Motherhood in Childhood
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“I was 12 years old when a man came to ask<br />
my parents for my hand <strong>in</strong> marriage. They told<br />
me to marry him and after some time I fell <strong>in</strong><br />
love with him. I have two older brothers. Both<br />
of them went to school, but my parents never<br />
let me. I don’t know why, maybe because I<br />
am a girl and they knew that I was go<strong>in</strong>g to<br />
get married later on. I had my first child when<br />
I was 13 years old. It is not normal but it just<br />
happened. I had problems giv<strong>in</strong>g birth but<br />
everyth<strong>in</strong>g went well. I have three girls and<br />
I am pregnant for the fourth time.”<br />
Marielle, 25, pregnant at 13, Madagascar<br />
either because of social norms concern<strong>in</strong>g<br />
age-appropriate behaviours, ethical concerns<br />
regard<strong>in</strong>g potentially harmful effects of the<br />
research, or doubts about the validity of young<br />
adolescents’ responses (Chong et al., 2006).<br />
In a report on DHS data concern<strong>in</strong>g adolescents<br />
between the ages of 10 and 14, the<br />
Population Council emphasized the need<br />
for research about important markers of the<br />
transition from childhood to adolescence: “In<br />
review<strong>in</strong>g these DHS data on very young adolescents,<br />
what we ma<strong>in</strong>ly know is that we don’t<br />
know very much.” (Blum et al., 2013)<br />
Some researchers question whether very<br />
young adolescents have the cognitive ability to<br />
answer questions requir<strong>in</strong>g a thoughtful assessment<br />
of the barriers they face or of potential<br />
consequences of future actions. Others believe<br />
that the stigma surround<strong>in</strong>g premarital sexual<br />
activity for girls is too high to obta<strong>in</strong> accurate<br />
<strong>in</strong>formation (Chong et al., 2006).<br />
researchers ask women who are between 20 and<br />
24 to report the age at which they married and<br />
had their first pregnancy or birth.<br />
Ma<strong>in</strong>ta<strong>in</strong><strong>in</strong>g high ethical standards is crucial<br />
<strong>in</strong> conduct<strong>in</strong>g <strong>in</strong>formation-gather<strong>in</strong>g activities.<br />
Children and adolescents require special protections,<br />
both because they are vulnerable<br />
to exploitation, abuse, and other harmful<br />
outcomes, and because they have less power<br />
than adults. Information about school<strong>in</strong>g and<br />
general well-be<strong>in</strong>g has long been collected on<br />
young adolescents, but most researchers have<br />
shied away from cover<strong>in</strong>g sensitive topics,<br />
Birth rates vary with<strong>in</strong> countries<br />
Adolescent birth rates often vary with<strong>in</strong> a<br />
country, depend<strong>in</strong>g on a number of variables,<br />
such as poverty or the local prevalence of<br />
child marriage. Niger, for example, has the<br />
world’s highest adolescent birth rate and the<br />
highest child marriage rate overall, but girls<br />
<strong>in</strong> the country’s Z<strong>in</strong>der region are more than<br />
three times as likely to give birth before age 18<br />
than their counterparts <strong>in</strong> the nation’s capital,<br />
Niamey. Z<strong>in</strong>der is a poor, predom<strong>in</strong>antly rural<br />
region, where malnutrition is common and<br />
access to health care is limited.<br />
A review of data gathered through DHS<br />
and MICS surveys <strong>in</strong> 79 develop<strong>in</strong>g countries<br />
between 1998 and 2011 shows that adolescent<br />
birth rates are higher <strong>in</strong> rural areas, among<br />
8 CHAPTER 1: A GLOBAL CHALLENGE