Prevalence of Teenage Pregnancy and Associated Factors Among Adolescent Girls in Bobi Subcounty, Northern Uganda.
Keywords:
Prevalence, factors associated, Teenage /adolescent pregnancy, Bobi, northern UgandaAbstract
Background
Teenage pregnancy is a global problem and considered a high-risk group, posing serious health and socio-economic problems among teenage girls. In Uganda, 12% of the audited maternal deaths occur among teenagers. Teenage pregnancy is the occurrence of pregnancy between the ages of 13 and 19 years. Key factors contributing to this include the higher likelihood of teenage pregnancy, absence of sex education, lower birth orders, low economic status, rural residence, and exposure to peer pressure. The prevalence and factors associated with teenage pregnancy in health facilities are not well documented. However, access to youth-friendly services is associated with reduced occurrence. Prolonged waiting times and greater distances to service centers pose increased risks.
.
Aim
To assess the prevalence of teenage pregnancy and associated factors among adolescent girls (aged 13-19 years) in Bobi sub-county, northern Uganda.
Methodology
A Cross-sectional study design. A survey was conducted among 4893 married girls aged 15-19 years using quantitative methods. Quantitative data was collected through the structured questionnaire, which was administered, data was collected and entered in EPI-INFO 2020 software, and was cleaned and analyzed using STATA version 15.0. Binary logistic regression was done to examine the factors independently associated with teenage pregnancy. A multistage sampling technique was used.
Results
Our study showed that the prevalence of teenage pregnancy in Bobi Sub-County, Omoro District, is high at 27.5%. Significant Factors contributing to the likelihood of teenage pregnancy included those aged 16-17years ( p = 0.009), absence of sex education( p = 0.002), ( p = 0.042) and birth order of four ( p = 0.010), high economic status( p = 0.003), Urban residence ( p = 2), exposure to peer pressure (p = 0.027), access to youth-friendly services( p = 0.038), prolonged waiting times ( p = 0.049) and greater distances to service centers ( p = 0.013).
Conclusion
Based on the study findings, collaborative efforts are recommended to address the high prevalence of teenage pregnancy in Bobi Sub-County, Omoro District. This involves enhancing age-appropriate sex education with the Ministry of Education, improving access to youth-friendly services through collaboration with the Ministry of Health, and implementing peer support programs with
References
1. Adeyinka, D. A., Oladimeji, O., Adekanbi, T. I., Adeyinka, F. E., Falope, Y., & Aimakhu, C. (2010). Outcome of adolescent pregnancies in southwestern Nigeria: a case-control study. The Journal of Maternal-Fetal & Neonatal Medicine, 23(8), 785-789. https://doi.org/10.3109/14767050903572166
2. Birhanu, B. E., Kebede, D. L., Kahsay, A. B., & Belachew, A. B. (2019). Predictors of teenage pregnancy in Ethiopia: a multilevel analysis. BMC Public Health, 19, 1-10. https://doi.org/10.1186/s12889-019-6845-7
3. Chemutai, V., Musaba, M. W., Amongin, D., & Wandabwa, J. N. (2022). Prevalence and factors associated with teenage pregnancy among parturients in Mbale Regional Referral Hospital: a cross-sectional study. African Health Sciences, 22(2), 451-458. https://doi.org/10.4314/ahs.v22i2.52
4. Darroch, J. E., Woog, V., Bankole, A., & Ashford, L. S. (2016). Adding it up: costs and benefits of meeting the contraceptive needs of adolescents.
5. Dixit, A., Bhan, N., Benmarhnia, T., Reed, E., Kiene, S. M., Silverman, J., & Raj, A. (2021). The association between early marriage, fertility pressure from in-laws, and family planning behaviors, among married adolescent girls in Bihar and Uttar Pradesh, India. Reproductive health, 18, 1-9. https://doi.org/10.1186/s12978-021-01116-9
6. Eyeberu, A., Getachew, T., Sertsu, A., Sisay, M., Baye, Y., Debella, A., & Alemu, A. (2022). Teenage pregnancy and its predictors in Africa: A systematic review and meta-analysis. International Journal of Health Sciences, 16(6), 47.
7. Manzi, F., Ogwang, J., Akankwatsa, A., Wokali, O. C., Obba, F., Bumba, A., . . . Gavamukulya, Y. (2018). Factors associated with teenage pregnancy and its effects in Kibuku Town Council, Kibuku District, Eastern Uganda: A cross-sectional study. https://doi.org/10.4172/2167-1079.1000298
8. Nations, U. (2015). Department of Economic and Social Affairs. Population Division.
9. Ngilangwa, D. P., Rajesh, S., Kawala, M., Mbeba, R., Sambili, B., Mkuwa, S., . . . Nyagero, J. (2016). Accessibility to sexual and reproductive health and rights education among marginalized youth in selected districts of Tanzania. The Pan African Medical Journal, 25(Suppl 2). https://doi.org/10.11604/pamj.supp.2016.25.2.10922
10. Nuwabaine, L., Sserwanja, Q., Kamara, K., & Musaba, M. W. (2023). Prevalence and factors associated with teenage pregnancy in Sierra Leone: evidence from a nationally representative Demographic and Health Survey of 2019. BMC Public
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Grace Auma, Margaret Alioru, Geoffrey Kaujju, Mary Grace Nakate (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.

