Adolescent Health Policy-Making in Paraguay Using Empirical Evidence from Holt’s Double Exponential Smoothing Technique

Abstract

This study uses annual time series data of adolescent fertility rate for Paraguay from 1960 to 2020 to predict future trends of adolescent fertility rate over the period 2021 to 2030. The study utilizes Holt’s linear exponential smoothing model. The optimal values of smoothing constants α and β are 0.9 and 0.3 respectively based on minimum MSE. The results of the study indicate that annual adolescent fertility will continue to decline throughout the out of sample period. Therefore, we encourage authorities in Paraguay to tirelessly enforce laws that safeguard sexual and reproductive health rights of women and girls, promote girl child education and improve the quality, affordability and accessibility of adolescent sexual and reproductive health services.

Country : Zimbabwe

1 Smartson. P. NYONI2 Thabani NYONI

  1. ZICHIRe Project, University of Zimbabwe, Harare, Zimbabwe
  2. Independent Researcher & Health Economist, Harare, Zimbabwe

IRJIET, Volume 7, Issue 2, February 2023 pp. 298-303

doi.org/10.47001/IRJIET/2023.702049

References

  1. Azevedo W. F. D., Diniz M. B., Fonseca E. S. V. B. D., Azevedo L. M. R. D., and Evangelista C. B(2015). Complications in adolescent pregnancy: systematic review of the literature. Einstein (São Paulo) 13(4), 618-626.
  2. Makiwane M., Gumede N. A., and Molobela L (2018). Initiation of sexual behavior and early childbearing: Poverty and the gendered nature of responsibility amongst young people in South Africa. Journal of International Women’s Studies, 2018; 19(5), 209–226. http://awdibrary.org:8080/handle/123456789/697
  3. Smith C., Strohschein L., & Crosnoe R (2018). Family histories and teen pregnancy in the United States and Canada. Journal of Marriage and Family, 2018; 80(5), 1244–1258.https://doi.org/10.1111/jomf.12512
  4. Yakubu I., & Salisu W. J (2018). Determinants of adolescent pregnancy in sub-Saharan Africa: A systematic review. Reproductive Health, 15(1), 15. https://doi.org/10.1186/s12978-018-0460-4
  5. Diaz C. J., and Fiel J. E (2016). The effect(s) of teen pregnancy: Reconciling theory, methods, and findings. Demography. 53(1), 85–116. https://doi.org/10.1007/s13524-015-0446-6
  6. Lang K., and Weinstein R (2015). The consequences of teenage childbearing before Roe v. Wade. American Economic Journal: Applied Economics, 2015; 7(4), 169– 97. http://dx.doi.org/10.1257/app.20130482
  7. Dongarwar D., and Salihu H. M (2019). Influence of sexual and reproductive health literacy on single and recurrent adolescent pregnancy in Latin America. Journal of Pediatric and Adolescent Gynecology, 2019; 32(5), pp 506-513. http://dx.doi.org/ 10.1016/j.jpag.2019.06.003
  8. Guilamo-RamosV.,LeeJ.J., and JaccardJ (2016).Parent-adolescentcommunicationabout contraceptionandcondomuse.JAMAPediatr2016;170:14–6.doi:10.1001/ jamapediatrics.2015.3109
  9. World Health Organization (2020). Adolescent pregnancy. https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy.
  10. Bain L.E., Muftugil-Yalcin S., Amoakoh-Coleman M., Zweekhorst M.B., Becquet R., and de Cock Buning T (2020).Decision-making preferences and risk factors regarding early adolescent pregnancy in Ghana: stakeholders' and adolescents' perspectives from a vignette-based qualitative study. Reprod Health. 2020, 17:141. 10.1186/s12978-020-00992-x
  11. Brosens I., Muter J., Ewington L., Puttemans P., Petraglia F., Brosens J.J., and Benagiano G (2019). Adolescent preeclampsia: pathological drivers and clinical prevention. Reprod Sci. 2019, 26:159-71. 10.1177/1933719118804412
  12. Bokslag A., van Weissenbruch M., Mol B.W, de Groot C.J (2016). Preeclampsia; short and long-term consequences for mother and neonate. Early Hum Dev. 2016, 102:47-50. 10.1016/j.earlhumdev.2016.09.007
  13. Medhi R., Das B., Das A., Ahmed M., Bawri S., and Rai S (2016). Adverse obstetrical and perinatal outcome in adolescent mothers associated with first birth: a hospital-based case-control study in a tertiary care hospital in NorthEast India. Adolesc Health Med Ther. 7:37-42. 10.2147/AHMT.S91853
  14. Darroch J., Woog V., Bankole A (2016). Adding it up: costs and benefits of meeting the contraceptive needs of adolescents. New York: Guttmacher Institute.
  15. Mathewos S., and Mekuria A (2018). Teenage pregnancy and its associated factors among school adolescents of Arba Minch town, southern Ethiopia. Ethiop J Health Sci 2018; 28:287–98.
  16. World Bank (2016). Adolescent fertility rate. https://data.worldbank.org/indicator/sp.ado.tfrt?end=2016&start=2010.
  17. Palmer S., Heaston S., and Trujillo R (2019). Student Perspectives on Teaching Adolescents Maturation and Reproductive Health in Rural Paraguay, 30th INTERNATIONAL NURSING RESEARCH CONGRESS Sigma Theta Tau International.