scholarly journals Assessment of Knowledge, Attitude and Utilization of Emergency Contraception Among Women of Reproductive Age in Arsi Zone, Ethiopia

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.

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):  
Gilbert Ti-enkawol Nachinab ◽  
Mubarick Nungbaso Asumah ◽  
Vida Nyagre Yakong ◽  
Edwina Pwamang ◽  
Cynthia Apawo Awe ◽  
...  

Abstract Introduction: Unwanted pregnancy and unsafe abortion have become serious public health concerns around the world, particularly among female students in both developed and developing countries. The general objective of this study was to investigate the utilization of emergency contraception among final-year female students of a public university in Ghana. Methods A stratified random sample was used to enroll 199 female university students for descriptive cross-sectional research. SPSS version 25 was used to analyze the data. To compare categorical variables, Chi-square analysis was employed, and a p-value of 0.05 was considered statistically significant. Results Majority (88.4%) of the respondents demonstrated sufficient knowledge, and 84.4% had a favorable attitude towards emergency contraceptives (ECs). On the indications for EC; after unprotected sex (65.3%), after a missed period (22.6%), when one is raped (83.4%), unwanted pregnancy (75.9%), and rupture of condoms (88.9%) were identified. The majority (59.3%) of students have used EC, with most of the students (43.7%) using Postinor-2. The overall attitude towards EC and Residence (X2=7.5; p=0.023), Religion (X2=6.2; p=0.042), and marital status (X2=17.1, p=0.001) were statistically significant. There was a significant association between the use of EC and Residence (X2=10.9; p=0.004) and marital status (X2=8.6; p=0.035). Conclusion The findings of this study indicated that students had a high degree of awareness, understanding, and attitude about EC, with a significant number of the respondents likely to utilize it in the future. This may aid in the treatment of female students' sexual and reproductive health issues and prevent dropping out of school as a result of unwanted pregnancy. Also, there is the need to engage opinion leaders to address their concerns to allow for the effective utilization of emergency contraceptives.


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.  


Background: The most common benign pathological lesion in women of reproductive age is uterine leiomyoma. Gestational trophoblastic disease includes tumors and tumor like lesions originating from trophoblastic tissue. The aim of this study was to find the spectrum of molar pregnancy and uterine pathologies focusing on gestational trophoblastic disease as no study has been done in the past few years. Methods: Endometrial and uterine specimens of patients (n=436) between the ages of 15-65 years were collected from a private hospital in Karachi from December 2018 to December 2019. This cross-sectional study was carried out by pathological diagnosis of patients’ samples under light microscopy using hematoxylin and eosin staining. Stratification was done about age and nature of specimen to control the effect modifiers. The post stratification Chi square test was applied and p value <0.05 was considered significant. Results: Mean age of the patients was 36.1 years ±7.8. Total 436 uterine biopsies included 260(59.6%) hysterectomies, 56(12.8%) endometrial curetting’s, 117(26.8%) evacuation specimens and 3(0.7%) polypectomies. Common pathologies included 124(28.4%) leiomyomas, 61(14%) proliferative endometrium, 52(11.9%) adenomyosis and 32(7.3%) endometrial polyps. Gestational trophoblastic disease was seen in 9(2.06%). Seven (87.5%) were partial hydatidiform moles, one (12.5%) exaggerated placental site reaction and one choriocarcinoma. Mole was common between 26-30 years with mean age of 27.2 years and prevalence was 6/100 abortions. Conclusion: Leiomyoma was the commonest (28.4%) uterine pathology followed by proliferative endometrium (14.5%). However, endometrial stromal sarcoma and endometriosis were found 0.2% each. High prevalence of mole was seen in this study. Partial mole was most common and choriocarcinoma was least common. Keywords: Hydatidiform Mole; Pathology; Prevalence.


2021 ◽  
pp. 026010602098234
Author(s):  
Gizachew Worku Dagnew ◽  
Melash Belachew Asresie

Background: Overweight/obesity has become a global health problem for both developed and developing regions. Nowadays, overweight/obesity among childrearing-age women has become rapidly increasing in both urban and rural areas. Aim: This study aimed to assess the variation of overweight/obesity among urban and rural reproductive-age women in Ethiopia. Methods: For this study, the 2016 Ethiopia Demographic and Health Survey data were used. The survey was a community-based cross-sectional study, which used a two-stage stratified cluster sampling technique to select the participants. A total of 13,451 reproductive-age women were included in the analysis. Both descriptive and analytical analysis was performed. A p-value of less than 0.05 was used as the measure of statistical significance. Results: The prevalence of overweight/obesity among urban reproductive-age women was statistically higher ( p = 21.5%; 95% confidence interval (CI): 18.2–25.1) than the rural women ( p = 3.5%; 95% CI: 2.9%–4.2%). Women who attend secondary or above education, women in the age groups 25–34 and ≥ 35 years, and high wealth index (rich) had higher odds of overweight/obesity in both urban and rural women. Moreover, women who were married, who had a large family size, and who have a history of alcohol intake had higher odds of overweight/obesity among urban women. Conclusions: Overweight/obesity among reproductive-age women is a public health problem in Ethiopia, especially for women who are living in urban settings. Therefore, it is important to establish targeted overweight reduction programs with particular emphasis on urban, older aged, educated, and married women. Additionally, encouraging the limitation of the number of family size and alcohol intake can reduce women’s overweight/obesity.


2021 ◽  
Vol 9 (2) ◽  
pp. 11-22
Author(s):  
Taofeek Adedayo Sanni

Maternal Mortality Remains A Leading Cause Of Death Among Women Of Reproductive Age Group. This Study Determined The Cost Of Antenatal Care Among Health Insurance (HI) Enrollees And Out-Of-Pocket (OOP) Payers Accessing Maternal Healthcare Services In A Tertiary Health Institution In Southwest Nigeria. A Comparative Cross-Sectional Study Was Carried Out Among 380 Women (190 HI Enrollees And 190 OOP Payers) Attending Antenatal Care Services In A Tertiary Health Institution In Southwest Nigeria Using A Systematic Random Sampling Technique. Data Was Gathered Using An Interviewer-Administered Semi-Structured Questionnaire And Analyzed Using IBM SPSS Version 23. Chi-Square And Binary Logistic Regression Were Used To Assess The Association Between Dependent And Independent Variables And A P-Value Of <0.05 Was Taken As Significant. The Overall Mean Age Of Respondents In This Study Was 33.8 ± 5.0 Years (HI Group: 34.1 ± 4.9 Years And OOP Group: 33.6 ± 5.0 Years). The Mean Total Cost Of Antenatal Care (ANC) Is Lesser For HI Enrollees (₦5,095.2 ± 1,753.1 Equivalent To $13.3 ± 4.6) As Compared With OOP Payers (₦15,050.6 ± 5,548.9 Equivalent To $39.6 ± 14.6). Predictors And Enablers For HI Uptake Are Marital Status, Family Size, Level Of Education, Occupation, Appropriate And Quality HI Package, And Trust In The HI Scheme. It Was Concluded That The Total Cost Of Antenatal Care Is Lower Among The Health Insurance Enrollees Than The Out-Of-Pocket Payers. Therefore, Interventions To Increase Awareness And Designing More Enticing HI Packages Are Recommended.


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. 


2016 ◽  
Vol 2 (3) ◽  
pp. 106
Author(s):  
Ardhiyani Muslimah ◽  
Nur Indah Rahmawati

<p>Family Planning (FP) participation is the most important thing in the family planning program in Indonesia. Based on the baseline study, family planning participations in 6 in Argomulyo village covered 533 couples (59.22 %) of 900 total couple of reproductive age. Knowledge is one of the factors that causes reproductive age couples to join the family planning program. Knowledge is used as the basis of actions to solve problems and this was the result of knowing after the people recognice an object. Knowledge about family planning is expected to cause the participation of reproductive age couples in the family planning program. The purpose of this study was to analyze the relationship between the knowledge level of family planning participation in reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta 2014. Study design was observational analytic with cross sectional aproach. Technique sampling used was total sampling of reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta resulted on 907 respondents. Data was colected by interview using the questionnaire. The analysis used was chi-square. The result of chi-square test showed a p-value 0.318&gt;(0.05) and coefficients contingency of 0.05 so knowledge level had no relationship with FP participation. Knowledge level was 71.00% good, while the highest participation of family planning in the majority of with fair level enough was 68.8%, in addition, the highest proportion of couples who did not participate in FP program was 41.8%. In Conclusion, there was no significant relationship between the knowledge level about family planning and the participation of the family planning in reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta year 2014.</p>


Author(s):  
Ekpo Effiong Edet ◽  
Efiok Eyo Efiok ◽  
Amarachukwu Nnaemezie Njoku ◽  
Sylvester Etenikang Abeshi ◽  
Ezukwa Omoronyia Ezukwa ◽  
...  

Background: Abortion is unsafe when it is carried out either by a person lacking the necessary skills or in an environment that does not conform to minimal standard, or both. It is complicated by intrauterine adhesions and secondary infertility. Objectives: To determine the socio-demographic features and hysteroscopic findings of women that had unsafe abortion in Calabar, Nigeria. Methodology: It was a cross-sectional study of 66 women in reproductive age, presenting in gynaecological clinic who consented to hysteroscopy between August 2019 to September 2020. A structured questionnaire was used to obtain sociodemographic data and hysteroscopy was done. Results: There was no significant difference in socio-demographic characteristics between women that have undergone unsafe abortion and those that have not. Cervical stenosis (76.9%) (p = 0.005) and intrauterine adhesions (68.3%) (p = 0.005) were significantly higher in women who had unsafe abortion. The odd ratios of cervical stenosis and intrauterine adhesions for 1 and ≥2 unsafe abortions were not significant. Conclusion: Cervical stenosis and intrauterine adhesions were significant complications of unsafe abortion in our environment. Multiple unsafe abortions do not confer significant higher risk of cervical stenosis or intrauterine adhesions.


Sign in / Sign up

Export Citation Format

Share Document