Original Articles

Emergency Contraception in Women of Slums in Northern India

Abstract

Objective: To ascertain the utilization of the emergency contraception and to evaluate the impact of intervention on acceptability and utilization of emergency contraceptive pills.
Materials and Methods: This community based cross sectional study was carried out by the department of community medicine in the slums of Chandigarh. The study sample was chosen by two stage systematic sampling. Participants were assessed regarding emergency contraception utilization and its various aspects and was also imparted correct knowledge regarding this mode of contraception. The women were reassessed again after six months to see the impact of the knowledge imparted to them on utilization of emergency contraception.
Results: The study comprised of 1448, females and maximum were in the age group 26-35 years i.e. 717 (49.5%) followed by those in age group 19-25 yr i.e. 485 (33.5%). Considering their education, 674 (46.5%) women were illiterate. Only, 1.4% respondents had ever used emergency contraception. Sources of information so enumerated of emergency contraception were, health workers (0.8%), friends (0.6%), doctors/ health physicians (0.4%) media (0.3%) and books (0.1%). None of the respondent knew about the correct time span during which they should be used. The increase in utilization of emergency contraception from 1.4% to 4.2% was noticed in reassessment after 6months.
Conclusion: Correct knowledge and awareness regarding emergency contraception can increase the utilization of it.

Cheng L, Gülmezoglu AM, Piaggio GGP, Ezcurra EE, Van Look PFA. Interventions for emergency contraception. Cochrane Database of Systematic Reviews 2008; 16:CD001324.

Higgins JPT, Deeks JJ, Altman DG , eds. Chapter 16: Special topics in statistics. In: Higgins JPT, Green S ,eds. Cochrane handbook for systematic reviews of interventions version 5.0.0 (updated February 2008). The Cochrane Collaboration 2008. Available from www.cochrane-handbook.org.

Puri S, Bhatia V, Sehgal A, Mangat C. Imparting knowledge of Emergency Contraception to College going students. Is it dangerous? The Internet Journal of Epidemiology 2008; 6:1-10.

Mittal S, Lakhatia M, Kumar S, Singh S. Contraceptive awareness and acceptance in Indian Metropolitan city. Consortium on National consensus for Emergency Contraception 2001;91.

Singh S, Mittal S, Anandalakshmy PN, Goel V. Emergency contraception: knowledge and views of doctors in Delhi. Health and Population – Perspectives and Issues 2002; 25:45-54.

Ball D.Hormonal emergency contraception: Increasing awareness and access Indian J Med Sci 2007; 61: 323-s4.

Consortium on National Consensus for Emergency Contraception in India, . published by WHO-CCR in Human Reproduction, AIIMS, New Delhi ;2001.

Cheng L, Gülmezoglu AM, Van Oel CJ, Piaggio G, Ezcurra E,Van Look PF. Interventions for emergency contraception. Cochrane Database of Systematic Reviews 2004;2: CD001324.

Baiden, F, Awini E, Clerk C. Perception of university students in Ghana about emergency contraception. Contraception. 2002; 66:23–6.

Douglas B. Hormonal emergency contraception: Increasing awareness and access. Ind J Medical Sciences 2007; 61:323-4.

Schwarz EB, Gerbert B,Gonzales R. Need for emergency contraception in urgent care settings. Contraception 2007; 75: 285–8.

Larsson M. Perspectives on the adoption of emergency contraceptive pills as a new contraceptive method. Indian J Med Sci 2007; 61: 321-2.

Puri S, Bhatia V, Swami HM, Singh A, Sehgal A; Kaur AP. Awareness of emergency contraception among female college students in Chandigarh, India. Indian J Med Sci 2007; 61: 338–46.

Trussell J, Raymond EG . "Emergency contraception: a cost-effective approach to preventing unintended pregnancy". Princeton University. http://ec.princeton.edu/questions/ec-review.pdf. Retrieved on 3 July 2007.vhdk

Kang HS, Moneyham L. Use of emergency contraceptive pills and condoms by college students: A survey. Int J Nurs Stud 2007; 1: 23-8.

Ellertson C, Shochet T, Blanchard K, Trussell J. Emergency contraception: a review of the programmatic and social science literature. Contraception 2000; 61:145–86.

Mqhayi MM, Smit JA, McFadyen ML, Beksinska M, Connolly C, Zuma K, et al. Missed Oppurtunities: Emergency Contraception Utilisation by Young South African Women. African Journal of Reproductive Health 2005; 8: 338-46.

Awareness of hormonal emergency contraception among married women in a Kuwaiti family social network Source citation: European Journal of Obstetrics, Gynecology and Reproductive Biology 2007; 130:216-22.

Ball DE, Marafie N ,Abahussain E. Awareness of and attitude toward hormonal emergency contraception among married women in Kuwait. Journal of Women's Health 2006; 15(2):194-201.

Takkar N, Goel P, Saha PK, Dua D. Contraceptive practices and awareness of emergency contraception in educated working women. Indian J Med Sci 2005; 59:143-49.

Heimburger A, Acevedo-Garcia D, Schiavon R, Langer A, Mejia G, Corona G, et al.Emergency contraception in Medico City: Knowledge, attitudes and practice providers and potential clients after a 3-year introduction effort. Contraception 2002; 66: 321-9 .

Raine T, Harper CC, Rocca CH, Fischer R, Padian N, Klausner JD, et al. Direct access to emergency contraception through pharmacies and effect on unintended pregnancy and STIs. JAMA 2005; 293:54-62.

Glasier A, Fairhurst K, Wyke S, Ziebland S, Seaman P, Walker J, et al. Advanced provision of emergency contraception does not reduce abortion rates. Contraception 2004; 69:361-6.

FFRPHC (Sep 9,2006). The UK Medical Eligibility criteria for contraceptive use (2005/2006) PDF. http//www.ffprhc.org/Retrieved on 13 Dec 2006.

McDonald G, Amir L. Women’s knowledge and attitudes about emergency contraception: A survey of Melbourne women’s health clinic. Aust N Z Obstet Gynecology1999; 39:460-4.

Files
IssueVol 3, No 3 (September 2009) QRcode
SectionOriginal Articles
Keywords
Emergency Contraception Slums Reproductive age

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Puri S, Goe NK, Sehgal A, Walia D, Mangat C. Emergency Contraception in Women of Slums in Northern India. J Family Reprod Health. 2009;3(3):77-82.