A survey of knowledge, attitudes and practice of emergency contraception among university students in Cameroon

被引：48

作者：

Kongnyuy E.J. ^{[1
]}

Ngassa P. ^{[2
]}

Fomulu N. ^{[2
]}

Wiysonge C.S. ^{[3
]}

Kouam L. ^{[2
]}

Doh A.S. ^{[2
]}

机构：

[1] Child and Reproductive Health Group, Liverpool School of Tropical Medicine, Liverpool

[2] Department of Obstetrics and Gynaecology, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde

[3] South African Cochrane Centre, Medical Research Council, Cape Town

来源：

BMC Emergency Medicine | / 7卷 / 1期

关键词：

Mifepristone; Levonorgestrel; Unwanted Pregnancy; Family Planning Service; Emergency Contraception;

D O I：

10.1186/1471-227X-7-7

中图分类号：

学科分类号：

摘要：

Background: Unsafe abortion is a major public health problem in low-and-middle income countries. Young and unmarried women constitute a high risk group for unsafe abortions. It has been estimated that widespread use of emergency contraception may significantly reduce the number of abortion-related morbidity and mortality. The purpose of this study was to evaluate the knowledge, attitudes and experiences on emergency contraceptive pills by the university students in Cameroon in order to develop and refine a national health programme for reducing unwanted pregnancies and their associated morbidity and mortality. Methods: A convenient sample of 700 students of the University of Buea (Cameroon) was selected for the study. Data was collected by a self-administered, anonymous and pre-tested questionnaire. Results: The response rate was 94.9% (664/700). General level of awareness of emergency contraceptive pills was 63.0% (418/664). However, knowledge of the general features of emergency contraceptive pills was low and misinformation was high among these students. Knowledge differed according to the source of information: informal source was associated with misinformation, while medical and informational sources were associated with better knowledge. Although the students generally had positive attitudes regarding emergency contraceptive pills, up to 65.0% (465/664) believed that emergency contraceptive pills were unsafe. Those with adequate knowledge generally showed favourable attitudes with regards to emergency contraceptive pills (Mann-Whitney U = 2592.5, p = 0.000). Forty-nine students (7.4%) had used emergency contraceptive pills themselves or had a partner who had used them. Conclusion: Awareness of emergency contraception pills by Cameroonian students is low and the method is still underused. Strategies to promote use of emergency contraception should be focused on spreading accurate information through medical and informational sources, which have been found to be reliable and associated with good knowledge on emergency contraceptive pills. © 2007 Kongnyuy et al; licensee BioMed Central Ltd.

引用

共 23 条

[11]

Popov A.A., Family planning and induced abortion in the USSR: Basic health and demographic characteristics, Studies Fam Plan, 22, pp. 368-377, (1991)

[12]

Wonkam A., Hurst S.A., Acceptance of abortion by doctors and medical students in Cameroon, Lancet, 369, (2007)

[13]

Schuster S., Abortion in the moral world of the Cameroon grassfields, Reprod Health Matters, 13, pp. 130-138, (2005)

[14]

Leke R.I., Unwanted pregnancy and abortion complication in Cameroon, Int J Gynecol Obstet, 3, pp. 33-35, (1989)

[15]

Nasah B.T., Drouin P., Care of the Mother in the Tropics, (1982)

[16]

Ako S.N., Eteki N., Tonye R., Mbu R., Leke R.J.I., Induced abortion and maternal mortality: The case of Central Maternity-Central Hospital Yaoundé, Cam J Med, 12, (2003)

[17]

Trussel, Stewart F., The effectiveness of the Yuzpe regimen of emergency contraception, Fam Plann Perspect, 28, pp. 58-64, (1996)

[18]

Muia E., Fikree F.F., Olenja J., Enhancing the use of emergency contraception in a refugee setting: Findings from a baseline survey in Kakuma Refugee Camps, Kenya, (2003)

[19]

Muia E., Ellertson C., Lukhando M., Flul B., Clark S., Olenja J., Emergency contraception in Nairobi, Kenya: Knowledge, attitudes and practices among policy makers, family planning providers and clients, and university students, Contraception, 60, pp. 223-232, (1999)

[20]

Baiden F., Awini E., Clerk C., Perception of university students in Ghana about emergency contraception, Contraception, 66, pp. 23-26, (2002)

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