Emergency contraception in South Africa: A literature review

Maharaj, Pranitha; Rogan, Michael

doi:10.1080/13625180802255701

Cited by 11 publications

(7 citation statements)

References 33 publications

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“…8 In the present study, concerning dosage regimen of emergency contraception pills, it was identified that around half (48.6%) of the respondents knew the recommended time for emergency contraception pills to be within 72 hours, and 51.8% of them knew the dose and frequency of administration to be one tablet two times 12 hours apart. This finding slightly resembles the result from the study conducted in South Africa, 42% of the respondents know the correct time of taking emergency contraceptives after unprotected sexual intercourse 12 and a little bit higher than the study done among Swe-dish women where only less than 38% of the participants knew the recommended time frames for use. 13 The discrepancy between the result of current study and that of Swedish might be the difference between the educational backgrounds of the study participants where the present study was done on female college students and the study conducted in Swedish includes all type of females.…”

Section: Discussionsupporting

confidence: 79%

Knowledge, attitude and practice of progestin-only emergency contraceptives among female students of Jimma Teachers Training College, Jimma, Ethiopia

Warri¹,

Gurmu²

2018

Ghana Medical Journal

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Background: Emergency contraception (EC) is the safest strategy for prevention of unintended pregnancy following unsafe sex provided that users have sufficient knowledge & awareness of EC. Objective: The main objective of this study was to assess the knowledge, attitude, and practice of progestin-only emergency contraceptives. Methods: Retrospective cross-sectional study was conducted from February 16 to April 18, 2017, among students of Jimma teacher's training college. Chi-square test was run to identify the association between variables. Variables with the critical value P<0.05 at CI of 95% were considered as statistically significant. Results: A total of 270 female students were involved in the study; of which 53.70% of them had knowledge about ECs. A significant association was found between knowledge on ECs & age distribution (p<0.001) and also the sexual activity of the participants (p=0.013).More than half of the respondents agreed that widespread use of ECs would increase the prevalence of HIV/ AIDS and other sexually transmitted diseases (STIs). Of the total study participants, 121 (44.81%) have used ECs and the utilization practice has a significant association with age distribution (p<0.001 and religion of the study participants (p=0.002). Conclusion: Generally, nearly half of the study participants had knowledge about ECs and used EC at least once in their lifetime. Most of the students agreed that relying on EC pills and its accessibility would promote the spread of HIV/AIDS and STIs.

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Section: Discussionsupporting

confidence: 79%

Knowledge, attitude and practice of progestin-only emergency contraceptives among female students of Jimma Teachers Training College, Jimma, Ethiopia

Warri¹,

Gurmu²

2018

Ghana Medical Journal

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“…Young, single women may face many barriers to accessing contraception including, for example, poor attitudes of nurses at clinics -some of whom believe that EC encourages promiscuity and that EC works as an abortifacient. 21 A study in Kenya found nurses' level of knowledge and attitudes to EC to be poor, which negatively influenced their decision to provide EC. 22 The lack of knowledge of healthcare professionals as well as their poor attitudes towards EC, which limit their willingness to prescribe EC, have been highlighted in a number of local and international studies, 4,20,23 and more information and training of healthcare professionals on EC has been recommended.…”

Section: Self-reported Knowledge Of Emergency Contraceptionmentioning

confidence: 99%

Self-reported knowledge and use of emergency contraception among women presenting for termination of pregnancy

Osa-Izeko

Govender

Ross

2016

South African Family Practice

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Background: Emergency contraception (EC) is widely accepted as a safe method of preventing conception following unprotected coitus. Use of EC has been promoted in South Africa, yet uptake among women appears to remain low. Aim: The aim of this study was to access knowledge and use of EC among women presenting for termination of pregnancy at a district hospital in KwaZulu-Natal. Methods: This was a hospital-based cross-sectional study. Data were collected from women attending a termination of pregnancy (ToP) service at a district hospital using a questionnaire and analysed descriptively. Results: A total of 218 women participated, of whom 25% were under 20 years of age and 87% were single. Reported knowledge of EC was good with 70% of participants indicating that they knew about EC. However, knowledge around EC was not complete, with less than 50% knowing the time interval between intercourse and EC action and some believing that EC acted by inducing an abortion. Reported usage of EC was only 40%. Conclusion: This study revealed that there is much more to be done to enhance knowledge and use of EC in this context. Reasons for the discrepancy between knowledge and usage need further exploration.

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“…Yet, in many cases, inclusion in public sector guidelines is not enough to increase use. In South Africa, as documented by Maharaj (2008), EC is "available but not accessible (or promoted) to women who rely on public sector for health services." Additional efforts are necessary for improving availability and decreasing barriers to access.…”

Section: Inclusion In National Family Planning Programsmentioning

confidence: 99%

Provider-related barriers to accessing emergency contraception in developing countries: A literature review

Williams¹

2011

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This report benefitted from the contributions of numerous individuals and institutions. Firstly, I would like to acknowledge the authors of the documents included in this review, as this research would not have been possible without their well-conducted, and documented, program and research activities. I also would like to thank my colleague Martha Brady for her in-depth and substantive contributions to, and conceptualization of, the available evidence with particular regard to repeat use of emergency contraception. I would like to acknowledge the contributions of other colleagues at Population Council, including Saumya RamaRao, Ian Askew, and John Townsend, for their guidance offered during this review's development and finalization. I am also appreciative of support provided by Elizabeth Westley of Family Care International who has helped frame this work in the larger context and contributed research, perspective, and data for consideration. Finally, I gratefully acknowledge the support from the International Consortium for Emergency Contraception for this literature review and larger project, "Provider Beliefs, Attitudes and Practices Concerning Emergency Contraception." With concurrent activities at ICEC, FHI, Gynuity, and Population Council, this literature review intends to contribute to a global strategy for improving access to emergency contraception, and I am grateful for this opportunity to contribute to such a worthwhile aim.

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Emergency contraception in South Africa: A literature review

Abstract: The existing literature suggests that the greater availability of EC is not sufficient to increase uptake and that interventions are needed to ensure that women become aware of this option.

Cited by 11 publications

References 33 publications

Knowledge, attitude and practice of progestin-only emergency contraceptives among female students of Jimma Teachers Training College, Jimma, Ethiopia

Knowledge, attitude and practice of progestin-only emergency contraceptives among female students of Jimma Teachers Training College, Jimma, Ethiopia

Self-reported knowledge and use of emergency contraception among women presenting for termination of pregnancy

Provider-related barriers to accessing emergency contraception in developing countries: A literature review

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