Friday, 10 November 2017

Teenage Pregnancy in Tanzania

Background

Adolescence is often a time when choices are made that set the course for young people’s future. More than one in five Tanzanians are adolescents, aged between 10 and 19 years[1]. The 2015-2016 Tanzania Demographic and Health Survey found that one in four girls and women aged 15 to 19 are mothers. Forty percent of women ages 15 to 49 have experienced physical violence, and almost 20 percent have experienced sexual violence. Among young people aged between 20 and 24, less than 20 percent of women had graduated from secondary school, compared with 32 percent of men. In the same age group, 20 percent of women had no education at all, compared with less than 10 percent of men[2].

H.E John Magufuli, president to the Republic of Tanzania issued a directive in June 2017 stating that teenage girls that get pregnant while in school would not be allowed to go back to school; ‘giving them the opportunity for free education and allowing teenage mothers back to school is encouraging the other girls to get pregnant’, he said. No data however, shows the correlation between more girls getting pregnant when they interact with the teenage mothers and when they do not. This comes as a question considering that Tanzania has ratified several human rights treaties including the African Youth Charter 2006, the UN Convention on the Rights of the Child and the Convention on the Elimination of all forms of Discrimination Against Women, as well as Tanzanian Legislation on Education and Labour; and the landmark 2009 Law of the Child Act for the Mainland and 2011 Children’s Act for Zanzibar. Primary focus must be on prevention of pregnancies, the loss of human potential should be a call for second chances. Having girls not going back to school after getting pregnant not only deny them their rights but also come as a negative impact to the economic growth and development to the country.
















Factors contributing to teenage pregnancy in Tanzania

  1. Child marriage: While underage sex is criminalized in Tanzania, parents may marry off their daughters using a special privilege granted by a 1971 marriage law, which allows a girl as young as 15 to marry with parental or the court’s consent.
  2. Lack of information about sexuality and reproduction: Lack of appropriate and comprehensive sexual and reproductive health education including information and services for reproductive tract infections, sexually transmitted infections and pregnancy-related issues, mean that many adolescents still do not know how or do not possess the means to prevent pregnancy.
  3. Sexual violence and exploitation both at home and in schools
  4. Economic deprivation and opportunities accessible to teenage girl child can cause young girls to engage in transactional and/or unprotected sex to meet basic needs, survive or to improve their living conditions
  5. Education  level  and  employment  status  is  associated  with  the  risk  of  pregnancy among teenage  and adolescent  girls. Teenagers and adolescents are at higher risk of pregnancy if they have no formal education and if they are unemployed.
Currently, about one-third of Tanzania’s health facilities are reported to provide “youth-friendly” sexual and reproductive health services, including access to contraceptives. While the quality of services provided probably varies greatly, these facilities should offer a non-judgmental, supportive environment where young people feel comfortable and confident about expressing their concerns and are able to receive treatment guidance in language and concepts that fit their experience and stage of development. Teenage mothers however, are offered vocational training as an alternative of not going back to school. The girls still tend to lose a lot in this regard, when they are compared with their mates and colleagues. There is therefore, the need and more concerted efforts for these girls to have re-entry program to continue their formal education.
Recommendations
  1. There is a need to improve the quality and implementation of reproductive and health education for both boys and girls. This means involvement of governmental agencies; local and international nongovernmental organizations (NGOs); the parents and communities focusing on comprehensive sexual education through participatory approaches.
  2. Youth-friendly health services promoting open communication between parents and children and increasing the coverage in the media with a distinct focus on pregnancy.
  3. Cultural practices, early marriages and Female Genital Mutilation/Cut (FGM) should be tackled having in place to reach out to the communities that are ultra-conservative. These are behavioral and cultural changes that can be achieved through participatory approach.
  4. Investing in adolescents will accelerate the fight against poverty, inequity and gender discrimination and contribute to the reduction of maternal mortality and HIV and AIDS.
  5. Building skills and creating jobs for young people, especially those in the poorest rural communities can help rescue a generation from poverty
  6. Universal implementation of sex education with focus both on abstinence and safe sex as well as biological and social risk factors.
  7. Schools should be encouraged to form peer health clubs with the objective of sensitizing on the impact of teenage pregnancy and to also reduce discrimination. 

Provisions That Protect Children’s Rights:
Article 11 (3) African Charter on The Rights and Welfare of the Child: States Parties … shall in particular: (a) provide free and compulsory basic education; (b) encourage the development of secondary education in its different forms and to progressively make it free and accessible to all; (c) make the higher education accessible to all on the basis of capacity and ability by every appropriate means; (d) take measures to encourage regular attendance at schools and the reduction of dropout rates; (e) take special measures in respect of female, gifted and disadvantaged children.

Article 21 (1) of the African Charter on The Rights and Welfare of the Child: States Parties to the present Charter shall take all appropriate measures to eliminate harmful social and cultural practices affecting the welfare, dignity, normal growth and development of the child and in particular: (a) those customs and practices prejudicial to the health or life of the child; and (b) those customs and practices discriminatory to the child on the grounds of sex or other status.

Article 21 (2) of the African Charter on The Rights and Welfare of the Child: Child marriage and the betrothal of girls and boys shall be prohibited and effective action, including legislation, shall be taken to specify the minimum age of marriage to be 18 years and make registration of all marriages in an official registry compulsory.

Article 11 (6): States Parties to the present Charter shall have all appropriate measures to ensure that children who become pregnant before completing their education shall have an opportunity to continue with their education based on their individual ability.

Countries that Allow Continuation of Teenage Mother’s Education:
South Africa: Section 9(3) of the South African Bill of Rights says that the State must not discriminate against any person based on aspects such as gender, sex, pregnancy and marital status. Section 8 of the Equality Act makes it illegal to discriminate on the basis of gender. In particular, Section 8(f) prohibits discrimination on the basis of pregnancy.
Benin: There is a re-entry program, which allows teenage mothers to go back to school. In cases where the father is also a minor, the parents to the boy are held liable to cater for the girl and her baby until the teenage mother is eighteen years of age inclusive of her education
Malawi: Both the boy and the girl must leave school till the girl has delivered. However, if the girl is willing to remain in school, she is allowed to continue with her education until she delivers.
Kenya: has a ‘return to school' policy for teenage mums which was introduced in 1994. A girl that gets pregnant is supposed to be allowed to remain in school for as long as she thinks she can. After delivery, she is supposed to be allowed to go back or be given support to gain admission into another secondary school if she feels there are issues of stigma and discrimination.  There is also a provision for pregnant schoolgirls and their parents to receive counseling. 

By: Nyabena Susan
Blogger/Gender Expert




[1] NBS Statistical Abstract 2009
[2] Tanzania’s Demographic Health Survey Data for 2010