Page 56 - GHES-2-3
P. 56

Global Health Economics and
            Sustainability
                                                                   Health consequences of child marriage among rural women


            and their rights to healthcare. This approach aligns with   inherent in social work practice. Social workers engaging
            the profession’s commitment to enhancing individual and   in interventions related to child marriage must adhere to
            community well-being (International Federation of Social   ethical principles such as cultural competence, informed
            Work, 2014).                                       consent, and the promotion of self-determination (NASW,
                                                               2015). Respecting the autonomy and agency of young girls
              The study’s insights into the mental health outcomes
            associated with child marriage illuminate the critical   is paramount, ensuring that interventions are culturally
                                                               sensitive and empowering rather than coercive.
            need for mental health interventions informed by cultural
            competence  and  sensitivity.  Anxiety,  depression,  and   Moreover, social workers must navigate the potential
            PTSD are prevalent among young girls, highlighting   power imbalances inherent in community-based
            the  intersectionality of mental  health  challenges  and   interventions. Collaborative and participatory approaches,
            sociocultural factors (Burgess et al., 2022). Social workers,   involving the community in decision-making processes,
            equipped with an understanding of cultural nuances,   align with ethical principles of social justice and inclusivity
            can play  a pivotal role in  addressing the  mental health   (International Federation of Social Workers, 2014).
            needs of young girls. Culturally competent counseling   Ensuring that interventions prioritize the well-being and
            services, community-based support groups, and awareness   dignity of young girls is central to ethical social work
            campaigns can destigmatize mental health issues and   practice.
            provide a safe space for these women to seek help (Chow   4.2. Study limitation
            et   al., 2021). Integrating mental health education into
            existing community programs aligns with the social   The study is limited to only women who married before
            work  principle  of holistic and  person-centered  care,   the age of 18. As a result, it did not capture the views of
            acknowledging the interconnectedness of mental health   other women who married at the age of 18 years and above
            with broader societal factors (Salim & Lombard, 2020).  who  may  have  similar  or  different  experiences.  Future
                                                               research could explore this demographic to gain a more
              The reproductive health implications of child marriage   comprehensive understanding of early marriage, not
            highlight the socioeconomic barriers that young girls   necessarily classified as child marriage as in the present
            face in accessing essential health-care services. Limited   study. Despite this limitation, the study provided valuable
            resources, economic constraints, and societal expectations   insights into the health consequences of child marriage.
            contribute to adverse birth outcomes and obstetric
            complications (UNICEF, 2021). Social work interventions   4.3. Recommendations
            must address these barriers comprehensively, recognizing   Based on the study findings, the authors recommend the
            that reproductive health is not solely a medical concern but   following actions:
            a social and economic one.
                                                               1.  Enhancing access to comprehensive reproductive
              Implementing community-driven reproductive health   health services: it is imperative for the government to
            clinics, as suggested by the participants, aligns with the   develop and implement programs aimed at providing
            social work principle of community engagement and     rural women, particularly those who experienced child
            empowerment (Salim & Lombard, 2020). Social workers   marriage, with increased access to comprehensive
            can collaborate with local leaders to advocate for policies   reproductive  health  services.  These  services
            that prioritize reproductive health services, ensuring their   encompass family planning, prenatal, antenatal, and
            accessibility and  affordability. Furthermore, financial   postnatal care, and education on reproductive health.
            support programs can alleviate the economic burden on   2.  Establishment of mental health support programs:
            young girls and their families, promoting equitable access   non-governmental organizations are encouraged to
            to essential reproductive health-care services.       establish  community-based mental health support
                                                                  programs tailored for women who have undergone
              Furthermore, the study prompts social work scholars   child marriage. These programs should prioritize
            to critically examine the effectiveness of existing   providing counseling services, raising awareness about
            interventions and  policies  in  addressing  the  health   mental health, and reducing the stigma associated
            consequences of child marriage. By adopting a research-  with seeking mental health support. Counseling as
            informed approach, social work academics can contribute   a primary means of psychological support can serve
            to the knowledge base, refining intervention strategies and   as a therapeutic avenue for women to express their
            policy recommendations for optimal impact.
                                                                  experiences, cope with trauma, and navigate the
              The study’s focus on vulnerable populations, such   challenges associated with child marriage.
            as young girls, underscores the ethical considerations   3.  Implementation of educational initiatives on early


            Volume 2 Issue 3 (2024)                         9                        https://doi.org/10.36922/ghes.2840
   51   52   53   54   55   56   57   58   59   60   61