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Submitted: 10 Feb 2020
Revision: 29 Mar 2020
Accepted: 29 Mar 2020
ePublished: 04 Oct 2020
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  Abstract View: 23

Systematic Review

The Prevalence of Pregnancy Among Adolescent Girls and Young Women (AGYW) Across the Southern African Development Community (SADC) Economic Hub: A Systematic Review and Mata-Analysis

Clarence Yah* ORCID logo

Abstract

Background: This study aimed to estimate the rate of pregnancy among AGYW aged 10-24, 10-19 and 15-19 years in the Southern African Development Community (SADC) economic region. Methods: The PRISMA methodology was applied to describe the rate of pregnancy among AGYW in the 15 SADC member countries between January 2007 and December 2017. The random-effects meta-analysis was used to estimate the regional and national rate of pregnancy and heterogeneity was tested using the Chi-square test (p<0.1 indicating significance) and I2 test statistic (where values > 50% indicate significance). Subgroup analyses with respect to specific-country was used to determine potential sources of heterogeneity. Results: In unweighted analyses, a total of 14040 (17.2%, N=81474) had ever been pregnant out of 81474 AGYW. In meta-analysis, the overall regional weighted pregnancy rate among AGYW 10-24 years of age was estimated at 25% (95% CI: 21% to 29%). Furthermore, sub-population analysis showed: 10-19 years AGYW yielding an overall regional pregnancy rate of 23% (95% CI: 19% to 26%) while those within the age group 15-19 years was 25% (21% to 29%). Conclusion: The findings revealed a high pregnancy rate of 25% (10-24 years), 23% (10-19 years) and 25% within the AGYW aged 15-19 years in the SADC region. This prompts the need to explore innovative research and programs expanding and improving sexuality communication to reduce risk and exposure of adolescents to early planned, unplanned and unwanted pregnancies, SRHR challenges.
Keywords: Pregnancy, Adolescents, Southern African Development Community, Economic Region
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