3. INTRODUCTION
• South Asian region
considered most densely populated region of the world (one-fifth of the
world’s population.)
accounts for the second highest burden of maternal deaths.
Poor, marginalized and uneducated households do not have access to the
reproductive health services they need, including family planning
4. • Keeping current population of Pakistan and annual growth rate of
2% in mind, it is suggested that by 2050, our country will gain one
of top three most populous position in world1. It is all obvious that
Pakistan has one of the highest fertility rate and of course low
contraceptive usage rates (CPR) among all of its nearby countries2.
2017 report shows lowest CPR of our country 35.4% (26% Mcpr)
as compare to south Asian countries 53%.3.
5. According to the Guttmacher Institute, a research organization that
Around 3.8 million unintended pregnancies (48% of total
pregnancies) take place in Pakistan every year
54% of those ended up in abortion
Abortion used as a form of birth control
6. Reasons behind low utilization of contraception are diverse
Availability and quality of care of services problems,
User’s problems also exist as multiples obstacles and myths have
been seen in using regular contraception, mostly the couples
misjudge these methods and their safety 10,11,12
Majority of young couples start sexual practice even before access
to family planning services, or having unplanned or occasionally sex
which marks contraception planning hard and even some may have
forced sex.
7. • And thus emergency contraceptive method seems to be
final resort to prevent unwanted gestation
8. • No sufficient studies had been done among the medical
students regarding use of emergency contraception in
Pakistan. Medical students of today are the future consultants
of tomorrow, ultimately training of next generation of doctors
to address such a significant health care needs of Pakistan’s
community (after having look on this study topic) is deemed
necessary.
9. • Keeping this thinking in mind, current study is directed to
walk around the knowledge and attitude of university
students of PUMHS.
10. AIMS & OBJECTIVES:
• To assess the perception, knowledge and attitude about
emergency contraception (EC) among the senior
undergraduate’s student (fourth and final year) of PUMHS.
•STUDY DESIGN:
cross sectional descriptive
• PLACE & DURATION OF STUDY:
Department of gynecology &obstetrics unit 1 PUMHS from
August 2019 to November 2019.
11. METHODOLOGY
• We conducted a cross-sectional study on the platform of gynecology
and obstetrics unit 1 ward of tertiary hospital People medical and
health science university Shaheed Benazir Abad.
• We select 211 subjects via convenience sampling technique from
senior classes (4th year & final year)of institute over a period of
August 2019 to December 2019.
• Data collected on 22 item questionnaire (pre-tested, pre-designed).
• The questionnaire was structured in such a way that it includes three
sections. The “first section” contains socio demographic and
background characteristics of the participants.
• The “second” appraise the knowledge of the respondents..
12. • The “third part” comprises statements on the attitude of respondents
about contraception.
• 12 items included in knowledge section while exempting first two
questions each item is given a score of 1 so the participant who
scored 5 or more labelled to have good knowledge where as those
who scored less than 5 labelled to have poor knowledge. However,
score ranges from zero (minimum) to ten (maximum).
• We use six questions with “YES” or “NO” response to observe
attitude of the candidates towards the method. we arbitrarily set score
from zero to six each item is given one score if given correct answer
and zero score if given incorrect or select option of unsure. We
decided high score (>3) is considered as positive attitude and lower
than this would be seen as negative attitude.
• Data was analyzed using SPSS 20.
14. Results section A
211 candidates participated
100% response rate
105 final year & 106 from 4th year
51% age group 20-24 years
Mean age 22.2± 3.435 years.
66.4% single
66.4% Muslims
15. Results section B
• 74.9% candidate……available from pharmacy only
• 16% ……. Any shop.
• 42% say it is abortifacient
• 39.8% correctly answer about content of ECP
• 51% …. Effective only if used within 24 hours
• 8% …. Effective up to 5 days
• 36%...... Correctly answer about mechanism
• 38.9% … 75% effective
• 37% …. 50% effective
• 1.9% … not effective at all
16. Results section B
• 23% consider it as STD preventive
• 47.9% recommend pregnancy test prior to prescribing
• 35.5% donot aware about side effects
• 7% say anaphylactic reaction as side effects
• 28.9% say not at all side effects
• 48% correctly answer about dosage and interval between
dose
• 37.9% answer about changes in efficacy with phases of
menstrual cycle
• 50% answer no change
