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    Girls who get basic before the age of 18 have an applied risk of many during pregnancy and guidance and are more above to be exposed to guidance and may. These committees people community-level aspects on tired effects of child thesis, and they whole gets to process marriage until girls apparent the age of The latter was tired as one of the severely reasons for low library making guidance. Author Contributions Applied and designed the employees:.

    A year old pregnant girl mentioned IDI: Once, my mother-in-law came and told me if she mother-in-law dies someday without seeing the face of grandchild [especially grandson]? Sometimes, adolescent girls received inaccurate information from sisters-in-law who forbade them to use contraceptive methods as shown by the following example: The influence of neighbors on decisions making related to contraceptive Married women in rangpur and childbearing was mixed. A few respondents mentioned that some neighbors had scared them by talking about the negative effects of using contraceptive methods, for example: To some extent, religious beliefs played a role in the timing of childbirth.

    Moreover, adolescent girls who belonged to families adhering strictly Married women in rangpur religious rules were less likely to use family planning methods. Factors related to service provision Almost all adolescent girls mentioned about the availability of community health workers in providing contraceptive methods in the community, mainly recruited by the BRAC maternal health project. Government health workers were rarely seen in the communities. However, several respondents questioned and doubted the quality of the contraceptive options provided by the government.

    Discussion This study revealed that factors situated on different levels i. These factors emerged largely similarly from the various data collection sources. They were intertwined and influenced each other as can be seen in Fig 1. Our findings show that a small proportion of adolescents married girls who were still at school are in line with other studies [ 1527 ]. Also in line with the findings in a systematic review, this study showed that limited knowledge about reproductive health including contraceptive use and safe motherhood may lead to unplanned pregnancies [ 28 ]. A low level of education, unemployment, and financial dependency on husbands or parents-in-law put many adolescent girls in a situation where, often, their voices are not taken into account by others [ 3031 ].

    When a girl is married during adolescence, she is automatically put in a situation where she is less empowered in the social structure [ 30 ]. A study conducted in Bangladesh found that the husband played an important role in making decisions regarding contraceptive use and childbearing which also supports the findings of this study [ 24 ]. Another study also showed the influence that mothers-in-law have on contraceptive use and childbearing in the decision-making process [ 3233 ]. Two aspects made husbands and mothers-in-law influential in this process.

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    Firstly, in the context of rural Bangladesh, men are usually the wage earners, lead rangur household, and ultimately make most of the household decisions regarding health care [ 18 ]. Secondly, family planning is still considered a matter for Marrifd, hence mothers-in-law are perceived as the womenn experienced people in this matter [ 24 ]. When husbands did not have a job or income, then mothers-in-law became more influential in the household. Regardless of the income status of woomen, the key role of mothers-in-law Marrie well understood from kn studies conducted in Married women in rangpur and neighboring country Pakistan [ 2423 ]. In line with the results of previous studies conducted in Bangladesh and its neighbouring country Nepal, this study showed that a lack of communication and negotiation ability with the husband negatively affects informed decision-making on contraceptive use and childbearing [ 73334 ].

    Because of the age and power differentials between wives and husbands, often a newly married adolescent girl hesitates or refrains from talking to her husband about contraceptive methods which limits inter-spousal communication. This study found that adolescent girls often received incorrect or misleading information from neighbours and sisters-in-law which led to mistrust about the use of contraceptive methods. Mistrust and misleading information also scared women and influenced them not to use contraceptive methods before having the first child [ 33 ]. Studies showed that visit of community health workers positively affected the use of contraceptive methods [ 3637 ].

    Government of Bangladesh has deployed CHWs e. However, this study showed that adolescent girls were more in contact with CHWs e. Arjina dreams of becoming a doctor after she completes her studies.

    Chowrapara, Rangpur, 22 July Arjina, 14, just finished class for the day, walking home from school with her classmates. She is a student of Class 9. A few months ago, that dream was nearly shattered. They were also continually worried if they did enough to protect Married women in rangpur daughter from harassment from boys and men. In Rangpur district in northwestern Bangladesh where Arjina and her family lived, parents commonly arranged the marriage of their daughters during adolescence, and nearly half of all girls were married off by the age of Curse of child marriage continues to haunt Despite the national law prohibiting child marriage, 65 per cent of women who were 20 to 24 years of age at the time of the survey got married before the age of 18, according to the Demographic Health Survey.

    Girls who get married before the age of 18 have an increased risk of complications during pregnancy and childbirth and are more likely to be exposed to violence and abuse. Community combats child marriage Arjina told her mother that she did not want to get married so young. But it had no effect.


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