IDEAS home Printed from https://ideas.repec.org/p/wbk/hnpdps/103667.html
   My bibliography  Save this paper

Adolescent Fertility and Sexual Health in Nigeria

Author

Listed:
  • Rafael Cortez
  • Seemeen Saadat
  • Edmore Marinda
  • Oluwole Odutolu

Abstract

This study examines the determinants of adolescent sexual behavior and fertility in Nigeria, with a special focus on knowledge, attitudes and behaviors of adolescents aged 10-19 years old in Karu Local Government Authority (LGA), a peri-urban area near the capital city of Abuja. Using the last three waves of Demographic and Health Surveys (2003, 2008, 2013), focus group discussions, stakeholder interviews, and a specialized survey of 643 girls and boys aged 10-19 years old in Karu LGA, the study narrows in on key challenges to and opportunities for improving adolescent sexual and reproductive health outcomes. The national median age at sexual debut for adolescent girls and boys is between 15 and 16 years of age. This is closely emulated in Karu LGA with a median age of 14.8 years for girls and 15.3 years for boys. While data on pregnancies was limited in the Karu sample, DHS data show that for girls, sexual debut is closely associated with marriage or cohabitation, which in turn is a strong predictor of adolescent fertility. Poverty is another strong predictor, with the odds of becoming pregnant being twice as high for adolescents in the lower wealth quintiles compared to their counterparts in the richest quintile in the country. While adolescents’ knowledge of contraception has increased from under 10 percent to over 30 percent, use of health services among adolescents for SRH (and contraception) is limited due to factors such as fear of stigma, embarrassment, and poor access to services, something also emphasized in focus group discussions. Challenges for improving adolescent SRH outcomes relate to: (i) the paucity of data, especially on the 10-14 year olds; (ii) availability and access to youth-friendly services and the Family Life and HIV Education (FLHE); (iii) reaching out-of-school adolescents with SRH information; and (iv) addressing ambiguities and gaps in Federal law and customs on age at marriage, and generating support for the legal age at marriage of at least 18 years old. Addressing these barriers at the State and sub-regional levels is going to be critical in improving adolescent well-being

Suggested Citation

  • Rafael Cortez & Seemeen Saadat & Edmore Marinda & Oluwole Odutolu, 2016. "Adolescent Fertility and Sexual Health in Nigeria," Health, Nutrition and Population (HNP) Discussion Paper Series 103667, The World Bank.
    • Handle: RePEc:wbk:hnpdps:103667
    as

    Download full text from publisher

    File URL: http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2016/03/02/090224b0841c9411/1_0/Rendered/PDF/Adolescent0fer0al0health0in0Nigeria.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Ministry of Human Resource Development, GOI, 2020. "National Education Policy 2020," Working Papers id:13106, eSocialSciences.
    2. Ezra Gayawan & Samson B. Adebayo, 2014. "Spatial Pattern and Determinants of Age at Marriage in Nigeria Using a Geo-Additive Survival Model," Mathematical Population Studies, Taylor & Francis Journals, vol. 21(2), pages 112-124, June.
    3. Kruk, M.E. & Prescott, M.R. & Galea, S., 2008. "Equity of skilled birth attendant utilization in developing countries: Financing and policy determinants," American Journal of Public Health, American Public Health Association, vol. 98(1), pages 142-147.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Melkamu Aderajew Zemene & Belete Achamyelew Ayele & Edgeit Abebe Zewde & Tigist Yismaw Yimer & Habtamu Shimels Hailemeskel & Sofonyas Abebaw Tiruneh, 2024. "Prevalence and Associated Factors of Teenage Pregnancy in Sub-Saharan Africa: Multilevel Modified Poisson Regression Analysis," SAGE Open, , vol. 14(2), pages 21582440241, May.
    2. Blessing Jaka Akombi-Inyang & Emma Woolley & Chinonyerem Ogadi Iheanacho & Khulan Bayaraa & Pramesh Raj Ghimire, 2022. "Regional Trends and Socioeconomic Predictors of Adolescent Pregnancy in Nigeria: A Nationwide Study," IJERPH, MDPI, vol. 19(13), pages 1-14, July.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Katherine L. Nelson & Byron J. Powell & Brent Langellier & Félice Lê-Scherban & Paul Shattuck & Kimberly Hoagwood & Jonathan Purtle, "undated". "State Policies that Impact the Design of Children’s Mental Health Services: A Modified Delphi Study," Mathematica Policy Research Reports 27128eeb589049fca3f36053b, Mathematica Policy Research.
    2. Yu Zeng & Xing Xu, 2022. "The Construction and Optimization of an AI Education Evaluation Indicator Based on Intelligent Algorithms," International Journal of Cognitive Informatics and Natural Intelligence (IJCINI), IGI Global, vol. 16(1), pages 1-22, January.
    3. Hemanshu Kumar & Rohini Somanathan & Mahima Vasishth, 2022. "Language and learning in ethnically mixed communities," Review of Development Economics, Wiley Blackwell, vol. 26(2), pages 835-846, May.
    4. Salah Al-Ali, 2021. "Technical and Vocational Education and Technology Transfer: Departments of Civil Engineering Technology at the Public Authority for Applied Education and Training, PAAE&T, Kuwait, As A Case Study," Technium Social Sciences Journal, Technium Science, vol. 26(1), pages 101-111, Decembrie.
    5. Sylvia Christine Almeida & Aihua Hu & Michiko Inoue, 2022. "Alternative Perspectives on Environmental and Sustainability Education: A Study of Curriculum Policies across India, China and Japan," Sustainability, MDPI, vol. 14(17), pages 1-14, August.
    6. Khushnam P.N., 2022. "National Education Policy 2020: A Prudent Vision of India’s Soft Power in the Emerging World Order," India Quarterly: A Journal of International Affairs, , vol. 78(2), pages 318-333, June.
    7. Małgorzata Tarczynska-Luniewska & Iwona Bak & Uma Shankar Singh & Guru Ashish Singh, 2022. "Economic Crisis Impact Assessment and Risk Exposure Evaluation of Selected Energy Sector Companies from Bombay Stock Exchange," Energies, MDPI, vol. 15(22), pages 1-25, November.
    8. Sara Al-Marzooqi & Hamdy Ahmed Abdelaziz, 2022. "Public Libraries in the Post-COVID-19 Era: How to Transform Educational Services to Meet New Educational Needs," International Journal of Customer Relationship Marketing and Management (IJCRMM), IGI Global, vol. 13(1), pages 1-18, January.
    9. Zar Shah & Khalid Zaman & Awais Rashid, 2022. "A Review of Transgender People: A Challenge and a Solution," International Journal of Finance, Insurance and Risk Management, International Journal of Finance, Insurance and Risk Management, vol. 12(4), pages 21-29.
    10. Jahar Bhowmik & Raaj Kishore Biswas & Nurjahan Ananna, 2020. "Women’s education and coverage of skilled birth attendance: An assessment of Sustainable Development Goal 3.1 in the South and Southeast Asian Region," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-18, April.
    11. Mintu Mondal, 2021. "Reflections Of National Education Policy, 2020," Working papers 2021-38-04, Voice of Research.
    12. Salah Al-Ali, 2021. "How successful is the Higher Institute of Communications and Navigation, Kuwait, in reducing dependence on expatriates," Technium Social Sciences Journal, Technium Science, vol. 23(1), pages 28-53, September.
    13. Moghari, Somaye & Ghorani, Maryam, 2022. "A symbiosis between cellular automata and dynamic weighted multigraph with application on virus spread modeling," Chaos, Solitons & Fractals, Elsevier, vol. 155(C).
    14. Ileana CIOBANU & Mihaela ZAMFIR & Andreea Georgiana MARIN & Mihai Viorel ZAMFIR & Rozeta DRAGHICI & Alina ILIESCU & Laszlo IRSAY & Mihai BERTEANU, 2021. "Ageing in COVID era Social isolation risk factors, outcomes and smart solutions," Smart Cities International Conference (SCIC) Proceedings, Smart-EDU Hub, Faculty of Public Administration, National University of Political Studies & Public Administration, vol. 9, pages 409-424, November.
    15. Joseph M. Cheer & Stephen Pratt & Denis Tolkach & Anthony Bailey & Semisi Taumoepeau & Apisalome Movono, 2018. "Tourism in Pacific island countries: A status quo round‐up," Asia and the Pacific Policy Studies, Wiley Blackwell, vol. 5(3), pages 442-461, September.
    16. Mukti Clarence & Viju P. D. & Lalatendu Kesari Jena & Tony Sam George, 2021. "Predictors of Positive Psychological Capital: An Attempt Among the Teacher Communities in Rural Jharkhand, India," Management and Labour Studies, XLRI Jamshedpur, School of Business Management & Human Resources, vol. 46(2), pages 139-160, May.
    17. Bose, Sukanya & Ghosh, Priyanta & Sardana, Arvind & Boda, Manohar, 2021. "Regulation and Informal Market for Schools in Delhi," Working Papers 21/340, National Institute of Public Finance and Policy.
    18. Thompson, Paul N. & Ward, Jason, 2021. "Only a Matter of Time? The Role of Time in School on Four-Day School Week Achievement Impacts," IZA Discussion Papers 14461, Institute of Labor Economics (IZA).
    19. Salah Al-Ali, 2021. "How successful is the Higher Institute of Energy, Kuwait, in reducing dependence on expatriates?," Technium Social Sciences Journal, Technium Science, vol. 22(1), pages 187-208, August.
    20. Banerji, Manjistha & Mathur, Kopal, 2021. "Understanding school attendance: The missing link in “Schooling for All”," International Journal of Educational Development, Elsevier, vol. 87(C).

    More about this item

    Keywords

    use of contraception; sex education; religious differences; child health; risks; social norms; reproductive health; contraception; peer education; people; vaccination ... See More + midwifery; school enrolment; antenatal care; family support; prevention; sexual behaviour; youth-friendly services; morbidity; sexually transmitted diseases; health education; sexual health; community health; social work; ethnic groups; reproductive health policy; health care; infertility; school health; sexually transmitted infections; legal status; focus group discussions; puberty; health; capacity building; holistic approach; emergency contraception; number of people; information systems; social studies; public health; life expectancy; knowledge; pregnancies; patient; smoking; intervention; population growth; secondary schools; health indicators; family health; sexuality; rape; secondary school; nurses; stis; violence; gender norms; child abuse; dissemination; service provider; service provision; marriage; sexual intercourse; basic human rights; gynecology; adolescent fertility; service delivery; quality improvement; social development; interview; secondary school enrolment; age at marriage; mortality; sexual practices; health care system; risk groups; risky sexual behavior; unions; unemployment; human capital; teenage pregnancy; sexual abuse; migrant; older people; young adults; workers; iuds; policies; aged; population studies; adolescent girls; hiv; health policy; ministry of education; health outcomes; universal access; sexual activity; family formation; urban areas; family planning; unwanted pregnancy; decision making; population council; nutrition; workshops; adolescents; quality control; policy; quality of life; primary health care; health policies; contraceptive use; internet; risk factors; sexual behavior; government policies; legal age at marriage; weight; communicable diseases; human rights; pregnant women; economic opportunities; populous country; sexual harassment; children; clinics; working conditions; lack of knowledge; youth- friendly services; young women; single parents; policy implications; young people; national policy; population; inequitable gender norms; unfpa; strategy; fertility; siblings; families; child health services; women; sexual violence; adolescent health; hospitals; social issues; health interventions; aids; early marriage; birth attendant; health services; implementation; alcohol consumption; abortion; pregnancy; condoms; political instability; parental consent; service providers; alcoholism;
    All these keywords.

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wbk:hnpdps:103667. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Erika L. Yanick The email address of this maintainer does not seem to be valid anymore. Please ask Erika L. Yanick to update the entry or send us the correct address (email available below). General contact details of provider: https://edirc.repec.org/data/dvewbus.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.