Information service delivery network : approach in addressing teenage pregnancy in the Municipality of Larena, Siquijor /
Villa, Susan Jojie O.
Information service delivery network : approach in addressing teenage pregnancy in the Municipality of Larena, Siquijor / Susan Jojie O. Villa. - 119 leaves : color illustrations
Graduate School of Public and Development Management
In the municipality of Larena, Siquijor, teenage pregnancy rate was way high despite the decreasing trend over the past three years from 19.9% in 2015, 18.9% in 2016 and 13.9% in 2017. Considering the multi-sectoral efforts and constant collaboration in conducting activities to empowering the teenagers, teenage pregnancy rate as of 2017 was 13.9% way high vis-a-vis the national target of less than 4%. Hence, the researcher ventured into this research cum action plan and project to identify the predisposing factors of sexual behavior of teenage pregnant, determine the relationship between the predisposing factors and sexual behavior, cite the gaps of the existing program for adolescents and implement interventions to decrease teenage pregnancy. This study employed both quantitative descriptive correlation among variables and sub variables under socio-economic and family characteristics, information and knowledge on reproductive health, and sexual and reproductive health services to sexual behavior of teenage pregnant, i.e. female adolescents or those aged 10-19 years' old who were pregnant in the year 2015 and up to the present, July of 2018 who were registered in the Target Client List of the Municipality of Larena, Siquijor. For qualitative design, thematic analysis of the focused group discussion and key informant interview was used to identify gaps in the implementation of the adolescent health and youth development program. For the qualitative component of the study, two sets of informants were included: policymakers and implementers and program recipients. After document review, the researcher-modified instrument's content was evaluated by an expert and was pilot studied. Data was analyzed using Chi square test for independence to determine associations of categorical factors while Biserial correlation was used for continuous factors to teenage pregnancy through the Statistical Package for Social Sciences (SPSS), version 16. Moreover, framework of the research was anchored on the Inputs Process Outputs Outcome (IPOO) model. Results of the study revealed that 24% of the respondents had their first delivery at the age 19, the youngest was 14 years old and the oldest was 20 years old. Majority of them were high school level and currently did not attend school. Most of the family income was indicated low-income level. None of the respondent used prohibited drugs, and don't smoke cigarettes while 52% of them did drink alcohol beverages at least once in the last month. For information on reproductive health, majority of the respondents learned about puberty, 62% from their teacher in school and 20% from their parents, and only 6% had no knowledge at all. For knowledge on reproductive health, 44% of the respondents believed that woman can get pregnant on the very first time that she had sexual intercourse and 28% had no knowledge at all. Only 20% disagreed that masturbation causes serious damage to health while, most of them had no knowledge about it. There was early sexual initiation noted in this study where 64% had their first sexual encounter before they reached 18 and the earliest recorded was 12 years old. There were 30% of the respondents who haven't tried any contraceptive method. For those who have tried with their partner, 28% used withdrawal, 18% used pills, 12% used condom, and 10% used injectable. For sexual and reproductive health services, majority of the respondents have visited a governmental health facility or doctor due primarily due to baby's immunization, pre-natal and family planning, respectively. Out-of-pocket expenses to travel to a health facility were mostly at Php 10 to Php 20 considering that these facilities were perceived to be within 1 km radius from their residence. Interestingly, majority of the respondents viewed a poster on contraception within the facility but did not receive any materials during health education classes with service providers. Results of correlation revealed three significant relationships at p = 0.05. First, that there was significant relationship between age of menarche and planning. The results indicate that those who have lower ages did not plan their pregnancies. Secondly, on knowledge of reproductive health under the item "Masturbation can cause serious damage health". The result would indicate that those who were unsure about this statement determine whether they would regret the pregnancy. Last significant correlation is between the occurrence of teenage pregnancy and the possession of a contraceptive brochure is associated with the occurrence of teenage pregnancy. Thematic analysis revealed that implementers were aware in the implementation of the Adolescent and Youth Reproductive Program except for some barangay officials who considered the program as "unsay gipasa", an imposition from the municipal government. Due to "kawad-on" (poverty), as one of the foremost cause of teenage pregnancy. Moreover, "sula-sulay sa ug bang-ong butang" (trying out new things) due to millennial's curiosity might stemmed from social media, family dynamics and generational gap. On the other hand, the program was deemed partially implemented because of multi-factorial reasons. Health care providers were considered trustworthy but the attitude of program recipients as being embarrassed caused the delay to seek consultation. Key interventions implemented to decrease teenage pregnancy highlighted the strengthening of the information and service delivery network (ISDN) responsible of training the peer educators and stakeholders in delivery a standardized communication material to cascade the information dissemination and recommending policies related to adolescent health. The Larena youth and research center was also created as a haven where adolescent health discourse is encouraged while a local executive order was issued by the mayor to support the implementation of the adolescent health program.
Teenage pregnancy--Philippines--Larena, Siquijor.
Reproductive health program--Philippines--Larena, Siquijor.
Pregnancy, Adolescent.
Maternal health services--Philippines--Larena, Siquijor.
Information service delivery network : approach in addressing teenage pregnancy in the Municipality of Larena, Siquijor / Susan Jojie O. Villa. - 119 leaves : color illustrations
Graduate School of Public and Development Management
In the municipality of Larena, Siquijor, teenage pregnancy rate was way high despite the decreasing trend over the past three years from 19.9% in 2015, 18.9% in 2016 and 13.9% in 2017. Considering the multi-sectoral efforts and constant collaboration in conducting activities to empowering the teenagers, teenage pregnancy rate as of 2017 was 13.9% way high vis-a-vis the national target of less than 4%. Hence, the researcher ventured into this research cum action plan and project to identify the predisposing factors of sexual behavior of teenage pregnant, determine the relationship between the predisposing factors and sexual behavior, cite the gaps of the existing program for adolescents and implement interventions to decrease teenage pregnancy. This study employed both quantitative descriptive correlation among variables and sub variables under socio-economic and family characteristics, information and knowledge on reproductive health, and sexual and reproductive health services to sexual behavior of teenage pregnant, i.e. female adolescents or those aged 10-19 years' old who were pregnant in the year 2015 and up to the present, July of 2018 who were registered in the Target Client List of the Municipality of Larena, Siquijor. For qualitative design, thematic analysis of the focused group discussion and key informant interview was used to identify gaps in the implementation of the adolescent health and youth development program. For the qualitative component of the study, two sets of informants were included: policymakers and implementers and program recipients. After document review, the researcher-modified instrument's content was evaluated by an expert and was pilot studied. Data was analyzed using Chi square test for independence to determine associations of categorical factors while Biserial correlation was used for continuous factors to teenage pregnancy through the Statistical Package for Social Sciences (SPSS), version 16. Moreover, framework of the research was anchored on the Inputs Process Outputs Outcome (IPOO) model. Results of the study revealed that 24% of the respondents had their first delivery at the age 19, the youngest was 14 years old and the oldest was 20 years old. Majority of them were high school level and currently did not attend school. Most of the family income was indicated low-income level. None of the respondent used prohibited drugs, and don't smoke cigarettes while 52% of them did drink alcohol beverages at least once in the last month. For information on reproductive health, majority of the respondents learned about puberty, 62% from their teacher in school and 20% from their parents, and only 6% had no knowledge at all. For knowledge on reproductive health, 44% of the respondents believed that woman can get pregnant on the very first time that she had sexual intercourse and 28% had no knowledge at all. Only 20% disagreed that masturbation causes serious damage to health while, most of them had no knowledge about it. There was early sexual initiation noted in this study where 64% had their first sexual encounter before they reached 18 and the earliest recorded was 12 years old. There were 30% of the respondents who haven't tried any contraceptive method. For those who have tried with their partner, 28% used withdrawal, 18% used pills, 12% used condom, and 10% used injectable. For sexual and reproductive health services, majority of the respondents have visited a governmental health facility or doctor due primarily due to baby's immunization, pre-natal and family planning, respectively. Out-of-pocket expenses to travel to a health facility were mostly at Php 10 to Php 20 considering that these facilities were perceived to be within 1 km radius from their residence. Interestingly, majority of the respondents viewed a poster on contraception within the facility but did not receive any materials during health education classes with service providers. Results of correlation revealed three significant relationships at p = 0.05. First, that there was significant relationship between age of menarche and planning. The results indicate that those who have lower ages did not plan their pregnancies. Secondly, on knowledge of reproductive health under the item "Masturbation can cause serious damage health". The result would indicate that those who were unsure about this statement determine whether they would regret the pregnancy. Last significant correlation is between the occurrence of teenage pregnancy and the possession of a contraceptive brochure is associated with the occurrence of teenage pregnancy. Thematic analysis revealed that implementers were aware in the implementation of the Adolescent and Youth Reproductive Program except for some barangay officials who considered the program as "unsay gipasa", an imposition from the municipal government. Due to "kawad-on" (poverty), as one of the foremost cause of teenage pregnancy. Moreover, "sula-sulay sa ug bang-ong butang" (trying out new things) due to millennial's curiosity might stemmed from social media, family dynamics and generational gap. On the other hand, the program was deemed partially implemented because of multi-factorial reasons. Health care providers were considered trustworthy but the attitude of program recipients as being embarrassed caused the delay to seek consultation. Key interventions implemented to decrease teenage pregnancy highlighted the strengthening of the information and service delivery network (ISDN) responsible of training the peer educators and stakeholders in delivery a standardized communication material to cascade the information dissemination and recommending policies related to adolescent health. The Larena youth and research center was also created as a haven where adolescent health discourse is encouraged while a local executive order was issued by the mayor to support the implementation of the adolescent health program.
Teenage pregnancy--Philippines--Larena, Siquijor.
Reproductive health program--Philippines--Larena, Siquijor.
Pregnancy, Adolescent.
Maternal health services--Philippines--Larena, Siquijor.