Utilization of Emergency Contraception and Associated Factors Among Vocational College Female Students in Shashemene Town, Oromia, Ethiopia, 2018

Hailu Fekadu; Buli Teshite; Getu Teshome; Roza Amdemichael; Mesfin Tafa

doi:doi:10.11648/j.ajcem.20200803.14

| Peer-Reviewed

Utilization of Emergency Contraception and Associated Factors Among Vocational College Female Students in Shashemene Town, Oromia, Ethiopia, 2018

Hailu Fekadu, Buli Teshite, Getu Teshome, Roza Amdemichael, Mesfin Tafa

Published in American Journal of Clinical and Experimental Medicine (Volume 8, Issue 3)

Received: 19 May 2020 Accepted: 1 June 2020 Published: 20 June 2020

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Background: Emergency contraception is a method to prevent unwanted or unintended pregnancies that could happen after unprotected sexual intercourse. It is a type of modern contraception that can be used following wrong use of contraception. In Ethiopia studies conducted in health facilities showed that unintended pregnancies and unprotected sexual intercourse are causing major reproductive health problems to adolescents. Objective: to assess the utilization of emergency contraception and associated factors among Technical and Vocational education training college female students in Shashemene town from June 10 – 30/2018. Method: an institution based cross-sectional study was conducted among Shashemene town Technical and Vocational education training college female students in June 2018. Collected data was entered into EPIINF version 7 and exported to SPSS version 21 for analysis. Association between dependent and independent variable was assessed using adjusted odds ratio with 95% confidence interval and p-value for statistical significance (<0.05). Result: a total of 476 female students were participated in our study out of these, one hundred forty six (30.7%) of the respondents knew presence of emergency contraception and 58 (12.2%) of them had encountered unprotected sexual intercourse. Out of those who encountered unprotected sexual intercourse 42 (72.4%) had used emergency contraception. However, 17 (29.3%) of the respondents who reported unprotected sexual intercourse had history of unwanted pregnancy. Monthly family income was significantly associated with the utilization of emergency contraception (AOR=4.41 (95% CI: 1.44-13.48)). Conclusion: Unprotected sexual intercourse and unwanted pregnancy were available among study participants. Knowledge of emergency contraception among the study participants was low.

Published in	American Journal of Clinical and Experimental Medicine (Volume 8, Issue 3)
DOI	10.11648/j.ajcem.20200803.14
Page(s)	49-55
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Unprotected Sexual Intercourse, Family Planning, Awareness

References

[1]	World Health Organiation. Family planning: a global handbook for providers: 2011 update evidence-based guidence developed through world wide collaboration. Cambodia: University research Co. LL (URC), 2011. Available from: http://apps.who.int/iris/handle/10665/44028. Accessed May 1, 2018.
[2]	FSHR Clinical effectiveness unit. FSHR Clinical guideline: Emergency contraception (March 2017, amended December 2017). UK, 2017. Avaialble from: http://www.nice.org.uk/accreditation. Accessed June 7, 2018.
[3]	European Consortium for Emeregency Contraception. An unpadet on access to emergency contraception in European countries, 2016. Availbale from: http://www.ec-ec.org/resources/publications. Accessed May 13, 2018.
[4]	Ann M, Yirgu G, Tamirat F, et al. The Estimated Incidence of Abortion in Ethiopia, 2014: Changes in the Provision of Service since 2008. Int Perspect Sex Reprod Health. 2014; 42 (3). doi: https://doi.org/10.1363/42e1816[published].
[5]	Piaggio G, Kappa N, Von Hertez H. Effect on pregnancy rates of the delay in the administration of lovonorgestrel for emergency contraception: a combined analysis of WHO trials. Contraception. 2011; 84 (1): 35-9. doi: 10.1016/j.contraception.2010.11.010.
[6]	Noe G, Croxatto HB, Salvatierra AM. Contraceptive efficacy of emergency contraception with levonorgestrel given before or after ovulation. Contraception. 2010; 81 (5): 414-20. doi: 10.1016/j.contraception.2009.12.015.
[7]	Edelman AB, Jensen JT, McCrimmon S, Messerle-Forbes M, O’Donnell A, Hennebold JD. Combined oral contraceptive interference with the ability of ulipristal acetate to delay ovulation: A prospective cohort study. Contraception. 2018. doi: 10.1016/j.contraception.2018.08.003.
[8]	Liambila N, Saumya R, Joyce W, Mary W; for The Population Council, Inc. Mainstreaming Emergency Contraception in Developing Countries: A Toolkit for Policymakers and Service Providers. Nairobi: Population Council. Nairobi, Kenya. 2013. Available from: http://www.popcouncil.org/. Accessed June 3, 2018.
[9]	Ekstrand M, Larsson M, Darj E, Tyden T. Advance provision of emergency contraceptive pills reduces treatment delay: a randomised controlled trial among Swedish teenage girls. Acta Obstet Gynecol Scand. 2008; 87 (3): 354-9. doi: 10.1080/00016340801936024.
[10]	Department of Reproductive Health and Research, World Health Organization. Unsafe abortion: global and regional estimates of the incidence of unsafe abortion and associated mortality in 2008. 2008. Available from: https://apps.who.int/iris/bitstream/handle/10665/44529/9789241501118_eng.pdf?sequence=1 Accessed June 1, 2018.
[11]	Sedgh G, Finer LB, Bankole A, Eilers MA, Singh S. Adolescent pregnancy, birth, and abortion rates across countries: levels and recent trends. J Adolesc Health. 2015; 56 (2): 223-30. doi: https://doi.org/10.1016/j.jadohealth.2014.09.007.
[12]	Central Statistical Agency - CSA/Ethiopia, ICF. Ethiopia Demographic and Health Sruvey 2016. Addis Ababa, Ethiopia: CSA and ICF; 2017. Available from: http://dhsprogram.com/pubs/pdf/FR328/FR328.pdf. Accessed May 12, 2018.
[13]	Tekle-Ab M, Yirgu G, Misganaw F. Survey of Unsafe Abortion in Selected Health Facilities in Ethiopia. Ethiopian Journal of Reproductive Health. 2007; 1 (1): 28-23. Available from: https://www.researchgate.net/publication/281232397. Accessed March 3, 2018.
[14]	Getachew M, Kerbo A. Unwanted Pregnancy and Associated Factors among Female Students of Madawalabu University Bale Zone, Oromia Region South East, Ethiopia. Science Journal of Public Health. 2015; 3. doi: 10.11648/j.sjph.20150301.19.
[15]	Aman J, Mesfin T, Ababi Z. Assessment of Knowledge, Attitude and Utilization of Emergency Contraception among Unmarried Women of Reproductive Age in Adama, Ethiopia. Health Science Journal. 2016; 10 (6). doi: 10.21767/1791-809X.1000469.
[16]	Tajure N, Pharm B. Knowledge, attitude and practice of emergency contraception among graduating female students of jimma university, southwest ethiopia. Ethiop J Health Sci. 2010; 20 (2): 91-97.
[17]	Berhanu D, Nigatu R. On Emergency Contraception among Female Students of Haramaya University, Ethiopia: Surveying the Level of Knowledge and Attitude. Educational Research. 2011; 2 (4): 1106-17. Available from: http://www.interesjournals.org/ER. Accessed May 1, 2018.
[18]	Ejara T, Birhanu A, Amanuel AA. Assessment of level of knowledge and utilization of emergency contraception among female students of Hawassa University, South Ethiopia. Advances in Reproductive Sciences. 2013; 1 (3): 51-56. doi: http://dx.doi.org/10.4236/arsci.2013.13008.
[19]	Habtamu A, Mulatu M, Dube J. Knowledge, Attitude, Utilization of Emergency Contraceptive and Associated Factors among Female Students of Debre Markos Higher Institutions, Northwest Ethiopia, 2014. Fam Med Medl Sci Res. 2014; 3 (4). doi: https://doi.org/10.4172/2327-4972.1000149.
[20]	Gebremedhin K, Gebresillassie T, Demeke T, Habtie N. Assessment of Knowledge, Attitude and Behaviour towards Emergency Contraceptive among Female Students of Fasiledes Preparatory School, Gondar, Ethiopia. Clin in Mother Child Health. 2017; 14. doi: 10.4172/2090-7214.1000260.
[21]	Shiferaw B, Gashaw B, Tesso F. Factors associated with utilization of emergency contraception among female students in Mizan-Tepi University, South West Ethiopia. BMC Res Notes. 2015; 8 (1): 817. doi: 10.1186/s13104-015-1812-6.
[22]	Alemayehu A, Teferi G. Awareness and Utilization of Emergency Contraceptives Among Second Cycle Primary School Female Evening Students in Hawassa, Ethiopia: A Cross-Sectional Survey. Ethiopian Pharmaceutical Journal. 2016; 32 (1). doi: http://dx.doi.org/10.4314/epj.v32i1.6.
[23]	Abebe F. Assessment of Knowledge, Attitude and Practice Towards Emergency Contraceptive Methods among Female Students in Abdisa Aga High School, Fiche Town, Northern, Ethiopia, 2016. International Journal of Chinese Medicine. 2017; 1 (1): 16-23. doi: 10.11648/j.ijcm.20170101.13.
[24]	Asmare T, Asmamaw D, Temamen T, Addis A, Yonas Y, Birhan A. Assessment of Knowledge, Attitude and Practice towards Emergency Contraceptive Methods among Female Students in Seto Semero High School, Jimma Town, South West Ethiopia. Science Journal of Public Health. 2015; 3 (4): 478-86. doi: 10.11648/j.sjph.20150304.15.
[25]	Sedekia Y, Jones C, Natan R, Schellenberg J, Marchant T. Using contraceptives to delay first birth: a qualitative study of individual, community and health provider perceptions in southern Tanzania. BMC Public Health. 2017; 17 (1): 768. doi: 10.1186/s12889-017-4759-9.

Cite This Article

Plain Text BibTeX RIS

APA Style

Hailu Fekadu, Buli Teshite, Getu Teshome, Roza Amdemichael, Mesfin Tafa. (2020). Utilization of Emergency Contraception and Associated Factors Among Vocational College Female Students in Shashemene Town, Oromia, Ethiopia, 2018. American Journal of Clinical and Experimental Medicine, 8(3), 49-55. https://doi.org/10.11648/j.ajcem.20200803.14

Copy | Download

ACS Style

Hailu Fekadu; Buli Teshite; Getu Teshome; Roza Amdemichael; Mesfin Tafa. Utilization of Emergency Contraception and Associated Factors Among Vocational College Female Students in Shashemene Town, Oromia, Ethiopia, 2018. Am. J. Clin. Exp. Med. 2020, 8(3), 49-55. doi: 10.11648/j.ajcem.20200803.14

Copy | Download

AMA Style

Hailu Fekadu, Buli Teshite, Getu Teshome, Roza Amdemichael, Mesfin Tafa. Utilization of Emergency Contraception and Associated Factors Among Vocational College Female Students in Shashemene Town, Oromia, Ethiopia, 2018. Am J Clin Exp Med. 2020;8(3):49-55. doi: 10.11648/j.ajcem.20200803.14

Copy | Download

@article{10.11648/j.ajcem.20200803.14,
  author = {Hailu Fekadu and Buli Teshite and Getu Teshome and Roza Amdemichael and Mesfin Tafa},
  title = {Utilization of Emergency Contraception and Associated Factors Among Vocational College Female Students in Shashemene Town, Oromia, Ethiopia, 2018},
  journal = {American Journal of Clinical and Experimental Medicine},
  volume = {8},
  number = {3},
  pages = {49-55},
  doi = {10.11648/j.ajcem.20200803.14},
  url = {https://doi.org/10.11648/j.ajcem.20200803.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajcem.20200803.14},
  abstract = {Background: Emergency contraception is a method to prevent unwanted or unintended pregnancies that could happen after unprotected sexual intercourse. It is a type of modern contraception that can be used following wrong use of contraception. In Ethiopia studies conducted in health facilities showed that unintended pregnancies and unprotected sexual intercourse are causing major reproductive health problems to adolescents. Objective: to assess the utilization of emergency contraception and associated factors among Technical and Vocational education training college female students in Shashemene town from June 10 – 30/2018. Method: an institution based cross-sectional study was conducted among Shashemene town Technical and Vocational education training college female students in June 2018. Collected data was entered into EPIINF version 7 and exported to SPSS version 21 for analysis. Association between dependent and independent variable was assessed using adjusted odds ratio with 95% confidence interval and p-value for statistical significance (Result: a total of 476 female students were participated in our study out of these, one hundred forty six (30.7%) of the respondents knew presence of emergency contraception and 58 (12.2%) of them had encountered unprotected sexual intercourse. Out of those who encountered unprotected sexual intercourse 42 (72.4%) had used emergency contraception. However, 17 (29.3%) of the respondents who reported unprotected sexual intercourse had history of unwanted pregnancy. Monthly family income was significantly associated with the utilization of emergency contraception (AOR=4.41 (95% CI: 1.44-13.48)). Conclusion: Unprotected sexual intercourse and unwanted pregnancy were available among study participants. Knowledge of emergency contraception among the study participants was low.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Utilization of Emergency Contraception and Associated Factors Among Vocational College Female Students in Shashemene Town, Oromia, Ethiopia, 2018
AU  - Hailu Fekadu
AU  - Buli Teshite
AU  - Getu Teshome
AU  - Roza Amdemichael
AU  - Mesfin Tafa
Y1  - 2020/06/20
PY  - 2020
N1  - https://doi.org/10.11648/j.ajcem.20200803.14
DO  - 10.11648/j.ajcem.20200803.14
T2  - American Journal of Clinical and Experimental Medicine
JF  - American Journal of Clinical and Experimental Medicine
JO  - American Journal of Clinical and Experimental Medicine
SP  - 49
EP  - 55
PB  - Science Publishing Group
SN  - 2330-8133
UR  - https://doi.org/10.11648/j.ajcem.20200803.14
AB  - Background: Emergency contraception is a method to prevent unwanted or unintended pregnancies that could happen after unprotected sexual intercourse. It is a type of modern contraception that can be used following wrong use of contraception. In Ethiopia studies conducted in health facilities showed that unintended pregnancies and unprotected sexual intercourse are causing major reproductive health problems to adolescents. Objective: to assess the utilization of emergency contraception and associated factors among Technical and Vocational education training college female students in Shashemene town from June 10 – 30/2018. Method: an institution based cross-sectional study was conducted among Shashemene town Technical and Vocational education training college female students in June 2018. Collected data was entered into EPIINF version 7 and exported to SPSS version 21 for analysis. Association between dependent and independent variable was assessed using adjusted odds ratio with 95% confidence interval and p-value for statistical significance (Result: a total of 476 female students were participated in our study out of these, one hundred forty six (30.7%) of the respondents knew presence of emergency contraception and 58 (12.2%) of them had encountered unprotected sexual intercourse. Out of those who encountered unprotected sexual intercourse 42 (72.4%) had used emergency contraception. However, 17 (29.3%) of the respondents who reported unprotected sexual intercourse had history of unwanted pregnancy. Monthly family income was significantly associated with the utilization of emergency contraception (AOR=4.41 (95% CI: 1.44-13.48)). Conclusion: Unprotected sexual intercourse and unwanted pregnancy were available among study participants. Knowledge of emergency contraception among the study participants was low.
VL  - 8
IS  - 3
ER  -

Copy | Download

Author Information

Hailu Fekadu

Department of Public Health, Arsi University, Assela, Ethiopia
Buli Teshite

Department of Public Health, Arsi University, Assela, Ethiopia
Getu Teshome

Department of Public Health, Arsi University, Assela, Ethiopia
Roza Amdemichael

Department of Public Health, Arsi University, Assela, Ethiopia
Mesfin Tafa

Department of Public Health, Arsi University, Assela, Ethiopia

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Hailu Fekadu, Buli Teshite, Getu Teshome, Roza Amdemichael, Mesfin Tafa. (2020). Utilization of Emergency Contraception and Associated Factors Among Vocational College Female Students in Shashemene Town, Oromia, Ethiopia, 2018. American Journal of Clinical and Experimental Medicine, 8(3), 49-55. https://doi.org/10.11648/j.ajcem.20200803.14

Copy | Download

ACS Style

Hailu Fekadu; Buli Teshite; Getu Teshome; Roza Amdemichael; Mesfin Tafa. Utilization of Emergency Contraception and Associated Factors Among Vocational College Female Students in Shashemene Town, Oromia, Ethiopia, 2018. Am. J. Clin. Exp. Med. 2020, 8(3), 49-55. doi: 10.11648/j.ajcem.20200803.14

Copy | Download

AMA Style

Hailu Fekadu, Buli Teshite, Getu Teshome, Roza Amdemichael, Mesfin Tafa. Utilization of Emergency Contraception and Associated Factors Among Vocational College Female Students in Shashemene Town, Oromia, Ethiopia, 2018. Am J Clin Exp Med. 2020;8(3):49-55. doi: 10.11648/j.ajcem.20200803.14

Copy | Download

@article{10.11648/j.ajcem.20200803.14,
  author = {Hailu Fekadu and Buli Teshite and Getu Teshome and Roza Amdemichael and Mesfin Tafa},
  title = {Utilization of Emergency Contraception and Associated Factors Among Vocational College Female Students in Shashemene Town, Oromia, Ethiopia, 2018},
  journal = {American Journal of Clinical and Experimental Medicine},
  volume = {8},
  number = {3},
  pages = {49-55},
  doi = {10.11648/j.ajcem.20200803.14},
  url = {https://doi.org/10.11648/j.ajcem.20200803.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajcem.20200803.14},
  abstract = {Background: Emergency contraception is a method to prevent unwanted or unintended pregnancies that could happen after unprotected sexual intercourse. It is a type of modern contraception that can be used following wrong use of contraception. In Ethiopia studies conducted in health facilities showed that unintended pregnancies and unprotected sexual intercourse are causing major reproductive health problems to adolescents. Objective: to assess the utilization of emergency contraception and associated factors among Technical and Vocational education training college female students in Shashemene town from June 10 – 30/2018. Method: an institution based cross-sectional study was conducted among Shashemene town Technical and Vocational education training college female students in June 2018. Collected data was entered into EPIINF version 7 and exported to SPSS version 21 for analysis. Association between dependent and independent variable was assessed using adjusted odds ratio with 95% confidence interval and p-value for statistical significance (Result: a total of 476 female students were participated in our study out of these, one hundred forty six (30.7%) of the respondents knew presence of emergency contraception and 58 (12.2%) of them had encountered unprotected sexual intercourse. Out of those who encountered unprotected sexual intercourse 42 (72.4%) had used emergency contraception. However, 17 (29.3%) of the respondents who reported unprotected sexual intercourse had history of unwanted pregnancy. Monthly family income was significantly associated with the utilization of emergency contraception (AOR=4.41 (95% CI: 1.44-13.48)). Conclusion: Unprotected sexual intercourse and unwanted pregnancy were available among study participants. Knowledge of emergency contraception among the study participants was low.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Utilization of Emergency Contraception and Associated Factors Among Vocational College Female Students in Shashemene Town, Oromia, Ethiopia, 2018
AU  - Hailu Fekadu
AU  - Buli Teshite
AU  - Getu Teshome
AU  - Roza Amdemichael
AU  - Mesfin Tafa
Y1  - 2020/06/20
PY  - 2020
N1  - https://doi.org/10.11648/j.ajcem.20200803.14
DO  - 10.11648/j.ajcem.20200803.14
T2  - American Journal of Clinical and Experimental Medicine
JF  - American Journal of Clinical and Experimental Medicine
JO  - American Journal of Clinical and Experimental Medicine
SP  - 49
EP  - 55
PB  - Science Publishing Group
SN  - 2330-8133
UR  - https://doi.org/10.11648/j.ajcem.20200803.14
AB  - Background: Emergency contraception is a method to prevent unwanted or unintended pregnancies that could happen after unprotected sexual intercourse. It is a type of modern contraception that can be used following wrong use of contraception. In Ethiopia studies conducted in health facilities showed that unintended pregnancies and unprotected sexual intercourse are causing major reproductive health problems to adolescents. Objective: to assess the utilization of emergency contraception and associated factors among Technical and Vocational education training college female students in Shashemene town from June 10 – 30/2018. Method: an institution based cross-sectional study was conducted among Shashemene town Technical and Vocational education training college female students in June 2018. Collected data was entered into EPIINF version 7 and exported to SPSS version 21 for analysis. Association between dependent and independent variable was assessed using adjusted odds ratio with 95% confidence interval and p-value for statistical significance (Result: a total of 476 female students were participated in our study out of these, one hundred forty six (30.7%) of the respondents knew presence of emergency contraception and 58 (12.2%) of them had encountered unprotected sexual intercourse. Out of those who encountered unprotected sexual intercourse 42 (72.4%) had used emergency contraception. However, 17 (29.3%) of the respondents who reported unprotected sexual intercourse had history of unwanted pregnancy. Monthly family income was significantly associated with the utilization of emergency contraception (AOR=4.41 (95% CI: 1.44-13.48)). Conclusion: Unprotected sexual intercourse and unwanted pregnancy were available among study participants. Knowledge of emergency contraception among the study participants was low.
VL  - 8
IS  - 3
ER  -

Copy | Download