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“My friends said they should no longer be with a b*tch like me…”

A qualitative study to explore the consequences of adolescent childbearing among teen mothers in Gatsibo district, Rwanda

Bibliographic Data

ID19591744
AuthorsInnocent Twagirayezu (0009-0003-6811-3984, Western University), Joselyne Rugema (0000-0002-5200-0278, University of Rwanda), Aimable Nkurunziza (0000-0001-5052-6172, Western University), Alice Nyirazigama (Western University), Vedaste Bagweneza (0009-0005-7034-2983, University of Rwanda), Belancille Nikuze (University of Rwanda), Jean Pierre Ndayisenga (0000-0002-3508-975X, Western University)
EditorsJulia Robinson (0000-0003-0719-3995)
Year2024
Volume4
Issue9
Pagese0003716
Publication date2024-09-11
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0003716
PMID39259734
OpenAlexW4402437253
LanguageEN
Citations received2
References cited22

In low and middle income countries (LMICs), the rate of teenage pregnancy continues to be high, with significant implications for maternal health. The prevalence of teenage pregnancy is worrisome in Rwanda, and little is known about the consequences faced by teen mothers aged 15–19. Therefore, the present study aims to explore the consequences of adolescent childbearing among teen mothers in Gatsibo district, Rwanda. A descriptive qualitative study design was carried out. We purposively recruited 20 teen mothers aged 15–19 from four health centers in Gatsibo district for in-depth interview. Conversations were conducted in Kinyarwanda and audio recorded. The research team, fluent in both English and Kinyarwanda, carefully listened to each recording and verbatim translated them into English ensuring they are clear and understandable. Transcripts were entered into Dedoose and then inductively and thematically analyzed. Three themes were identified: (1) self-reported health outcomes; (2) socio-economic consequences; and (3) perceived structural barriers of access to healthcare services. Teen mothers in this study reported experiencing physical and psychological problems during pregnancy and after delivery. The socio-economic consequences included lack of social support, feelings of guilt and stigmatization, discrimination, domestic violence, school interruption and dropout, and financial constraint. The structural barriers of access to healthcare included adverse health facility requirements, feeling stigmatized by adult mothers in the healthcare environment, and confronting healthcare providers’ negative attitudes toward teen mothers. The results from this study indicated that adolescent childbearing is associated with several negative consequences. Therefore, there is a need in Rwanda to develop interventions addressing these consequences and revise policies and laws to ensure they support the needs of teen mothers

Feeling · Health care · Political science · Psychological intervention · Qualitative research · Sociology · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · Medicine · Nursing · Poverty, Education, and Child Welfare · Psychology · Social Psychology

  • Because she doesn’t have a voice’. Perceptions of rejection amongst girls who have dropped out of school in rural western Kenya

    Open Access•Cynthia Oduor, David Obor et al.•International Journal of…•2025

  • Teenage mothers report poor health and economic functioning in Western Kenya

    Open Access•Aleksandra Jakubowski, Elizabeth Nakiyingi et al.•PLOS Global Public Health•2025

  • Research design

    Open Access•Marcellus Caldas, Miguel Pinto Caldas•Revista de Administração…•2003

  • Maternal health challenges experienced by adolescents; could community score cards address them? A case study of Kibuku District– Uganda

    Open Access•Rebecca Racheal Apolot, Moses Tetui et al.•International Journal for Equity…•2020

  • Adolescent pregnancy and social norms in Zambia

    Open Access•Joar Svanemyr•Culture Health & Sexuality•2020

  • If She’s Pregnant, then that Means that Her Dreams Fade Away’

    Open Access•Ernestina Coast, Marie Merci Mwali et al.•European Journal of Development…•2021

  • Using thematic analysis in psychology

    Open Access•Braun, Virginia Braun et al.•Qualitative Research in Psychology•2006

Citations per year2
Citation span2025 - 2025 (1)
Highly citedNo

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