Knowledge, attitude and practice regarding emergency contraceptive pills among female health workers of a tertiary care hospital in Karachi

Mubashir Ahmed, Farah Naz, Khalid Iqbal, Ashraf Memon


Background: Unsafe abortion is a major public health problem in low-and-middle income countries. Young and unmarried women constitute a high risk group for unsafe abortions. Use of emergency contraceptive pills (ECPs) may significantly reduce the abortion-related morbidity and mortality. The purpose of this study was to evaluate the knowledge, attitudes and practice (KAP) about ECPs among female health workers of a tertiary care hospital in Karachi.

Methods: In this hospital based cross-sectional study, 187 female health workers (nurses and midwives) were participated. A predesigned, 26-item questionnaire was used to collect participants’ responses regarding knowledge, attitude and practice of ECP. Descriptive analysis of data was done by using SPSS-version 16.

Results: Total 187 female health workers (95 nurses and 92 midwives) were participated in the study. Mean age of study participants was 23.5±7.31. Mean knowledge score of the study participants was 3.7±2.18 (Out of score: 1-10). Majority participants 151 (80.7%) had inadequate knowledge (score ≤50%) about ECP. The mean attitude score of the study participants was 20.9±2.68 (Out of score: 8-32). Significant number 84 (45 %) of participants had negative (score ≤50%) attitudes towards ECPs.

Conclusions: There was gap in knowledge and negative attitude towards ECP were identified among female health workers. There was a need to bridge the gap of knowledge on ECP and remove the misconception about the use and safety of ECP among female health workers.


Attitude, Emergency contraceptive pills, Female health workers, Knowledge, Practice

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