Reaching the Youngest Moms and Dads: A Socio-Ecological View of Actors and Factors Influencing First-time Young Parents’ Use of Sexual and Reproductive Health Services in Madagascar
Globally, few programs consider the needs of first-time young parents (FTYPs), who face disproportionate negative health consequences during pregnancy and childbirth. Scant evidence exists on FTYPs‘ broader health needs.
Formative research in two regions of Madagascar used a socio-ecological lens to explore, via 44 interviews and 32 focus group discussions, the influences on FTYPs at the individual, couple, family, community, and system levels. The authors spoke with FTYPs who had, and who had not, used sexual and reproductive health (SRH) services, their parents/kin and influential adults, and community health workers and facility health providers.
Data analysis, guided by a codebook, used Atlas.ti. Age, social position, and implicit power dynamics operating within and across socio-ecological levels affected FTYPs‘ service-seeking behaviors. The nature and extent of influence varied by health service type. Cross-cutting social factors affecting service use/non-use included gender dynamics,pressures from mothers, in-laws, and family tradition, and adolescent stigmatization for too-early pregnancy.
Structural and economic factors included limited awareness of and lack of trust in available services, unfriendliness of services, and FTYPs‘ limited financial resources. A socio-ecological program perspective can inform tailoring of activities to address broader SRH issues, including how relationships, gender, power, and intergenerational dynamics influence service use.
- Factors Impacting Use of Health Services by First-time/Young parents: A Formative Research Toolkit
- “Because my Husband and I Have Never Had a Baby Before…” Results and Lessons from Interventions with First-Time Parents in Madagascar, Mozambique, and Nigeria
- Training Tools: Providing Family Planning and Reproductive Health to Young Married Women and First-Time Parents in West Africa
- Scaling-Up First-Time and Young Parent Access to Postpartum Family Planning: Could Small Shifts Change the Game?
- Evidence to Action (E2A) Project's First-Time Parent Framework
- Beyond the ABCs of FTPs: A Deep Dive into Emerging Considerations for First Time Parent Programs
- Connect: Increasing Use of Pospartum Family Planning by First-Time Parents
- Lessons Learned from an Integrated Approach for Reaching First-time Young Parents in Nigeria
- Meeting the Sexual and Reproductive Health Needs of Young Married Women and First-time Parents Toolkit
- First Time Parents
- Reaching Young Women and First-Time Moms with Friendly, Lifesaving Services in Madagascar
- Reaching the Youngest Mothers to Save Lives
- REAL Fathers Initiative
- Our First Baby: Health Education for Adolescents Who are Pregnant or First-Time Parents
- Improving Family Planning Outcomes for First-Time Parents in the Greater Mahale Ecosystem of Tanzania (Brief)
June 11, 2020