Assement of Knowledge, Attitude and Practices on Emergency Contraception among Women Seeking Post Abortion Care in Addis Ababa
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Date
2006-06
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Addis Abeba Universty
Abstract
Induced abortion is major and direct cause of maternal morbidity and mortality.
Estimated 40-60 million women seek termination of pregnancy every year and the
largest percentages of the induced abortions take place in the developing countries.
Emergency contraceptive methods can serve as a backup method to reduce the
occurrence of unwanted pregnancy and its outcome following unprotected sex.
Objectives
To assess KAP of contraceptives with emphasis on emergency contraception among
women seeking post abortion care in public and private hospitals and the role of the
health care providers in promoting emergency contraceptive service in Addis
Ababa.
Methods
A cross-sectional study, with both quantitative and qualitative components, was
conducted in five government and three private hospitals in Addis Ababa during
January to March 2006. A total of 417 questionnaires, with response rate of 98.8%
and unit heads of the respective hospitals were interviewed using structured and
semi structured questionnaires prepared in Amharic. Consecutive patients seeking
post-abortion care at the hospitals were included in the study. Data were entered
into a computer and statistical analysis was done using EPI6 INFO and SSPS
version 10 statistical soft wares.
Result
Of the 417 women included in the study 59 (14.1%) reported as heard about
emergency contraception. Where as, only 15(3.6%) of the women had used
emergency contraception. Public health facilities hospitals and health centres were
mentioned by 101(24.2%) of the women as current sources of emergency
contraceptives. The preferred sources of emergency contraceptives were reported
to be public hospitals 243 (58%), health centres 295 (70.7%), pharmacies194
(46.5%), and private clinics 63(15.1%). During the study period, the government
hospitals were providing service of emergency contraceptives using trained health
personnel 24 hours, unlike the private hospitals.
Conclusion
2
This study confirms the need to improve women’s knowledge about the risk of
unplanned pregnancy, and the importance of regular and emergency contraceptives.
Barriers against access and utilization of emergency contraceptives should be
removed.
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Keywords
Assement of Knowledge, Attitude and Practices on Emergency