Knowledge attitude and practice of contraceptives in married women in a tertiary care
Keywords:Awareness, Contraception, Contraceptive, KAP survey
Background: To estimate the knowledge, attitude and practice of contraception among women attending postpartum OPD.
Methods: This cross-sectional study was conducted in Obstetrics and Gynecology outpatient department Government medical college Srinagar. Sample size of 200 patients attending post-partum OPD were taken and questioned using a questionnaire. Questions were asked regarding age, educational status, parity, knowledge, practice of contraceptives and reasons for non-use of contraceptives.
Results: 63% of patients were aware of any contraceptive. Among contraceptives most common known contraceptive was OCP’s (62%) followed by female sterilization (52%) and Intrauterine devices (51%). Only 21% were aware of male sterilization. Implants were known to only 5% of patients. Awareness of emergency contraceptives was seen in only 18.5% of patients. Among patients having awareness of contraceptives most common used method was OCP’s (73%) followed by barrier, IUD’s (48%) and injectable (44%).
Conclusions: The study highlights that awareness does not always lead to the use of contraceptives. A lot of educational and motivational activities and improvement in family planning services are needed to promote the use of contraceptives and reduce the high fertility rate.
Park K. Park’s textbook of Preventive and Social Medicine. 17th edn. Jabalpur. Banarasidas Bhanot; 2002:325-58.
Population Reference Bureau. World Population Data Sheet, 2010. Available at: http://www.prb.org/pdf10/10wpds_eng.pdf.
Hammad AQ, Hashmi A, Syed AR, Jamil AS, Aslam G. Contraceptive methods and factors associated with modern contraceptive in use. J Fam Reprod Health. 2010;4:41-63.
Rai SK, Dasgupta R, Das MK, Singh S, Devi R, Arora NK. Determinants of utilization of services under MMJSSA scheme in Jharkhand ‘client perspective’: a qualitative study in a low performing state of India. Indian J Pub Health. 2011;55:252-94.
WHO. Reproductive health indicator-guidelines for their generation, interpretation and analysis for global monitoring. In: WHO, eds. WHO Guideline. Geneva. WHO, Reproductive Health and Research. 2006:1-63.
Bibi S, Memon A, Memon Z. Contraceptive knowledge and practices in two districts of Sindh Pakistan-A hospital based survey. JPMA. 2008;58:254-7.
Jabeen M, Gul F, Wazir F, Javed N. Knowledge, attitude and practices of Contraception in women of reproductive age. Gomal J Med Sci. 2011;9(2):223-9.
Bhasin SK, Pant M, Metha M, Kumar S. Prevalence of usage of different contraceptive methods in East India: A cross sectional study. Indian J Community Med. 2005;30:53-5.
Young LK, Farguhar CM, McCowan LME. The contraceptive practice of women seeking termination of pregnancy in an Aukland clinic. NZ Med J. 1994;107:189-91.
Aneblom G, Larsson M, Odlind V. Knowledge, use and attitudes towards emergency contraceptive pills among Swedish women presenting for induced abortion. BJOG. 2002;109:155-60.