Adolescent Pregnancy in Bangladesh: Understanding Care-Seeking Behaviour and Practices to Advance Responsive Antenatal Care and Nutrition Services
Notice bibliographique
Résumé
Compared to pregnant women, pregnant adolescents in Bangladesh are less likely to utilize maternal health services. The objective of this study was to explore their experiences of seeking, accessing, and navigating antenatal care (ANC) and nutrition services in Bangladesh. Peer-interviewers (age 17–20 yrs) in Dhaka and Rangpur obtained informed consent and interviewed respondents (n = 192): adolescents who were pregnant or had a child under 1 year, family members, and healthcare providers. Questions explored barriers and enablers to ANC access, interactions with the healthcare system, micronutrient supplementation, dietary practices, nutrition advice given by healthcare providers, and adolescents’ agency and decision-making. Qualitative research methods were used: transcripts were anonymized, coded (ensuring intercoder reliability), and analyzed thematically. Respondents felt that adolescent childbearing was risky and additional support was required. Cost was perceived as the greatest barrier to nutrition and healthcare including supplements, ultrasounds, and facility-based care, despite some availability of subsidized or free services. Pregnant adolescents were accompanied by family members to health facilities, sometimes only seeking care for emergencies. Nutrition advice given by healthcare providers did not always align with traditional practices, although they were a trusted source of medical information. Supplements were mostly received after first trimester. Some pregnant adolescents reported receiving generic nutrition advice from healthcare providers but seldom had a chance to ask questions and felt a lack of respect. Quality of care was perceived to vary widely from one healthcare provider to the next. This study provides unique insights into the experience of pregnant adolescents in Bangladesh and their interface with the healthcare system, laying a foundation for tailoring nutrition and ANC guidelines specifically for them. As experiences were influenced by social norms, limited agency, and family decision-making, healthcare providers should be equipped with behavior change communication skills specifically for pregnant adolescents to ensure they receive quality gender-responsive, youth-friendly health and nutrition services. Global Affairs Canada.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,001 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».