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Research Article

Challenges in Decision Making Among Homeless Pregnant Teens in Addis Ababa, Ethiopia: A Descriptive Phenomenological Study

Mulualem Merga1*, Kirubel Anteab1, Mezinew Sintayehu2and Hinsermu Bayu1
1Department of Midwifery, College of Health Sciences, Mekelle University, Ethiopia
2Department of Nursing and Midwifery, School of Allied Health Science, College of Health Science, Addis Ababa University, Ethiopia
Corresponding Author : Mulualem Merga
Department of Midwifery
College of Health Sciences
Mekelle University, Ethiopia
Tel: 251-910050154
E-mail: muller1629@gmail.com
Received December 24, 2014; Accepted March 30, 2015; Published April 03, 2015
Citation: Merga M, Anteab K, Sintayehu M, Bayu H (2015) Challenges in Decision Making Among Homeless Pregnant Teens in Addis Ababa, Ethiopia: A Descriptive Phenomenological Study. J Preg Child Health 2:140. doi: 10.4172/2376-127X.1000140
Copyright: ©2015 Merga M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Homeless youth are particularly at high risk for teen pregnancy; studies indicates most of homeless young women become pregnant, because circumstances in which they live and work increase their vulnerability to sexual exploitation and abuse and put them at a higher risk of unintended pregnancies, and other reproductive health problems.Generally despite declines in teen pregnancy, and births internationally, teen age, homeless girls often become pregnant, but little is known about the extent to which the traumaexperienced during the key developmental stages of childhood challenge their decision making process.

Objective: The main objective of this study was to identify challenges in decision making among homeless pregnant teens in Addis Ababa, Ethiopia.

Method:Qualitative study was conducted among street girls who were 13 to 19 years old and reported being pregnant during the study or have history of past pregnancy using focus group discussions and through individual deep interview. Study participants were selected using Snowball sampling techniqueas well as from care center.

Result: At the time of the study all most all participants had cited the difficulties of their situations and listed as worrying about further complication of their life by early parenthood ,worrying about their children’s fate of living in impoverished single-parent life, burning of their plastic shelter by police, losing their job due to pregnancy, getting pregnant from very close family, financial constraint for abortion, lack of basic needs and the traumaexperienced during the key developmental stages of childhood challenge their decision making process.

Conclusion: Homeless pregnant teensface a big challenge todecide on the fate of their pregnancy due to all traumatic factors which led them to street and pregnancy, partners’ reaction, worrying about future fate of their un-born child, and others.

Keywords

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