scholarly journals Knowledge and practice regarding the use of emergency contraception among the higher secondary students of Nepal

Author(s):  
Ramesh Bhatta ◽  
Susmita Godar ◽  
Kabita Aryal

Background: Emergency contraception or post coital contraception refers to methods of contraception that can be used to prevent pregnancy after sexual intercourse. Among the adolescents, premarital and unplanned sexual intercourse mostly result unintended pregnancy. In such conditions, emergency contraception is effective, safe and relatively inexpensive and can prevent pregnancies up to 95% if taken immediately or within 5 days after the sexual intercourse. Emergency contraception is available in pill form and IUD. Objective of this study was to assess the knowledge and practice of emergency contraception use among the higher secondary level students.Methods: Study includes descriptive cross-sectional method with total 190 respondents who were selected though census method of sampling. Study data were collected through semi structured questionnaire and the data was analyzed by using the SPSS version 20.Results: Mean age of the respondent was 17.8 years and 98.4% of them were unmarried. Among the total respondents only 63.7% of them have heard about the emergency contraception. About 14.2% of the respondents had experience sexual intercourse, out of those 51.8% have used emergency contraceptive method to prevent them from unintended pregnancies. Among those who had experience sexual intercourse, 22% of them got unintended pregnancies, which were managed through surgical abortion (83.3%) and medical abortion (16.7%).Conclusions: Knowledge on proper use of emergency contraceptives can prevent unintended pregnancies that may occur among the adolescents due to premarital and unplanned sexual intercourse. However, only two third of respondents have heard about the emergency contraceptives. So it is important to raise awareness on emergency contraception and its rational use among the adolescents.

2021 ◽  
Author(s):  
Getu Teshome Negussie ◽  
Aman Jima ◽  
Alemu Shiferaw

Abstract Background: Unintended pregnancies, pregnancies that occur within short intervals as well as unsafe abortion could be avoided by using contraceptives. Therefore: assessment of emergency contraceptives among unmarried women is importance because of high rates of unintended sexual intercourse leading to unwanted pregnancies as well as unsafe abortion. Methods: A cross-sectional community based household survey was conducted among 965 women chosen by systematic random sampling at Arsi zone. Descriptive statistics was presented with text and frequency tables. Both bivariable and multivariable logistic regression analysis was carried out by Epi Info version 5.3.1 and exported to SPSS version 21. The association was also presented using odds ratios and 95% confidence levels. P-value of < 0.05 is used to declare the significance of association between variables. Results: From the total respondent participated in the study, 373 (38.7 %), 61.8%, and 11.2% of the total unmarried women had awareness, attitude and used emergency contraception respectively. Age, educational status, occupation, having experience of sexual intercourse and having discussion on reproductive health are significantly associated with awareness of emergency contraception. Conclusions: There is high level of knowledge, but low utilization of emergency contraceptives among unmarried women. Therefore, there is a need to emphasize on increasing awareness and accessibly as an option with other contraceptive method to all unmarried women in the study area.


2018 ◽  
Vol 2018 ◽  
pp. 1-8
Author(s):  
Yohannes Ayanaw Habitu ◽  
Hedija Yenus Yeshita ◽  
Abel Fekadu Dadi ◽  
Desta Galcha

Emergency contraceptives (ECs) need to be available and used appropriately as a backup in case regular contraception is not taken by people like university students. This study was conducted to assess emergency contraception use and its associated factors among female undergraduates of Arba Minch University. A cross-sectional study was conducted among 515 undergraduates using a structured questionnaire. Respondents were selected by the stratified random sampling technique and data were analyzed using SPSS version 20. Bivariate and multivariate logistic regression models were fitted to identify associated factors. The adjusted odds ratio with a 95% confidence interval was used to present the identified risk factors. The prevalence of emergency contraception use among Arba Minch University students was 78.0% (95% CI: 71.5%, 84.5%). Better information about emergency contraceptives (AOR = 6.3; 95% CI: 2.4, 9.7), good approach of EC service providers (AOR = 9.3; 95% CI: 2.4, 11.6), and positive attitude about ECs (AOR = 2.4; 95% CI: 1.5, 7.2) were factors significantly associated with EC use. The prevalence of emergency contraceptive use noted in this study was comparatively higher than the results found by previous studies conducted in Africa and Ethiopian universities. Continuing support for and wider dissemination of the class are recommended. The fact that the students/participants readily accepted the preceding provisions made such positive findings possible and sustainable.


Author(s):  
Abdulrahman M. Ibrahem ◽  
Salah Q. Mahmood ◽  
Muhammed Babakir-Mina ◽  
Salar Ibrahim Ali ◽  
Bakhtyar Kamal Talabany

Knowledge and practice of public, especially patients about eye diseases are important to reduce magnitude of human blindness. Vision and sight are very essential because they allow us to connect to each other’s. In accordance to the recently published data; the estimation of 253 million people lives with vision impairment, 36 million are blind and 217 million suffer from moderate to severe vision impairment. A descriptive cross-sectional study was conducted at Shahid Dr. Aso Hospital in Sulaimani city-Iraq, from April to August 2017 by face-to-face interview through close ended questionnaire for data collecting. All data were analyzed by Statistical Package for Social Sciences version 22.0 software. P-value of < 0.05 was considered as a statistically significant. A total of 430 patients were randomly chosen to participate in the study. They were 254 (59.1%) males and 176 (40.9%) females. 76.7% of respondents was worrying about vision loss, 0.7% was worrying about hair loss. Of the participants, 32.8% was with a good knowledge level and 40.5% was with a poor knowledge level, as well as 3.1% was in a good practice and 58.8% was in a poor practice level. Female knowledge mean score was 9.53±4.96 and male knowledge mean score was 8.42±5.45, the practice mean score of males was 4.33±1.96 and mean practice score of females was 4.13±1.93. The study data indicate the worrying of participates about vision loss is in the highest proportion and the awareness and practice of patients about eye diseases is unsatisfactory. Health education campaigns are needed to improve personal awareness about vision related problems and for better eye health.


2020 ◽  
Vol 8 ◽  
pp. 109-118
Author(s):  
Bhu Dev Jha

 Emergency Contraceptive Pill (ECP) is used for preventing pregnancy after having unprotected sexual intercourse, contraceptive failure or forced sex. The use of ECP within 120 hours of sexual intercourse could prevent unwanted pregnancy and its adverse effects particularly unintended childbirth and unsafe abortion. The study, therefore, aimed to assess knowledge and use of emergency contraceptives among Bachelors level female students from Kathmandu Valley. A descriptive cross-sectional study was undertaken from August to November 2017 among 347 female students who were studying at the Bachelors's level. A random sampling technique was used to select study participants and a structured self-administered questionnaire was used to assess the knowledge and use of ECP after securing informed consent. Epi data and SPSS version 22 were used for data processing and analysis. The mean age of the female students was 21.5 years. Overall, 91.4% of the respondents had ever heard about emergency contraceptives. The main sources of information were radio or television, the internet and newspapers. About 4.6% of the undergraduate female students used ECP. Age, marital status, use of contraceptives and knowledge of ECP used within 72 hours were significantly associated with use of ECP. Although the findings of this study showed a high prevalence of knowledge among respondents, the improvement of female students’ knowledge on specific details of ECP and its advantages/disadvantages and timely utilization needs to be considered for any future awareness programmes.  


2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Kirubel Minsamo Mishore ◽  
Abebaw Demissie Woldemariam ◽  
Solomon Assefa Huluka

Introduction. Ethiopia has a high incidence of unwanted pregnancies and incomplete and unsafe abortions, particularly among adolescents. This can be avoided by using different contraceptive methods including emergency contraceptives (EC). This study aimed to assess the knowledge and practice of EC among female college graduating students in Harar, Eastern Ethiopia. Methods. Institution based cross-sectional study was conducted on 214 female students selected from two randomly selected colleges. Data was collected using a self-administered questionnaire and analyzed using SPSS for Windows version 20.1. Level of significance was taken at P <0.05. Results. The mean (±SD) age of the participants was 21.06 (±2.14) years. Of the 200 (93.5%) study participants who had ever heard of ECs, 140 (70.0%) had good knowledge. Among the 214 graduating female students, 66 (33.0%) had ever used EC. Being above the age of 20 years old, father’s and mother’s literacy were found to be determinants of knowledge of EC. Moreover, knowledge was the only determinant factor of practice of EC. Conclusion. Most of the respondents had relatively good knowledge of EC. The study revealed that female students of older age and higher educational status of parents had higher knowledge and practice of EC.


Author(s):  
Rajiv Kumar Gupta ◽  
Parveen Singh ◽  
Rashmi Kumari ◽  
Bhavna Langer ◽  
Pawan Sharma ◽  
...  

Background: Emergency contraception (EC) which is the only method indicated after the unprotected sexual intercourse prevents unintended pregnancies and its harmful consequences like unsafe abortion or unintended child delivery. Since medical students are the future medical professional and would be the main channel to provide preventive, promotive and curative services to the population at large, their knowledge and attitude towards EC is an important context in the overall health scenario of India. The study aimed to assess the knowledge and attitudes of medical students towards use of EC.Methods: This cross sectional questionnaire based study was conducted among 2nd professional MBBS students in a Government Medical College in North India. The self administered questionnaire intended to seek information on knowledge and attitude of the students. The data so collected was expressed in percentages and Chi square test was used as test of significance.Results: All the respondents had heard of EC with mass media as the main source of information. More than 90% of the respondents knew about the indications for use of EC as well as the timing of the use of EC. Female respondents had better knowledge about composition of EC as well mechanism of action (p<0.05). More than 90% would recommend EC in case of unprotected sexual intercourse and 83.5% had positive attitude towards EC.Conclusions: Although knowledge about EC was good on certain parameters, yet lack of in depth knowledge among future health care providers is a cause of concern. So, attention be given to special issues relating to EC from early years of medical education till internship. 


1970 ◽  
Vol 31 (3) ◽  
pp. 3-9 ◽  
Author(s):  
S Pandey ◽  
S Karki ◽  
A Pradhan

Introduction: Over the past decades fertility rate have surprisingly been stagnated demanding further research on the ways it reduces rate to a level appropriate for healthy population. Considering the status of male in developing countries like Nepal, it is believed that men play vital role in achieving success in this sector. Therefore this study was done to find out the knowledge and practice of contraceptives among married males of Makwanpur, Nepal.Methods: This is a cross-sectional descriptive study. Data were collected from the 387 respondents by personal interview using semi-structured questionnaire.Results: Mean age of the respondents was 34.48 years. Most of the respondents knew at least four contraceptive methods. There is a strong relationship between knowledge and the use of contraceptives with the level of education and economic status having a direct impact. The attitude of male respondents to share responsibility for promotion of contraceptive was found to be positive.Conclusions:Almost majority agree that the responsibility for contraception should shared by both partner, but use of contraceptive methods among men is still low. This study recommended in depth action research to promote male contraceptive methods and priority for service delivery program in Nepal.Keywords: Contraceptives; Family planning; Knowledge and practice of contraceptivesDOI: 10.3126/joim.v31i3.2972Journal of Institute of Medicine Vol. 31, Issue 3, 2009, December Page: 3-9  


Author(s):  
Neelima S. Chauhan

Background: It is estimated that around 15.6 million abortions take place in India every year. There is significant variance in the estimates for the number of abortions reported and the total number of abortions taking place. Emergency contraception (EC) prevents an accidental pregnancy. It prevents a woman from having to go through the trauma of getting pregnant when she does not want to.Methods: A cross-sectional study was conducted to assess the knowledge of emergency contraception among women attending the gynecological outpatient department. A total of 280 married women were included in the study. Data was collected using a semi-structured questionnaire, which included questions on demographic variables, religion, education, knowledge and practices about EC.Results: Majority of the participants were in the age group of 20-25 years (122; 43.6%). Hinduism was the predominant religion followed by eighty five percent (n=238) of the women. Only 2.1% (n=6) of the women were uneducated while the rest had some form of schooling. Most of them belonged to the age group of 20-25 years (122; 43.6%). Majority of the participants (244; 87.1%) reported that they had never heard about EC. And only 4.3% have ever used EC.Conclusions: Despite EC being available for more than a decade in India, many women still have not heard of it. Although awareness is increasing it is essential to integrate information about EC in family welfare materials and developing new strategies to increase awareness and share information about EC.


Author(s):  
Adisso Sostène ◽  
Mukanire N. ◽  
Ogoudjobi Ogourindé Mathieu ◽  
Gnonlonfin N. ◽  
Mulongo Mbarambara P.

Background: Precociousness and abuse of unprotected sexual intercourses among teenagers promote sexually transmitted infections and unwanted pregnancies that often result in illegal induced abortions. The goal of this work is to study the knowledge, attitude and practice of students about sexuality.Methods: This is a cross-sectional and analytical study that took place from 1st March to 30th May 2015. All registered secondary students in both secondary schools Behanzin and Toffa 1er from Porto-Novo city are included. We used a multiple choice and open questions.Results: The survey concerns 1304 students. Among them, 57% are female and 43% are male. The students’ average age is 18.71±2.31years with extremes of 13 and 25 years. The majority of students in our sample (66.9%), the ideal age for first sexual intercourse is between 15 and 19 years with 60.4% for boys and 65.0% for girls. In our sample, 6 to 7 students out of 10 have at least one sexual intercourse. Among boys, we estimated 7 to 8 cases out of 10 and among girls 5 to 6 out of 10 cases. On the whole, 44.9% of students agreed to have sexual intercourse before marriage. Out of 1304 students, 50.0% have their first sexual intercourse between 15 and 19 years old and 47.2% of these sexual intercourses were unprotected. Having many sexual partners is more observed among boys. Sexually transmitted diseases are known by students of our sample in the following proportions: HIV/AIDS (93.2%), Gonorrhoea (44.2%), Syphilis (21.2%), Chancroid (6.2%), Genital trichomoniasis (5.4%). Out of 433 sexually active girls who were involved in the present study, 165 (38.1%) had at least one unwished pregnancy and 144 which is 87.3% resulted in induced abortions.Conclusions: Present study showed that the majority of students are sexually active and most of sexual intercourses are unprotected despite the knowledge about sexually transmitted diseases. This attitude is revealed in a certain rate of unwished pregnancies resulting in a significant proportion of induced abortions.


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