Effects of a contraceptive education program on knowledge, decision-making, and intended postpartum contraceptive use among pregnant adolescents
Keywords:
contraceptive, repeated pregnancy in adolescence, adolescent pregnancyAbstract
Repeating adolescent pregnancies remains a significant public health challenge. Contraceptive education during pregnancy is limited access. This study aimed to examine the effects of a contraceptive education program on knowledge, decision-making, and postpartum contraceptive choices among pregnant adolescents. A total of 31 eligible participants were selected based on predefined criteria. The intervention comprised an educational program that was systematically developed based on the health literacy framework, including a structured lesson plan and instructional media, validated for content accuracy (IOC=0.83-1.00). Data was collected using a questionnaire about contraceptive methods knowledge, decision-making on contraception and postpartum contraceptive intention. The instruments demonstrated acceptable content validity (CVI=0.80–0.93). Data was analyzed using descriptive statistics, paired sample t-tests, and binomial tests.
The results showed a statistically significant increase in contraceptive knowledge after the intervention (p<.001). Moreover, the proportion of participants who decided to use contraception and those selecting long-acting reversible contraceptive methods postpartum increased significantly (p<.001).
The findings suggest that the developed educational program effectively enhances contraceptive knowledge and supports informed decision-making and method selection among pregnant adolescents. Integration of such programs is recommended in antenatal care services, adolescent health clinics, and other relevant healthcare settings.
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