Determinants of teenage pregnancies in a rural area of Zambia: a case study of Chipili district, Zambia

Teenage pregnancies are a serious public health issue around the world and Zambia in particular. This is driven by many factors. The general objective of the study was to explore determinants of teenage pregnancy in Chinshinki village, Chipili district. This was a qualitative study, which adopted a phenomenological study design. Data was collected using a focus group discussion with teenage mothers and four key informants. Participants were purposively selected based on the in-depth knowledge and experience of the phenomenon studied. The data collected was analysed using thematic analysis. The study showed that despite being aware of the various methods of contraception, teenagers still have negative attitudes toward their use. Cultural beliefs of not discussing sexual matters at household level have led to teenagers to search for guidance and information from their peers. The study also revealed that the reduced accessibility and awareness on reproductive health information was influenced by the healthcare workers who did not provide this information to the teenagers in their respective communities. The study showed that despite being aware of the various methods of contraception, teenagers are still not willing to fully utilize these methods. This perception stems from misinformation provided by their peers who play an important role regarding teenagers' decisions about engaging in risky sexual behaviour.