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
Keywords:Emergency contraception (EC), Attitude, Knowledge, Practice, Pregnant women
Background: 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.
Methods: 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.
Results: 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%) & pharmacies 11 (44%).Conclusions: This study showed that the major barrier to the use of EC is lack of awareness & also there is demand for education.
Ramathuba DU, Khoza LB, Netshikweta ML. Knowledge, attitudes and practice of secondary schools girls towards contraception in Limpopo Province. Curationis 2012;35(1):7 pages.
Lakshmi GV, Radha PK, Naidu SA. Knowledge, attitude and practices of EC among female medical students of Andhra Medical College. Int J Res Health Sci. 2014;2(2):507-10.
Fauzia N, Javed I, Aarif T, Khan S, Mamoon A. EC: knowledge, attitudes and practices of General Practitioner. Biomedica. 2004;20.
Santosh MB. A survey of knowledge and perceptions towards emergency contraceptives among women of Bijapur, South India. Int J Pharm Bio Sci. 2013;4(1):583-7.
World Health Organization (WHO). Unsafe Abortion; Global and regional estimates of the incidence of unsafe abortion and associated mortality in 2003. 5th edition.
Koki A. Family Planning and Reproductive Health. Why the United States Should Care. Council on Foreign Relations, 2011.
Abrha S, Zeratsion F, Molla F, Eticha T, Assen A, Melkam W. Assessment of Knowledge, Attitude and Practice among Regular Female Preparatory School Students towards Emergency Contraceptives in Mekelle, Northern Ethiopia. IJPSR. 2014;5(11):856-64.
Kassa A, Wolde-Mariam M. Knowledge, attitude and practice of emergency contraceptive pills among female students of Hosanna College of Health Sciences, Hosanna, South Ethiopia. JCPS. 2014;7(3):185-93.
Central Statistical Authority (CSA) and MACRO Ethiopia Demographic and Health Survey 2005 preliminary report. Calverton, Maryland, U.S.A, 2005.
International Consortium for EC, 2004. EC pills: medical and service delivery Guidelines. Second edition.
Tesfaye T, Tilahun T, Girma E. Knowledge, attitude and practice of emergency contraceptive among women who seek abortion care at Jimma University specialized hospital, southwest Ethiopia. BMC Women's Health. 2012;12:3.
Abate M, Assefa N, Alemayehu T. Knowledge, Attitude, Practice, and Determinants Emergency Contraceptive Use among Women Seeking Abortion Services in Dire Dawa, Ethiopia. PLoS One. 2014;9(10).
EC in India http://www.plannedparenthood.org/ library/birthcontrol/emergcontra.htm. Accessed 30 Jun 2015.
Gold E. EC in Ethiopia: Provider and User Attitudes and Behaviors. Executive Summary. DKT international. http://www.dktinternational.org/wp-content/uploads/2012/02/DKT-Ethiopia-PostPill-White-Paper.pdf accessed 30 Jun 2015
Chris P. Adolescents and Emergency Contraceptive Pills in Developing Countries. Family health international working paper series. 2005:1-14.
Williams K. Provider-related Barriers to Accessing EC in Developing Countries: A Literature Review. https://www.k4health.org/toolkits/emergency-contraception/provider-related-barriers-accessing-emergency-contraception. Accessed 30 Jun 2015.
Singh V, Thakur P, Nayak PK, Agrawal S. Knowledge attitude and practice (KAP) of emergency contraceptive pills among women of reproductive age group attending AIIMS OPD Raipur (C.G.). Int J Adv Med. 2014;1(2):105-12.
Santos OA, Borges A L, Chofakian CBN, Pirotta KM. Determinants of EC non-use among women in unplanned or ambivalent pregnancies. Rev. esc. enferm. USP vol.48 no. spe São Paulo Aug. 2014 Epub Aug 2014 http://dx.doi.org/10.1590/S0080-623420140000600003
Lemma DA. EC in Addis Ababa: Practice of Service Providers. University Of South Africa 2009.
Gold E. DKT Ethiopia’s Postpill emergency contraceptive. An Asseessment of provider and customer attitudes and behaviors. DKT Ethiopia. March 2011. http://www.dktethiopia.org/sites/ default/files/PublicationFiles/Emergency_Contraceptive_Assessment_0.pdf. Accessed 30 Jun 2015.
PATH. Client Knowledge, Attitudes, and Practices Questionnaire. http://www.path.org/ publications/ files/ RH_ec_module_e.pdf. Accessed 30 Jun 2015
Tajure N. Knowledge, Attitude and Practice of EC among Graduating Female Students of Jimma University, Southwest Ethiopia. Ethiop J Health Sci. 2010;20(2):91-7.
Ahmed FA, Moussa KM, Petterson KO, Asamoah BO. Assessing knowledge, attitude, and practice of EC: a cross- sectional study among Ethiopian undergraduate female students. BMC Public Health. 2012;12:110.
Worku A. Knowledge, attitude and practice of emergency contraceptives among female college students in Arba Minch Town, Southern Ethiopia. Ethiop. J. Health Dev. 2011;25(3):177-83.
Bugssa G, Kahsay T, Asres A, Dimtsu B, Tsige Y. Factors Associated with Knowledge, Attitude and Practice towards EC among Female Clients of Ethiopian Immigration and Nationality Affairs Office. J Community Med Health Educ. 2014;4:305.
Anthony A, Victor M, Appiah MNA, Winnifred A M. Awareness, use and associated factors of emergency contraceptive pills among women of reproductive age (15-49 years) in Tamale, Ghana. BMC Women's Health. 2014;14:114.
Hafizur R, Ezzat K, Sumit K, Latha K. Knowledge of, attitudes toward, and barriers to the practice of EC among women in Sikkim, India. IJGO. 2013;122(2):99-103.
Etalemahu D Assessment of barriers of EC use among antenatal care clients of Addis Ababa health centres. Addis Ababa University Libraries Electronic Thesis and Dissertations: AAU-ETD, Faculty of medicine: Thesis-public health 2007.
Anupama S, Mohammad SK, Chitra RC. Knowledge, Attitude and Practices about Contraceptive among Married Reproductive Females. International Journal of Scientific Study. 2014;1(5):1-4.