Utilization and associated factors of emergency contraception among women seeking abortion services in health institutions of Dessie town, North East Ethiopia, 2018

Feleke, Asres Eshetie; Nigussie, Tewdros Seyoum; Debele, Tibeb Zena

doi:10.1186/s13104-019-4707-0

Cited by 8 publications

(8 citation statements)

References 17 publications

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“…Female students who had good and excellent knowledge on contraceptive methods were more likely to use emergency contraceptives as compared to those having poor knowledge. This finding was similar with studies conducted in several in Ethiopia [ 15 – 17 , 19 ].…”

Section: Discussionsupporting

confidence: 93%

“…In this study college female students who came from rural areas were not using more likely emergency contraceptives as compared with those in the urban areas. This is consistent with the study done in Dessie Town showing that urban dweller uses EC more likely than rural [ 19 ]. This might be due to better expose to media which create awareness about birth control methods in urban areas compared to rural areas.…”

Section: Discussionsupporting

confidence: 93%

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Assessment of knowledge on emergency contraceptives and factors associated with utilization among female students in Bonga College of Education, Southwest Region, Ethiopia: cross-sectional study

Deribew

2024

BMC Med Educ

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Background Unintended pregnancy is a major public health problem in sexually active female students in Ethiopia. In higher education, female students are exposed to unprotected sex and are at risk of pregnancy, abortion, and its associated problems. Objective The objective of this study was to assess knowledge of female students about emergency contraceptives and determine factors associated with utilization among college female students at Bonga College of Education, Southwest Ethiopia. Methods The study was conducted from November 10, 2022 to May 30, 2023. All female students of Bonga College of education in all departments were included in this study purposively. Data were collected using Amharic version pretested questionnaire. Data obtained from the survey was entered into Microsoft Excel 2010 and analysed with SPSS version 20.0. Data summary was done with descriptive statistics. Logistic regression was used to measure associations between dependent and independent variables. Odds ratio was used to measure strengths of association between variables. Statistical significance was considered at 95% confidence level (CL). P-value less than 0.05 was considered significant during the analysis. Results In this study a total of 103 College female students were involved. The mean age of the respondents was 20.6 (SD ± 2.06) years. The finding showed that 31 (31.1%) female students had started sexual intercourse and among them 58.1% faced pregnancy. Among the total sexually experienced respondents, 93.5% use contraceptive methods while others 6.5% do not use. Among the total 31 study participants, 27(87.1%) started using EC. The majority of pregnancy (83.3%) was intended type whereas 16.7% was unwanted pregnancy. Regarding the general knowledge about contraceptive methods, 19(18.4%) had poor knowledge. Among the total 103 female college students, 66(64.1%) heard about emergency contraceptives. Forced sex and unprotected free sex are predicting factors that induces female students to use emergency contraceptives. Fear of discontinuing school was the main inducing factor to commit abortion. Logistic regression analysis showed that college female students whose age category above 25 years were more likely to use emergency contraceptives. Students who came from urban area are more likely to use EC than rural areas. Married female students (AOR = 2.5, 95% CI: 0.76, 8.7) were two times likely to use EC as contraceptive method. Conclusions Female students who came from urban area use EC better than who came from rural areas. Majority of sexually active female students had good practice and knowledge of using EC but some had poor knowledge. Forced sex and free sexual practice are key determinant factors that induces to use EC. Abortion was mainly done in private clinic. Fear of discontinuing school was determinant factors identified to commit abortion. Therefore, responsible bodies should develop strategies to improve female students’ reproductive health related to emergency contraceptives.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

Assessment of knowledge on emergency contraceptives and factors associated with utilization among female students in Bonga College of Education, Southwest Region, Ethiopia: cross-sectional study

Deribew

2024

BMC Med Educ

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“…Although emergency contraception (EC) is not recommended as a regular family planning method, it is a useful method after unprotected sexual intercourse to reduce the chance of unwanted pregnancies 11 . The finding of this study revealed that, 69.7% (95% CI: 65.9-72.3) of the study participants having a history of sexual practice used EC following unprotected sex, which is higher than the results of the studies conducted in Dessie town, North East Ethiopia 51% 12 , Harar, Ethiopia 33% 13 , Wallo University, Ethiopia 30.9% 14 , Debre Markos University, Ethiopia 11.4% 15 , Jimma University, Ethiopia 22.2% 16 , Jimma University 41.9% 17 , Adama University, Ethiopia 34.8% 18 , Kampala University, Uganda (45.1%) 19 , and Princeton University, Kenya (8%) 20 . The possible reason for such variation could be time variation related to currently accelerated reproductive health promotion activities and youth friendly programs in the country and the increasing availability of EC in many government and non-government health institutions.…”

Section: Discussioncontrasting

confidence: 63%

Emergency contraceptive utilization and associated factors among college students in Dire Dawa City, Eastern Ethiopia: A cross-sectional study

et al. 2021

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INTRODUCTION Emergency contraception is a contraceptive method that can be used to prevent pregnancy after unprotected sexual intercourse. Higher education students fall under the sexually active age group and form a high-risk group for unintended pregnancy, because of limited utilization of emergency contraception. The aim of this study was to assess emergency contraceptive utilization and associated factors among college students in Dire Dawa City, Eastern Ethiopia. METHODS An institutional-based cross-sectional study was conducted in May 2019. A total of 286 students using simple random sampling technique were included in the study. Data were collected by using self-administered questionnaires and entered into EpiData (Classic) Entry version 3.1 and analysed using SPSS version 24.0. Binary and multivariable logistic regression analysis were done to determine the association between the outcome and predictor variables. RESULTS A total of 286 female students participated in the study giving a response rate of 100%. Eighty-six (86) participants had a history of sexual practice, and 60 (69.7%) had ever used emergency contraceptive. Having knowledge about emergency contraceptive (AOR=3.24; 95% CI: 1.32-7.98), age at first sexual intercourse ≥20 years (AOR=4.04; 95% CI: 1.72-9.52), history of previous pregnancy (AOR=3.12; 95% CI: 1.34-7.24) and previous use of regular contraceptives (AOR=5.01; 95% CI: 2.23-11.27) were found to be significant predictors of emergency contraceptive utilization. CONCLUSIONS This study showed that emergency contraceptive utilization among female college students having unprotected sexual intercourse is still low. Level of knowledge, age at first sexual intercourse, previous use of regular contraceptives and history of pregnancy were major predictors of emergency contraceptive utilization. Therefore, focus on awareness creation activity and delaying sexual activity is recommended.

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“…Misconceptions regarding the action of EC may limit its use [23,24]. Level of emergency contraceptive utilization in this study is much lower than the study done in Delhi (79%), South Africa (40%), Dessie (51%) and Shanghai (51.2%) [8,18,25,26]. The difference in the study population and access to contraceptive services might be the reason for low emergency contraceptive prevalence in the current study as compared with the above listed reports.…”

Section: Discussioncontrasting

confidence: 57%

Practice and determinants of emergency contraceptive utilization among women seeking termination of pregnancy in Northwest Ethiopia—A mixed quantitative and qualitative study

Tenaw

2022

PLoS ONE

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Background Emergency contraceptives are used within 72 hours after unprotected sexual intercourse to prevent unwanted pregnancy. Although emergency contraceptives are widely available in Ethiopia, termination of pregnancy remains a public health problem indicating low uptake of emergency contraceptives after unprotected sexual intercourse. This study aimed to assess utilization and determinants of emergency contraceptives among women seeking termination of pregnancy in Northwest Ethiopia. Methods An institutional-based cross-sectional study was carried out, supplemented by phenomenologically approached in-depth interviews. Systematic random sampling was used to select study participants. A structured questionnaire and an in-depth interview guide were used to collect data. Data were entered by EPI-info and analyzed through SPSS version 23 to conduct logistic regressions. Thematic analysis was used to conduct qualitative interpretation. Results Almost one-fifth (78; 19.2%) of the study participants used emergency contraceptives to prevent their index pregnancy. Women who had secondary education (aOR 3.28; 95% CI 1.59, 6.79) and women who had no living children (aOR 4.52; 95% CI 1.40, 14.57) had a positive significant association with emergency contraceptive utilization. On the other hand, women who did not discuss contraceptives with their sexual partner (aOR 0.49; 95% CI 0.27–0.91) and women without a history of abortion (aOR 0.45; 95% CI 0.24–0.97) had a negative significant association with emergency contraceptive utilization. Conclusion and recommendation There is relatively low utilization of emergency contraception among pregnancy terminating women. Reproductive health programs should encourage women discussion with their partners about emergency contraceptives to decrease occurrence of unwanted pregnancy and termination of pregnancy.

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Utilization and associated factors of emergency contraception among women seeking abortion services in health institutions of Dessie town, North East Ethiopia, 2018

Cited by 8 publications

References 17 publications

Assessment of knowledge on emergency contraceptives and factors associated with utilization among female students in Bonga College of Education, Southwest Region, Ethiopia: cross-sectional study

Assessment of knowledge on emergency contraceptives and factors associated with utilization among female students in Bonga College of Education, Southwest Region, Ethiopia: cross-sectional study

Emergency contraceptive utilization and associated factors among college students in Dire Dawa City, Eastern Ethiopia: A cross-sectional study

Practice and determinants of emergency contraceptive utilization among women seeking termination of pregnancy in Northwest Ethiopia—A mixed quantitative and qualitative study

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