Exploring the inclusivity of interventions to prevent pregnancy in adolescence in low- and-middle-income countries (LMICs): a scoping review

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Date

2021

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Publisher

University of the Western Cape

Abstract

Despite shifts in policy and programming regarding adolescent pregnancy, the issue remains a global concern. Recent projections estimate probable increases in frequency in certain regions, most notably Sub-Saharan Africa. This study aims to establish whether existing interventions in low-and-middle-income countries to prevent adolescent pregnancy are inclusive of early adolescents by providing a comprehensive overview of relevant published literature. The scoping review methodology was guided by the framework developed by Levac et al. as an extension of Arksey and O’Malley’s scoping review framework. A search of the literature was completed using Scopus, Web of Science and the American Psychological Association’s PsycArticles database search engines. Sixty-three articles pertaining to fifty studies met the criteria for inclusion in the final review and ranged in location across several continents. Findings revealed several commonalties between studies most notably with intervention methodology, delivery agent and intervention setting. Furthermore, it was shown that of the studies included in this review, almost half completely excluded the early adolescent age group.

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Keywords

Adolescent pregnancy, Early adolescence, Prevention, Intervention, Low-income country

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