Knowledge, attitude and practice of emergency contraceptive pills among community pharmacy practitioners working in Kathmandu Valley: a cross-sectional study

Abstract Background Unintended pregnancy occurs due to incorrect or inconsistent use of a contraception method. Such pregnancies can create an economic burden on the family, society and nation as a whole. Unintended pregnancy is the underlying cause of abortion which can also result in infertility and maternal death. Adequate knowledge of emergency contraceptive pills (ECPs) and positive attitude among the community pharmacy practitioners (CPPs) is a prerequisite for timely access of ECP, thus ultimately abating the incidence of unintended pregnancies. This study intended to explore the knowledge, attitude and practice of CPPs toward ECPs in Kathmandu valley. Methods Cross-sectional study conducted in community pharmacies located in three districts of Kathmandu valley. A convenience sampling method was employed to interview CPPs in 227 community pharmacies using a validated questionnaire. Questionnaire assessed the demographic characteristics, knowledge, attitude and dispensing practice of the CPPs. Data were subjected to descriptive and inferential analysis using SPSS 18 (SPSS Inc., Chicago, IL, USA). Results Approximately 74.9% of respondents had a good practice on dispensing ECPs, and 70% of them counselled all the users. A significant association (p-value<0.05) was obtained between the dispensing practice of respondents and their knowledge level. ECP related knowledge was higher among the age group 40-49 years, BPharm degree holders with experience above ten years and community pharmacies located inside the city and in the Kathmandu district. After adjusting the possible confounder variables, age, degree and district of pharmacy were significantly associated with knowledge. Similarly, respondents' practice towards ECP was higher among the age group 40-49 years with experience above ten years and community pharmacies located inside the city and in the Kathmandu district. Adjusted for other variables, only community pharmacies located at Kathmandu district was significantly associated with the practice. Conclusion CPPs lacked specific important information on ECP and opined against its' availability as an OTC drug, despite good overall knowledge and positive attitude. Many thought that ECP without prescription would increase promiscuity towards sexual behaviour and result in unsafe sex along with its' repeated use. Hence, training and proper counselling strategies should be afoot to refine the delivery of service by CPPs.

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Knowledge, Attitude and Practice of Emergency Contraceptive Pills among Community Pharmacy Practitioners working in Kathmandu Valley: A cross-sectional study

10.21203/rs.3.rs-27327/v3 ◽

2020 ◽

Author(s):

Sujyoti Shakya ◽

sweta shrestha ◽

Rojeena Koju Shrestha ◽

Usha Giri ◽

Sunil Shrestha

Keyword(s):

Cross Sectional Study ◽

Kathmandu Valley ◽

Community Pharmacies ◽

Cross Sectional ◽

Emergency Contraceptive Pills ◽

Attitude And Practice ◽

Contraceptive Pills ◽

Emergency Contraceptive ◽

The City ◽

Knowledge Attitude And Practice

Abstract Background Unintended pregnancy occurs due to incorrect or inconsistent use of a contraception method. Such pregnancies can create an economic burden on the family, society and nation as a whole. Unintended pregnancy is the underlying cause of abortion which can also result in infertility and maternal death. Adequate knowledge of emergency contraceptive pills (ECPs) and positive attitudes among the community pharmacy practitioners (CPPs) is a prerequisite for timely access of ECP, thus ultimately lessening the incidence of unintended pregnancies. This study intended to explore the knowledge, attitude and practice of CPPs toward ECPs in Kathmandu valley. Methods Cross-sectional study conducted in community pharmacies located in three districts of Kathmandu valley. A convenience sampling method was employed to interview CPPs in 227 community pharmacies using a validated questionnaire. Questionnaire assessed the demographic characteristics; knowledge, attitude and dispensing practice of the CPPs. Data were subjected to descriptive and inferential analysis using SPSS 18 (SPSS Inc., Chicago, IL, USA). Results Approximately 74.9% of respondents had a good practice on dispensing ECPs, and 70% of them counselled all the users. A significant association (p-value<0.05) was obtained between the dispensing practice of respondents and their knowledge level. ECP related knowledge was higher among the age group 40-49 years, BPharm degree holders with experience above ten years and community pharmacies located inside the city and in the Kathmandu district. After adjusting the possible confounder variables, age, degree and district of pharmacy were significantly associated with knowledge. Similarly, respondents' practice towards ECP was higher among the age group 40-49 years with experience above ten years and community pharmacies located inside the city and in the Kathmandu district. Adjusted for other variables, only community pharmacies located at Kathmandu district was significantly associated with the practice. Conclusion CPPs lacked specific important information on ECP and opined against its' availability as an OTC drug, despite good overall knowledge and positive attitude. Many thought that ECP without prescription would increase promiscuity towards sexual behaviour and result in unsafe sex along with its' repeated use. Hence, training and proper counselling strategies should be afoot to refine the delivery of service by CPPs.

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Knowledge, Attitude and Practice among dispensers of Community Pharmacy on Emergency Contraceptive Pills in Kathmandu Valley: A cross-sectional study

10.21203/rs.3.rs-27327/v1 ◽

2020 ◽

Author(s):

Sujyoti Shakya ◽

sweta shrestha ◽

Rojeena Koju Shrestha ◽

Usha Giri ◽

Sunil Shrestha

Keyword(s):

Community Pharmacy ◽

Positive Attitude ◽

Cross Sectional Study ◽

Kathmandu Valley ◽

Cross Sectional ◽

Emergency Contraceptive Pills ◽

Unintended Pregnancies ◽

Contraceptive Pills ◽

Emergency Contraceptive ◽

The City

Abstract Background Unintended pregnancies, the primary cause of abortion, can consequence in severe negative effects such as infertility and maternal death. Adequate knowledge of emergency contraceptive pills (ECPs) and a positive attitude among the dispensers in community pharmacy is a prerequisite for timely access to ECP thus ultimately abating the incidence of unintended pregnancies. This study intended to explore the knowledge, attitude and practice of dispensers of community pharmacy toward ECPs in Kathmandu valley. Methods A cross-sectional study was conducted in community pharmacies located in three districts of Kathmandu valley. A convenient sampling method was employed to interview dispensers in 227 community pharmacies using a validated questionnaire. The questionnaire assessed the demographic characteristics, knowledge, attitude and dispensing practice of the dispensers. The data were subjected to descriptive and inferential analysis using SPSS 18 (SPSS Inc., Chicago, IL, USA). Results Respondents’ knowledge was statistically significant with dispensing practice and had a positive relation [AOR= 11.86, 95% CI (5.821-24.190)]. Approximately (74.9%) of respondents had a good practice and about 65.6% had a good knowledge on dispensing ECP. Majority (93.4%) had a positive attitude towards ECP yet some of the respondents (54.2%) had conservative belief about the Over the Counter (OTC) availability of ECP. ECP related knowledge was higher among the age group 40-49 years, Bphamacy degree holders with experience above 10 years and pharmacies located inside the city and in the Kathmandu district. After adjusting the possible confounder variables, age, degree and district of pharmacy were significantly associated with knowledge. Similarly, respondents’s practice towards ECP was higher among the age group 40-49 years with experience above 10 years and pharmacies located inside the city and in the Kathmandu district. Adjusted for other variables, only pharmacies located at Kathmandu district was significantly associated with practice. Conclusion The dispensers lacked specific significant information on ECP and posed a conservative perception of its’ OTC availability, despite good overall knowledge and positive attitude. Hence, training on proper counseling strategies should be afoot to refine service delivery.

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Knowledge of and Utilization of Emergency Contraceptive and Its Associated Factors among Women Seeking Induced Abortion in Public Hospitals, Eastern Tigray, Ethiopia, 2017: A Cross-Sectional Study

BioMed Research International ◽

10.1155/2019/7209274 ◽

2019 ◽

Vol 2019 ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

Desta Abraha ◽

Guesh Welu ◽

Meresa Berwo ◽

Mulu Gebretsadik ◽

Tesfay Tsegay ◽

...

Keyword(s):

Family Planning ◽

Associated Factors ◽

Cross Sectional Study ◽

Induced Abortion ◽

Public Hospitals ◽

Sectional Study ◽

Cross Sectional ◽

Emergency Contraceptive Pills ◽

Contraceptive Pills ◽

Emergency Contraceptive

Background. In developing countries, most maternal deaths are related to the lack of accessibility and availability of reproductive health services. In those nations, emergency contraceptive pills are the most commonly used family planning methods to prevent unintended pregnancy. However, women do not use this family planning method for different reasons. Consequently, women expose to unsafe abortion which results in maternal morbidity and mortality. Objective. To assess the knowledge of and utilization of emergency contraceptive and its associated factors among women seeking induced abortion in public hospitals, Eastern Tigray, Ethiopia, 2017. Methods. Hospital-based cross-sectional study was conducted on 380 women, who came for safe termination of pregnancy from April to July 2017. Systematic random sampling technique was used. Pretested structured questionnaire was used to collect data through interview. Data were entered using Epi Info version 7 and exported to SPSS version 20 for analysis. Data were presented using descriptive statistics. Bivariate and multivariate logistic regression was carried out to see if there was significant association between variables at P<0.05 and 95% confidence interval (CI). Result. Out of the total 369 respondents, 149 (40.4%) had the knowledge about emergency contraceptive pills. The magnitude of utilization of emergency contraceptive among respondents was found to be 45 (12.2%). Protestant in religion (AOR = 60.85, CI (5.34–693.29)), previous utilization of any contraceptive method (AOR = 0.13, CI (0.05–0.36)), and women who were not knowledgeable about emergency contraceptive (AOR = 0.030, CI (0.006–0.14)) were significantly associated with the utilization of emergency contraceptive. Conclusion. Most of the women were not knowledgeable about emergency contraceptive and utilization of emergency contraceptive was also very low. In conclusion, religion, knowledge, and previous utilization of emergency contraceptive were associated with the utilization of emergency contraceptive.

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A cross-sectional study on knowledge, attitude and practice towards contraception among medical students in a tertiary care center of coastal Karnataka, India

Indian Journal of Obstetrics and Gynecology Research ◽

10.18231/j.ijogr.2021.041 ◽

2021 ◽

Vol 8 (2) ◽

pp. 194-198

Author(s):

Pranadeep Reddy Inukollu ◽

Divya Solipuram ◽

Anna Sunny ◽

Aravind Kothagadi ◽

Deeksha Pandey

Keyword(s):

Medical Students ◽

Care Center ◽

Tertiary Care ◽

Cross Sectional Study ◽

Tertiary Care Center ◽

Sectional Study ◽

Cross Sectional ◽

Attitude And Practice ◽

Contraceptive Pills ◽

Knowledge Attitude And Practice

High rates of unplanned pregnancies are due to continued gaps in awareness and access to contraception. An exemplary health care infrastructure would play a major role in resolving this issue. To investigate knowledge, attitude and practice towards contraception among medical students in a tertiary care center of Karnataka. A cross-sectional study was conducted including 100 undergraduate medical students during September 2018 to February 2019 using predesigned questionnaire on contraception and analyzed using percentages. Nearly 93% of students chose condom as best way to prevent sexually transmitted infections and 47% chose emergency contraceptive pills as risk factor for ectopic pregnancy. Failure rates of natural methods was 20-25% according to 33% of the students. Majority of participants believed that both sexes have equal responsibility for contraception and chose intrauterine contraceptive devices as best contraception for nulliparous women. Oral contraceptive pills had least failure rates as per 70% of the subjects compared to diaphragm, condom or natural methods. Irregular bleeding was considered as most common side effect of oral contraceptives by half of participants while 91% thought condoms were best for couples who were not regularly sexually active. Around 84% of undergraduates preferred to consult a doctor for contraceptive advice and were comfortable discussing contraception with partner. Overall, students had reasonably good knowledge on contraception. Similar studies in future would pave the way for upgrading current health curriculum to strengthen knowledge base of future clinicians.

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The adoption of emergency contraceptive pills in Sweden: A repeated cross-sectional study among abortion applicants

Acta Obstetricia Et Gynecologica Scandinavica ◽

10.1080/00016340500501897 ◽

2006 ◽

Vol 85 (9) ◽

pp. 1142-1143 ◽

Cited By ~ 3

Author(s):

M. Larsson ◽

G. Aneblom ◽

K. Eurenius ◽

R. Westerling ◽

T. Tydén

Keyword(s):

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Emergency Contraceptive Pills ◽

Contraceptive Pills ◽

Emergency Contraceptive

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Knowledge, Attitude, and Practice towards Emergency Contraceptives use Among Negelle Health Sciience College Female Students, South Eastern, Ethiopia: a Descriptive Cross-Sectional Study, 2021

Women Health Care and Issues ◽

10.31579/2642-9756/093 ◽

2022 ◽

Vol 5 (1) ◽

pp. 01-08

Author(s):

GUDISA BEREDA

Keyword(s):

Sexual Intercourse ◽

Cross Sectional Study ◽

Female Students ◽

Sectional Study ◽

Cross Sectional ◽

Unprotected Sexual Intercourse ◽

Attitude And Practice ◽

Emergency Contraceptive ◽

Emergency Contraceptives ◽

Knowledge Attitude And Practice

Background: Emergency contraceptives is the only method women cause to prevent pregnancy after they have had unprotected sexual intercourse. About 7.2% of women will be sexually assaulted by a stranger and depending on the region; 23-36% of women will experience unwanted sex from an intimate partner. Objective: To ascertain knowledge, attitude and practice towards emergency contraceptive use among female students in Negelle college of health sciences. Methods: A descriptive cross sectional study design was carried out July 29 /2021 to September 31/2021.Data was collected through employing semi-structured self-administered questioner, and then the collected data was cleared, coded and analyzed by statistical packages for social sciences 26.0 version statistical software. Descriptive statistics were used for variables using statistical parameters of frequencies, and percentages, and were presented in table format. Factors with a bivariate test value ≤ 0.05 were included. Results: The study was conducted on total sample of 152 participants, among the respondents, majority 131(86.2%) of them age was >20 years old. Above half 92(60.5%) of the study subjects was heard the cornerstones merit of contraceptives was to prevent pregnancy.82(53.9) respondents were agree about when having unintended sexual intercourse, they take ECPs.60 (39.5%) of the study subjects were agree about fear of side effects hinder them from not using ECPs.85(56.0%) were used EC pills after unprotected sexual intercourse. Age greater than twenty years and unmarred female students was predictors to have good knowledge about EC pills. Conclusion and recommendations: A majority of this study subjects were came from urban area, and majority of the study subjects were bought EC from pharmacy from pharmacy and shop. Knowledge, attitude and practice towards EC among female students were high. Health care workers should have to escalate awareness of the usage of emergency contraceptive methods among female students.

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