Knowledge, Attitude and practice of emergency contraceptive use among young female undergraduates in Kenyan universities: implications for contraceptive counselling
Nyawade, Zablon D.
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The main purpose of this study was to establish the Knowledge, Attitudes and Practice of Emergency Contraception (EC) among Young Female Undergraduates in Kenyan Universities and its Implications for Contraceptive Counseling. A sample of 120 female adolescent students was selected using stratified random sampling technique as the subjects were grouped into year-of-study and the course-of-study, both of which were used as sampling units. Self-administered questionnaires were personally distributed by the researcher. Descriptive statistics was presented using tabular and diagrammatic forms following results showing trends taken by respondents as summarized in Irequencies, means, and percentages. Chi-square (x2) and ANOVA were employed to test the Null hypotheses that were under investigation. The results show a majority of the students studied have sound knowledge of tile fertile period within a woman's menstrual cycle, and are also contraceptive experienced. The results also indicated that the sexually active students often engage in protected sex following agreements with their male partners. It was discovered that despite the fact that a greater proportion of these students are aware of the existence of EC methods (mainly the EC pill, Postinor 2), there is a declining trend in tile accuracy of the knowledge they possess pertaining to the timing and dosage format for effective application of tile method which is attributable to the students' source of knowledge - tile peers. Nevertheless, less than half of those students aware of EC pills had ever used them, with tile bulk in their Fourth year of study. These significant realizations require that the teaching of comprehensive Reproductive Health education be structured as part of the planned curriculum taught to female adolescents in secondary and post-secondary school institutions. Overall, majority of the students studied express positive attitudes towards EC use. They vastly agree on the need for increased dissemination of EC information to the youth because many are ignorant about the various available methods, to guard against unwanted pregnancy in case of unplanned sex and sexual coercion (rape), and for effective use of the EC methods. Therefore, it is anticipated that Reproductive Health providers and policy makers will formulate viable guidelines geared towards the improvement of Adolescent Sexual and Reproductive Health (ASRH) issues based on the study findings. In addition, the formation of well established structures to address Contraceptive counseling concerns will be considered in order to reach the majority of the Kenyan population, the bulk of which comprises of young people under the age of twenty-five years old.