Exploring maternal health care-seeking behavior of married adolescent girls in Bangladesh: a social-ecological approach

This article was published in the Plos One [© 2017 Plos One] and the definite version is available at : https://doi.org/10.1371/journal.pone.0169109 . The Journal's website is at: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0169109

Sonraí bibleagrafaíochta
Príomhchruthaitheoirí: Shahabuddin, Asm, Nöstlinger, Christiana, Delvaux, Thérèse, Sarker, Malabika, Delamou, Alexandre, Bardají, Azucena, Broerse, Jacqueline E. W., Brouwere, Vincent De
Formáid: Alt
Teanga:English
Foilsithe / Cruthaithe: © Plos One 2016 2018
Ábhair:
Rochtain ar líne:http://hdl.handle.net/10361/8913
https://doi.org/10.1371/journal.pone.0169109
id 10361-8913
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spelling 10361-89132019-09-30T03:15:24Z Exploring maternal health care-seeking behavior of married adolescent girls in Bangladesh: a social-ecological approach Shahabuddin, Asm Nöstlinger, Christiana Delvaux, Thérèse Sarker, Malabika Delamou, Alexandre Bardají, Azucena Broerse, Jacqueline E. W. Brouwere, Vincent De Maternal health Health care Adolescent This article was published in the Plos One [© 2017 Plos One] and the definite version is available at : https://doi.org/10.1371/journal.pone.0169109 . The Journal's website is at: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0169109 Background The huge proportion of child marriage contributes to high rates of pregnancies among adolescent girls in Bangladesh. Despite substantial progress in reducing maternal mortality in the last two decades, the rate of adolescent pregnancy remains high. The use of skilled maternal health services is still low in Bangladesh. Several quantitative studies described the use of skilled maternal health services among adolescent girls. So far, very little qualitative evidence exists about attitudes and practices related to maternal health. To fill this gap, we aimed at exploring maternal health care-seeking behavior of adolescent girls and their experiences related to pregnancy and delivery in Bangladesh. Methods and Findings A prospective qualitative study was conducted among thirty married adolescent girls from three Upazilas (sub-districts) of Rangpur district. They were interviewed in two subsequent phases (2014 and 2015). To triangulate and validate the data collected from these married adolescent girls, key informant interviews (KIIs) and focus group discussions (FGDs) were conducted with different stakeholders. Data analysis was guided by the Social-Ecological Model (SEM) including four levels of factors (individual, interpersonal and family, community and social, and organizational and health systems level) which influenced the maternal health care-seeking behavior of adolescent girls. While adolescent girls showed little decision making-autonomy, interpersonal and family level factors played an important role in their use of skilled maternal health services. In addition, community and social factors and as well as organizational and health systems factors shaped adolescent girls’ maternal health care-seeking behavior. Conclusions In order to improve the maternal health of adolescent girls, all four levels of factors of SEM should be taken into account while developing health interventions targeting adolescent girls. Published 2018-01-04T04:43:52Z 2018-01-04T04:43:52Z 2017-01-17 Article Shahabuddin A, Nöstlinger C, Delvaux T, Sarker M, Delamou A, Bardají A, et al. (2017) Exploring Maternal Health Care-Seeking Behavior of Married Adolescent Girls in Bangladesh: A Social-Ecological Approach. PLoS ONE 12(1): e0169109. https://doi.org/10.1371/journal.pone.0169109 19326203 http://hdl.handle.net/10361/8913 https://doi.org/10.1371/journal.pone.0169109 en http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0169109 application/pdf © Plos One 2016
institution Brac University
collection Institutional Repository
language English
topic Maternal health
Health care
Adolescent
spellingShingle Maternal health
Health care
Adolescent
Shahabuddin, Asm
Nöstlinger, Christiana
Delvaux, Thérèse
Sarker, Malabika
Delamou, Alexandre
Bardají, Azucena
Broerse, Jacqueline E. W.
Brouwere, Vincent De
Exploring maternal health care-seeking behavior of married adolescent girls in Bangladesh: a social-ecological approach
description This article was published in the Plos One [© 2017 Plos One] and the definite version is available at : https://doi.org/10.1371/journal.pone.0169109 . The Journal's website is at: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0169109
format Article
author Shahabuddin, Asm
Nöstlinger, Christiana
Delvaux, Thérèse
Sarker, Malabika
Delamou, Alexandre
Bardají, Azucena
Broerse, Jacqueline E. W.
Brouwere, Vincent De
author_facet Shahabuddin, Asm
Nöstlinger, Christiana
Delvaux, Thérèse
Sarker, Malabika
Delamou, Alexandre
Bardají, Azucena
Broerse, Jacqueline E. W.
Brouwere, Vincent De
author_sort Shahabuddin, Asm
title Exploring maternal health care-seeking behavior of married adolescent girls in Bangladesh: a social-ecological approach
title_short Exploring maternal health care-seeking behavior of married adolescent girls in Bangladesh: a social-ecological approach
title_full Exploring maternal health care-seeking behavior of married adolescent girls in Bangladesh: a social-ecological approach
title_fullStr Exploring maternal health care-seeking behavior of married adolescent girls in Bangladesh: a social-ecological approach
title_full_unstemmed Exploring maternal health care-seeking behavior of married adolescent girls in Bangladesh: a social-ecological approach
title_sort exploring maternal health care-seeking behavior of married adolescent girls in bangladesh: a social-ecological approach
publisher © Plos One 2016
publishDate 2018
url http://hdl.handle.net/10361/8913
https://doi.org/10.1371/journal.pone.0169109
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