Abstract:
Background: Teenage pregnancy has long been a global social, economic, and educational
issue. It bears significant health and social effects, as well as medical and psychosocial
repercussions for teenagers and society. Some studies do not conduct human chorionic
gonadotropin test (hCG) test in their study.
Objective: This study aims to assess the magnitude of teenage pregnancy and its associated
factors among teenagers of Leman Secondary school, Kersa Malima District, Oromia,
Ethiopia 2024.
Methods: An institution-based, cross-sectional study design was conducted among 368
teenage female students from January 15, 2024, to April 15, 2024. A simple random sampling
technique was used to select study participants. After the first respondent was drawn by the
lottery method, every three students were self-administered, and hCG test then sampling was
employed until the sample size was reached. Trained data collectors collected the data. A
pre-test was conducted, and a self-administered structured questionnaire with an hCG test.
Descriptive statistics were used to explore the data in relation to the variables. A binary logistic regression analysis was performed. Odds ratio with 95% confidence interval was
computed to identify factor associated with teenage pregnancy.
Result: The total prevalence of teenage pregnancy among teenagers of Leman secondary
school was 9.5%with 95%CI (6.5-12.5). Not knowing the exact time to take emergency
contraceptives (within 72hours following unprotected sexual activities) [AOR=6.99 (95%CI:
2.083, 23.455)], substance use [AOR = 5.82 (95%CI: 2.024 – 16.736)], Teenage married
[AOR= 3% (95%CI: 0.01, 0.086)] and poor parent-daughter interaction [AOR=36%
(95%CI: 0.141, 0.905)] were found to be significant factors of teenage pregnancy.
Conclusions: The study revealed that the magnitude of teenage pregnancy among teenage
female is found to be low. Factors such as knowledge of the exact time to take an emergency
contraceptive, substance use, marital status, and parent-daughter interaction were all
independently associated with teenage pregnancy. School-based reproductive health
education, avoiding any substance use, avoiding early marriage, and strengthening parent daughter relationships are recommended for woreda health office, local NGO, Leman
secondary school, health extension workers, students who are teenagers, parents/guardian.
