Adolescent fertility and family planning in East Asia and the Pacific: a review of DHS reports
Open accessAbstract
Background: Adolescent pregnancy has significant health and socio-economic consequences for women, their families and communities. Efforts to prevent too-early pregnancy rely on accurate information about adolescents' knowledge, behaviours and access to family planning, however available data are limited in some settings. Demographic and Health Survey (DHS) reports are recognised as providing nationally representative data that are accessible to policymakers and programmers. This paper reviews DHS reports for low and lower middle income countries in East Asia and the Pacific to determine what information regarding adolescent fertility and family planning is available, and summarises key findings. Methods: The most recent DHS reports were sought for the 33 low and lower middle income countries in the East Asia and Pacific region as defined by UNICEF and World Bank. Age-disaggregated data for all indicators relevant to fertility and current use, knowledge and access to family planning information and services were sought to identify accessible information. Reported data were analysed using an Excel database to determine outcomes for adolescents and compare with adult women. Results: DHS reports were available for eleven countries: Cambodia, Indonesia, Marshall Islands, Nauru, Papua New Guinea, Philippines, Samoa, Solomon Islands, Timor-Leste, Tuvalu and Vietnam. Twenty seven of 40 relevant DHS indicators reported outcomes for adolescent women aged 15-19 years. There were limited data for unmarried adolescents. A significant proportion of women commence sexual activity and childbearing during adolescence in the context of low contraceptive prevalence and high unmet need for contraception. Adolescent women have lower use of contraception, poorer knowledge of family planning and less access to information and services than adult women. Conclusion: DHS reports provide useful and accessible data, however, they are limited by the failure to report data for unmarried adolescents and report age-disaggregated data for some indicators. Further research is required to better understand the barriers that both married and unmarried adolescents face accessing reproductive health information and services, and their information and service delivery preferences.
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Non-confidentiality of information during service provision and lack of diversity in contraceptive methods are obstacles.
“Non-confidentiality of information during the service provision and lack of diversity in contraceptive methods are among other obstacles [18].”
From Barriers to vulnerable adolescent girls’ access to sexual and reproductive health (2022) · cites this paper as [18]
The Discussion section, under “Contraceptive use and unmet need” (page unavailable), says that limited choice of appropriate and acceptable birth-spacing methods may contribute to unmet need. The Discussion section on access to services describes other barriers, but does not identify non-confidentiality during service provision as one of them. (LLM, conf=0.85)
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- Authors
- Kennedy, E., Gray, N., Azzopardi, P., & Creati, M.
- Affiliations
- Burnet Institute (AU)
- Royal Children's Hospital (AU)
- Corresponding author
- Gray, Natalie
- Venue
- Reproductive Health
- Published
- 2011-05-05
- Volume
- 8
- Issue
- 1
- Pages
- 11-11
- ISSN
- 1742-4755 (ISSN-L)
- PMC
- PMC3113330
- OpenAlex
- W2106194384
- Semantic Scholar
- 54c63be631ff3a6c1a45634526a0bf9eb1c08976
- Cited by
- 92
- References
- 38
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 5 · 2023: 12 · 2022: 6 · 2021: 14 · 2020: 9 · 2019: 4 · 2018: 5 · 2017: 3 · 2016: 8 · 2015: 5 · 2014: 7 · 2013: 6 · 2012: 2
- FWCI
- 0.82
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Reproductive Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- Funders
- Burnet Institute
- Menzies School of Health Research
- Australian Government
- Australian Agency for International Development
- University of Melbourne
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
- Health Sciences › Health Professions › General Health Professions › Adolescent Health and Behaviors
- Keywords
- adolescent fertility, adolescent pregnancy, family planning, contraceptive use, unmet need for contraception, family planning knowledge, access to reproductive health services, unmarried adolescents, Demographic and Health Surveys, East Asia and Pacific, low- and lower-middle-income countries
- MeSH terms
- Adolescent, Adolescent Behavior, Contraception Behavior, Developing Countries, Family Planning Services, Female, Health Services Accessibility, Health Surveys, Humans, Health Knowledge, Attitudes, Practice, Pregnancy, Pregnancy in Adolescence, Sexual Behavior, Young Adult
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