Empower the girl child: An integrated approach to making a difference in reducing adolescent pregnancy in South Africa
Rose Mmusi-Phetoe, Simanga Phillip Lukhele & LDM Lebeloane
Abstract
Adolescent pregnancy, which often occurs in impoverished environments such as rural areas, is one of the major public health concerns globally, including in South Africa. It is an issue that has received inadequate attention. This article aims to empower the girl child and female adolescents through an approach that informs choices and enables control over decisions affecting sexual and reproductive health. Such an approach should facilitate protection against the risk of adolescent pregnancy and, hopefully, contribute to reducing its incidence in South Africa. The empowerment theory served as the theoretical framework for the study. A qualitative research method was employed. Data were collected through a descriptive exploratory study design. A sample of ten (10) pregnant adolescents was purposefully recruited from a population of all pregnant adolescents attending an antenatal clinic at a public hospital in the North-West province on the day of data collection. Additional data were gathered from relevant documents related to the study. Data were analyzed and interpreted using Colaizzi’s seven steps of data analysis. The findings indicate that a lack of empowerment among female adolescents plays a major role in the occurrence of adolescent pregnancy in South Africa. This calls for integrated, multi-sectoral interventions to address the root causes of adolescent pregnancy.
Keywords
adolescent, empowerment, girl child, integrated approach, reduction of adolescent pregnancy theory
Author information & Contribution
Rose Mmusi-Phetoe. Department of Health Studies, University of South Africa, South Africa. Email: rosemmusiphetoe@gmail.com
Simanga Phillip Lukhele. Corresponding author. Department of Educational Leadership and Management, University of South Africa, South Africa. Email: 17269741@mylife.unisa.ac.za
LDM Lebeloane. Department of Science and Technology Education, University of South Africa, South Africa. Email: lebelldm@unisa.ac.za
"All authors equally contributed to the conception, design, preparation, data gathering and analysis, and writing of the manuscript. All authors read and approved the final manuscript."
Disclosure statement
No potential conflict of interest was reported by the author(s).
Funding
This work was not supported by any funding.
Institutional Review Board Statement
This study was conducted in accordance with the ethical guidelines set by University of South Africa. The conduct of this study has been approved and given relative clearance(s) by the University of South Africa.
AI Declaration
AI tools were not used in writing this paper.
Notes
Acknowledgement
References
Akella, D. (2018). Socio-cultural influences on teenage pregnancy and contemporary prevention measures (pp. 117–128). IGI Global. https://www.igi-global.com/book/socio-cultural-influences-teenage-pregnancy/196659
Akella, D., & Jordan, M. (2015). Impact of social and cultural factors on teenage pregnancy. Journal of Health Disparities Research and Practice, 8(1), 41–62. https://digitalscholarship.unlv.edu/jhdrp/vol8/iss1/3
Alukagberie, M. E., Elmusharaf, K., Ibrahim, N., & Poix, S. (2023). Factors associated with adolescent pregnancy and public health interventions to address in Nigeria: A scoping review. Reproductive Health, 20(1). https://doi.org/10.1186/s12978-023-01629-5
Amoadu, M., Ansah, E. W., Acquah, P. A. P., Ansah, J. E., Berchie, E., Hagan, D., & Amoah, E. (2022). Socio‑cultural factors influencing adolescent pregnancy in Ghana: A scoping review. BMC Pregnancy and Childbirth, 22(1). https://doi.org/10.1186/s12884-022-05172-2
Anand, A., Gupta, A., Yadav, P., & Rijal, P. (2022). Suspected illegal abortion and unsafe abortion leading to uterine rupture and incomplete abortion: A case report. Annals of Medicine and Surgery. https://doi.org/10.21203/rs.3.rs-4252013/v1
Assis, T. D., Martinelli, K. G., da Gama, S. G. N., & Neto, E. T. S. (2021). Pregnancy in adolescence in Brazil: Associated factors with maternal age. Revista Brasileira de Saúde Materno Infantil, 21(4), 1055–1064. http://dx.doi.org/10.1590/1806-93042021000400006
Basic Education Portfolio Committee. (2021). Portfolio committee September (2021). Parliament of the Republic of South Africa. https://www.parliament.gov.za
Bol, K. N., Negera, E., & Gedefa, A. G. (2022). Pregnancy among adolescent girls in humanitarian settings: A case in refugee camp of Gambella regional state, community-based cross-sectional study, Southwest Ethiopia. BMJ Open, 12, e064732. https://doi.org/10.1136/bmjopen-2022-064732
Bolarinwa, O. A., Tessema, Z. T., Frimpong, J. B., Babalola, T. O., Ahinkorah, B. O., & Seidu, A. (2022). Spatial distribution and factors associated with adolescent pregnancy in Nigeria: A multi-level analysis. Archives of Public Health, 80, 1–11. https://doi.org/10.1186/s13690-022-00789-3
Chandra-Mouli, V., Ferguson, B. J., Plesons, M., Paul, M., Chalasani, S. S., et al. (2019). The political, research, programmatic, and social responses to adolescent sexual and reproductive health and rights in the 25 years since the International Conference on Population and Development. Journal of Adolescent Health, 65(6, Suppl.), S16–S40. https://doi.org/10.1016/j.jadohealth.2019.09.011
Desai, R., Magan, A., Ruiter, R. A. C., Reddy, P. S., & Mercken, L. A. S. (2024). Understanding why youth drop out of school in South Africa. SAGE Open. https://doi.org/10.1177/21582440231219080
Diabelková, J., Rimárová, K., Dorko, E., Urdzík, P., Houžvičková, A., & Argalášová, Ľ. (2022). Adolescent pregnancy outcomes and risk factors. International Journal of Environmental Research and Public Health, 20, 4113. https://doi.org/10.3390/ijerph20054113
Hayford, S. R., & Guzzo, K. B. (2010). Age, relationship status, and the planning status of births. Demographic Research, 23(13), 365–398. https://doi.org/10.4054/DemRes.2010.23.13
Jae´n-Sa´nchez, N., Gonza´lez-Azpeitia, G., Saavedra-Santana, P., Saavedra-Sanjua´n, E., Manguiza, A., Carranza-Rodriguez, C., Pe´rez-Arellano, J.L., & Serra-Majem, L. (2020). Adolescent motherhood in Mozambique. Consequences for pregnant women and newborns. PLoS ONE, 15(6). https://doi.org/10.1371/journal.pone.0233985
Jochim, J., Lucie, D., Cluver, F. M., & Meinck, F. (2021). Learner pregnancy in South Africa’s Eastern Cape: The factors affecting adolescent girls’ school withdrawal during pregnancy. International Journal of Educational Development, 87, 102485. https://doi.org/10.1016/j.ijedudev.2021.102485
Kumar, R. & Grace, P. (2003). Research methodology: A step-by-step guide for beginners. London: Sage
Küng, S. A., Saavedra-Avendaño, B., Vélez, E. A., Piñeros, M. C. M., Metcalfe, G. M. F., & Darney, B. G. (2021). Factors associated with support for adolescent access to contraception among Mexican Catholic parents. Journal of Religion and Health, 60(3), 1600–1612. https://doi.org/10.1007/s10943-020-01060-w
Mezmur, H., Assefa, N., & Alemayehu, T. (2021). Teenage pregnancy and its associated factors in Eastern Ethiopia: A community-based study. International Journal of Women’s Health, 13, 267–278. https://doi.org/10.2147/IJWH.S287715
Mmusi-Phetoe, R., Thupayagale-Tshweneagae, G., & Akpor, A. A. (2019). Reproductive health outcomes: Insights from experts and verbal autopsies. Curationis, 42(1), a1895. https://doi.org/10.4102/curationis.v42i1.1895
Nadlir, N., & Zamzami, M. R. (2023). Paulo Freire’s view on freedom to learn policy. Scaffolding: Jurnal Pendidikan Islam Dan Multikulturalisme, 5(1), 65–84. https://doi.org/10.37680/scaffolding.v5i1.2260
News24. (2021, September 7). Every week, 1 300 adolescent girls and young women are infected with HIV. City Press. https://www.news24.com/citypress/news/every-week-1-300-adolescent-girls-and-young-women-are-infected-with-hiv-20210907
Nhampoca, J. M. D., & Maritz, J. (2022). Early marriage and adolescent pregnancy in Mozambique. African Journal of Reproductive Health, 26(3), 114–123. https://doi.org/10.29063/ajrh2022/v26i3.13
O’Hara, C. & Clement, F. (2018). Power as agency: A critical reflection on the measurement of women’s empowerment in the development sector. World Development, 13. https://doi.org/10.1016/j.worlddev.2018.02.002
Okot, C., Laker, F., Apio, P. O., Madraa, G., Kibone, W., Pebalo, P. F., & Bongomin, F. (2023). Prevalence of teenage pregnancy and associated factors in Agago District, Uganda: A community-based survey. Adolescent Health, Medicine and Therapeutics. https://pubmed.ncbi.nlm.nih.gov/37577045/
Pike, V., Ramage, A. K., Bhardwaj, A., Busch-Hallen, J., & Roche, M. L. (2023). Family influences on health and nutrition practices of pregnant adolescents in Bangladesh. Maternal & Child Nutrition, 17(1), e13159. https://doi.org/10.1111/mcn.13159
Poudel, S., Razee, H., Dobbins, T., & Akombi-Inyang, B. (2022). Adolescent pregnancy in South Asia: A systematic review of observational studies. International Journal of Environmental Research and Public Health, 19(22), 15004. https://doi.org/10.3390/ijerph192215004
Presser, H.B., & Gita, S. (eds) (2023). Women’s empowerment and demographic processes: Moving beyond Cairo. Oxford University Press. https://doi.org/10.1093/oso/9780198297314.001.0001
Rachmad, Y. E. (2022). Empowerment theory. YER E-Book. https://doi.org/10.17605/osf.io/wymnz
Sarfo, E. A., Yendork, J. S., & Naidoo, A. V. (2020). Examining the intersection between marriage, perceived maturity and child marriage: Perspectives of community elders in the Northern Region of Ghana. Culture, Health & Sexuality, 23(7), 991–1005. https://doi.org/10.1080/13691058.2020.1749934
Senkyire, E. K., Boateng, D., Boakye, F. O., Logo, D. D., & Ohaja, M. (2022). Socio-economic factors associated with adolescent pregnancy and motherhood: Analysis of the 2017 Ghana Maternal Health Survey. PLoS ONE, 17(12), e0272131. https://doi.org/10.1371/journal.pone.0272131
Shosha, G. A. (2012). Employment of Colaizzi’s strategy in descriptive phenomenology: A reflection of a researcher. European Scientific Journal, 8(27). https://core.ac.uk/download/pdf/236417203.pdf
Shukla, S., Torres, A. F. C., Satish, R. V., Shenderovich, Y., Abejirinde, I. O. O., & Steinert, J. I. (2023). Factors associated with adolescent pregnancy in Maharashtra, India: A mixed-methods study. Sexual and Reproductive Health Matters, 31(1), 2249284. https://doi.org/10.1080/26410397.2023.2249284
South Africa Republic. (2008). Choice on Termination of Pregnancy Amendment Act (Act 1 of 2008). Government Printer. https://www.gov.za/sites/default/files/gcis_document/201409/a1-08.pdf
Statistics South Africa. (2022). Share of teenage pregnancies in South Africa by age. Statista. https://www.statista.com/statistics/1115755/share-of-teenage-pregnancies-in-south-africa-by-age
Stein, J. (1997). Empowerment and women’s health: Theory, methods, and practice. Zed Books Ltd.
UNFPA Eastern and Southern Africa. (2023). A world of zeros: UNFPA East and Southern Africa year in review 2023. https://esaro.unfpa.org/en/publications/world-zeros-unfpa-east-and-southern-africa-
UNFPA. (2020). Against my will: Defying practices that harm women and girls and undermine equality. https://www.undp.org/kyrgyzstan/publications/against-my-will-defying-practices-harm-women-and-girls-and-undermine-equality
UNFPA. (2022). State of world population 2022: Seeing the unseen – The case for action in the neglected crisis of unintended pregnancy. https://www.unfpa.org/swp2022
UNFPA. (2024). Weaving a way forward: We must ensure that the next 30 years of progress includes everyone. https://www.unfpa.org/swp2024/path-forward
United Nations. (1995). Programme of action adopted at the International Conference on Population and Development, Cairo, 5–13 September 1994. https://partners-popdev.org/icpd/ICPD_POA_summary.pdf
Wall-Wieler, E., Roos, L. L., & Nickel, N. C. (2016). Teenage pregnancy: The impact of maternal adolescent childbearing and older sister’s teenage pregnancy on a younger sister. BMC Pregnancy and Childbirth, 16, 120. https://doi.org/10.1186/s12884-016-0911-2
World Health Organization. (2016). New guidelines on antenatal care for a positive pregnancy experience. https://www.who.int/news/item/07-11-2016-new-guidelines-on-antenatal-care-for-a-positive-pregnancy-experience
World Health Organization. (2024). Adolescent pregnancy. https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnant
Cite this article:
Mmusi-Phetoe, R., Lukhele, S.P. & Lebeloane, L.D.M. (2025). Empower the girl child: An integrated approach to making a difference in reducing adolescent pregnancy in South Africa. International Review of Social Sciences Research, 5(3), 54-78. https://doi.org/10.53378/irssr.353235
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