TEENAGE PREGNANCY DURING THE COVID-19 PANDEMIC IN SAN VICENTE, CAMARINES NORTE 2022 A Research Paper Presented to the Faculty of Froilan D. Lopez High School Senior High School Department San Vicente, Camarines Norte In Partial Fulfillment of The Requirements for the Subject Inquiries, Investigation and Immersion John Lloyd C. Palencia Grant Ipo B. Dedace Rina B. De Vera Kristine Joy R. Nieva Florence B. Laad Ronel L. Pineda 2022 Table of Contents Title Page Recommendation for Oral Examination Approval Sheet Abstract Acknowledgement Dedication Table of Contents List of Tables List of Figures Chapter 1 THE PROBLEM AND ITS BACKGROUND Introduction Background of the Study Statement of the Problem Significance of the Study Profile of the Respondents Scope and Delimitation Chapter 2 REVIEW OF RELATED LITERATURE AND STUDIES Related Literature/Studies Conceptual Framework Definition of Terms Chapter 3 METHODOLOGY OF THE STUDY Research Design Population of the Study Research Instrument Data Gathering Procedure Data Processing Procedure/Statistical Tools Chapter 4 PRESENTATION, ANALYSIS AND INTERPRETATION Chapter 5 SUMMARY, CONCLUSIONS AND RECOMMENDATIONS Summary of Findings Conclusions Recommendations BIBLIOGRAPHY APPENDICES CURRICULUM VITAE Page i # # # # # # # # # # # # # # # # # # # # # # # # # # # # # CHAPTER I THE PROBLEM AND ITS BACKGROUND Introduction Teenage pregnancies and teenage motherhood should be given full attention worldwide. From a historical point of view, teenage pregnancy is nothing new. It was absolutely common that girls married during their late adolescence and experienced first birth during their second decade of life. This kind of reproductive behavior was socially desired and considered normal. Nowadays, however, the prevention of teenage pregnancies and teenage motherhood is a priority for public health in nearly all developed and increasingly developing countries. For a long time, teenage pregnancies were associated with severe medical problems; however, most of the data supporting this viewpoint have been collected some decades ago and reflect mainly the situation of socially disadvantaged teenage mothers. According to more recent studies, teenage pregnancies are not risky ones. A clear risk group is extremely young teenage mothers (younger than 15 years) who are confronted with various medical risks, such as preeclampsia, preterm labor, and small for gestational age newborns but also marked social disadvantages, such as poverty, unemployment, low educational level, and single parenting. Additionally, it is estimated that some three million teenage girls undergo unsafe abortions, which may result in consecutive reproductive problems or even death. Nowadays, teenagers are grown more aggressive, more dependent wildly than before. And yes, pregnancy is natural to all the women in the world. It is the basis of being a human that contributes to their living. But then, it is difficult and not applicable for those who are beginning their adolescence because, in the first place, they are the ones whose living is needed by strongly guided by the parents and preparing the lives of the future. Being pregnant is the most precious blessing from god but when it happens in the most unready and unprepared time, it will become the worst. It is not necessary to get along too early, there are so much more things to be before than getting and becoming a mother at underage. And for the many reasons why teenagers are getting involved with this situation is just they are too weak, they choose to explore more and more things, they are coping with their curiosity and that’s why some things that couldn't happen, happened in the same way. This study will aim to identify and understand if there is a significant relationship between the age when teenage pregnancy mostly occurs and the factors that are influencing them. After the researchers identify the main objectives, this study would be beneficial for a lot of persons and institutions specially for the teenagers, because they could get insight about the factors that can influence them to get in an early pregnancy. Knowing those factors could help them avoid the risk of entering unplanned pregnancy. The findings of this study would also contribute in the current body of knowledge, for the municipal health counselors, for the parents, teachers, and also for the future researchers that will conduct the same study. Background In the Philippines, teen pregnancy gets more problematic each year. The government labeled it a national social emergency in 2019. However, the issue has now worsened amid the coronavirus pandemic. Covid - 19 pandemic has affected lives increased businesses and the economy in the Philippines. But what’s more, threatening is the report from Save the Children: “Global Girlhood 2020 COVID-19 and Progress in Peril” regarding the dramatic surge in child marriage and adolescent pregnancies which is to be expected during this time of the pandemic. At the end of 2020, the Commission on Population and Development (POPCOM) made a report that more than 70,000 families are being led by minors. They also warned that those numbers will dramatically increase up to 133,265 by the end of 2021. The alarming rate of increasing numbers of teenage pregnancies has also been observed in the municipality of San Vicente, Camarines Norte that’s why the researchers perform a study to determine just how much the increase of early pregnancy affects the lives of teenagers who experience it. The researchers also want to determine what are the reasons why the teenage pregnancy rate in San Vicente has risen in numbers. Statement of the Problem This study aims to determine what are the reasons and effects of the increasing numbers of teenage pregnancies in San Vicente, Camarines Norte during the COVID-19 pandemic. The research has the following questions: 1. At what age bracket do most teenagers get pregnant? 2. What are the reasons why teenagers enter early pregnancy? 3. Is there a significance relationship between age bracket and reasons of early pregnancy. Scope and Delimitation This study about teenage pregnancy during the COVID-19 pandemic is conducted in the municipality of San Vicente, Camarines Norte this includes barangay Calabagas, San Jose, Fabrica, Asdum, Silangan, Kanluran, Cabanbanan, Man-ogob, and Iraya sur. The respondents of this study will only be limited to pregnant teenagers who’s 10 to 19 years of age living in any of the mentioned barangays. Significance of the Study The results of the study will then be beneficial to the following persons and institutions: Teenagers. They could gain insight how alarming the rise of early pregnancy is among their age, and be aware of some of the reasons why it is increasing during this pandemic. After knowing some of the reasons they could also gain insight into some of the various effects it would cause to the lives of a young teenager like them after experiencing early pregnancy. Parents/Guardian. This study will provide them with the recommendation that they could use to properly guide their daughters from preventing them to experience early pregnancy. And if their daughters have already experienced early pregnancy there will also be recommendations that could help them to properly give them support. Teachers/Guidance councilors. The result of this study would give them relevant data that can be unutilized in their counseling interactions with teenagers. Municipal Officers. To address this issue and give proper solutions and educate teenagers about this issue. CHAPTER II REVIEW OF RELATED LITERATURE AND STUDIES Related Literature/Studies (Local) An effective study came out after it underwent a systematic investigation. This study aims to produce a beneficial result that would be found advantageous to respective individuals and a group of people. Hence, to consider this objective attainable, the distinguished related literature that will improve the effectiveness of this paper. Local Studies Research shows that causes of adolescent pregnancy are rooted in the interplay of many factors. In particular, family, peer, community, and societal influence are among the major reasons for early pregnancy of adolescent girls (Asnong et al., 2018; Campero et al., 2014; Fuller et al., 2018; Krugu et al., 2016; Morón-Duarte et al., 2014; Sámano et al., 2017; Sycharuen et al., 2018; Yakubu & Salisu, 2018). Economic and situational circumstances also discourage young women from early pregnancy due to the perceived consequences of childbearing (Charlton et al., 2018; Psaki, 2016). Other precursors of early parenthood include the presence or lack of formal schooling (Almeida & Aquino, 2011; Devkota et al., 2018; Glynn et al., 2018), parental supervision and involvement (Copeland, 2017), aggressive behavior and substance abuse (Allen & Walter, 2018), and knowledge of oral contraception (Burr et al., 2013; Caffe et al., 2017). There are several implications to early pregnancy. Physically, it affects the adolescent mother because the pregnancy stresses both her body and the growing baby (Jeha et al., 2015; Kansu-Celice et al., 2017; Loto et al., 2009; Pauli et al., 2013; Pires et al., 2014; Sokulmez & Ozenoglu, 2013; Xavier et al., 2018). Socially, adolescent pregnancy results in significant changes to family roles and to community functioning (Annang et al., 2014; Aparicio et al., 2016; Dalton, 2015; Epstein et al., 2018; Hindin, 2014; Kleine, 2005; Shpiegel & Cascardi, 2018; Yussif et al., 2017). Educationally, teenage pregnancy poses difficulties to students as parenting roles can sometimes come into conflict with academic tasks (Almeida & Aquino, 2011; Glynn et al., 2018; Kleine, 2005). Ultimately, social stigma arises, further complicating the already complex circumstances the adolescent mother has to deal with (Banerjee et al., 2009; The National Campaign to Prevent Teen Pregnancy, 2002). Interspersing the literature, the findings of this research were understood in the lens of Parson’s theory of Adaptation, Goal Attainment, Integration, and Latency or the AGIL model (1970). Local Literatures One of the most pressing issues that the Filipino youth are facing today is teenage pregnancy. A UNFPA-commissioned study in 2016 revealed that those adolescents in the Philippines who have begun childbearing before the age of 18 are less likely to complete secondary education compared to the adolescents who have not begun childbearing. The non-completion of secondary education impacts employment opportunities in the future and total life earnings of families. The net estimated effect of early childbearing due to lost opportunities and foregone earnings can be as high as 33 Billion pesos annual losses for the country. The Philippines’ population will reach 108.8 million in 2020, according to the Philippine Statistics Authority (PSA) estimate. More than 53 million are below 25 years of age, including 10.3 million adolescent girls (10-19 years old). Countries with a “demographic window of opportunity” and large shares of young people, such as the Philippines, have an opportunity to accelerate development if strategic investments are made. This is a phenomenon known as the “demographic dividend” which is discussed in Chapter 13 of the Philippines Development Plan 2017-2022.Early childbearing may result in poor health outcomes and may be a threat to the country’s economic growth. Pregnant adolescents are less likely to complete higher education and have lesser ability to earn more income over the course of a lifetime, causing economic losses to the country. According to the National Demographic and Health Survey (NDHS 2017) of the Philippine Statistics Authority (PSA), the percentage of young women who have begun childbearing is lower in urban areas than in rural areas (7% versus 10%). Young women with some primary education and those from the poorest households are more likely to have begun childbearing than young women with higher education levels and those from the wealthiest households. What Are the Effects of Teenage Pregnancy? According to the World Health Organization, pregnancy and childbirth complications are the leading causes of death among girls aged 15-19 years globally, with low and middle-income countries accounting for 99% of global maternal deaths of women aged 15-49 years. Teenage pregnancy was declared as “National Social Emergency'' in the Philippines. To curb the rise in teenage pregnancy cases, the Commission on Population and Development (PopCom), Department of Social Welfare and Development and Save the Children Philippines — an organization to support Filipino children, together with other agencies, are looking forward to the swift passage of a bill that institutionalize a national policy on teenage pregnancy prevention. Carrying a baby and becoming a mom not only creates physical changes. Women also go through mental changes. Young moms face added stress from: sleepless nights, arranging, child care, making doctor’s appointments, attempting to finish high school. While not all teenage mothers are affected greatly by mental and physical changes, many are. If you experience mental health changes after childbirth, it’s important to reach out to others and seek professional help. Pregnancy during teenage years is also associated with a higher risk of health problems such as preeclampsia, anemia, contracting STDs (sexually transmitted diseases), premature delivery, postpartum hemorrhage, and poor mental health outcomes. Teenage mothers are more likely to experience violence and depression that can increase the risk of mental disorders. Mothers with poor maternal health are more likely to give birth to a low birth-weight baby, with inadequate complementary feeding and breastfeeding, frequent infections, and inadequate food, health and care, the low birth-weight baby will grow as a stunted child, a stunted teenager, and finally to a malnourished pregnant woman who, in turn, has another low-birth-weight baby, and the cycle persists through generations. Their body may compete with developing fetuses being carried for nutrition and may not be psychologically ready to nurse babies after delivery since some pregnancy among teenagers is either unintended or unwanted. Lack of knowledge on nutrition can also lead to poor health outcomes. "Prevention of early pregnancy among adolescents is a way of protecting children's rights", said DOST Assistant Secretary for Human Resources Management, Management Services, and Special Concerns, OIC for Gender and Development (GAD) and Regional Support Service and DOST-wide GAD Focal Person, Dr. Diana I. Ignacio, during her message. Related Literature/Studies (Foreign) Foreign Studies Teenage pregnancy is an issue with significant societal impact world wide. Around 16 million girls aged 15-19years old give birth every year(World Health Organization,2014).Where poverty is closely linked to adolescent child bearing because it hinders young mothers’ ability to attend school and find job opportunities. The causes of adolescent pregnancy are rooted in the interplay of many factors. In particular, family, peer, community, and societal influence are among the major reasons for early pregnancy of adolescent girls (Asnong et al., 2018; Campero et al., 2014; Fuller et al., 2018; Krugu et al., 2016; Morón-Duarte et al., 2014; Sámano et al., 2017; Sycharuen et al., 2018; Yakubu & Salisu, 2018). Economic and situational circumstances also discourage young women from early pregnancy due to the perceived consequences of child bearing (Charlton et al., 2018; Psaki, 2016). Other precursors of early parenthood include the presence or lack of formal schooling (Almeida & Aquino, 2011; Devkota et al., 2018; Glynn et al., 2018), parental supervision and involvement (Copeland, 2017), aggressive behavior and substance abuse (Allen & Walter, 2018), and knowledge of oral contraception (Burr et al., 2013; Caffe et al,2017). Foreign literature Being Independent Despite Early Adolescent Pregnancy. Interspersing the literature, the findings of this were understood in the lens of Parson’s theory of Adaptation, Goal Attainment, Integration, and Latency or the AGIL model (1970). The changes emotionally, spiritually, financially and physically arise especially in a teenage mom. Emotional challenges include fear of what will happen, uncertainty with the future, anger to oneself, and denial. These emotions were identified because of the seemingly insurmountable adversities that these women experienced during their pregnancy (Asnong et al., 2018; Chi Watts et al., 2015; Ndjukendi et al., 2017). Perceptions of emotional burden on the part of the adolescent mothers emanate from the thought of communicating their situation to their parents (Lloyd, 2010). Consequently, the feelings of the young mothers correspond to the stages of grieving, where humans undergo the stages of denial, anger, bargaining, depression, and acceptance in the face of losing something (Kubler-Ross, 2014). The thought of losing academic opportunities due to early pregnancy evokes feelings of fear, uncertainty, anger, and denial, which also correspond to the five phases of grief. The consequences of adolescent pregnancy, on the other hand, include stigma from the community, prejudice from family and friends, and discontinued education. Early pregnancy outside of marriage also begets social stigma (Banerjee et al., 2009; Copeland, 2017; Mokwena et al., 2016). This stigma is likely a direct consequence of conservative cultural sensibilities shaped by Catholic doctrines in a predominantly Christian country. Theoretically, the participants’ reactions to their pregnancy can be best explained by, and are related to, Erikson’s theory of psychosocial development. During this stage, adolescents are concerned with their individuality and how others would perceive them. Their perceptions of what other people would say would explain the subcategories of stigma from the community and prejudice from family and friends that emerged from the interviews. Family adjustments include the subcategories of isolation from their partner, co-parenting, violence, and neglect and/or transition to parenthood. Several changes in family dynamics occur during adolescent pregnancy. Firstly, some adolescent men may opt not to accept the challenge of growing into teen fatherhood; hence, they neglect their responsibilities, abuse their partner, or isolate themselves from their partners (Derlan et al., 2018; Lohan et al., 2013;Uengwongsapat et al., 2018).This category demonstrates the power of support systems in enabling adolescent mothers to overcome difficult situations (Bell et al., 2013; Challa et al., 2017; Derlan et al., 2018; Loke & Lam, 2014; Mann et al., 2015; Morón-Duarte et al., 2014; Shahabuddin et al., 2017). Lessons learned include the subcategories of accepting things that will not change, maturity in one’s outlook, and motivation for self-improvement. The meaningful life experiences of adolescent mothers influence them to have a more positive outlook that can serve as springboard for selfimprovement (Gama Ibiapina et al., 2016). The ideation of a united family is a common attitude among adolescent parents, as it is viewed as an important element in correct social functioning (Derlan et al., 2018; Lohan et al., 2013). These views are manifestations of what the adolescent mothers have learned after overcoming hardships (Dweck, 2000; Mezirow, 2009). The lived experiences of a teenage mothers and the stages they went through reflects Parson’s AGIL paradigm. Ordeals, challenges, and hardships were perceived as circumstances they must “adapt” to. These mothers endured emotional setbacks, social disapprovals, educational struggles, economic sacrifices, domestic violence, abuse, and neglect that strengthened their worldview of education. With the life episodes they had, the adolescent or teenage mothers embraced the value of education and built their “goals and aspirations.” They realized that their life is no longer centered around them, but on the welfare of their children. Adjusting to their new role, the adolescent mothers “integrate” themselves to society by standing up and being strong for their families. Having a firm resolve, they envisioned a sustainable and maintained future for their significant others. These actions have enabled the adolescent mothers to Assimilate to society’s expectations of responsible adulthood. Consistent with the literature reviewed and social theories mentioned, it can be concluded that the lived experiences of being a pregnant teen while can be ascribed into themes, and that the adolescent mothers have evolved to become enduring and responsible adults. They have realized the importance of continuing their college education as a key to progress, independence, and improved life quality. This research shows that teenage mothers are vulnerable in the education setting and need proper guidance to achieve their full potential. This phenomenological research affirms the many struggles young mothers faced during this significant life event and its positive impact. Conceptual Framework The conceptual framework will make the present study parallel to the foregoing theories that were designed in figure 1. The first box contains the input in which it compromises of the age brackets where teenage pregnancy mostly occurs and the factors that are influencing the teenagers to enter early pregnancy. The second box contains the process of conducting the study. First, the research instrument will undergo a developing phase. Next, the data gathering procedure in which the researchers will conduct a survey to the chosen respondents. Then, the evaluation phase will follow, wherein the researchers will analyze and interpret the data gathered using statistical analysis. The third box will show the output of the study which is the relationship between the age bracket and the reasons of early pregnancy. TEENAGE PREGNANCY DURING THE COVID-19 PANDEMIC IN SAN VICENTE, CAMRINES NORTE 2022 PROCESS INPUT I. II. Age bracket where most teenage pregnancy occurs. Reasons/ Factors that influence teenagers to enter early pregnancy. I. II. III. Developing Research Instrument Data Collection Phase a. Conducting survey Evaluation Phase a. Statistical Treatment b. Analysis and Interpretatio n Feedback Figure 1. Conceptual Framework OUTPUT The significant relationship between age bracket and factors influencing teenagers to enter early pregnancy. Definition of Terms Teenage pregnancy -also known as adolescent pregnancy, is pregnancy in a female under the age of 20, according to the World Health Organization (WHO). [2] Pregnancy can occur with sexual intercourse after the start of ovulation, which can be before the first menstrual period. COVID-19 PANDEMIC -also known as the coronavirus pandemic, is an ongoing global pandemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The novel virus was first identified from an outbreak in the Chinese city of Wuhan in December 2019. Preeclampsia -is a pregnancy complication characterized by high blood pressure and signs of damage to another organ system, most often the liver and kidneys. Preeclampsia usually begins after 20 weeks of pregnancy in women whose blood pressure had been normal. Preterm labor -occurs when regular contractions result in the opening of your cervix after week 20 and before week 37 of pregnancy. Preterm labor can result in premature birth. The earlier premature birth happens, the greater the health risks for your baby. The United Nations Population Fund (UNFPA) -is an international development agency that works on population and development, sexual and reproductive health, and gender. The Philippine Statistics Authority (PSA) -logo signifies its commitment to provide timely and quality statistics necessary for decision making in all aspects of Filipino life. The demographic dividend -is the accelerated economic growth that may result from a decline in a country's birth and death rates and the subsequent change in the age structure of the population. With fewer births each year, a country's young dependent population declines in relation to the working-age population. CHAPTER III METHODOLOGY OF THE STUDY This chapter presents the research design, setting, respondents, instruments, and statistical treatments. Research Design This study uses a qualitative research design. It will be use for the present study to describe the age bracket where teenagers mostly get pregnant, the reasons why the teenage pregnancy rate in San Vicente increases during the pandemic, and the relationship between the age bracket and the reasons or factors of early pregnancy. The sampling procedure that will used on this study is Purposive Sampling Method wherein the respondents are purposely chosen by the researchers. Population of the Study The researchers’ respondents on this study were limited to the municipality of San Vicente only. The sample size is 30 teenagers purposely chosen from the total number of teenage pregnant women registered in the local health center. Research Instrument Since it is a qualitative research, the researchers used a survey questionnaire as the primary instrument for the present study. The formulated questionnaire will determine the age bracket where teenagers mostly enters early pregnancy and the reasons/factors that influenced them. The survey will be administered personally by the researchers. Data Gathering Procedure After the researcher made questionnaire was validated the researcher multiply it to the number of copies sufficient to accommodate all the respondents. At the same time, the letter of request to the Parents or guardian of the teens were prepared. The letter of request and the copies of questionnaire were deliver personally by the researchers to the concern Parents. During the delivery of the letter and the copies of the instrument that the researcher explains the details to help the respondents accomplish the questionnaires. The questionnaires will be retrieved on the same day when they were answer. The results of the retrieved copies of the questionnaire were to be tabulated. Then the data will be analyzed and interpreted through the use of the most appropriate statistical procedures. Data Processing Procedure / Statistical Tools The information that will be gathered from the respondents will be summarized using tabular form. For analyzing the data gathered, the researchers will use percentage method to identify which among the given answers on the questionnaire the respondents corresponds to. The researchers will also use Pearson Product Moment Correlation (PPMC) to determine the significance relationship pf age bracket and factors influence/ reasons of teenage pregnancy. The formula for the percentage method is: P = (f/n) 100% Wherein: P = percentage f = frequency n = total numbers of respondents