A Qualitative Exploration of Factors Explaining Non-Uptake of Hormonal Contraceptives Among Adolescent Girls in Rural Ghana: The Adolescent Girls’ Perspective

References

• United Nations International Children’s Emergency Fund. Young People and Family Planning. Teenage Pregnancy; 2008.
   Google Scholar
• United Nations Department of Economic and Social Affairs. World Population Prospects: The 2017 Revision | Multimedia Library. 1st June, 2017
   Google Scholar
• World Health Organisation. Adolescent pregnancy; 2020. Available from: https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy. Accessed February 14, 2020.
   Google Scholar
• Darroch JE, Woog V, Bankole A, Ashford LS, Points K. Adding It Up: Costs and Benefits of Meeting the Contraceptive Needs of Adolescents; New York: Guttmacher Institute, 2016. https://www.guttmacher.org/report/adding-it-meeting-contraceptive-needs-of-adolescents.
   Google Scholar
• United Nations Department of Economic and Social Affairs. World Population Prospects 2019 Highlights; 2019.
   Google Scholar
• Neal S, Matthews Z, Frost M, Fogstad H, Camacho AV, Laski L. Childbearing in adolescents aged 12-15 years in low resource countries: a neglected issue. New estimates from demographic and household surveys in 42 countries. Acta Obstet Gynecol Scand. 2012;91(9):1114–1118. doi:10.1111/j.1600-0412.2012.01467.x
   PubMed Web of Science ®Google Scholar
• WHO. Global Health Estimates 2016: Disease Burden by Cause, Age, Sex, by Country and by Region, 2000-2016. Geneva: World Health Organization; 2018. Available from: https://www.who.int/healthinfo/global_burden_disease/estimates/en/index1.html. Accessed October 16, 2021.
   Google Scholar
• 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 Int J Paediatr. 2015;104(12):1291–1297. doi:10.1111/apa.12886
   PubMed Web of Science ®Google Scholar
• Norris A, Harrington BJ, Grossman D, Hemed M, Hindin MJ. Abortion experiences among Zanzibari women: a chain-referral sampling study. Reprod Health. 2016;13(1):23. doi:10.1186/s12978-016-0129-9
   Web of Science ®Google Scholar
• Chen X, Lunn S, Deveaux L, et al. A cluster randomized controlled trial of an adolescent HIV prevention program among Bahamian youth: effect at 12 months post-intervention. AIDS Behav. 2009;13(3):499–508. doi:10.1007/s10461-008-9511-0
   Web of Science ®Google Scholar
• Say L, Chou D, Gemmill A, et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Heal. 2014;2:6. doi:10.1016/S2214-109X(14)70227-X
   Web of Science ®Google Scholar
• MerrickTW. Making the Case for Investing in Adolescent Reproductive Health: A Review of Evidence and PopPov Research Contributions (Washington, DC: Population and Poverty Research Initiative and Population Reference Bureau 2015).Available form: https://www.prb.org/wp-content/uploads/2016/01/poppov-report-adolescent-srh.pdf.
   Google Scholar
• Hubacher D, Mavranezouli I, McGinn E. Unintended pregnancy in sub-Saharan Africa: magnitude of the problem and potential role of contraceptive implants to alleviate it. Contraception. 2008;78(1):73–78. doi:10.1016/j.contraception.2008.03.002
   PubMed Web of Science ®Google Scholar
• Hounton S, Barros AJD, Amouzou A, et al. Patterns and trends of contraceptive use among sexually active adolescents in Burkina Faso, Ethiopia, and Nigeria: evidence from cross-sectional studies. Glob Health Action. 2015;8(1):29737. doi:10.3402/gha.v8.29737
   PubMed Web of Science ®Google Scholar
• Chandra-Mouli V, McCarraher DR, Phillips SJ, Williamson NE, Hainsworth G. Contraception for adolescents in low and middle income countries: needs, barriers, and access. Reprod Health. 2014;11(1):1. doi:10.1186/1742-4755-11-1
   PubMed Web of Science ®Google Scholar
• Krugu JK, Mevissen F, Münkel M, Ruiter R. Beyond love: a qualitative analysis of factors associated with teenage pregnancy among young women with pregnancy experience in Bolgatanga, Ghana. Cult Heal Sex. 2017;19(3):293–307. doi:10.1080/13691058.2016.1216167
   PubMed Web of Science ®Google Scholar
• Villarruel AM, Zhou Y, Gallegos EC, Ronis DL. Examining long-term effects of Cuídate-a sexual risk reduction program in Mexican youth. Rev Panam Salud Publica/Pan Am J Public Heal. 2010;27(5):345–351. doi:10.1590/S1020-49892010000500004
   PubMed Web of Science ®Google Scholar
• Hood JE, Hogben M, Chartier M, Bolan G, Bauer H. Dual contraceptive use among adolescents and young adults: correlates and implications for condom use and sexually transmitted infection outcomes. J Fam Plan Reprod Heal Care. 2014;40(3):200–207. doi:10.1136/jfprhc-2012-100295
   Google Scholar
• Teye-Kwadjo E, Kagee A, Swart H. Condom use negotiation among high school adolescents in Ghana: the role of gender. South African J Psychol. 2018;48(4):465–475. doi:10.1177/0081246317730282
   Web of Science ®Google Scholar
• Ajayi AI, Ismail KO, Akpan W. Factors associated with consistent condom use: a cross-sectional survey of two Nigerian universities. BMC Public Health. 2019;19(1):1207. doi:10.1186/s12889-019-7543-1
   PubMed Web of Science ®Google Scholar
• Kintampo Health and Demographic Surveillance System. 2015 Annual Report; 2015.
   Google Scholar
• Ghana Statistical Service, Ghana Health Service, ICF International. Demographic and Health Survey. Accra; 2015.
   Google Scholar
• Boamah EA, Asante KP, Mahama E, et al. Use of contraceptives among adolescents in Kintampo, Ghana: a cross-sectional study. Open Access J Contracept. 2014;5:7. doi:10.2147/oajc.s56485
   Google Scholar
• U.S department of Health and Human Services. National Institute of Health. Theory at a Glance a Guide for Health Promotion Practice. 2nd ed; 2005.
   Google Scholar
• Hagan JE, Buxton C. Contraceptive knowledge, perceptions and use among adolescents in selected senior high schools in the Central Region of Ghana. J Sociol Res. 2012;3(2):170–180. doi:10.5296/jsr.v3i2.2311
   Google Scholar
• Wafula S, Obare F, Bellows B. Evaluating the Impact of Promoting Long Acting and Permanent Methods of Contraceptives on Utilization: Results from a Quasi Experimental Study in Kenya. Population Association of America; 2014.
   Google Scholar
• Yarrow E. Over-protected and under-served: a multi-country study on legal barriers to young people’s access to sexual and reproductive health services; 2014. Available from: https://www.ippf.org/sites/default/files/ippf_coram_senegal_report_eng_web.pdf. Accessed October 16, 2021.
   Google Scholar
• Abdul-Razak A Factors influencin non-use of modern contraceptives among adolescents in the Sunyani Municipality [Dissertation]. Accra: University of Ghana; 2016.
   Google Scholar
• Yidana A, Ziblim S-D, Azongo TB, Abass YI. Socio-cultural determinants of contraceptives use among adolescents in Northern Ghana. Public Heal Res. 2015;5(4):83–89. doi:10.5923/j.phr.20150504.01
   Google Scholar
• Schwandt HM, Skinner J, Hebert LE, Saad A. Perceived risks associated with contraceptive method use among men and women in Ibadan and Kaduna, Nigeria. Afr J Reprod Health. 2015;19(4):31–40.
   PubMed Web of Science ®Google Scholar
• Wood K, Jewkes R. Blood blockages and scolding nurses: barriers to adolescent contraceptive use in South Africa. Reprod Health Matters. 2006;14(27):109–118. doi:10.1016/S0968-8080(06)27231-8
   PubMed Web of Science ®Google Scholar
• Bimbola Odu K, Odu KB, Christian JA. The menace of teenage motherhood in Ekiti State. Middle-East J Sci Res. 2007;2(4):157–161.
   Google Scholar
• Mehra D, Agardh A, Petterson KO, Östergren PO. Non-use of contraception: determinants among Ugandan university students. Glob Health Action. 2012;5:18599. doi:10.3402/gha.v5i0.18599
   PubMed Web of Science ®Google Scholar
• Mushwana L, Monareng L, Richter S, Muller H. Factors influencing the adolescent pregnancy rate in the Greater Giyani Municipality, Limpopo Province - South Africa. Int J Africa Nurs Sci. 2015;2:10–18. doi:10.1016/j.ijans.2015.01.001
   Google Scholar
• Gelfand MJ, Harrington JR, Jackson JC. The strength of social norms across human groups. Perspect Phychol Sci. 2017;12(5):800–809. doi:10.1177/17456917708631
   PubMed Web of Science ®Google Scholar
• Hechter M, Opp KD, eds. Social Norms. Russell Sage Foundation; 2001.
   Google Scholar
• Bamgbose O. Legal & cultural approaches to sexual matters in Africa: the cry of the adolescent girl. Miami Int’L Comp L Rev. 2001;10:127.
   Google Scholar
• Costenbader E, Zissette S, Martinez A, et al. Getting to intent: are social norms influencing intentions to use modern contraception in the DRC? PLoS One. 2019;14(7):e0219617. doi:10.1371/journal.pone.0219617
   PubMed Web of Science ®Google Scholar
• Agha S, Morgan B, Acher H, Paul S, Babigumira JB, Guthrie BL. Understanding how social norms affect contraceptive use. BMC Public Health. 2021;21:1061. doi:10.1186/s12889-021-11110-2
   PubMed Web of Science ®Google Scholar
• Hall KS. The health belief model can guide modern contraceptive behavior research and practice. J Midwifery Women’s Heal. 2012;57(1):74–81. doi:10.1111/j.1542-2011.2011.00110.x
   PubMed Web of Science ®Google Scholar
• Ajzen I. From intentions to actions: a theory of planned behavior. In: Action Control. Springer Berlin Heidelberg; 1985:11–39. doi:10.1007/978-3-642-69746-3_2
   Google Scholar
• Bandura A. Social Cognitive Theory: An Agentic Perspective .Asian J. Soc. Psychol. 1. Vol. 2; 1999.
   Google Scholar
• Haider T, Sharma M. Barriers to family planning and contraception uptake in sub-saharan Africa: a systematic review. Int Q Community Health Educ. 2012;33(4):403–413. doi:10.2190/IQ.33.4.g
   Google Scholar
• Owusu-Agyei S, Nettey OEA, Zandoh C, et al. Demographic patterns and trends in Central Ghana: baseline indicators from the Kintampo Health and Demographic Surveillance System. Glob Health Action. 2012;5:1–11. doi:10.3402/gha.v5i0.19033
   Web of Science ®Google Scholar
• Enuameh Y, Nettey OE, Mahama E, et al. Family planning needs of adolescents in predominantly rural communities in the central part of Ghana. Open J Prev Med. 2015;5:269–279.
   Google Scholar
• Guest G, Namey E, Taylor J, Eley N, McKenna K. Comparing focus groups and individual interviews: findings from a randomized study. Int J Soc Res Methodol. 2017;20(6):693–708. doi:10.1080/13645579.2017.1281601
   Web of Science ®Google Scholar
• Vaismoradi M, Bondas T, Turunen H. Content analysis and thematic analysis: implications for conducting a qualitative descriptive study. J Nurs Heal Sci. 2013;(2013(15):398–405.
   Web of Science ®Google Scholar
• Nguyen H, Liamputtong P, Murphy G. Knowledge of contraceptives and sexually transmitted diseases and contraceptive practices amongst young people in Ho Chi Minh City, Vietnam. Health Care Women Int. 2006;27(5):399–417. doi:10.1080/07399330600629542
   PubMedGoogle Scholar
• Smith A, Schlichthorst M, Mitchell A, et al. Sexuality Education in Australian Secondary Schools 2010, Monograph Series No. 80, Melbourne: La Trobe University, the Australian Research Centre in Sex, Health & Society, 2011.
   Google Scholar
• Awusabo-Asare K, Stillman M, Keogh S, et al. From Paper to Practice: Sexuality Education Policies and Their Implementation in Ghana; 2017.
   Google Scholar
• Costenbader E, Lenzi R, Hershow RB, Ashburn K, McCarraher DR. Measurement of social norms affecting modern contraceptive use: a literature review. Stud Fam Plan. 2017;48(4):377–389. doi:10.1111/sifp.12040
   PubMed Web of Science ®Google Scholar
• Nalwadda G, Mirembe F, Tumwesigye NM, Byamugisha J, Faxelid E. Constraints and prospects for contraceptive service provision to young people in Uganda: providers’ perspectives. BMC Health Serv Res. 2011;11(1):220. doi:10.1186/1472-6963-11-220
   PubMed Web of Science ®Google Scholar
• Awusabo-Asare K, Biddlecom A, Kumi-Kyereme A, et al. Adolescent Sexual and Reproductive Health in Ghana: Results from the 2004 National Survey of Adolescents; 2006.
   Google Scholar
• Inyang-Etoh E, Akpan A. Side effect profile of Jadelle implant in Nigerian women during the first 12 months of usage. Int J Reprod Contraception Obstet Gynecol. 2016;5(5):1461–1465. doi:10.18203/2320-1770.ijrcog20161305
   Google Scholar
• Adongo PB, Tabong PTN, Azongo TB, et al. A comparative qualitative study of misconceptions associated with contraceptive use in southern and northern Ghana. Front Public Heal. 2014;2(SEP). doi:10.3389/fpubh.2014.00137
   Google Scholar
• Kinaro J, Kimani M, Ikamari L, Ayiemba EHO. Perceptions and barriers to contraceptive use among adolescents aged 15-19 years in Kenya: a case study of Nairobi. Health (Irvine Calif). 2015;07(01):85–97. doi:10.4236/health.2015.71010
   Google Scholar
• Bamgbose O. Legal & cultural approaches to sexual matters in Africa: the cry of the adolescent girl. Miami Int’L Comp L Rev. 2001;10:127.
   Google Scholar
• Smith R, Rossetto K, Peterson BL. A meta-analysis of disclosure of one’s HIV-positive status, stigma and social support. AIDS Care. 2008;20(10):1266–1275. doi:10.1080/09540120801926977
   PubMed Web of Science ®Google Scholar
• Greeff M, Phetlhu R, Makoae LN, et al. Disclosure of HIV status: experiences and perceptions of persons living with HIV/AIDS and nurses involved in their care in Africa. Qual Health Res. 2008;18(3):311–324. doi:10.1177/1049732307311118
   PubMed Web of Science ®Google Scholar
• Arnold EM, Rice E, Flannery D, Rotheram-Borus MJ. HIV disclosure among adults living with HIV. AIDS Care. 2008;20(1):80–92. doi:10.1080/09540120701449138
   PubMed Web of Science ®Google Scholar
• Okereke CI. Unmet reproductive health needs and health-seeking behaviour of adolescents in Owerri, Nigeria. Afr J Reprod Health. 2010;14(1):43–54. doi:10.2307/25766338
   PubMedGoogle Scholar
• Nalwadda G, Mirembe F, Byamugisha J, Faxelid E. Persistent high fertility in Uganda: young people recount obstacles and enabling factors to use of contraceptives. BMC Public Health. 2010;10(1):530. doi:10.1186/1471-2458-10-530
   PubMed Web of Science ®Google Scholar
• Mollen S, Ruiter RAC, Kok G. Current issues and new directions in Psychology and Health: what are the oughts? The adverse effects of using social norms in health communication. Psychol Heal. 2010;25(3):265–270. doi:10.1080/08870440903262812
   PubMed Web of Science ®Google Scholar