Early Child Marriages, Unintended Pregnancies, and its impact on the Health of Young Girls in South Punjab

Main Article Content

Mujahid Iqbal
Asma Sial

Abstract

Background: Unwanted pregnancies are a significant public health issue in South Punjab, Pakistan, largely due to low contraception use and a substantial unmet need for family planning. The high fertility rate and maternal mortality in the region are further compounded by the prevalence of unwanted pregnancies, which also contribute to educational dropouts among girls and affect maternal health adversely.


Objective: This study aimed to analyze the impact of education level, household size, wealth index, and type of residency on pregnancy intentions among women in Southern Punjab.


Methods: Utilizing a survey design, data from 1,100 women aged 13 to 49, both from slum and non-slum areas across several districts in Southern Punjab, were analysed. Logistic regression and simple percentages were employed to assess the associations between socio-demographic factors and pregnancy intentions.


Results: The results indicated that women with higher education levels had a higher proportion of intended pregnancies (220 out of 320, 68.75%) compared to those with no education (20 out of 70, 28.57%). In terms of household size, smaller households (1-2 persons) had a higher incidence of intended pregnancies (60 out of 130, 46.15%) compared to larger households (6 or more persons, 230 out of 490, 46.94%). Regarding the wealth index, the 'rich' category showed a higher likelihood of intended pregnancies (200 out of 255, 78.43%) compared to the 'poor' category (200 out of 530, 37.74%). Additionally, women residing in non-slum areas reported a higher rate of intended pregnancies (340 out of 550, 61.82%) than those in slum areas (350 out of 550, 63.64%).


Conclusion: The study underscores the influence of socio-demographic factors on pregnancy intentions. Education level, household size, wealth index, and type of residency are pivotal in determining the likelihood of intended pregnancies. Tailoring family planning initiatives to these factors can significantly improve reproductive health outcomes in Southern Punjab.

Article Details

How to Cite
Iqbal, M., & Sial, A. (2023). Early Child Marriages, Unintended Pregnancies, and its impact on the Health of Young Girls in South Punjab. Journal of Health and Rehabilitation Research, 3(2), 272–279. https://doi.org/10.61919/jhrr.v3i2.131
Section
Articles
Author Biographies

Mujahid Iqbal, Pakistan Bait ul Mal-Islamabad

Deputy Director

Asma Sial, University of Sargodha Punjab

Master of Arts in Pakistan Studies

References

Sensoy N, Dogan N, Sen K, Aslan H, Tore-Baser A. Unwanted pregnancy and traditional self-induced abortion methods known among women aged 15 to 49. JPMA The Journal of the Pakistan Medical Association. 2015;65(5):452-6.

Malik MI, Nadeem M, Adil SM, editors. Exploring the determinants of female early age marriages in Pakistan. Women's Studies International Forum; 2022: Elsevier.

Razzaq S, Jessani S, Rizvi N, Saleem S. Unintended pregnancy and the associated factors among pregnant females: Sukh Survey-Karachi, Pakistan. JPMA The Journal of the Pakistan Medical Association. 2021;71(11 (Suppl 7)):S50.

Wagan F, Siyal AA, Ali R, Taqi T, editors. Major consequences, determinants and obstetrical outcomes of unintended pregnancy. Med Forum Mon; 2018.

Kamal SM, Ulas E. Child marriage and its impact on fertility and fertility-related outcomes in South Asian countries. International Sociology. 2021;36(3):362-77.

Nasrullah M, Muazzam S, Bhutta ZA, Raj A. Girl child marriage and its effect on fertility in Pakistan: findings from Pakistan Demographic and Health Survey, 2006–2007. Maternal and child health journal. 2014;18:534-43.

Paul P. Child marriage among girls in India: Prevalence, trends and socio-economic correlates. Indian Journal of Human Development. 2020;14(2):304-19.

Ali SA, Rabbani U. Unintended Pregnancies among Married Women in Sindh Pakistan: Role of Lady Health Workers. EC Gynaecology. 2017;6(4):120.

Godha D, Hotchkiss DR, Gage AJ. Association between child marriage and reproductive health outcomes and service utilization: a multi-country study from South Asia. Journal of Adolescent Health. 2013;52(5):552-8.

Ashiq U, Abbas N, Asad AZ. Early marriage in Pakistan: so little done, but so much to do. Journal of Business and Social Review in Emerging Economies. 2020;6(4):1449-56.

Habib MA, Raynes-Greenow C, Nausheen S, Soofi SB, Sajid M, Bhutta ZA, et al. Prevalence and determinants of unintended pregnancies amongst women attending antenatal clinics in Pakistan. BMC pregnancy and childbirth. 2017;17(1):1-10.

DHS M. Demographic and health surveys. Calverton: Measure DHS. 2013.

Iqbal MP. What ails medical research in Pakistan? Role of institutions. Pakistan journal of medical sciences. 2015;31(6):1287.

Abame DE, Abera M, Tesfay A, Yohannes Y, Ermias D, Markos T, et al. Relationship between unintended pregnancy and antenatal care use during pregnancy in Hadiya Zone, Southern Ethiopia. Journal of reproduction & infertility. 2019;20(1):42.

Wasswa R, Kabagenyi A, Atuhaire L. Determinants of unintended pregnancies among currently married women in Uganda. Journal of Health, Population and Nutrition. 2020;39(1):1-17.

Shri N, Singh M, Dhamnetiya D, Bhattacharyya K, Jha RP, Patel P. Prevalence and correlates of adolescent pregnancy, motherhood and adverse pregnancy outcomes in Uttar Pradesh and Bihar. BMC pregnancy and childbirth. 2023;23(1):1-12.

Islam M, Sultana N. Risk factors for pregnancy related complications among urban slum and non-slum women in Bangladesh. BMC pregnancy and childbirth. 2019;19:1-7.

Sarder A, Islam SMS, Maniruzzaman, Talukder A, Ahammed B. Prevalence of unintended pregnancy and its associated factors: evidence from six south Asian countries. PloS one. 2021;16(2):e0245923.

Asif MF, Pervaiz Z, Afridi JR, Safdar R, Abid G, Lassi ZS. Socio-economic determinants of child mortality in Pakistan and the moderating role of household’s wealth index. BMC pediatrics. 2022;22:1-8.

Adedini SA, Omisakin OA, Somefun OD. Trends, patterns and determinants of long-acting reversible methods of contraception among women in sub-Saharan Africa. PloS one. 2019;14(6):e0217574.

Nor AM, Shah SSA, Balasingam UA, Zainudin ZN. The Turning Point in an Unwanted Teenage Pregnancy: A Psychoemotional Perspective. Malaysian Journal of Medicine & Health Sciences. 2019;15.

Testa A, Gimeno Ruiz de Porras D. The association of employment status and unwanted job loss with maternal oral health experiences: findings from the pregnancy risk assessment monitoring system. BMC Oral Health. 2023;23(1):168.

Panda A, Parida J, Jena S, Pradhan A, Pati S, Kaur H, et al. Perception, practices, and understanding related to teenage pregnancy among the adolescent girls in India: a scoping review. Reproductive health. 2023;20(1):1-16.