 |
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
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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)
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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, Ontario2
(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
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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."
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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)
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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, Ontario4
(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 mother5
(click
here for footnote)
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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)
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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. |
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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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