Understanding the Social Environmental Influences on Pregnancy and Planning for Pregnancy for Young Women in Harare, Zimbabwe.

Objectives: Social environmental influences on pregnancy-related practices and outcomes have been studied, yet few studies explore these influences qualitatively from the perspectives of women's personal social networks and the larger social networks that exist within their communities. This study s...

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Publicado en:Maternal & Child Health Journal Vol. 23; no. 12; pp. 1679 - 1686
Autores principales: Tinago, Chiwoneso B., Annang Ingram, Lucy, Frongillo, Edward A., Simmons, David, Blake, Christine E., Engelsmann, Barbara
Formato: research tables/charts Journal Article
Publicado: Springer Nature Dec2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2019
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10995-019-02814-4
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        atl: Understanding the Social Environmental Influences on Pregnancy and Planning for Pregnancy for Young Women in Harare, Zimbabwe.
      aug:
        au:
          Tinago, Chiwoneso B.
          Annang Ingram, Lucy
          Frongillo, Edward A.
          Simmons, David
          Blake, Christine E.
          Engelsmann, Barbara
        affil: Department of Health, West Chester University of Pennsylvania, 855 S. New Street, 19383, West Chester, PA, USA
      sug:
        subj:
          Social Environment
          Pregnancy Outcomes
          Family Planning Zimbabwe
          Women's Health
          Social Networks
          Decision Making, Patient
          Community Health Services
          Human
          Pregnancy
          Female
          Zimbabwe
          Semi-Structured Interview
          Qualitative Studies
          Health Personnel
          Teachers
          Socioeconomic Factors
          Thematic Analysis
          Data Analysis Software
          Adult
          Middle Age
          Descriptive Statistics
          Black Persons
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      ab: Objectives: Social environmental influences on pregnancy-related practices and outcomes have been studied, yet few studies explore these influences qualitatively from the perspectives of women's personal social networks and the larger social networks that exist within their communities. This study sought to understand and describe the social environment related to pregnancy and planning for pregnancy in Harare, Zimbabwe from the perspectives of women's social networks, and its influence on pregnancy-related decisions and practices. Methods: Semi-structured, in-depth, qualitative interviews were conducted in both Shona and English with 24 key community stakeholders (6 healthcare workers, 6 school teachers, 6 family members of females aged 14–24 years, and 6 community leaders) who lived or worked in 2 low-income, high-density communities in Harare. Data were analyzed thematically using NVivo 10 software. Results: The social environment related to pregnancy and planning for pregnancy described by participants was deeply rooted in culture and cultural practices and centered on four themes: (1) pregnancy importance to the role of a woman in the community and the fulfillment of marriage, (2) pregnancy silence to prevent adverse pregnancy outcomes and adolescent and out of wedlock pregnancies, (3) patriarchal pregnancy culture, and (4) community support during pregnancy. Conclusions for Practice: Maternal health efforts in Zimbabwe should acknowledge cultural influences on pregnancy and address pregnancy silence to improve reproductive health communication, empower women to be partners in the pregnancy decision-making process, and include women's social networks.
      pubtype: Academic Journal
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        Journal Article
      ougenre: Article
    language: English
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