Assessment of Barriers To Emergency Contraception Use Among Antenatal care Seekers of Addis Ababa Health Centers
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Date
2007-01
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Addis Abeba Universty
Abstract
Background; - In Ethiopia where maternal mortality is one of the highest and induced
abortion secondary to unwanted pregnancies contributing the highest proportion of
maternal deaths using emergency contraception as a back up method can contribute to
reduce unwanted pregnancy secondary to method failure, contraception non use and
also rape.
Objectives; -the study is designed to assess the knowledge and practice to emergency
contraception & also barriers to its use among the antenatal care attendees of Addis
Ababa health centers.
Methodology;-cross sectional institution based descriptive study was conducted in ten
health centers of Addis Ababa from September to October 2006. One health center
from each ten sub cities of Addis Ababa were included in the study after selecting by
simple random sampling technique from each sub city .By using systematic random
sampling technique 636 Ante natal care attendees were interviewed with a response rate
of 97.8%. Pretested and structured questionnaire was used to collect the data & the data
entered to EPI6 and SPSS version 11 used for analysis.
Result
Of the 636 women included in the study 148(23.3%) of the women reported that the
current pregnancy is mistimed, 90(14.2%) is unwanted and 60(9.4%) reported that they
had induced abortion in the last two years. Of the study participants 65(10.2%) had ever
heard of emergency contraception. Where as, only 12(1.9%) of the women had actually
used emergency contraception. The preferred places for the provision of emergency
contraception were public hospitals 331(52%), health centers 214(33.6%), private
clinics 34(5.3%), &pharmacies 33(5.2%).
Conclusion
This study showed that the major barrier to the use of emergency contraception is lack
of awareness of this contraceptive method & also there is demand for education and
provision of emergency contraception methods.
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Assessment of Barriers To Emergency Contraception