Ebola Virus Disease-Induced Teenage Pregnancy and the Health Support System in the Masuba Community, Bombali District, Sierra Leone

Maurice Baimba Kargbo, Idris Ortameson Kamara
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Abstract

Teenage pregnancy continues to be one of the social barriers to the human resource development of Sierra Leone. It limits the educational progress of the girl child. The situation was a national concern in the year 2015 immediately after the Ebola Virus Disease (EVD) out-break as teenage pregnancy of school going children reached its record highest in Sierra Leone, and demanded a change in the Education policy to encourage their class attendance and sitting to public examinations. This research was, therefore, conducted in one worst-hit community in the Bombali District, the Masuba community which has a Government supported Maternal and Child Health Center that could recount better for the mishap so that useful information to support Government to respond to the menace would be generated. To ensure this, the research employed a desk research in which information contained in the records of the Masuba Health Center, which was the only functioning health facility in the Masuba Community that responded to the affairs of pregnant and lactating mothers was collected. The research sought to ascertain the surge in teenage pregnancies, number delivering at the health facility complications at their deliveries, Government’s intervention on family planning in the health facility occasioned by the EVD outbreak in the Masuba community. The research found out that there was a marked increase in the number of teenage pregnancies in the Masuba community, with such reduced complications in the middle period of the outbreak; teenage mother deliveries were overwhelmingly safe with only a few referrals; Government Family Planning interventions during the EVD outbreak were the non-injectables, non-invasive, and sensitization, while that the pre and post-EVD outbreak period were counseling, pregnancy test, alongside with the injectable, pills, condoms, and invasive methods.
塞拉利昂邦巴利区马苏巴社区埃博拉病毒引起的少女怀孕和卫生支持系统
少女怀孕仍然是塞拉利昂人力资源开发的社会障碍之一。它限制了女童的教育进步。2015年,在埃博拉病毒病(EVD)爆发后不久,这一情况成为全国关注的问题,因为塞拉利昂学龄儿童的少女怀孕率达到了创纪录的最高水平,并要求改变教育政策,以鼓励他们上课和参加公开考试。因此,这项研究是在邦巴利区一个受灾最严重的社区Masuba社区进行的,该社区有一个政府支助的妇幼保健中心,可以更好地叙述事故情况,从而产生有用的信息,以支持政府应对这一威胁。为了确保这一点,该研究采用了案头研究,收集了马苏巴保健中心记录中的信息,该中心是马苏巴社区唯一一个对孕妇和哺乳期母亲的事务作出反应的正常运作的保健设施。这项研究试图查明少女怀孕激增、在保健设施分娩时出现并发症的人数、政府在马苏巴社区爆发埃博拉病毒病时对保健设施计划生育的干预。研究发现,马苏巴社区的少女怀孕人数明显增加,在疫情爆发中期并发症减少;十几岁的母亲分娩绝对是安全的,只有少数人推荐;EVD暴发期间的政府计划生育干预措施主要为非注射、非侵入性和致敏,而EVD暴发前后的政府计划生育干预措施主要为咨询、妊娠试验以及注射、药物、避孕套和侵入性方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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