OJPed  Vol.3 No.4 , December 2013
Teenage pregnancy and implications on child survival amongst mothers attending a clinic in the East-End, Freetown, Sierra Leone
Abstract: Introduction: Every year it is estimated that about 14 million adolescent girls give birth globally with the highest rate (143 per 1000 girls aged 15 - 19 years) in the sub-Saharan Africa. Babies born to adolescent mothers are at greater risk and are far more likely to die than those born to older women. This study therefore sets out to describe the health care seeking behaviors in a cohort of teenage mothers attending an Under-Five Clinic in a densely populated section of Freetown, Sierra Leone with a view of determining the impact of their behavior on the survival of their children. Methodology: This is a descriptively cross sectional and prospective study that involved four hundred and six mothers attending the Under-Five Clinic in the Eastern end of Freetown using semiclosed ended questionnaire which were interviewers administered between 1st and 29th July 2011. Result: The age of the study population ranged between 12 and 45 years, with a mean of 24.8 ± 6.3 years. Of the four hundred and six, eighty nine (21%) were teenagers (less than 20 years) with a majority (60.6%) of them being between 18 and 19 years old. Concerning the 89 teenage mothers in the study population, the majority (95.5%) did not possess the secondary school education, 42.7% were petty traders and more than a half of them (61.8%) were married. The mothers were rated low in all the activities geared towards child survival except immunization. In addition there was a delay in the initiation of complementary feeds which were also of poor quality. Fewer percentages of the mothers who had antenatal care in the hospitals delivered there. Conclusion: This study has revealed that early marriage is still common in Sierra Leone. Also the teenage mothers did not engage fully in a majority of activities that have been proven to contribute to the survival of babies in the Tropics thereby making their children vulnerable to malnutrition, measles and diarrhoeal diseases. It was recommended that the country should use recognised teenage programs aimed at urgently addressing a reduction in teenage pregnancy especially by improving the provision of education/vocational studies for the girl child.
Cite this paper: Runsewe-Abiodun, T. and Bondi, S. (2013) Teenage pregnancy and implications on child survival amongst mothers attending a clinic in the East-End, Freetown, Sierra Leone. Open Journal of Pediatrics, 3, 294-299. doi: 10.4236/ojped.2013.34053.

[1]   UNFPA (2013) State of world population 2004. cations/pid/2104

[2]   World Health Organization (2012) Adolescent pregnancy fact sheet No. 364. mediacentre/factsheets/fs364/en/

[3]   Bayisenge, J. (2013) Early marriage as a barrier to girl’s education: A developmental challenge in Africa.

[4]   Holgate, H., Evans, R. and Yuen, F.K.O. (2006) Teenage pregnancy and parenthood: Global perspectives, issues and interventions. Routledge, New York.

[5]   Harden, A., Brunton, G., Fletcher, A. and Oakley, A. (2009) Teenage pregnancy and social disadvantage: Systematic review integrating controlled trials and qualitative studies. British Medical Journal, 339, 1182-1185.

[6]   Cherry, A.L., Byers, L. and Dillon, M.E. (2009) A global perspective on teen pregnancy. In: Ehiri, J., Ed., Maternal and Child Health: Global Challenges, Programs, and Policies, Springer, New York, 375-397.

[7]   Jiang, N., Kolbe, L.J., Seo, D.-C., Kay, N.S. and Brindis, C.D. (2011) Health of adolescents and young adults: Trends in achieving the 21 critical national health objectives by 2010. Journal of Adolescent Health, 49, 124-132.

[8]   (2013) The linkages between the MDGs and young women’s health. attachs/MH_MDG_factsheet_webversion.pdf

[9]   Sierra Leone demographic and health survey report 2008.

[10]   Reichman, N.E. and Pagnini, D.L. (1998) Maternal age and birth outcomes: Data from New Jersey. Family Planning Perspectives, 30, 127.

[11]   Gomez, F. and Galvan, R.R. (2000) Mortality in 2nd and 3rd degree malnutrition. Bulletin of the World Health Organization, 78, 1275-1280.

[12]   Gakidou, E., Cowling, K., Lozano, R. and Murray, C.J.L. (2010) Increased educational attainment and its effect on child mortality in 175 countries between 1970 and 2009: A systematic analysis. Lancet, 376, 959-974.

[13]   Cleland, J.G. and van Ginneken, J.K. (1998) Maternal education and child survival in developing countries: The search for pathways of influence. Social Science and Medicine, 29, 1357-1368.

[14]   Hobcarft, J. (1993) Women’s education, child welfare and child survival: A review of evidence. Health Transition Review, 3, 159-175.

[15]   UNICEF State of the World Children (2007) The link between child survival and women’s empowerment.

[16]   UNICEF (2012) Nutrition report.

[17]   Batal, M., Boulghourjian, C., Abdallah, A. and Afifi, R. (2006) Breast-feeding and feeding practices of infants in a developing country: A national survey in Lebanon. Public Health Nutrition, 9, 313-319.

[18]   Lamberti, L.M., Walker, C.L.F., Noiman, A., Victora, C. and Black, R.E. (2011) Breastfeeding and the risk for diarrhea morbidity and mortality. BMC Public Health, 11, S15-S27. 1471-2458-11-S3-S15

[19]   Imdad, A., Yakoob, M.Y. and Bhutta, Z.A. (2011) Effect of breastfeeding promotion interventions on breastfeeding rates, with special focus on developing countries. BMC Public Health, 11, S24-S32.

[20]   Black, R.E., Allen, L.H., Bhutta, Z.A, Caulfield, L.E., de Onis, M., Ezzati, M., et al. (2008) Maternal and child undernutrition: Global and regional exposures and health consequences. The Lancet, 371, 243-260.

[21]   Belfort, M.B., Rifas-Shiman, S.L., Kleinman, K.P., Guthrie, L.B., Bellinger, D.C., Taveras, E.M., Gillman, M.W. and Oken, E. (2013) Infant feeding and childhood cognition at ages 3 and 7 years: Effects of breastfeeding duration and exclusivity. JAMA Pediatrics, 167, Epub ahead of print.

[22]   Agarwal, K.N. (2011) Weaning practices in other parts of the world: Case study India. Nestle Nutrition Workshop Series. Paediatric Programme, 68, 107-115. 325670