scholarly journals Assessment of knowledge among ASHAs in the delivery of contraceptive information and services in coastal Andhra Pradesh

Author(s):  
Jayasree Palla ◽  
Ravi Babu Komaram

Background: Government of India (GOI) is providing comprehensive integrated health care to the urban and rural people under the umbrella of National Health Mission. ASHA as an activist, a village level community health worker acts as an interface between the community and the public health care delivery system, and plays a central role in achieving population policy goals. The aim of study was to assess the knowledge component of ASHAs in the delivery of contraceptive information and services in coastal Andhra Pradesh.Methods: A descriptive cross-sectional study was conducted in East Godavari district of Andhra Pradesh at sub-centres among 170 ASHA workers. The study area was selected by multi stage sampling technique. Data was collected using pre tested, semi-structured interview schedule. Qualitative data was expressed in percentages, and quantitative data was expressed in mean and standard deviation.Results: The mean age of ASHAs was 28.4 years (SD±3.82). Majority (75.88%) of ASHAs had completed secondary level education, 72.94% had knowledge regarding contraception for newly married couple, and 68.23% were aware of the effective time period for intake of emergency contraceptive pills. 45.88% of ASHAs were unaware of safe period.Conclusions: Majority of ASHAs had knowledge in certain areas of contraceptive information and services, whereas some are lacking knowledge regarding safe period, emergency contraceptive pills (EC pills), progesterone only pills, missed pills and period of condom use after vasectomy. Hence, it is essential to ensure that they receive quality training on contraceptive information and services from qualified personnel at regular intervals. 

2021 ◽  
Vol 2 (1) ◽  
pp. 46-51
Author(s):  
Mansur O. Raji ◽  
Sahiha Wakkala ◽  
Ummu Salma Mustapha ◽  
Usman Danmalam ◽  
Ismail A Raji ◽  
...  

Background: Emergency contraception refers to methods of contraception that can be used to prevent pregnancy after sexual intercourse. About thirty percent of all pregnancies, and 61% of all unintended pregnancies, ended in an induced abortion in Nigeria, and many women with unwanted pregnancies decide to end them by abortion. Healthcare providers' knowledge and attitude towards emergency contraception is very important for dissemination of awareness, consumer acceptance and use of contraceptives, as health care workers interact with large numbers of women and are reliable sources of information. This study aimed to assess healthcare workers' emergency contraception knowledge, attitude and prescription practice. Materials and Methods: The study was a cross-sectional study. Healthcare workers providing services in Primary Health care facilities of Sokoto metropolis were studied. Using formula for sample size estimation for crosssectional study, a total of 419 respondents were recruited into the study using systematic sampling technique. The instrument of data collection was a structured interviewer administered questionnaire and data was collected by means of Open Data Kit for android App and analysed using IBM SPSS statistical software package version 23. Univariate and bivariate analysis were conducted; level of significance was set at 5%. Results: Few (39.9%) respondents knew that Intra uterine contraceptive devices can be used for emergency contraception, only 15.4% knew how emergency contraceptives work. Most (75.4%) believed that emergency contraceptives should be available only on prescription; and 30.5% felt that emergency contraceptive pills promote irresponsible behaviour. More than half of the respondents (56.5%) had prescribed within the last one month, 48.7% of them prescribed less than 5 times within the month. Only 27(8.0%) have ever prescribed emergency contraceptive pills in advance of need. Conclusion: The study respondents had good knowledge of emergency contraceptives, albeit, with some misconceptions, they also demonstrated good attitude, however, the prescription practice was fair.


2007 ◽  
Vol 110 (1) ◽  
pp. 44-52 ◽  
Author(s):  
Justine Wu ◽  
Teresa Gipson ◽  
Nancy Chin ◽  
L L. Wynn ◽  
Kelly Cleland ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Celia M. J. Matyanga ◽  
Blessing Dzingirai

Emergency contraceptives play a major role in preventing unwanted pregnancy. The use of emergency contraceptives is characterized by myths and lack of knowledge by both health professionals and users. The main objective of this paper is to summarize the clinical pharmacology of hormonal methods of emergency contraception. A literature review was done to describe in detail the mechanism of action, efficacy, pharmacokinetics, safety profile, and drug interactions of hormonal emergency contraceptive pills. This information is useful to healthcare professionals and users to fully understand how hormonal emergency contraceptive methods work.


Demography ◽  
2021 ◽  
Vol 58 (1) ◽  
pp. 273-294
Author(s):  
Pallavi Shukla ◽  
Hemant Kumar Pullabhotla ◽  
Mary Arends-Kuenning

Abstract Can women's contraceptive method choice be better understood through risk compensation theory? This theory implies that people act with greater care when the perceived risk of an activity is higher and with less care when it is lower. We examine how increased over-the-counter access to emergency contraceptive pills (ECPs) accompanied by marketing campaigns in India affected women's contraceptive method choices and incidence of sexually transmitted infections (STIs). Although ECPs substantially reduce the risk of pregnancy, they are less effective than other contraceptive methods and do not reduce the risk of STIs. We test whether an exogenous policy change that increased access to ECPs leads people to substitute away from other methods of contraception, such as condoms, thereby increasing the risk of both unintended pregnancy and STIs. We find evidence for risk compensation in terms of reduced use of condoms but not for increases in rates of STIs.


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