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      Emergency contraception amongst female college students - knowledge, attitude and practice Translated title: La contraception d'urgence chez les étudiantes inscrites dans l'enseignement supérieur -connaissances, attitudes et pratiques

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          Abstract

          BACKGROUD: Unwanted teenage pregnancies have a notable detrimental impact on the learners' trajectory and have been associated with jeopardising the students' educational progress and future career prospects. These pregnancies are mostly unplanned and unintended and many are terminated, either legally or illegally. AIM: The aim of this study was to explore the contributory role played by the knowledge, attitude and practices of female college students with respect to the utilisation of emergency contraceptives. SETTING: Three tertiary institutions in Dessie, Ethiopia. METHODS: Quantitative self-administered questionnaires were used to collect descriptive data from 352 female college students. RESULTS: The study revealed that there was a high percentage (78.3%) of unwanted pregnancies amongst those engaging in sex. Significantly, nearly half (43.3%) of these unwanted pregnancies resulted in abortion. Only 10% of the students sampled admitted to ever having used emergency contraception. Even though more than half (69.9%) of the students knew about emergency contraception, only 27% of them felt confident that they understood when it was most effective. CONCLUSION: These and other observed findings confirm the need for improvement of female college students' knowledge and timely utilisation of emergency contraception.

          Translated abstract

          PRÉSENTATION: Les grossesses non désirées des adolescentes ont un impact négatif notoire sur les parcours des apprenantes et ont été associées à la mise en péril des progrès des étudiantes en termes d'études et de perspectives professionnelles. Ces grossesses sont, pour l'essentiel, non planifiées et non désirées, et nombre sont interrompues, que ce soit légalement ou illégalement. OBJECTIF: L'objectif de l'étude était d'étudier le rôle joué par les connaissances, les attitudes et les pratiques des étudiantes inscrites dans l'enseignement supérieur quant à l'utilisation des contraceptifs d'urgence. CADRE: Trois établissements d'enseignement supérieur à Dessie, en Éthiopie. MÉTHODES: Des questionnaires quantitatifs auto-administrés ont été utilisés afin de recueillir des données descriptives auprès de 352 étudiantes suivant des études supérieures. RÉSULTATS: L'étude a révélé qu'il existait un fort pourcentage (78.3%) de grossesses non désirées parmi les jeunes filles prenant part à des activités sexuelles. Il convient de noter que près de la moitié (43.3%) de ces grossesses non désirées se soldait par un avortement. Seules 10% des étudiantes interrogées ont déclaré avoir utilisé une contraception d'urgence. Bien que plus de la moitié (69.9%) des étudiantes savait que la contraception d'urgence existait, 2% d'entre elles seulement étaient certaines de bien comprendre à quel moment celle-ci était la plus efficace. CONCLUSION: Ces conclusions, auxquelles viennent s'ajouter celles d'autres études, confirment la nécessité d'améliorer les connaissances des étudiantes inscrites dans l'enseignement supérieur sur la contraception d'urgence et son utilisation en temps opportun.

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          Most cited references 19

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          Knowledge, Attitude and Practice of Emergency Contraceptives Among Adama University Female Students

          Background Unwanted pregnancy followed by unsafe abortion is one of the major worldwide health problems, which has many negative consequences on the health and well-being of women. Information about women's knowledge, attitude and practice of emergency contraceptives plays a major role in the reduction of unwanted pregnancy; however, there are no studies about this issue in the study area. This study assessed Adama University female students' knowledge, attitude and practice of emergency contraceptives. Method A cross-sectional study design was employed from February 1 to 30/2009, on 660 regular undergraduate female students of Adama University. Data were entered and analyzed using SPSS for windows version 16.0. Logistic regression was used to identify the association between variables and emergency contraceptive knowledge, attitude and practice. P-value less than 0.05 at 95% CI was taken for statistical significance. Results Of the total, 660 respondents, 194(29.4%) were sexually active, 63(9.4%) had history of pregnancy and 49(7.4%) had history of abortion. About 309 (46.8%) of the students had heard about emergency contraceptives and from those who heard emergency contraceptives, 27.2% had good knowledge. Majority, four hundred fifteen (62.9%) of the students had positive attitude towards it. However, only 31(4.7%) had used emergency contraceptive methods. Conclusion This study demonstrated lack of awareness, knowledge and utilization of emergency contraceptives among Adama University female students. Hence behavioral change strategies should be considered by responsible bodies to improve knowledge and bring attitudinal change on use of emergency contraception.
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            Technical and procedural guidelines for safe abortion services in Ethiopia

            (2006)
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              Knowledge, Attitude and Practice of Emergency Contraception Among Graduating Female Students of Jimma University, Southwest Ethiopia

               Nasir Tajure,  B Pharm (2010)
              Background Emergency contraception refers to methods that women can use to prevent pregnancy after unprotected sexual intercourse, method failure or incorrect use. Unwanted pregnancy followed by unsafe abortion can be avoided by using different contraceptive methods including emergency contraceptives. The objective of this study was to assess the knowledge, attitude and practice of emergency contraception among graduating female students of Jimma University main campus. Methods A cross-sectional study was conducted in Jimma University main campus in 2009. The calculated sample size was allocated to each faculty proportions to size of female students. Then within the faculty the sample unit was selected by using simple random sampling technique. Data was collected using self administered questionnaire and analyzed using SPSS for widow version 16.0. Results A total of 389 (96.5%) volunteered graduating female students participated in the study. One hundred sixty three (41.9%) were ever heard of Emergency Contraceptive, only 11(6.8%) used the method. The common sources of information were friends 60 (36.5%), radio 37 (22.8%) and television 20 (12.3%). One hundred sixteen (71.2%) agreed to use Emergency Contraceptive when they practice unintended sexual intercourse. Conclusion Awareness and use of emergency contraception among graduating female students of Jimma University was low. There is a need to educate adolescents about emergency contraceptives, with emphasis on available methods and correct timing of use.
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                Author and article information

                Affiliations
                [1 ] Ethiopian Society of Obstetricians and Gynaecologists
                [2 ] University of South Africa South Africa
                Contributors
                Role: ND
                Role: ND
                Journal
                phcfm
                African Journal of Primary Health Care & Family Medicine
                Afr. j. prim. health care fam. med. (Online)
                AOSIS Publishing (Cape Town )
                2071-2928
                January 2014
                : 6
                : 1
                : 1-7
                S2071-29362014000100008

                http://creativecommons.org/licenses/by/4.0/

                Product
                Product Information: SciELO South Africa
                Categories
                Biology
                Health Care Sciences & Services
                Medicine, General & Internal

                General life sciences, Internal medicine, Health & Social care

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