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The purpose of this paper is to assess the effect of delaying first pregnancy in reducing burden of unintended pregnancy (UP) among married adolescent girls in urban slums of Bangladesh.

This cross-sectional survey was conducted among 783 married adolescents in five urban slums of Bangladesh during January 2013–January 2014.

Half of the respondents’ first pregnancy was reported as unintended. Of the respondents, 58 percent with no school education had experienced UP which was 38 percent among respondents with eight year’s education. Respondents who did not willingly agreed to their marriage experienced more UP (61 percent) than those who were agreed/got married by their own choice (51 percent). Respondents having five years of age difference with their husbands experienced more UP (58 percent) than those with ten years of age difference (46 percent). Respondents aged 14 years at first conception experienced 63 percent UP, while the respondents aged 18 years had 35 percent UP experience. Of the respondents, 66 percent who became pregnant within one year of marriage reported their pregnancy as unintended which was 29 percent among those who delayed their first pregnancy for three years.

Significant association was observed between pregnancy intention with respondents’ educational status (p=0.03), age difference with husbands (p=0.02), age at first conception (p<0.01) and delaying first pregnancy (p<0.001).

This is an opinion piece on the practice of early child marriage in Iran, with a brief review of the causes and consequences of this practice. This piece critically looks at the blanket policies, such as minimum age at marriage, that criminalise early child marriage and discusses why such policies may do more harm than good when they are not compatible with the social norms of the societies in which they are implemented.

Research on the practice of child marriage has been extensive, with studies recommending local strategies that are peculiar to the countries involved. Rights-based literature also recommends stringent laws; portraying the girls involved as helpless victims needing external agencies to rescue them from parochial and oppressive cultural practices. This chapter, however, presents their resilience as they navigate through the challenges and trauma of demeaning marriage practices. Their ability to rise above the challenges of child marriage contradicts the stereotypical perception of being passive and unable to develop agency and empower themselves. The author also draw from the experiences of these young women to argue for restorative justice (RJ) to tackle child marriage issues. Indeed, a restorative process is likely to prove far more effective in achieving social discipline than the current reliance on punishment and sanctions. More so, harm as a result of child marriage is a violation against the victim and not necessarily the state. Hence, RJ, which is future-focussed with healing and prevention as key goals, would be more suitable.

This study aims to assess the associations of early marriage and spousal age difference (independent of early marriage) with reproductive and sexual health and autonomy in decision-making among married women before conception.

The present study was a part of a three-year community intervention to improve the preconception health of young married women (20–35 years) in the West Delhi district of India. The six key outcomes assessed were: knowledge of reproductive health, discussions related to sexual health, history of anemia, use of contraceptives by women, frequency of consumption of meals per day and the autonomy in decision-making for household expenditures. Unadjusted and adjusted logistic regression models were used to explore the associations between the two key predictors (early marriage or spousal age difference), sociodemographic variables and six outcomes. The results were expressed as odds ratio (OR) and 95% confidence interval (CI). A total of 2,324 women, enrolled from four wards in the district using cluster-based sampling, were interviewed.

Around 17% of women were married by the exact age of 18, and 20% were elder or just one year younger than their husbands. Women who were married early had low reproductive health knowledge (OR (95% CI): 0.48 (0.38–0.60)) and a lower probability of expressing autonomy (OR (95% CI): 0.78 (0.62–0.97)). However, women older than men or younger by just one year in the married relationship had higher reproductive health knowledge (OR (95% CI): 1.25 (1.01–1.54)) than women younger than men more than two years.

Under the umbrella of the preconception care domain, frontline workers should emphasize counseling girls and young women to marry late and delay the first pregnancy.

The purpose of this paper was to conduct a legal realist assessment of women’s situation in European immigration detention which focuses on relevant international and European human rights instruments applicable to conditions and health rights in detention settings, academic literature and relevant European Court of Human Rights (ECtHR) jurisprudence since 2010.

In spite of the United Nations human rights frameworks and European Union (EU) standards, conditions in European immigration detention settings continue to pose a health risk to those detained. Migrant health rights when detained are intertwined with the right not to be subjected to arbitrary detention, detention in conditions compatible for respect for human dignity and right to medical assistance. Migrant women are particularly vulnerable requiring special consideration (pregnant and lactating women; single women travelling alone or with children; adolescent girls; early-married children, including with newborn infants) in immigration detention settings.

The situation of women in immigration detention is patchy in EU policy, academic literature and ECtHR jurisprudence. Where referred to, they are at best confined to their positionality as pregnant women or as mothers, with their unique gendered health needs ill-resourced. ECtHR jurisprudence is largely from male applicants. Where women are applicants, cases centre on dire conditions of detention, extreme vulnerability of children accompanying their mother and arbitrary or unlawful detention of these women (with child).

Concerns have been raised by the European Parliament around immigration detention of women including those travelling with their children. There is a continued failure to maintain minimum and equivalent standards of care for women in European immigration detention settings.

This paper aims to review global adolescent empowerment programmes and develops and proposes a model that can be used with vulnerable adolescents. The model reflects theory and experience drawn from the literature.

The review is a synthesis of articles on empowerment theory, models and programme evaluations. Literature is selected and critiqued that reflects aspects of empowerment as described by Freire or relating to empowering models that could be generalised and related specifically to vulnerable adolescent programmes. Vulnerable adolescents within the context of this paper have been identified as those experiencing social, economic, cultural or physical disadvantage.

The findings document that empowerment programmes do not fully integrate the theory or pedagogy of empowerment as described by Freire. In most cases the goals of empowerment programmes, when stated, do not reflect the transformative or social action aspects of empowerment theory. Nevertheless there are sufficient examples of successful empowerment programmes with marginalised populations to warrant more rigorous application and evaluation of empowerment theory with this population in a variety of social settings. The relationship between the facilitator and participants and the development of critical consciousness are two vital aspects of empowerment theory that are unexplored and need further study.

Many empowerment programmes for vulnerable adolescents in resource‐poor countries have not been evaluated or have not been published. Lack of consistency in the use of terminology and evaluation also makes it difficult to compare studies.

This paper proposes a model of empowerment that could be effective in addressing the health needs of marginalised adolescents and is based on theory and field experiences.

This chapter explores the interaction between different kinds of knowledge and representations in the making of the ‘fleshed’ female reproductive body in an Indian city. In particular, it analyzes how women perceive contraception and how the reproductive governance helped to produce the female sterilization as the most widely used contraceptive method in India. The study is based on the case of the city of Bhuj, in the state of Gujarat (India), where three anthropological fieldworks (15 months) were conducted. Modern contraceptive methods are based on a biomedical representation of the body, drawn from Western categories of knowledge and experience, whereas women live the ‘fleshed’ reproductive body through local categories of substance and fluids. How is this knowledge mobilized and affected in relation to reproductive technologies and the government of reproduction? This question is addressed through the analysis of women's embodied experiences of contraception. The narratives collected show a resistance to biomedicine, considered to be a model that alters the female body and its reproductive capacity. Nevertheless, even when sterilization was considered to be a deliberate act of tampering with the functioning of their bodies, women displayed a pragmatic agency in choosing this method. The experiences of respondents reflected complex negotiations between bodily suffering, socio-economic structures and the microphysics of power surrounding them, rather than a unilateral submission to medical authority and reproductive governance.

A shared set of moral standards, ethical principles and behavioral norms of social structure can be referred to as culture. Many health problems are strongly influenced by one’s cultural background. The purpose of the paper is to examine the scientific explanation of indigenous norms and practice of health healing.

This qualitative study considered in-person interviews to know the Tribals’ indigenous healing practice in Bangladesh. A focus group discussion with five tribal students was conducted to form a baseline on Tribals’ norms, rituals and information-sharing behavior. Around 35 tribal students were interviewed to find out their healing practices, norms and rituals on health issues. All these practicing indigenous knowledge were documented instantly. Peer-reviewed scientific papers from renowned databases were searched to have scientific evidence on each case. All the studies having negative or positive evidence were mentioned with each case.

The findings showed more indigenous knowledge with scientific disagreements on health aspects among the Tribals’ health practice in Bangladesh. However, the positive impact of such knowledge is not negligible. Therefore, showcasing the scientific tribals’ indigenous knowledge to a global audience is a strong recommendation.

Health and health care-seeking behavior among the tribal population in Bangladesh is not a new area of research, few studies have focused on the context, reasons and choices in patterns of health care-seeking behavior; obstacles and challenges faced in accessing health-care provision in the tribal areas in the country. However, research attempts to show the relationship between ecological knowledge and scientific indication is new in nature.

There is a growing recognition that social norms play a key role in perpetuating gender- and age-based violence, and that tackling social norms must be an integral component of prevention and response interventions to ensure meaningful progress towards the ambitious targets of eliminating gender-based violence (Sustainable Development Goal [SDG] Target 5.2) and violence against children (SDG 16.2) by 2030. However, existing research often fails to adequately capture life-course and context-specific complexities. To explore these challenges, this chapter focuses on adolescents’ vulnerabilities to violence in Afar, one of the Ethiopia’s most disadvantaged regions. Drawing on findings from the Gender and Adolescence: Global Evidence (GAGE) mixed-methods 2018 baseline research, and using a socio-ecological framework, the chapter highlights that while the patterning of violence experienced by adolescent girls and boys is shifting across generations at the micro-level, gender- and age-related social norms remain deeply entrenched in both migrating and settled pastoralist communities. At the meso-level, institutional barriers to addressing adolescents’ experiences of violence include a lack of basic infrastructure, a dearth of confidential reporting spaces, limited adolescent- and gender-friendly personnel within the police and justice sectors, and poor coordination. At the macro-level, the chapter underscores the significant disconnect between Ethiopia’s progressive national policies and adolescents’ experiences of violence, reflected in the availability and quality of prevention and response services. The chapter concludes that to adequately tailor services to local realities and tackle adolescents’ specific vulnerabilities, a fine-grained analysis of the gendered and generational experiences of violence in its diverse forms is critical.