1 / 20

Nahla Abdel-Tawab American University in Cairo/ Social Research Center June 18-19, 2014

Survey of married adolescent girls in rural Upper Egypt: A collaborative study with Assiut University. Nahla Abdel-Tawab American University in Cairo/ Social Research Center June 18-19, 2014. Acknowledgements. Dr. Omaima El-Gibaly and Department of Community Medicine, Assiut University

kamana
Download Presentation

Nahla Abdel-Tawab American University in Cairo/ Social Research Center June 18-19, 2014

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Survey of married adolescent girls in rural Upper Egypt: A collaborative study with Assiut University Nahla Abdel-Tawab American University in Cairo/ Social Research Center June 18-19, 2014

  2. Acknowledgements • Dr. Omaima El-Gibaly and Department of Community Medicine, Assiut University • Dr. Montasser Kamal and Ford Foundation • Dr. Doaa Oraby and PC /Egypt team

  3. Building capacity of researchers in youth SRH • Phase 1: individual researchers from 8 institutions • Phase 2: groups of researchers from 2-3 institutions • Phase 3: working with one institution to establish a center of excellence in youth SRH

  4. Why a survey of Married Adolescent Girls (MAGs)? • 16% of adolescent girls 15-17 years are either married or engaged (SYPE, 2010) • MAGs are prone to poor SRH outcomes: • Early and closely spaced pregnancies • Complications during pregnancy and childbirth • Sexually transmitted Infections • Intimate partner violence

  5. Why a survey of MAGs? • Very little is known about SRH needs of MAGs or their health-seeking behavior • Most of the evidence derived from small scale qualitative studies or research conducted in South East Asia or sub-Saharan Africa • Most programs geared towards prevention of early marriage

  6. Study objectives • Provide estimates of key sexual and reproductive health indicators among MAGs in rural Upper Egypt; • Measure the extent of MAG exposure to various forms of IPV; • Assess key contextual, attitudinal and cognitive factors that could mitigate effects of early marriage on girls’ SRH • Provide policy recommendations and identify opportunities for interventions

  7. Study methodology • Descriptive cross sectional survey • Four districts in Assiut and Sohag • Sample of 990 MAGs under age 20 (married for at least three months) selected from eight villages • Households that include MWRA will be selected at random using EDHS 2014 sampling frame • Study instruments • Roster of household members • MAG’s questionnaire

  8. MAG’s Questionnaire Divided into 10 sections • Socio-demographic characteristics • RH knowledge • Social support • Access to SRH services • RH seeking behavior • Reproductive history • Engagement and marital relations • Social network, mobility and resources • Exposure to IPV • Suggestions for intervention

  9. Procedures for protection of human subjects • Protocols reviewed and approved by PC and Assiut University Ethics Committees • Informed consent will be obtained from MAG and guardian • Data collectors will be adequately trained in handling sensitive questions • Participation is completely voluntary • Interview will be stopped if participant experiences emotional distress • Precautions will be taken for protection of confidentialty of information provided by MAGs

  10. Potential challenges • Obtaining CAPMAS clearance • Guardian denying presence of MAG / refusing her participation • Finding a private spot for interview • Handling cases of severe forms of IPV or emotional distress

  11. Men and gender based violence • 36% of MWRA experienced any form of physical, emotional or sexual violence by their current or most recent husband • 38% of young men 15-29 years believe a husband is justified in beating his wife if she refuses to have sex with him • 42% of young men believe ‘wasting his money’ is a good reason for beating wife

  12. Men and FGM (EDHS, 2008 & SYPE, 2011) • 91 % of married women aged 15-49 years and 76% of girls 10-29 have been circumcised. • 41 % of women indicted that their husband believed FGM should continue. • More than half of girls were circumcised by medical personnel. • More young men than women 15-29 years believed FGM was a necessary practice (70% vs. 58%).

  13. Men and HIV infection • 40 of infected individuals are women • Marriage is the number 1 risk factor for women • Biologically women are 5 times more vulnerable than men • Socio-cultural factors increase women’s vulnerability to HIV

  14. How can men be involved in RH? • RH services for men • Counseling men about RH needs of women • Brochures and fliers for reaching husbands • Mass media • School curricula for reaching young men

  15. Counseling men about RH needs of women • Assign special hours for men to accompany their wives to the clinic • Train health providers in joint counseling techniques • Counseling men should never be a substitute for counseling women about their own health.

  16. THANK YOU

More Related