Document Type : Research Article (s)


1 Planned Parenthood Federation of Nigeria (PPFN), 74 Liberty Stadium Road, Oke Ado, Ibadan, Nigeria

2 Department of Health Promotion and Education, Faculty of Public Health, University of Ibadan, Nigeria

3 Department of Community Medicine, College of Medicine, University of Ibadan, and University College Hospital, Ibadan, Nigeria

4 Department of Community Medicine, University College Hospital, Ibadan, Nigeria


Background: Adolescents are prone to myriads of developmental issues, including early sexual debut, risky sexual behaviours, sexually transmitted infections, teenage pregnancy and abortions. These challenges could be worse among adolescents who lack the understanding of sexuality. Mitigating these challenges among this age group, constituting two-thirds of the Nigerian population, may require exploring the knowledge and perceptions of sexuality and teenage pregnancy. Therefore, the present study aimed to investigate the knowledge of sexuality and perceptions about teenage pregnancy among in-school adolescents in Ibadan, Southwest Nigeria. Methods: We conducted a descriptive cross-sectional study using a qualitative approach. The population comprised 10-17-yearold female and male students of public and private secondary schools. We held focus group discussion sessions among 82 participants and manually analysed the data using a generated code book.
Results: The mean age of participants was 13.5 years with a male to female ratio of 1.1:1; 51% of the subjects were from co-educational public schools. Participants’ knowledge about the contextual meaning of sexuality was sub-optimal but better regarding the prevention of sexuality problems and the associated causes and problems. The participants perceived teenage pregnancy as being on the increase and replete with adverse consequences. The focus group discussants had divergent opinions as to what to do if involved in unwanted pregnancy.
Conclusions: A knowledge gap existed with regards to sexuality among the study participants. It is advocated that interventions be conducted to review the current status of sexuality education in secondary schools.


1. The United Nations Children’s Fund [internet]. The State Of The World’s Children. c2011- [cited 2019 Dec 27]. Available from: ## 2. The United Nations Children’s Fund [internet]. Adolescents overview. c2019- [cited 2019 Dec 27]. Available from: 3. World Health Organisation [internet]. Recognizing adolescence. c2014- [cited 2019 Dec 27].Available from: ## 4. World Health Organisation [internet]. Sexuality. c2014 - [cited 2019 Dec 27]. Available from: ## 5. Rao TS, Nagaraj AK. Female sexuality. Indian J Psychiatry. 2015;57(Suppl 2): S296-S302. doi: 10.4103/0019-5545.161496. [PubMed: 26330647] ## 6. World Health Organisation [internet]. Adolescents: health risks and solutions. c2018- [cited 2019 Dec 27]. Available from: ## 7. Shaffer DR, Kipp K. Developmental Psychology: Childhood &Adolescence. 6th ed. Canada: Thomson Wadsworth; 2007. p. 245. ## 8. United Nations Population Fund [internet]. Childhood, Not Motherhood: Preventing Adolescent Pregnancy. c2015-[cited 2019 Dec 28]. Available from: Girlhood_not_motherhood_final_web. ## 9. United Nations Population Fund [internet]. Motherhood in Childhood: Facing the challenge of adolescent pregnancy. c2013-[cited 2019 Dec 28]. Available from: 10. The United Nations Children’s Fund. Committing to child survival: a promise renewed (Progress Report 2012). New York: UNICEF; 2013. ## 11. Durowade KA, Babatunde OA, Omokanye LO, Elegbede OE, Ayodele LM, Adewoye KR, et al. Early sexual debut: prevalence and risk factors among secondary school students in Ido-ekiti, Ekiti state, South-West Nigeria. Afr Health Sci. 2017; 17:614-22. doi: 10.4314/ahs.v17i3.3. [PubMed: 29085388]; [PubMed Central: PMC5656187] ## 12. Godding J. Emergency contraception. Emerg Nurse. 2008; 16:22-5. doi: 10.7748/en2008. [PubMed: 18672787] ## 13. Colquitt CW, Martin TS. Contraceptive Methods. J Pharm Pract. 2017; 30: 130-135. doi: 10.1177/0897190015585751. [PubMed: 26033795] ## 14. Idowu A, Aremu OA, Fehintola FO, Popoola GO. Knowledge, attitude and practice of contraception by female junior secondary school students in an urban community of Oyo-state, South west, Nigeria. Int J Reprod Contracept Obstet Gynecol. 2017; 6:4759. doi: 10.18203/2320-1770.ijrcog20174983 ## 15. Ajayi AI, Nwokocha EE, Akpan W, Adeniyi OV. Use of non-emergency contraceptive pills and concoctions as emergency contraception among Nigerian University students: results of a qualitative study. BMC Public Health. 2016; 16:1046. doi:10.1186/s12889-016-3707-4. [PubMed: 27716213]; [PubMed Central: PMC5050919]. ## 16. Munakampe MN, Zulu JM, Michelo C. Contraception and abortion knowledge, attitudes and practices among adolescents from low and middle-income countries: a systematic review. BMC health Serv Res. 2018;18:909.doi: 10.1186/s12913-018-3722-5. [PubMed: 30497464]; [PubMed Central: PMC6267062]. ## 17. National HIV/AIDS and Reproductive Health Survey. c2016- [cited 2018 Dec 18]. Available from: ## 18. Odo AN, Samuel ES, Nwagu EN, Nnamani PO, Atama CS. Sexual and reproductive health services (SRHS) for adolescents in Enugu state, Nigeria: a mixed methods approach. BMC health Serv Res. 2018; 18:92. doi:10.1186/s12913-017-2779-x. [PubMed: 29422062]; [PubMed Central: PMC5806240]. ## 19. Bastien S, Kajula LJ, Muhwezi WW. A review of studies of parent-child communication about sexuality and HIV/AIDS in sub-Saharan Africa. Reprod health. 2011;8:25. doi:10.1186/1742-4755-8-25. [PubMed: 2194309]; [PubMed Central: PMC3192730]. ## 20. Isiugo-Abanihe UC, Olajide R, Nwokocha E, Fayehun F, Okunola R, Akingbade R. Adolescent sexuality and life skills education in Nigeria: To what extent have out-of-school adolescents been reached? Afr J Reprod Health. 2015; 19:101-11. [PubMed:26103700]. ## 21. Udegbe BI, Fayehun F, Isiugo-Abanihe UC, Nwagwu W, Isiugo-Abanihe I, Nwokocha E. Evaluation of the implementation of family life and HIV education programme in Nigeria. Afr J Reprod Health. 2015; 19:79-92. [PubMed: 26506660] ## 22. Olugbade OT, Aderinoye A. Awareness of HIV transmission, attitudes and practices amongst secondary students in an urban metropolis in Ibadan, south west Nigeria 2012. Antimicrob Resist Infect Control. 2015; 4:110. doi: 10.1186/2047-2994-4-S1-P110. [PubMed Central: PMC4474933]. ## 23. Anochie IC, Ikpeme EE. Prevalence of sexual activity and outcome among female secondary school students in Port Harcourt, Nigeria. Afr J Reprod Health. 2001; 5:63-7. [PubMed: 12471914] ## 24. Taylor RD, Oberle E, Durlak JA, Weissberg RP. Promoting positive youth development through school‐based social and emotional learning interventions: A meta‐analysis of follow‐up effects. Child Dev. 2017 ;88:1156-71.doi:10.1111/cdev.12864 [PubMed: 28685826] ## 25. Krugu JK, Mevissen FE, Prinsen A, Ruiter RA. Who’s that girl? A qualitative analysis of adolescent girls’ views on factors associated with teenage pregnancies in Bolgatanga, Ghana. Reprod Health. 2016; 13:39. doi: 10.1186/s12978-016-0161-9. [PubMed: 27080996]; [PubMed Central: PMC4832526]. ## 26. Adanikin AI, Adanikin PO, Orji EO, Adeyanju BT. Survey of sexual activity and contraceptive use among unmarried young school and college drop-outs in a defined Nigerian population. J Biosoc Sc. 2017; 49:675-84. doi: 10.1017/S002193201600050X. [PubMed: 27692002] ## 27. Arije, O, Ojo, T, Titus, R, Alaba, O, Adegbenro A, Jah F, et al. Young people’s perceptions about abortion in Southwest Nigeria: Findings from formative audience research. AAS Open Research. 2020 10; 3:2. doi:10.12688/aasopenres.13047.1 ## 28. Munakampe MN, Zuluu JM, Michelo C. Correction to: Contraception and abortion knowledge, attitudes and practices among adolescents from low and middle-income countries: a systematic review. BMC Health Serv Res. 2019;19: 441. doi:10.1186/s12913-019-4297-5. [PubMed: 31266484] 29. ## 29. Babatunde OA, Ibirongbe DO, Omede O, Babatunde OO, Durowade KA, Salaudeen AG, et al. Knowledge and use of emergency contraception among students of public secondary schools in Ilorin, Nigeria. Pan Afri Med J. 2016; 23:1 doi: 10.11604/pamj.2016.23.74.8688. [PubMed: 27217897]; [PubMed Central: PMC4862801]. ##