Background of the Study
Cultural stigma surrounding teenage pregnancy remains a significant barrier to maternal healthcare access in many parts of Nigeria, including Gombe State. Adolescent mothers often face discrimination, judgment, and exclusion from both healthcare providers and their communities, preventing them from seeking the medical care they need (WHO, 2024). The negative perception of teenage pregnancy, particularly in conservative societies, discourages young mothers from attending antenatal care, seeking medical advice, or delivering in health facilities.
In Gombe State, where cultural and religious norms play a dominant role in shaping societal attitudes, teenage mothers frequently experience shame and fear of being judged by healthcare professionals, family members, and the public. As a result, many opt for home births, rely on untrained traditional birth attendants, or delay seeking medical care, increasing the risk of complications such as obstetric fistula, anemia, and maternal mortality (UNFPA, 2024).
Despite various government and non-governmental efforts to improve maternal healthcare services, teenage mothers continue to struggle with access due to social stigmatization. This study seeks to examine the extent to which cultural stigma affects teenage mothers' healthcare access in Gombe State and explore possible solutions to reduce discrimination and improve maternal health services for young mothers.
Statement of the Problem
Teenage pregnancy remains a highly stigmatized issue in Gombe State, affecting young mothers' ability to access timely and adequate healthcare. Many teenage mothers avoid antenatal and postnatal care services due to fear of judgment, leading to increased risks of pregnancy-related complications. The negative societal attitudes towards adolescent mothers discourage them from seeking medical support, making them more vulnerable to poor health outcomes (Guttmacher Institute, 2024).
Additionally, some healthcare providers exhibit bias against teenage mothers, further discouraging them from utilizing healthcare facilities. This lack of access not only affects teenage mothers’ well-being but also has consequences for infant health. Despite efforts to promote reproductive health services, the influence of cultural stigma on teenage mothers' healthcare-seeking behavior remains largely unexamined in Gombe State. This study aims to assess the extent of cultural stigma and its impact on teenage mothers' healthcare access while proposing interventions to mitigate its effects.
Objectives of the Study
To examine the impact of cultural stigma on teenage mothers' access to maternal healthcare services in Gombe State.
To identify specific socio-cultural factors contributing to healthcare discrimination against teenage mothers.
To propose strategies for reducing stigma and improving healthcare accessibility for teenage mothers.
Research Questions
How does cultural stigma affect teenage mothers' access to maternal healthcare in Gombe State?
What socio-cultural factors contribute to discrimination against teenage mothers?
What measures can be implemented to reduce stigma and improve healthcare access for teenage mothers?
Research Hypotheses
Cultural stigma significantly reduces teenage mothers' access to maternal healthcare services.
Negative societal perceptions and healthcare discrimination contribute to low healthcare utilization among teenage mothers.
Community-based awareness programs can help reduce cultural stigma and improve maternal healthcare access.
Scope and Limitations of the Study
This study will focus on teenage mothers in Gombe State and their experiences with healthcare access. It will explore the role of cultural beliefs, societal attitudes, and healthcare provider biases in shaping their access to maternal health services. Limitations may include the reluctance of respondents to discuss their personal experiences due to stigma and social pressure.
Definitions of Terms
Cultural stigma: The disapproval or discrimination faced by individuals due to societal norms and beliefs.
Maternal healthcare access: The ability of pregnant women and mothers to obtain necessary medical services before, during, and after childbirth.
Teenage mother: A young female who has given birth before the age of 20.
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