Factors associated with unplanned pregnancy among youth at a selected hospital in Lesotho

Abstract

Unplanned pregnancy amongst youth is a fundamental health problem that affects both developing and developed countries globally. There are various factors associated with unplanned pregnancy amongst youth and these factors have differing propagators. Unplanned pregnancies account for over half of total pregnancies in Lesotho; youth pregnancies contribute vast percentage overall. This study aimed to assess which factors associated are with unplanned pregnancy among youths who sought antenatal and postnatal care services at a selected government hospital in Lesotho. A descriptive cross-sectional design was used, and data was collected from a sample of 100 participants using a structured questionnaire. The results revealed that unplanned pregnancy among youths was associated with age, unemployment, lack of contraceptive use, sexual abuse, living in rural areas and lack of unplanned pregnancy prevention campaigns. The findings of this study support socio-ecological model which postulates that variety of factors influence health outcomes. We conclude that more needs to be done to improve access to formal education, availability and accessibility of unplanned pregnancy prevention campaigns and sexual and reproductive services. Reduction in unplanned pregnancy has several benefits not only to sexual and reproductive health but to life holistically. Sexual and reproductive health benefits include reduced maternal and neonatal morbidity and mortality and reduced abortions.