Prevalence and factors associated with teenage pregnancy among pregnant mothers attending Rakai general hospital, Uganda: A cross-sectional study.
DOI:
https://doi.org/10.51168/sjhrafrica.v6i9.2128Abstract
Background: The World Health Organization defines a teenage pregnancy as a pregnancy below the age of 20 years, and it is a major public health concern affecting more than 16 million girls and young women around the world. This study aimed at determining the Prevalence and Factors associated with Teenage Pregnancy among Mothers attending the Antenatal Care Clinic at Rakai General Hospital.
Methods: It was a cross-sectional study where we included pregnant women attending ANC. Using a consecutive sampling method, 251 pregnant women were enrolled. Data was collected using structured pre-tested questionnaires and analyzed using STATA Version 15.1. A bivariate and multivariate analysis was used to show the association between the dependent and independent variables, considering P < 0.05 as the level of significance and the 95% confidence interval.
Results: The prevalence of Teenage Pregnancy was 55(21.91%). Mothers with no formal education were 5.8. times more likely to have teenage pregnancy with (aOR =5.8.0; 95% CI = [1.759-19.675]; P=0.004), girls in Peer groups were 3.1 times more likely to have pregnancy in their teenage age with (aOR =3.1; 95% CI = [1.946-12.633]; P=0.016), history of contraception use and age of marriage less than 18 years were also significantly associated with Teenage pregnancy amongst mothers attending Rakai General Hospital Antenatal Care Clinic with, (aOR =3.2; 95% CI = [1.731-13.326]; P=0.001); (aOR =3.9; 95% CI = [1.693-10.075]; P=0.013) respectively.
Conclusion: The overall prevalence of Teenage pregnancy is high compared to the global prevalence. Teenage Pregnancy was significantly associated with no formal education, peer groups, a history of contraception use, and an age of marriage of less than 18 years.
Recommendations: Conduct a national study on the prevalence, strengthen laws against early marriage, keep girls in school, and sensitize them on teenage pregnancy risks.
References
Nicolet, L., Moayedoddin, A., Djatch, J., Nzebou, D., Stoll, B., & Jeannot, E. (2021). Teenage Mothers in Yaound é , Cameroon — Risk Factors and Prevalence of Perinatal Depression Symptoms.,
Nagandla, K., & Kumar, K. (2020). Prevalence of teenage pregnancy in 2015 – 2016 and its obstetric outcomes compared to non- teenage pregnancy at Hospital Tuanku Ja ’ afar Seremban ( HTJS ), Negeri Sembilan , Malaysia : A retrospective case-control study based on the national obstetric re. 15(2), 2–9.
Anayochukwu, G. I. (2022). Teenage pregnancy and its consequences : Evidence from a South-eastern rural community of Nigeria. 2(3), 245–267.
Rachakonda, L., Rawate, S., & Shiradkar, S. (2014). Teenage pregnancy. 4(2), 59–63.
Mezmur, H., Assefa, N., & Alemayehu, T. (2021). Teenage Pregnancy and Its Associated Factors in Eastern Ethiopia : A Community-Based Study. 267–278.
Okot, C., Laker, F., Apio, P. O., Madraa, G., Kibone, W., Pebolo, F. P., & Bongomin, F. (2023). Prevalence of Teenage Pregnancy and Associated Factors in Agago District , Uganda : A Community-Based Survey. August, 115–124.
Letaru, P. B. (2023). Factors Contributing to the Prevalence of Adolescent Pregnancy in Pajulu Sub County , Arua District. 2(1), 21–42.
Eldaboly, S. A., Allam, N. E., Ibrahiem, M. M., & Abo-elhssan, H. A. (2020). Prevalence and outcome of teenage pregnancy among attendants of labour room in Bassion general hospital-Egypt ( cross section study ). https://doi.org/10.21608/jram.2021.50943.1100
Mamo, K., Siyoum, M., & Birhanu, A. (2021). Teenage pregnancy and associated factors in Ethiopia : a systematic review and meta-analysis Teenage pregnancy and associated factors in Ethiopia : International Journal of Adolescence and Youth, 26(1), 501–512. https://doi.org/10.1080/02673843.2021.2010577
Eyeberu, A., Getachew, T., Sertsu, A., Sisay, M., Baye, Y., & Debella, A. (2022). Teenage pregnancy and its predictors in Africa : A systematic review and meta-analysis.
Worku, M. G., Tessema, Z. T., Teshale, A. B., Tesema, G. A., & Yeshaw, Y. (2021). Prevalence and associated factors of adolescent pregnancy ( 15 – 19 years ) in East Africa : a multilevel analysis. 9, 1–8.
Chemutai, V., Musaba, M. W., Amongin, D., Wandabwa, J. N., Violet, C., & Musaba, M. W. (2022). Prevalence and factors associated with teenage pregnancy among parturients in Mbale Regional Referral Hospital : a cross sectional study. 22(2), 451–458.
Id, M. M., Id, E. K., Auma, A. G., Akello, R. A., Kigongo, E., Tumwesigye, R., Opio, B., Kabunga, A., & Omech, B. (2022). Prevalence and correlates of teenage pregnancy among in-school teenagers during the COVID-19 pandemic in Hoima district western Uganda – A cross sectional community-based study. 1–16. https://doi.org/10.1371/journal.pone.0278772
M Saajan, A., Nyindo, M., G Gidabayda, J., S Abdallah, M., H Jaffer, S., G Mukhtar, A., M Khatibu, T., D Kinabo, G., & T Mmbaga, B. (2017). TORCH Antibodies Among Pregnant Women and Their Newborns Receiving Care at Kilimanjaro Christian Medical Centre, Moshi, Tanzania. East African Health Research Journal, 1(2), 95–104. https://doi.org/10.24248/eahrj.v1i2.555
Poudel, S., Razee, H., Dobbins, T., Akombi-inyang, B., Asia, S., & Asia, S. (2022). Adolescent Pregnancy in South Asia : A Systematic Review of Observational Studies including reproductive.
Asmamaw, D. B., Tafere, T. Z., & Negash, W. D. (2023). Prevalence of teenage pregnancy and its associated factors in high fertility sub ‑ Saharan Africa countries : a multilevel analysis. BMC Women’s Health, 1–10. https://doi.org/10.1186/s12905-023-02169-7
Kassa, G. M., Arowojolu, A. O., Odukogbe, A. A., & Yalew, A. W. (2018). Prevalence and determinants of adolescent pregnancy in Africa : a systematic review and Meta-analysis. 1–17.
Oduor, K. O., & Kithuka, B. (2020). East African Journal of Health and Science Factors Associated with High Rate of Pregnancy Among Teenagers Aged 13- 19 Years in Nyatike Sub-County , Kenya. 2(1). https://doi.org/10.37284/eajhs.2.1.186.IEEE
Omoro, T., Gray, S. C., Otieno, G., Mbeda, C., Penelope, A., Hayes, T., Otieno, F., Gust, D. A., Omoro, T., Gray, S. C., Otieno, G., Mbeda, C., Hayes, T., Otieno, F., & Gust, D. A. (2018). Teen pregnancy in rural western Kenya : a public health issue. International Journal of Adolescence and Youth, 3843, 1–10. https://doi.org/10.1080/02673843.2017.1402794
Varmaghani, M., Pourtaheri, A., Ahangari, H., & Tehrani, H. (2024). The prevalence of adolescent pregnancy and its associated consequences in the Eastern Mediterranean region : a systematic review and meta ‑ analysis. Reproductive Health. https://doi.org/10.1186/s12978-024-01856-4
Eminov, E., & Eminov, A. (2025). Prevalence of adolescent pregnancy and evaluation of pregnancy outcomes : a retrospective study. Archives of Gynecology and Obstetrics. https://doi.org/10.1007/s00404-025-07931-w
Ribas, C. R. (2021). Systematic review Adolescent pregnancy , public policies , and targeted programs in Latin America and the Caribbean : a systematic review. 1–9.
Mekonen, E. G. (2024). Pooled prevalence and associated factors of teenage pregnancy among women aged 15 to 19 years in sub-Saharan Africa : evidence from 2019 to 2022 demographic and health survey data. 5, 1–10.
Usman, S. O., Olowoyeye, E., Usman, I. N., Omisakin, T. C., Adegbamigbe, O. J., Olubayo, G. P., Ibijola, A., Tijani, A. B., Fatunmbi, O., & Ipinmoye, T. (2018). FACTORS Associated With Teenage Pregnancy In Southwest. 95(9), 1876–1888
Opoku, B., Id, A., Kang, M., Perry, L., Brooks, F., & Hayen, A. (2021). Prevalence of first adolescent pregnancy and its associated factors in sub-Saharan Africa : A multi-country analysis. 1–16. https://doi.org/10.1371/journal.pone.0246308
Nshimiyimana, I., Monica, M., & Habimana, A. (2025). Factors associated with adolescent pregnancy among girls aged between 15 and 19 years in Muhanga district , Rwanda. 1–15.
Ali, A., Khaliq, A., Lokeesan, L., Meherali, S., & Lassi, Z. S. (2022). Prevalence and predictors of teenage pregnancy in Pakistan : a trend analysis from Pakistan Demographic and Health Survey datasets from 1990 to 2018. May 2021, 176–182. https://doi.org/10.1093/inthealth/ihab025
Brahmbhatt, H., Ph, D., Kågesten, A., H, M. P., Emerson, M., Decker, M. R., Sc, D., H, M. P., Olumide, A. O., H, M. P., Ojengbede, O., Sc, B., S, M. B. B., Lou, C., D, M., Sonenstein, F. L., Ph, D., Blum, R. W., Ph, D., … Ph, D. (2014). Prevalence and Determinants of Adolescent Pregnancy in Urban Disadvantaged Settings Across Five Cities. Journal of Adolescent Health, 55(6), S48–S57. https://doi.org/10.1016/j.jadohealth.2014.07.023
Sinnatwah, J. D., Carter, B. B., & Femi-adepoju, A. G. (2024). Prevalence and Factors Associated with Teenage Pregnancy at Paynesville , Monrovia , Liberia : Facility Based Cross Section Study. 30(4), 197–204. https://doi.org/10.9734/JSRR/2024/v30i41905
Malunga, G., Sangong, S., Saah, F. I., & Bain, L. E. (2023). Prevalence and factors associated with adolescent pregnancies in Zambia : a systematic review from 2000 – 2022. Archives of Public Health. https://doi.org/10.1186/s13690-023-01045-y
Moshi, F. V, & Tilisho, O. (2023). The magnitude of teenage pregnancy and its associated factors among teenagers in Dodoma Tanzania : a community ‑ based analytical cross ‑ sectional study. Reproductive Health, 1–13. https://doi.org/10.1186/s12978-022-01554-z
Diabelkov, J., Rim, K., Dorko, E., Urdz, P., & Houžviˇ, A. (2023). Adolescent Pregnancy Outcomes and Risk Factors. 0–9.
Abate, B. B., Sendekie, A. K., Alamaw, A. W., Tegegne, K. M., Kitaw, T. A., Bizuayehu, M. A., Kassaw, A., Yilak, G., Zemariam, A. B., & Tilahun, B. D. (2025). Prevalence, determinants, and complications of adolescent pregnancy: An Umbrella Review of Systematic Reviews and Meta-analyses. AJOG Global Reports, 100441. https://doi.org/https://doi.org/10.1016/j.xagr.2025.100441
Faith, E. G., Asher, E., Musinguzi, I., & Isaac, M. (2025). Teenage Pregnancy and Its Associated Factors Among Girls Aged 13 – 19 Years in Apac District , Uganda : A Community ‐ Based Cross ‐ Sectional Study. 1–9. https://doi.org/10.1002/hsr2.70471
Shukla, S., Torres, A. F. C., Satish, R. V., Abejirinde, I. O., & Steinert, J. I. (2023). Factors associated with adolescent pregnancy in Maharashtra , India : a mixed-methods study Factors associated with adolescent pregnancy in Maharashtra ,. https://doi.org/10.1080/26410397.2023.2249284
Bennetsen, A. K. K., Faber, M. T., Nygaard, M., Sundström, K., Hansen, B. T., Thomsen, L. T., Munk, C., Frederiksen, K., & Kjaer, S. K. (2023). Factors associated with teenage pregnancy in the Scandinavian countries. Scandinavian Journal of Public Health, 52(5), 616–623. https://doi.org/10.1177/14034948231172819
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Copyright (c) 2025 Happy Tukirinawe, Associate Professor Kazibwe Francis, Nabimanya Edward, Arinaitwe Elizabeth, Rukamba de Dieu Jean, Musinguzi Ronard, Dr. Gladys Nakidde, Bonny Nowomuhangi

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