed
4. Govender, D, Naidoo, S, Taylor, M. Nurses’ perception of the multidisciplinary team approach of care for adolescent mothers and their children in Ugu, KwaZulu-Natal. Afr J Prim Health Care Fam Med 2019;11:e1–11. https://doi.org/10.4102/phcfm.v11i1.1936.Search in Google Scholar PubMed PubMed Central
5. Philibert, L, Lapierre, J. Analyse des dimensions d’influence de la grossesse chez les adolescentes de 13 à 19 ans dans les départements du Nord et du Nord-Est d’Haïti. Sexologies 2022;31:107–16. https://doi.org/10.1016/j.sexol.2022.01.001.Search in Google Scholar
6. Organisation Mondiale de la Santé. La grossesse chez les adolescentes. Genève: OMS; 2020.Search in Google Scholar
7. Institut Haïtien de l’Enfance (IHE) ICF. Enquête Mortalité, Morbidité et Utilisation des Services (EMMUS-VI 2016-2017). Pétion-Ville, Haïti, et Rockville. Maryland, USA: IHE et ICF; 2018.Search in Google Scholar
8. Crenshaw, KW. Mapping the margins: intersectionality, identity politics, and violence against women of color. Stanford Law Rev 1991;43:1241–99. https://doi.org/10.2307/1229039.Search in Google Scholar
9. Crenshaw, KW, Bonis, O. Cartographies des marges: intersectionnalité, politique de l’identité et violences contre les femmes de couleur. Cahiers du Genre 2005;39:51–82. https://doi.org/10.3917/cdge.039.0051.Search in Google Scholar
10. Fraser, N. Justice sociale, redistribution et reconnaissance. Revue du MAUSS 2004;23:152–64. https://doi.org/10.3917/rdm.023.0152.Search in Google Scholar
11. Fraser, N. Qu’est-ce que la justice sociale?: reconnaissance et redistribution. Paris: La Découverte; 2005:178 p.Search in Google Scholar
12. Fraser, N. Qui compte comme sujet de justice ? La communauté des citoyens, l’humanité toute entière ou la communauté transnationale du risque. Rue Descartes 2010;67:50–9. https://doi.org/10.3917/rdes.067.0050.Search in Google Scholar
13. Lapierre, J, Philibert, L, Bou-Malhab, P, Gagnon, M-P, Caillouette, J, Kankindi, B. Mimosa du Quartier Pouvoir d’agir, justice sociale et humanisation des pratiques auprès de femmes immigrantes en situation de pauvreté. In: Lapointe, P-A, D’Amours, M, editors. Innovations sociales et justice sociale au regard de la Théorie critique de Nancy Fraser, vol 1. Presses de l’Université du Québec; 2022:77–130 pp.10.1515/9782760556256-006Search in Google Scholar
14. Reid, C, Pederson, A, Dupéré, S. Diversité et promotion de la santé: l’utilité des travaux sur la santé des femmes et sur la théorie intersectionnelle. In: O’neill, M, Dupéré, S, Pederson, A, Rootman, I, editors. Promotion de la santé au Canada et au Québec, perspectives critiques. Québec: Presses de l’Université Laval; 2005:98–115 pp.10.2307/jj.14962400.13Search in Google Scholar
15. Dewey, J. Logique: la théorie de l’enquête, 2e éd. Paris: Presses universitaires de France; 1967:693 p.Search in Google Scholar
16. Philibert, L. L’expérience de la grossesse et de la maternité perçue par des adolescentes enceintes, leurs proches et des acteurs du réseau de santé et du secteur communautaire dans les départements du Nord et du Nord-Est d’Haïti. Québec: Université Laval; 2023.Search in Google Scholar
17. Philibert, L, Ngangue, P, Lapierre, J, Bernardino, E, Kiki, GM, Ntanda, GM. Vulnerability analysis of Haitian adolescent girls before pregnancy: a qualitative study. Int J Adolesc Med Health 2023;35:403–10. https://doi.org/10.1515/ijamh-2022-0114.Search in Google Scholar PubMed
18. Philibert, L, Ngangue, P, Lapierre, J, Mulatris, P, Kiki, GM, Prophète, A, et al.. Perception and experience of relatives of pregnant teenagers: a qualitative study in the North and Northeast departments of Haiti. J Publ Health Afr 2023;14:1–11. https://doi.org/10.4081/jphia.2023.2436.Search in Google Scholar PubMed PubMed Central
19. Miles, MB, Huberman, AM. Analyse des données qualitatives, 2e éd. Bruxelles: De Boeck Université; 2003:626 p.Search in Google Scholar
20. Baribeau, C, Royer, C, Noël-Gaudreault, M, Raîche, G. L’entretien individuel en recherche qualitative: usages et modes de présentation dans la Revue des sciences de l’éducation. Revue des sciences de l’éducation 2012;38:23–45. https://doi.org/10.7202/1016748ar.Search in Google Scholar
21. Paillé, P, Mucchielli, A. L’analyse qualitative en sciences humaines et sociales, 2e éd. Paris: Armand Colin; 2008:315 p.Search in Google Scholar
22. Gwido, V, Fekadu Mazengia, A. Factors contributing to, and effects of, teenage pregnancy in Juba. South Sudan Med J 2016;9:28–31.Search in Google Scholar
23. Wilkinson, RG, Pickett, K. L’égalité, c’est mieux: pourquoi les écarts de richesse ruinent nos sociétés. Montréal: Éditions Écosociété; 2013:378 p.Search in Google Scholar
24. Cruz, E, Cozman, FG, Souza, W, Takiuti, A. The impact of teenage pregnancy on school dropout in Brazil: a Bayesian network approach. BMC Publ Health 2021;21:1850. https://doi.org/10.1186/s12889-021-11878-3.Search in Google Scholar PubMed PubMed Central
25. Gauster, A, Waddington, A, Jamieson, MA. Strategically timed preventive education and media strategies reduce seasonal trends in adolescent conception. J Pediatr Adolesc Gynecol 2015;28:245–8. https://doi.org/10.1016/j.jpag.2014.07.013.Search in Google Scholar PubMed
26. Alouini, S, Randriambololona, D, Randriamboavonjy, R. Risk factors of teenage pregnancies, deliveries and post-partum in the department of Loiret. J Gynecol Obstet Biol Reprod 2015;44:443–50. https://doi.org/10.1016/j.jgyn.2014.07.004.Search in Google Scholar PubMed
27. Wendland, J, Levandowski, DC. Parentalité à l’adolescence: déterminants et conséquences. L’Évolution psychiatrique 2014;79:411–9. https://doi.org/10.1016/j.evopsy.2012.09.004.Search in Google Scholar
28. Ampiah, MKM, Kovey, JJ, Apprey, C, Annan, RA. Comparative analysis of trends and determinants of anaemia between adult and teenage pregnant women in two rural districts of Ghana. BMC Publ Health 2019;19:1379. https://doi.org/10.1186/s12889-019-7603-6.Search in Google Scholar PubMed PubMed Central
29. Philibert, L, Lapierre, J. Vulnerabilities and strengths of pregnant Haitian adolescents and their families during transition to motherhood. Int J Matern Child Health AIDS 2022;11:1–11. https://doi.org/10.21106/ijma.564.Search in Google Scholar PubMed PubMed Central
30. Jittitaworn, W, Fox, D, Catling, C, Homer, CSE. Recognising the challenges of providing care for Thai pregnant adolescents: healthcare professionals’ views. Women Birth 2020;33:e182–90. https://doi.org/10.1016/j.wombi.2019.03.015.Search in Google Scholar PubMed
31. Mekonnen, T, Dune, T, Perz, J. Maternal health service utilisation of adolescent women in sub-Saharan Africa: a systematic scoping review. BMC Pregnancy Childbirth 2019;19:366. https://doi.org/10.1186/s12884-019-2501-6.Search in Google Scholar PubMed PubMed Central
32. Gage, AD, Leslie, HH, Bitton, A, Jerome, JG, Joseph, JP, Thermidor, R, et al.. Does quality influence utilization of primary health care? Evidence from Haiti. Global Health 2018;14:59. https://doi.org/10.1186/s12992-018-0379-0.Search in Google Scholar PubMed PubMed Central
33. Louis-Jean, J, Cenat, K, Sanon, D, Stvil, R. Coronavirus (COVID-19) in Haiti: a call for action. J Community Health 2020;45:437–9. https://doi.org/10.1007/s10900-020-00825-9.Search in Google Scholar PubMed PubMed Central
34. Jonas, K, Reddy, P, van den Borne, B, Sewpaul, R, Nyembezi, A, Naidoo, P, et al.. Predictors of nurses’ and midwives’ intentions to provide maternal and child healthcare services to adolescents in South Africa. BMC Health Serv Res 2016;16:658. https://doi.org/10.1186/s12913-016-1901-9.Search in Google Scholar PubMed PubMed Central
35. Hokororo, A, Kihunrwa, AF, Kalluvya, S, Changalucha, J, Fitzgerald, DW, Downs, JA. Barriers to access reproductive health care for pregnant adolescent girls: a qualitative study in Tanzania. Acta Paediatr 2015;104:1291–7. https://doi.org/10.1111/apa.12886.Search in Google Scholar PubMed PubMed Central
© 2024 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Review
- Characterizing models of adolescent and youth-friendly health services in sub-Saharan Africa: a scoping review
- Original Articles
- Analysis of fellowship program director opinions of entrustable professional activities in adolescent medicine fellowship
- Healthcare professionals’ experience of teenage pregnancy and motherhood in Haiti
- Investigating fertility health knowledge and lifestyle risk factors among Nigerian university students: A cross-sectional survey
- Identify mental health needs of adolescent pregnant women: a qualitative study
- Exploring the relationship between mothers’ competence and comfort in sexual and reproductive health discourse with adolescent girls and its related factors
- The impact of health education intervention on perceptions of menstrual cup among college going female students in peri-urban Bangalore
- Dysmenorrhea in Tunisian high school adolescent girls: frequency, effects, and absence from school
- Risk-stratified analysis of sex risk behaviors and correlates among school-going adolescents in Argentina: insights from a national survey
- A school-based randomized controlled field trial to improve Beliefs About Obese Persons (BAOP) and Attitudes Towards Obese Persons (ATOP) among adolescents
- The apple doesn’t fall far from the tree: is there a connection between the body mass indexes of adolescents and their parents?
- Parents’ attitudes, perceptions and coping strategies regarding school bullying
Articles in the same Issue
- Frontmatter
- Review
- Characterizing models of adolescent and youth-friendly health services in sub-Saharan Africa: a scoping review
- Original Articles
- Analysis of fellowship program director opinions of entrustable professional activities in adolescent medicine fellowship
- Healthcare professionals’ experience of teenage pregnancy and motherhood in Haiti
- Investigating fertility health knowledge and lifestyle risk factors among Nigerian university students: A cross-sectional survey
- Identify mental health needs of adolescent pregnant women: a qualitative study
- Exploring the relationship between mothers’ competence and comfort in sexual and reproductive health discourse with adolescent girls and its related factors
- The impact of health education intervention on perceptions of menstrual cup among college going female students in peri-urban Bangalore
- Dysmenorrhea in Tunisian high school adolescent girls: frequency, effects, and absence from school
- Risk-stratified analysis of sex risk behaviors and correlates among school-going adolescents in Argentina: insights from a national survey
- A school-based randomized controlled field trial to improve Beliefs About Obese Persons (BAOP) and Attitudes Towards Obese Persons (ATOP) among adolescents
- The apple doesn’t fall far from the tree: is there a connection between the body mass indexes of adolescents and their parents?
- Parents’ attitudes, perceptions and coping strategies regarding school bullying