Abstract

ALVES, Hayda et al. Adolescent pregnancy and local co-planning: a diagnostic approach based on the PRECEDE-PROCEED model. Rev. Enf. Ref. [online]. 2017, vol.serIV, n.12, pp.35-44. ISSN 0874-0283.  https://doi.org/10.12707/RIV16058.

Background: The article outlines the first phase of a community-based participatory research to reduce adolescent pregnancy. This approach aims to address the complexity of the phenomenon and the specific characteristics of the local settings. Objectives: To apply the PRECEDE-PROCEED model to make a social and epidemiological diagnosis of adolescent pregnancy in a city of the State of Rio de Janeiro (RJ), with a view to contributing to interventions for its reduction. Methodology: Quantitative and qualitative methodologies were used (descriptive analysis of epidemiological data, participant observation, talking-map, and conversation circles) in a medium-sized city of RJ (2014-2015). Results: The diagnosis highlighted the association between early adolescent pregnancy and key social and healthcare vulnerabilities in this population segment. The model enabled the mapping of this scenario and the increasing engagement of local partners to address this issue, as well as the listing of priorities and commitments from an emancipatory and interdisciplinary perspective. Conclusion: This study will contribute to the development of new interventions to engage adolescents and other stakeholders in the design of approaches to co-management, education, service, and community.

Keywords : pregnancy in adolescence; community-based participatory research.

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