Reproductive Health最新文献

{"title":"Born Too Soon: Progress, priorities and pivots for preterm birth.","authors":"Tedros Adhanom Ghebreyesus, Natalia Kanem, Catherine Russell, Helen Clark","doi":"10.1186/s12978-025-02067-1","DOIUrl":"10.1186/s12978-025-02067-1","url":null,"abstract":"","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 Suppl 2","pages":"108"},"PeriodicalIF":3.4,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12186335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intersectoral interventions: integration for impact on preterm birth.","authors":"Etienne V Langlois, Maria El Bizri, Kelly Thompson, Amy Reid, Merette Khalil, Giulia Gasparri, Joy E Lawn, Teesta Dey, Judith Robb-McCord, Yousra-Imane Benaskeur, Ana Bonell, Amanuel Gidebo, Elaine Scudder, Sophie Marie Kostelecky, Patricia Machawira, Lars Gronseth, Rajnish Prasad, Diplav Sapkota, Priya Soma Pillay, Bina Valsangkar, Bo Jacobsson, Marleen Temmerman","doi":"10.1186/s12978-025-02043-9","DOIUrl":"10.1186/s12978-025-02043-9","url":null,"abstract":"<p><strong>Progress: </strong>The last two decades have seen a growing focus on intersectoral interventions to improve maternal and newborn health and well-being outcomes, as reflected in efforts to achieve the Millennium Development Goals (MDGs) and advance the Sustainable Development Goals (SDGs). Preterm births are linked to cross-sectoral determinants that affect health outcomes and human capital across the life-course, necessitating an intersectoral approach that addresses these multifaceted challenges.</p><p><strong>Programmatic priorities: </strong>Recognizing that social, biological and economic determinants significantly influence health outcomes, it is critical that robust health systems are reinforced by a comprehensive intersectoral approach. Evidence suggests that the factors influencing preterm birth, and the health of small and sick newborns are vast and varied, requiring interventions that address equity and rights, education, economic factors, environmental conditions, and emergency responses, i.e., a new framework entitled \"five Es\".</p><p><strong>Pivots: </strong>Improving outcomes for newborns, including preterm and small for gestational age babies, and preventing stillbirths, requires enhanced measurement and accountability within intersectoral programs across the 'five Es'. Investment in equity-focused, gender-transformative, and rights-based policies and programs across various sectors is crucial. Priority areas include ensuring equitable and inclusive education, particularly comprehensive sexual and reproductive health education; developing innovative financing schemes that protect and support families with complicated pregnancies and vulnerable infants; creating environmentally adaptive systems that prioritize maternal and newborn health; and implementing emergency response plans that guarantee the continuity of maternal and newborn health services. Evidence-based intersectoral interventions offer a promising pathway to reducing preterm births and improving health outcomes across generations. By addressing the five Es, intersectoral interventions can create a healthier future for preterm babies, children, adolescents, women, and society as a whole.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 Suppl 2","pages":"111"},"PeriodicalIF":3.4,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12186354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Born too soon: global epidemiology of preterm birth and drivers for change.","authors":"Ellen Bradley, Hannah Blencowe, Ann-Beth Moller, Yemisrach B Okwaraji, Francesca Sadler, Anna Gruending, Allisyn C Moran, Jennifer Requejo, Eric O Ohuma, Joy E Lawn","doi":"10.1186/s12978-025-02033-x","DOIUrl":"10.1186/s12978-025-02033-x","url":null,"abstract":"<p><strong>Progress: </strong>There has been no measurable change in global preterm birth rates in the past decade, in any region. A handful of countries have reduced their preterm birth rates, but only marginally (0.5 percentage points annually), and there has been little progress in availability of preterm birth data globally. An estimated 13.4 million (95% credible interval (CrI): [12.3, 15.2 million]) newborns were preterm or \"born too soon\" in 2020, 9.9% (95% CrI: [9.1, 11.2%]) of births worldwide. Preterm birth complications remained the top cause of under-5 child mortality globally in 2022, accounting for about 1 million neonatal deaths, similar to figures a decade ago. More encouragingly, some countries have improved data systems to better capture preterm birth information and advancements have been made in gestational age measurement, highlighting targeted efforts towards improving data for action. This paper is part of a series based on the report \"Born too soon: decade of action on preterm birth\".</p><p><strong>Programmatic priorities: </strong>Preventing preterm birth is a critical priority and could be accelerated by focusing on context-specific risk factors, and addressing spontaneous and provider-initiated preterm births, including non-medically indicated caesarean sections. Effective care can prevent 900 000 deaths from complications of preterm birth, particularly among those born before 32 weeks' gestation. Stillbirths should be included in data, policies and programmes relating to preterm birth. Most stillbirths occur preterm (an estimated 74.3%) and have a profound, long-lasting impact on families. Addressing stillbirths is essential for reducing the overall burden of preterm birth and minimising loss of human capital.</p><p><strong>Pivots: </strong>It is important that the data are available and of high quality, plus are used to drive action. We focus on three pivots to improve in the next decade: (1) counting every baby everywhere, including those stillborn, and accurately recording gestational age and birthweight; (2) strengthening national data systems to improve the availability of individual-level data for action, including quality improvement in maternity wards and small and sick newborn care units, plus follow-up for long-term health outcomes including disabilities; and (3) using data to strengthen shared accountability at all levels, from the community to global levels.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 Suppl 2","pages":"105"},"PeriodicalIF":3.4,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12186353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144476526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Born Too Soon: Progress and priorities for respectful and rights-based preterm birth care.","authors":"Mary Kinney, Elena Ateva, Olive Cocoman, Marta Schaaf, Phillip Wanduru, Merette Khalil, Emma R Sacks, Regina Tames, Denise Suguitani, Marcus Stahlhofer, Jaideep Malhotra, Petra Ten Hoope Bender","doi":"10.1186/s12978-025-02042-w","DOIUrl":"10.1186/s12978-025-02042-w","url":null,"abstract":"<p><strong>Progress: </strong>Human rights related to preterm birth encompass access to respectful, evidence-based care; informed consent; protection from discrimination, detention, and unnecessary separation of mother and newborn; and broader social entitlements, such as parental leave and early disability support. Since the 2012 Born Too Soon report, global recognition of these rights has expanded through international treaties, global guidelines, national legal reforms, and social movements. Demand for respectful care, including respectful maternity care and family centred care, has led to its incorporation into global guidelines and policies and a greater evidence-base. However, persistent challenges, such as workforce shortages, discriminatory policies, and the erosion of sexual and reproductive rights, continue to threaten progress.</p><p><strong>Programmatic priorities: </strong>Ensuring respectful and rights-based preterm birth care requires coordinated action across the continuum of care and across sectors, with the mother-baby dyad at the centre. Programmatic priorities at the individual level include implementing respectful maternity care and family-centred care. Ensuring high-quality, respectful care demands that providers themselves are supported, protected, and empowered to deliver such care. Their well-being is a critical enabler of the rights of patients and an essential component of effective, compassionate service delivery. At the facility-level, health systems must be purposefully designed to safeguard the fundamental human rights of the individuals with them, both care seekers and care providers. Implementing respectful, rights-based care relating to preterm birth requires structural and social changes, as well as robust data systems for accountability. Multi-stakeholder action requires strengthening accountability mechanisms at all levels and partnering with those affected by preterm birth-particularly women, families and healthcare providers-in policy processes, and the design, implementation and monitoring of care. At national-level, action requires the adoption, implementation and monitoring of international and regional human rights instruments, with multisectoral collaboration and social mobilization where violations continue.</p><p><strong>Pivots: </strong>To operationalize respectful and rights-based care for preterm birth, four primary shifts are needed: scale up respectful care; empower and partner with women and families; address the shortage of healthcare providers and protect their rights; and strengthen policy action and accountability.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 Suppl 2","pages":"112"},"PeriodicalIF":3.4,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12186350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Born too soon: accelerating change to 2030 and beyond.","authors":"Joy E Lawn, Rajat Khosla, Amy Reid, Etienne V Langlois, Mary Kinney, Gagan Gupta, Doris Mollel, Bo Jacobsson, Maria El Bizri, Anna Gruending, Harriet Ruysen, Kelly Thompson, Per Ashorn, Lori McDougall, Helga Fogstad, Fouzia Shafique, Anshu Banerjee","doi":"10.1186/s12978-025-02035-9","DOIUrl":"10.1186/s12978-025-02035-9","url":null,"abstract":"<p><strong>Progress needed: </strong>Preterm birth rates have \"flatlined\" for a decade with major loss of human capital, hindering progress for many Sustainable Development Goals. Progress on the reduction of maternal, newborn and child mortality needs to accelerate by between 3 and 11-fold to reach national and global targets by 2030.</p><p><strong>Priorities: </strong>Actions are required on two tracks: (1) prevention of preterm birth, including better management for women in preterm labour, and (2) provision of high-quality care to vulnerable newborns, including those born into fragile and conflict-affected settings. Together these tracks have potential for high impact in terms of millions of lives saved, and socioeconomic returns on investment. We can and must do more to provide quality and respectful reproductive, antenatal and birth care for all adolescent girls and women, everywhere, and close unacceptable survival gaps for small and sick newborns. New focus is essential on threats beyond the health sector, notably conflict and the climate crisis.</p><p><strong>Pivots: </strong>The cost of inaction is too high in every country. Four pivots are central to accelerating action: invest, implement, integrate, and innovate. More specifically these pivots include investments in systems including more skilled human resources; implementation of high-impact interventions with data used for quality improvement and accountability; innovations including new health technologies and also systems and social innovations; plus, integration with levels of the health sector and across sectors and the life-course, with families at the centre. Everyone has a role to play. Increasing speed now, and sustaining progress, requires multi-level leadership including from grassroots movements led by parents and affected people through to heads of state. Some countries provide examples of such change: The United States of America in data identified inequalities by state and ethnicity for preterm birth. Importantly noting drops in donor aid, India has made ambitious investment in the health sector and beyond, and United Republic of Tanzania in multi-level leadership. Changing gears requires the ambition and energy witnessed a generation ago for HIV/AIDS. We have the ability now to ensure that every baby born too soon - and their mothers - can survive and thrive. Our next generation depends on us acting now for more healthy starts and hopeful futures.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 Suppl 2","pages":"113"},"PeriodicalIF":3.4,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Born Too Soon: Every story counts: lessons in ethical, inclusive storytelling from born too soon.","authors":"Mary V Kinney, Amy Reid, Mercy Juma, Anna Gruending, Olufunke Bolaji, Doris Mollel, Denise Suguitani, Silke Mader, Karen Walker, Marleen Temmerman, Joy Lawn","doi":"10.1186/s12978-025-02068-0","DOIUrl":"10.1186/s12978-025-02068-0","url":null,"abstract":"","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 Suppl 2","pages":"107"},"PeriodicalIF":3.4,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12186341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144476528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of social networks in motivating access and use of contraceptives among adolescent girls and young women living in resource-constrained settings in Cape Town, South Africa.","authors":"Tsidiso Tolla, Kate Bergh, Zoe Duby, Nandipha Gana, Catherine Mathews, Kim Jonas","doi":"10.1186/s12978-025-02066-2","DOIUrl":"10.1186/s12978-025-02066-2","url":null,"abstract":"<p><strong>Background: </strong>This study explores the role of social networks consisting of parents, romantic and sexual partners and community members related to contraceptive access and use among adolescent girls and young women (AGYW) living in resource-constrained settings in Cape Town, South Africa METHODS: Data were collected through telephonic individual interviews, using a semi-structured interview schedule, with 63 AGYW aged 15-24 years old. All data were transcribed, translated, coded and analysed thematically using NVivo software.</p><p><strong>Results: </strong>AGYW self-reported that their motivations to access and use contraceptives correctly and consistently were shaped by intersecting networks of parents (specifically mothers), peers, male romantic and sexual partners, and community members. Parents and male romantic and sexual partners either discouraged or encouraged contraceptive use. The support received from parents was described as both direct and indirect. Direct support was active encouragement of contraceptive use, and indirect support was when parents did not challenge AGYW's use of contraceptives. AGYW also reported on parents who directly discouraged contraceptive use, resulting in AGYW hiding their use of contraceptives. As with parents, support from male romantic and sexual partners was not homogeneous, with some partners being supportive of contraceptive use and some not. There were AGYW who considered their partner's support as central to motivating their use of contraceptives and used strategies to convince their partners to understand the importance of using contraceptives. Conversely, some AGYW were indifferent to the support of their partners, holding the view that using contraceptives is a decision that should be made by the young woman themself. Attitudes from community members were reported to be largely discouraging.</p><p><strong>Conclusions: </strong>AGYW's interpersonal networks play a major role in shaping their attitudes, motivating or demotivating their use of, and access to contraception services. Social networks need to be taken into consideration when designing policies, interventions and programmes to promote contraception services among AGYW.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"104"},"PeriodicalIF":3.6,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144336897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying the reproductive health indicators for population policies worldwide: a scoping review.","authors":"Mahshid Taheri, Efat Mohamadi, Hakimeh Mostafavi, Alireza Olyaeemanesh, Amirhossein Takian","doi":"10.1186/s12978-025-02000-6","DOIUrl":"10.1186/s12978-025-02000-6","url":null,"abstract":"<p><strong>Introduction: </strong>The Sustainable Development Goals (SDGs) emphasize the critical need to reduce maternal and infant mortality and improve maternal health, which necessitates access to high-quality reproductive health (RH) services. By developing a comprehensive list of indicators, this study aims to support evidence-based decision-making and policy adjustments that respond to national and international reproductive health needs.</p><p><strong>Methods: </strong>This is a scoping review from 2000 until 2020 in the international databases including PubMed/Medline, Scopus, Cochrane, WHO website, and ProQuest. We included studies that had abstracts, English language, and involved indicators related to reproductive health indicators. The selected articles were reviewed by two members of the team and then approved by the corresponding author. After collecting the primary indicators and removing duplications, the thematic classification of indicators was done.</p><p><strong>Results: </strong>We found 2026 studies from three databases and excluded 301 duplicates. After reviewing the abstract, 250 and by reading the full text, 23 studies were included. Most studies were about reproductive health indicators that are indirectly practical in the measurement of reproductive health policies. Most of the studies were systematic reviews. The most frequent indicator among the included studies was the total fertility rate.</p><p><strong>Conclusion: </strong>Effective monitoring of childbearing encouragement programs and reproductive health policies requires a multi-level approach, encompassing indicators that can be applied from health-center to national levels. This review has categorized existing indicators to provide a structured framework for evaluating population policies. The selected indicators from this review can serve as a guideline for policymakers to create customized monitoring systems that address the specific needs of their countries.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"102"},"PeriodicalIF":3.6,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding sexual and reproductive health need of unmarried adolescents and youth in urban slums: evidence from a formative study in Uttar Pradesh, India.","authors":"Hitesh Sahni, Mukesh Sharma, Basant Kumar Panda, Emily Das, Samrendra Behera, Neelanjana Pandey, Abhishek Kumar, Kate Graham, Ian Salas","doi":"10.1186/s12978-025-02025-x","DOIUrl":"10.1186/s12978-025-02025-x","url":null,"abstract":"<p><strong>Background: </strong>Despite the intentional focus of national programs and strategies in last decade, unmarried adolescents and youth (AY) face multiple challenges related to sexual and reproductive health (SRH) information, and access to health and counseling services. With massive urbanization and growing slum and more focus on married youth, the situation and need of unmarried AY are often overlooked. The present study explores the SRH need of AY to gain a holistic understanding of the SRH landscape in the context of slums of Uttar Pradesh, India.</p><p><strong>Methods: </strong>A formative qualitative study was conducted in the slums of two cities in Uttar Pradesh using qualitative research techniques-in-depth interviews (IDI) and focus group discussions (FGDs) with unmarried adolescents and youths aged 15-24 years. Thematic analysis was guided by principles of grounded theory and narrative inquiry, both inductive and deductive approaches.</p><p><strong>Results: </strong>The study found limited awareness of SRH issues and often inaccurate knowledge of modern contraceptives among the unmarried youth.Gendered access to SRH information emerged clearly, with boys benefitting from wider peer network, while girls relied on familial networks. Lack of social networks and support, communication gap, and limited reach of health providers have majorly contributed to misinformation and misconceptions. Information through social media and online sources served as a key source of SRH knowledge among adolescents and unmarried youth, but concerns remained about the accuracy and reliability of the information accessed. Structural constraints such as stigma, mobility restrictions, and provider bias further marginalized unmarried youth-especially girls-from accessing reliable SRH services.</p><p><strong>Conclusion: </strong>The study highlighted demand for SRH knowledge, source of knowledge, major concerns, and opportunities of AY in urban slums. A clear need for multi-faceted strategies targeting sexual health education, adolescent-responsive SRH services, and expanded digital outreach with verified content for this vulnerable populations are identified. However, targeted intervention through system level approaches for AY can be helpful for dispelling myths and providing accurate information.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"103"},"PeriodicalIF":3.6,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and factors associated with teenage pregnancy among girls aged 13 to 19 years in Atutur sub-county, Kumi district, Eastern Uganda: a community-based cross-sectional study.","authors":"Michael Akol, Ronald Opito, Bonniface Oryokot, Hellen Akurut, James Kalema, Maxwell Chekwoti, John Paul Matovu, Nasta Mayamba Chelimo, Hannah Muwanguzi, Moses Eremu, Samuel Kabwigu","doi":"10.1186/s12978-025-02058-2","DOIUrl":"10.1186/s12978-025-02058-2","url":null,"abstract":"<p><strong>Background: </strong>Teenage pregnancy remains a pressing public health issue with profound effects on health, education, and socio-economic outcomes. Rural areas, such as parts of Teso, often face higher prevalence of teenage pregnancy due to socioeconomic challenges. This study aimed at determining the prevalence of teenage pregnancy and associated factors in Atutur sub-county, Kumi district.</p><p><strong>Methodology: </strong>The authors employed a cross-sectional study design and sampled 444 teenage girls aged 13-19 years from 12 randomly selected villages in Atutur sub-county, Kumi district in April 2024. They were interviewed using structured researcher administered questionnaire. Data was collected using kobo collect tool, downloaded, cleaned and exported to SPPS version 27.0 for further management and analysis. Descriptive statistics was conducted to determine the prevalence of teenage pregnancy. After adjusting for covariates, multivariate analysis was conducted using modified Poisson regression to determine predictors of teenage pregnancy. Results were reported with a 95% confidence interval (CI) and factors whose CI did not contain a null (1.0), with p-value (P < 0.05) for adjusted PR, were considered statistically significant.</p><p><strong>Results: </strong>Of the 444 teenage girls, the mean age was 17 (standard deviation = 1.9) years. About one third of the participants, 132(29.7%) had ever conceived. Teenage girls in cohabitation were 3.0 times more likely to have conceived (aPR = 3.0, 95% CI: 2.23-4.10, P < 0.001) compared to those staying with their parents. Teenagers with both parents deceased were 1.9 times more likely to conceive (aPR = 1.9, 95% CI: 1.15-3.31, P = 0.032) compared to those whose parents were both alive. Teenage girls who were not satisfied with basic needs provided by parents were 3.3 times more likely to conceive (aPR = 3.3, 95% CI: 2.26-4.85, P < 0.001) compared to those satisfied with the basic needs provided by their parents.</p><p><strong>Conclusion: </strong>Teenage pregnancy rates in Atutur sub-county Kumi district was higher than the national average, due to adverse socio-economic situation. Strengthening parental support of the girl child, with legal and community measures to reduce early marriages in rural settings may reduce teenage pregnancy. There is need to make deliberate efforts to provide socio-economic strengthening for the teenage girls to reduce their vulnerability.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"101"},"PeriodicalIF":3.6,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}