scholarly journals Assessment of the knowledge, attitude and practice of EC and barriers to its use among the antenatal care seekers of Sululta Health Centers, Oromia region, Ethiopia

Author(s):  
Mekonnen Seifu ◽  
Fanta Gashe ◽  
Awol Jemal ◽  
Shibiru Tessema ◽  
Wote Amelo

<p class="abstract"><strong>Background:</strong> With global expansion of contraceptive information and services, contraceptive technologies have continually improved and contraceptive prevalence has risen throughout most of the world. Emergency contraceptive pills have become more available in many developing countries. However, limited provider knowledge and negative attitudes, as well as poor user awareness and access, have hindered clients in learning about and using it. The aim of the present study is to assess the knowledge, attitude and practice of EC and also barriers to its use among the antenatal care attendees of Sululta health centers.</p><p class="abstract"><strong>Methods:</strong> A cross sectional study was conducted in Sululta health centres from January to February 2013/2014. Eighty seven Antenatal care attendees were interviewed. Pretested and structured questionnaire was used to collect data.</p><p class="abstract"><strong>Results:</strong> Of the 87 women included in the study 23 (26.4%) reported that the current pregnancy was unplanned and 5 (5.7%) reported that they had induced abortion in the previous years. Of the study participants 25 (28.7%) had ever heard about EC. Whereas only 6 (6.9%) of the women had actually used EC. The preferred places for the provision of EC were public hospitals 2 (8%), health centers 17(68%), private clinics 3 (12%) &amp; pharmacies 11 (44%).</p><strong>Conclusions:</strong> This study showed that the major barrier to the use of EC is lack of awareness &amp; also there is demand for education.

Author(s):  
Kishore Y. Jothula ◽  
Sreeharshika D.

Background: There is a gradual decrease in health status and daily functioning in patients with end stage organ failure and timing of death remains uncertain. Organ transplantation is the only cure to such patients. Organ donation rate in India is only 0.26 per million. This is due to lack of awareness about the need of organ donation and the ignorance of common men and medical fraternity about the importance, procedures, benefits and legal issues of organ donation. The objective of this study is to assess the knowledge, attitude and practice regarding organ donation among medical interns.Methods: A cross-sectional study was conducted among 160 interns with a pre-tested, semi structured questionnaire in order to assess their knowledge, attitude and practice regarding organ donation. Data collected was analysed using SPSS software.Results: The mean age of the interns was 23.03±0.73 and majority were females (70%). 79.4% of interns were having adequate knowledge and majority (77.5%) were willing for organ donation. Only 5.6% had donor card. Willingness for organ donation was significantly associated with knowledge about organ donation. The major barrier for organ donation was fear of organs misuse. Most common source of information was found to be internet.Conclusions: Though most of the interns had adequate knowledge, still gaps exist in their knowledge, attitude and practices. By giving right knowledge and orientation medicos can be become future organ donors who can then easily motivate their patients to follow the path.


2020 ◽  
Author(s):  
Sujyoti Shakya ◽  
sweta shrestha ◽  
Rojeena Koju Shrestha ◽  
Usha Giri ◽  
Sunil Shrestha

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.


2021 ◽  
Vol 8 (2) ◽  
pp. 194-198
Author(s):  
Pranadeep Reddy Inukollu ◽  
Divya Solipuram ◽  
Anna Sunny ◽  
Aravind Kothagadi ◽  
Deeksha Pandey

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.


2021 ◽  
Author(s):  
Tsega-Ab Abebaw Tekeba

Abstract Objective An already overwhelmed health system with many sporadic outbreaks is now threatened by the COVID-19 epidemics. Person-to-person transmission is currently ongoing in the country, making it necessary to control the disease. To guarantee successful disease control, the knowledge, attitudes and, practices people hold towards the disease play an integral role. Therefore, the aim of this study was to determine the knowledge, attitude, and practice towards COVID-19 among antenatal care clients of Adama Hospital Medical College, Adama, Ethiopia. Results A cross-sectional study was conducted from May 6, 2021, to May 31, 2021. Among the 292 study participants, 222 (75.3%) had good knowledge and 70 (24%) moderate knowledge status. Significant number of respondents 131 (44.9%) had neutral attitude while 159 (54.5%) had positive attitude. The prevalence of poor practice was 61 (20.9%). Majority of the respondents, 136 (46.6%) had moderate practice level.


2020 ◽  
Author(s):  
Sujyoti Shakya ◽  
sweta shrestha ◽  
Rojeena Koju Shrestha ◽  
Usha Giri ◽  
Sunil Shrestha

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.


Author(s):  
Vuppu Sitalakshmi ◽  
Pothu Bavyasri ◽  
Rajyalakshmi Talapala ◽  
Manjula Kopperla

Background: The primary aim of antenatal care is to achieve a healthy mother and baby. Antenatal care helps to identify the complications and to remove anxiety and dread associated with delivery. Current study designed to assess knowledge, attitude and ante natal care practice among pregnant women attending to antenatal tertiary care hospital.Methods: A cross-sectional study was conducted on 500 pregnant women attending antenatal care centre at department of obstetrics and genecology, Narayana Medical College and Hospital, Nellore during June 2017 to June 2019 under Narayana Mathru Seva Pathakam. Face to face interview was conducted to assess their knowledge, attitude and practice using a structured questionnaire.Results: A total 86% belongs to 20-29 years age group and 71.4% belongs to multiverdia. 20.6% women responded that they had completed 3 antenatal visits, 26.6% are those who thought that at least more than 5 ANC checkup should be done during pregnancy. 96.1% pregnant responded that registration for antennal care and visits is essential. 87.2% responds to take iron and folate during pregnancy and 11% responds does not taken the same. 92% pregnant responded that tetanus toxoid (TT) should be given during pregnancy but 3.2% told don’t know. When they asked about resting period, 24.2% responded 5-6 hours, 35.4% responded 7-8 hours, 35.6% responded > 8 hours per day to rest they are taking. 55.8% pregnant responded that they had taken decision to give birth the baby in the hospital. 71.2% pregnant females reported that they knew about the danger signs during pregnancy. The reasons for not attending antenatal check-up were financial reasons, illiterate (15.4%), transport and unaware about ANC.Conclusions: Information, education and communication activities should be increased on ANC through community campaign and mass media to motivate women to utilize maternal care services.


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