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Part 2:  Sexual and Reproductive Health Issues of Concern to Aboriginal People


Youth:
Unit 5 —Teen Pregnancy

Be sure to read Part 1 before working on this unit. See these other units for more issues related to teen pregnancy:

Unit 1 — Parenting
Unit 2 — Educating Children and Youth About Sexuality
Unit 4 — Youth Sexuality and Sexual Health
Unit 8 — Birth Control and Pregnancy Options
Unit 9 — Healthy Pregnancies
Unit 10 — Birth
Unit 15 — Family Violence


Introduction

Concern about teen pregnancy in Aboriginal communities is growing, not because we value parenting less or don’t want babies, but because in the current world having children early is hard on the parents, especially the mothers and the children. Most of us young parents are not prepared for the responsibility of raising children, and we often don’t have family support close by — parents, grandparents, aunts and uncles — that we once had to help in this taxing job. Many, many young parents today are single mothers with little money. Having children usually ends our education early, so our families stay poor. Family problems like alcohol and drug abuse, violence and neglect can result.

Many Aboriginal people believe that youth today don’t have what we need to make a sound choice to have or not have children. We do not have all the facts or a clear understanding of what it will mean. Some of us get pregnant because we think having a baby will solve other problems, or we have taken risks with sex, but others have been forced or coerced to have sex. We don’t always have the services we need to prevent unwanted pregnancy or to deal with one after it happens.

Young people want to make a real choice to have or not have a baby at each stage of our lives. This requires good sex education so we feel good about our sexuality and can make good decisions, parents who can talk with their kids, information on the real effects of getting pregnant and raising children, and on birth control and abortion, and ways to get the birth control we need, when we need it.

For those of us who do get pregnant (by choice or not), we need good counselling and health services so we can choose abortion or adoption if it is right for us at that time. If we go ahead with a pregnancy, we need good prenatal care, enough money, ways to continue with our education, help with child care, and support from our communities to parent well.


Inuit saw living together as a young couple as okay, and quite often if the young mother was unable to look after her child, it would be taken care of by the extended family. Every parent wants their child to do the right thing, but in the olden days, if young girls had babies, it was not seen as a shameful or bad thing to do. If the girl was seen to be too young to raise the baby, the baby would be loved and taken care of by a family member. It wasn’t until the Europeans came and brought their own way of thinking that living together in common-law became a bad thing and shameful.
Inuk woman from Labrador

 

Comments by Service Providers About Teen Pregnancy

Below are some of the comments made in a survey of health care providers attending the 1997 conference of the Aboriginal Nurses Association of Canada. As the comments show, there are many different views on the problem of teen pregnancy. More discussion is needed to increase our understanding of this issue.

"The general trend in teens today is that some want to get pregnant. They come to the drop-in centre and want to know how to get pregnant, instead of preventing it. Perhaps the reasons for this should be addressed — escaping from a bad situation or home environment, wanting someone to love, seeking a purpose in life, peer pressure."

"I come from a community where teen pregnancy, welfare and lack of education are on the rise. These young people just don’t know what comes along with having a baby. Also, single parenting is not healthy ... but for those who are single parents, I believe they need a lot of emotional support to still carry on and make the best of their lives for themselves to enjoy life in spite of, and mostly for their child(ren)."

"Teen pregnancy has been accepted in our Aboriginal communities. Most of our teen moms keep their babies and they are looked after by the mom and the help of extended family."

"I feel we need to do a lot of work in our Aboriginal communities because teen pregnancy is a major problem in the Aboriginal population. Let’s all work together." 1 (click here for footnote)

 

Working on Teen Pregnancy in Aboriginal Communities

Sexuality is a gift from the Creator. It is intended to be the source of great pleasure and joy. It is a wonderful way to share affection, love and intimacy. Many Aboriginal teens, however, engage in sexual activity and become parents before they are emotionally and financially able to give their children a good start in life, and to get a good start themselves.

Community health workers identify low self-esteem and the lack of other options as two major reasons for the growing numbers of Aboriginal women having babies at a young age.


Because of a natural longing to be liked, youth may fall into sexual relationships that may result in pregnancy ... Without preparation or training, they are in the position of parenting. Soon however, the glow fades and when they can’t get out to socialize, it becomes a burden and the baby may be neglected and possibly seized and another cycle begins. It comes down to the building of healthy self-esteem based on the recognition of the sacredness of life, and the importance of sexuality as a reflection of creation.
Métis grandmother, Toronto, Ontario
2 (click here for footnote)


Self-Esteem

Health and community workers agree that it is not unusual for young women to get pregnant to fill a "hole" in their lives, or to feel needed. Lack of self-esteem makes it difficult to make active choices about your future, to have goals and dreams, and to believe you can do things other than raise children (important as that is). Building self-esteem will help youth make different decisions about being sexually active, protecting themselves from pregnancy and sexually transmitted infections and deciding whether to raise the baby if they do become pregnant.

Programs designed to improve the general self-esteem and sense of self-worth of Aboriginal girls and young women are important to building strong and healthy communities. The benefits of such programs are that some teens develop the confidence to choose to postpone child-bearing, while others become better prepared for the challenges of teen pregnancy and parenting.


More Options for Young Women and Men

Poor education and training options and a lack of job opportunities can make becoming a mother an attractive alternative. Research has shown the direct link between having other options and choosing to delay parenting. Providing more training programs, culture-based education, job experience and support programs for youth will help.


Preventing Teen Pregnancy

Some ways to prevent teen pregnancy include:

  • culture-based sexuality education
  • teaching circles about the realities and responsibilities of parenting that include all generations
  • healing from child sexual abuse, physical abuse and neglect
  • counselling youth to become sexually active when they are ready and for reasons that are good for them
  • making sure teens understand birth control methods and can get the methods they choose
  • teaching youth about safer sex


When
the message comes from your own peers, it may have more meaning. Tell kids why and explain everything. Don’t just say, "Don’t do it."
Have someone who has been through it talk about it. [Young girls] just need to realize how much responsibility it is and if you’re not mature enough ... it will be hard on you and you won’t know what to do. Your baby might be screaming its head off and you won’t know what to do.
Young Aboriginal moms3
(click here for footnote)


I think there are a lot of teen pregnancies ... because we are not talking about healthy relationships. The last two generations of Métis, my mother and my grandmother’s age group, went through an assimilation process where you weren’t allowed to talk about your traditions and your culture. So that age group couldn’t pass on the skills from their grandparents or great grandparents who had an openness to talk about sexuality.
Métis community leader, northern Alberta


I would love to see the Elders sitting down and talking to those young people about having children, about their body, and about not being ashamed to talk about it. I would like some of the grannies to start talking about the old ways.

Ojibway grandmother, Ontario
4 (click here for footnote)


Supporting Teens Who Are Pregnant

Some ways to support teens who get pregnant include:

  • assisting them in their choice to end or continue the pregnancy, to raise the child or place it for adoption
  • helping teenage fathers to stay involved
  • providing or referring to prenatal education programs and health care that is culture-based and geared to teens, if these exist
  • providing or referring to post-abortion or post-adoption support and counselling
  • drawing pregnant teens into community and cultural activities
  • offering parent support programs
  • helping teen moms to stay in school
  • providing chances for young parents to meet and support each other
That’s one of my goals, to actually finish my school, but I’ll probably have to wait until he’s old enough to go to a daycare himself ... So I’ll be a little bit older, and a little bit rustier.
Young Aboriginal father
It’s hard to find a babysitter for three kids. If I didn’t come to school everyday, I would go crazy. I would not be able to cope day to day with three kids. I’m completely jealous of everybody else my age that don’t have kids.
Young Aboriginal mother
5 (click here for footnote)


A Framework for Community Action

A recent national consultation on teen pregnancy involved both Aboriginal and non-Aboriginal community projects of the Community Action Program for Children (CAPC) and Canada Prenatal Nutrition Program (CPNP). The overall goal is to maximize the number of thriving children and youth and lower the rate of teen pregnancy. The report, Pro-Action, Postponement, Preparation and Support: A Framework for Action to Reduce the Rate of Teen Pregnancy in Canada, offers ideas about what a community can do to reduce teen pregnancy rates and to support pregnant teens and young parent families.

The framework elaborates on three spheres of action:

  • pro-action — having a reason to postpone pregnancy
  • postponement — having the know-how to postpone pregnancy
  • preparation and support — having a solid foundation of support for pregnant youth and young parent families6 (click here for footnote)


An Aboriginal Teen Pregnancy Outreach Program

The Positive Adolescent Sexuality Support (PASS) Program is a community-based initiative in Winnipeg managed by trained local community members. The project was initiated by the Sexuality Education Resource Centre and the Women’s Health Clinic. Now it is housed in a well-established local Aboriginal organization and is overseen by a multi-agency Steering Committee. While the main purpose of the project is to involve youth and their parents in the prevention of unplanned pregnancy and unhealthy sexuality, the project has evolved into a broader approach that involves community outreach, peer education and sexual health promotion. The PASS program employs two Aboriginal outreach workers who use traditional and non-traditional teachings to deliver messages about positive sexuality.

 

The print version of the Sourcebook also contains information on print, web-based and audio-visual resources, and sample materials on teen pregnancy.

 


1  Report on a Preliminary Study of the Issue of Teen Pregnancy for the Aboriginal Nurses Association of Canada, D.R. Harley Consultants Ltd. for Aboriginal Nurses Association of Canada, Ottawa, 1997, Appendix C.  (back to paragraph)

2  Tenuous Connections: Urban Aboriginal Youth Sexual Health and Pregnancy, Ontario Federation of Indian Friendship Centres, Toronto, 2002, p. 26.  (back to paragraph)

3  Tenuous Connections, pp. 54-5.  (back to paragraph)

4  Tenuous Connections, p. 56.  (back to paragraph)

5  Tenuous Connections, pp. 26-7.  (back to paragraph)

6  Pro-Action, Postponement, Preparation and Support: A Framework for Action to Reduce the Rate of Teen Pregnancy in Canada, Young/Single Parent Support Network of Ottawa-Carleton, Timmins Native Friendship Centre and Canadian Institute of Child Health for Health Canada, 2000, p. 25. Available at: www.hc-sc.gc.ca/hppb/childhood-youth/cbp/npf/pdf/Section%201.pdf   (back to paragraph)

 

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