Knowledge, attitude and practice towards emergency contraceptive pills and factors hindering its use among females of reproductive age group visiting urban health centre at Rajbiraj, Nepal

Authors

  • Sabina Chaudhary Department of Nursing, Unique Medical College and Teaching Hospital, Rajbiraj, Saptari, Nepal

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20220544

Keywords:

Attitude, Emergency contraceptive pills, Knowledge, Practice, Reproductive age

Abstract

Background: Unintended pregnancy, unplanned birth and unsafe abortion have been a major challenge to the reproductive health of women worldwide. Despite the availability of highly effective methods of contraception, still many pregnancies are unwanted predisposing them to higher risk of mortality, often due to unsafe abortion. These unwanted pregnancies can be prevented using emergency contraceptive pills. This study aimed to investigate the knowledge, attitude and practice of emergency contraceptive pills and factors hindering its use among females of reproductive age group.

Methods: Institution based cross-sectional study was conducted among 416 females of reproductive age group visiting urban heath centre of Rajbiraj, selected by purposive sampling technique. Data was collected using pretested semi-structured questionnaire after written informed consent. Descriptive & inferential statistics were used to analyze the data generated.

Results: Out of 416 respondents, 34.6% were aware of emergency contraceptive pills and majority (56.9%) of them got to know it from Media. Among respondents who were aware of ECPs, 64% had good knowledge of it, 90% had positive attitude towards ECPs and 63% have used it earlier. A significant association was found between age, residence, educational level and occupational status with awareness of ECPs. Lack of awareness regarding ECPs has been hindering the usage of ECPs in emergencies to prevent unwanted pregnancies.

Conclusions: Awareness and utilization of ECPs is low among females of terai region. Therefore awareness should be raised through formal education and communication by health personnel and through mass media which could provide reliable and accurate knowledge on ECPs.

 

References

Sundaram A. adding it up: costs and benefits of meeting the contraceptive and maternal and newborn health needs of women in Nepal. Available at: https://www.guttmacher.org/report/adding-it-up-meeting-contraceptive-mnh-needs-pakistan. Accessed on 20 October 2021.

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):105-112.

Gupta RK, Singh P, Gupta C, Kumari R, Langer B, Gupta R. Emergency contraception: knowledge, attitude and practices among recently married females in a rural area of North India. Int J Res Med Sci. 2017;5(10):4450-4.

Onasoga OA, Afolayan JA, Asamabiriowei TF, Jibril UN, Imam AA. Adolescents' Knowledge, Attitude and Utilization of Emergency Contraceptive Pills in Nigeria's Niger Delta Region. Int J MCH AIDS. 2016;5(1):53-60.

Palermo T, Bleck J, Westley E. Knowledge and use of emergency contraception: a multicountry analysis. Int Perspect Sex Reprod Health. 2014;40(2):79-86.

Thapa P, Pokharel N, Shrestha M. Knowledge, Attitude and Practices of Contraception among the Married Women of Reproductive Age Group in Selected Wards of Dharan Sub-Metropolitan City. J Contracept Stud. 2018;3(3):45-9.

Saini S, Karma D, Singh S. Knowledge, attitude and practices regarding emergency contraception among married women in Ludhiana, Punjab, India. Int J Community Med Public Health. 2018;5(8):3506-12.

Raikar VR, Potdar PA, Potdar AB. Knowledge, attitude and practice regarding emergency contraceptives among married women of urban slum area. Int J Reprod Contracept Obstet Gynecol. 2015; 4(4):1008-11.

Yadav P, Sinha A, Karan J, Mody P, et al. Awareness about emergency contraceptives pill in women who came for medical termination of pregnancy. Natl J Physiol Pharm Pharmacol. 2011;1(2):68-78.

Irfan F, Karim SI, Hashmi S, Ali S, Ali SA. Knowledge of emergency contraception among women of childbearing age at a teaching hospital of Karachi. J Pak Med Assoc. 2009;59(4):235-40.

El-Sabaa HA, Ibrahim FA, Hassan WA. Awareness and use of emergency contraception among women of childbearing age at the family health care centers in Alexandria, Egypt. J Taibah Univ Med Sci. 2013; 8(3):167-72.

Chethana R, Thejaswini P. Assessment of knowledge and attitude towards emergency contraception among postnatal mothers in Bruhat Bengaluru Mahanagara Palike referral hospital. Int J Commu Med Public Health. 2018;5(9):3813-9.

Akani C, Enyindah C, Babatunde S. Emergency contraception: knowledge and perception of female undergraduates in the Niger Delta of Nigeria. Ghana Med J. 2008;42(2):68-70.

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):e110008.

Desta B, Regassa N. On emergency contraception among female students of Haramaya University, Ethiopia: surveying the level of knowledge and attitude. Edu Res. 2011;2(4):1106-17.

Arora N, Mittal S. Emergency contraception and prevention of induced abortion in India. J Fam Plann Reprod Health Care. 2005;31(4):294-6.

Myer L, Mlobeli R, Cooper D, et al. Knowledge and use of emergency contraception among women in the Western Cape province of South Africa: a cross-sectional study. BMC Women's Health. 2007;7(1):45-9.

Amalba A, Mogre V, Appiah MN, Mumuni WA. Awareness, use and associated factors of emergency contraceptive pills among women of reproductive age (15-49 years) in Tamale, Ghana. BMC Womens Health. 2014;14:114.

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 Womens Health. 2012;12:3.

Kose V, Joshi S. Knowledge of emergency contraception among married women of reproductive age in a rural-based teaching hospital of Nagpur, Maharashtra, India. J SAFOG. 2012;4(2):106-9.

Rocca CH, Shankar M, Sreevathsa A, Krishnan S. Acceptability and use of emergency contraception among married women in Bangalore, India. Int J Gynecol Obstet. 2013;121(1):64-8.

Verma A, Singh SV, Gupta VK, Garg S, Meena JK. Attitude, practice and need assessment of emergency contraception among women of reproductive age group in Delhi. J Young Pharma. 2015;7(4):321.

Keerthana D, Sahu M, Chhabra P, Gautam V. Knowledge and Parity: Perspectives of Usage of Emergency Contraceptive Pills among Women of a Rural Area of Delhi. Niger Med J. 2019;60(3):117-121.

Harne P, Khan A M. Awareness and usage of emergency contraceptive pills among working women: a hospital based survey from north India. Int J Reprod Contracept Obstet Gynecol. 2016;5(4):1202-6.

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Published

2022-02-25

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Original Research Articles