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

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.

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

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 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.

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

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.

scholarly journals 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

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
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.

scholarly journals Pharmacy Professionals’ Dispensing Practice, Knowledge, and Attitude towards Emergency Contraceptives in Gondar Town, Northwestern Ethiopia: A Cross-Sectional Study

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Sewunet Admasu Belachew ◽  
Dawit Kumilachew Yimenu ◽  
Begashaw Melaku Gebresillassie
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Contraceptive Pills ◽  
Gondar Town ◽  
Emergency Contraceptive ◽  
Knowledge And Attitude ◽  
Counseling Technique ◽  
Practice Knowledge ◽  
Emergency Contraceptives

Background. Pharmacy professionals, as the most available members of medical team, have an important role in educating patients about the effective and appropriate use of contraceptives. The purpose of this study was to assess pharmacy professionals’ dispensing practice, knowledge, and attitude towards emergency contraceptives use in Gondar town, northwestern Ethiopia. Methods. An institution based cross-sectional study was employed from May 14 to June 14, 2016, on 60 pharmacy professionals, who have been working in 8 randomly selected pharmacies and 6 drug stores. The collected data was entered to and analyzed using Statistical Packages for Social Sciences (SPSS) version 20. Result. More than half 33 (55.0%) of the participants were druggist with 5–9 years of experience. About 56 (93.3%) of the participants knew about the dosing schedule (when and how much to take) and side effects of emergency contraceptives. More than two-thirds of the participants (39, 65%) agreed that the existence of emergency contraceptives is a positive thing and considered their use is ethical (42, 63.3%). The majority of participants (51, 85%) also reported that they counsel all women when dispensing emergency contraceptive pills (ECPs). Conclusion. This study revealed that knowledge, attitude, and dispensing practice of emergency contraceptives are very good even though there were variations with respect to different factors. Findings suggested that additional training and proper counseling technique on emergency contraceptives will improve the service delivery.

Ectopic Pregnancy following Levonorgestrel Postcoital Contraceptive Pill

2017 ◽  
Vol 9 (2) ◽  
pp. 137-138
Author(s):  
Alka Sehgal ◽  
Shikha Rani ◽  
Anamika Singh
Keyword(s):  
Ectopic Pregnancy ◽  
Causal Relation ◽  
Menstrual Irregularity ◽  
Lower Abdomen ◽  
Contraceptive Pill ◽  
Emergency Contraceptive Pills ◽  
Unintended Pregnancies ◽  
Ectopic Gestation ◽  
Contraceptive Pills ◽  
Emergency Contraceptive

ABSTRACT Aim and background Emergency contraception (EC) is a boon, as it reduces the incidence of unintended pregnancies. Theoretically, failure of EC can lead to ectopic gestation. However, the causal relation between the failure of EC pill and ectopic pregnancy has not yet been established. The above effect is difficult to establish since all such cases may not get reported. Case Report We are reporting a case of ectopic pregnancy following levonorgestrel EC pill. This was a multiparous woman who was admitted with compliant of lower abdomen pain and irregular bleeding following use of levonorgestrel EC pill. She was diagnosed as a case of ectopic pregnancy and was operated for the same. Conclusion Emergency contraceptive pills should not be used as a regular contraceptive. Doctor should be consulted immediately in case of any menstrual irregularity following its use. Clinical significance As only theoretically we can say that EC pill leads to ectopic pregnancy so the word differential diagnosis is written in abstract. Exact explanation was given in the text. How to cite this article Rani S, Sehgal A, Singh A. Ectopic Pregnancy following Levonorgestrel Postcoital Contraceptive Pill. J South Asian Feder Obst Gynae 2017;9(2):131-132.

Emergency Contraceptive Pills: A Simple Proposal to Reduce Unintended Pregnancies

1992 ◽  
Vol 24 (6) ◽  
pp. 269 ◽  
Author(s):  
James Trussell ◽  
Felicia Stewart ◽  
Felicia Guest ◽  
Robert A. Hatcher
Keyword(s):  
Emergency Contraceptive Pills ◽  
Unintended Pregnancies ◽  
Contraceptive Pills ◽  
Emergency Contraceptive

scholarly journals The effects of an educational program on knowledge, attitudes and intentions regarding condom and emergency contraceptive pill use among Thai female university students

2018 ◽  
Vol 32 (4) ◽  
pp. 270-278 ◽  
Author(s):  
Saowanee Thongnopakun ◽  
Tepanata Pumpaibool ◽  
Ratana Somrongthong
Keyword(s):  
University Students ◽  
Educational Program ◽  
Comparison Group ◽  
Intervention Group ◽  
Content Type ◽  
Emergency Contraceptive Pills ◽  
Unintended Pregnancies ◽  
Emergency Contraceptive Pill ◽  
Contraceptive Pills ◽  
Emergency Contraceptive

Purpose University students who have low knowledge, attitudes and intentions regarding the prevention of unintended pregnancies may experience higher rates of unintended pregnancies. An educational program was developed based on the self-efficacy theory and peer-led education to improve unintended pregnancy problems among university students. The purpose of this paper is to examine the effect of an educational program on knowledge, attitudes and intentions regarding the use of condoms and emergency contraceptive pills among Thai university students. Design/methodology/approach The effectiveness of the educational program was tested by a quasi-experimental study with a pre- and post-test design. The study was conducted between September and October 2017. Multistage sampling was used to recruit 73 Thai female university students, including 36 students in the intervention group and 37 students in the comparison group. The intervention group received an eight-week educational program, while the comparison group did not. A self-administered questionnaire was used to assess the improvement of knowledge, attitudes and intention regarding condom and emergency contraceptive pill use. Descriptive statistics, paired samples t-test, Wilcoxon test and Mann–Whitney tests were used for data analysis. Findings Most participants in both groups had sexual intercourse. After the end of the program, the before-after mean score of the intervention group’s knowledge (8.0, 11.0), attitudes (29.4, 32.4) and intention (17.4, 20.4) were significantly increased (p-value<0.001). Post-intervention, there were statistically significant differences in knowledge scores (p-value<0.001) and intention scores (p-value=0.04) between the intervention group and the comparison group. Originality/value This educational program increases knowledge and intention but does not influence attitudes toward using condoms and emergency contraceptive pills.

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