Factors Associated with Uptake of Emergency Contraception among Female Undergraduate Students in the University of Dar Es Salaam Main Campus, Tanzania
Journal Title: Women's Health Science Journal - Year 2018, Vol 2, Issue 3
Abstract
Background: Unwanted pregnancies among young women aged 18-24 remain global public health challenge despite the advancements of a variety of modern contraception methods. Emergency contraception (EC) is the only option available that can be used following an act of unprotected sex to prevent unwanted pregnancy. It reduces women’s risk of becoming pregnant by 99% depending on time taken. However, uptake of EC among young women in Tanzania is very low. The reasons for underutilization are not clear. None of the studies conducted in Tanzania have clearly delineated factors that influence uptake of EC among young women. Methodology: The study enrolled 384 female undergraduate students. A two-stage sampling technique was used; where four (4) departments were selected from the total of twenty-five (25) departments using a random lottery method. Then, the total sample size was allocated to each department proportional to the number of female students in the department. Secondly, study participants were selected from each department proportional to their year of study using simple random sampling technique. The number of study participants from the selected departments was determined using probability proportionate to population size allocation methods depending on the year of study. A structured questionnaire was used to collect data that was then coded and entered in the computer and analyzed using SPSS statistical computer software version 21.0. Exploratory factor analysis, descriptive statistical and logistic regressions analyses were conducted. Results: Exploratory factor analysis showed that sixteen of eighteen items met a minimum primary loading factor of ≥ 0.5 and were used for further analysis. A significant proportion of participants 30% (n=46) of those reported having vaginal intercourse (n=155) in the last six months had ever used EC. Multiple logistic regression analysis indicated that perceived behavioral control (AOR=3, 95% CI, 1.52-5.54; p= 0.001) and perceived self-benefit (AOR=2; 95%CI, 0.98-4.54; p=0.046) were factors associated with the intention to use EC. Conclusion: Perceived behavioral control and perceived self-benefits were positively associated with intention to use EC. However, the utilization of EC was reported to be very low. More complete understanding of the determinants of women’s actual EC behavior is vital to minimize use behaviors that lead to unwanted pregnancy
Authors and Affiliations
Mushy SE*, Muhindo R, Massae AF and Josaphat BK
Keywords
Related Articles
- EP ID EP745814
- DOI 10.23880/whsj-16000121
- Views 24
- Downloads 0
Preimplantation Genetic Diagnosis for Human Leukocyte Antigen Matching: The Generation of the Savior Sibling and the “Gift of Life”
In vitro fertilization (IVF) in conjunction with preimplantation genetic diagnosis (PGD) for mutation detection and human leukocyte antigen (HLA) matching for hematopoietic stem cell transplantation (HSCT) is a unique te...
Barriers to Access of Medical Abortion in Brazil: The Role of Resistance by Obstetricians and Gynaecologists
Objective: According the WHO, not only gynaecologists but also other physicians, midwives and nurses can provide abortion services as safe and effectively as specialist. Considering the number of willing providers of leg...
Adopting Policies to Integrate Hepatitis-B Virus Prevention into HIV Services: Before it is Too Late for Nigeria
Nigeria in the last few years succeeded in reversing HIV incidence and HIV-related deaths. This was attributed to the multi-sector response and the strengthening of maternal and child health system to specifically meet t...
Quality of Partogram Recordings and Perinatal Outcome at Muhimbili National Hospital Tanzania
Background: The management of labor using partograph is the standard way of improving both maternal and perinatal outcomes. The partogram increases the quality and regularity of all observations on the fetus and the moth...
Postpartum Depression and Role of Social Demographic and Obstetric Factors
Objective: To determine the prevalence and psycho-socio-demographic predictors of postpartum depression. Design: Hospital based descriptive observational prospective study. Setting: Tertiary care hospital. Population:...