Irfan Farhana, Karim Syed Irfan, Hashmi Saman, Ali Sajid, Ali Syed Arif
Department of Family Medicine, Aga Khan University Hospital, Karachi, Pakistan.
J Pak Med Assoc. 2009 Apr;59(4):235-40.
To assess knowledge and attitudes about Emergency Contraception among women of childbearing age in Karachi, Pakistan.
A questionnaire based survey was conducted on 400 married women, attending the family practice clinics at a teaching hospital in Karachi, Pakistan from July to December 2006. Questionnaire was administered to women at the family practice clinic-seeking level of knowledge of emergency contraception (EC) and attitudes towards its use, Ethical requirements of informed consent and confidentiality were ensured Data was entered into Epi data and analyzed in SPSS.
Eighty-eight percent of women were not aware of EC. 83% were housewives. Only a small number (11.5%) ever used EC to prevent pregnancy, out of those, the correct timing of effectiveness of post-coital pill was known to only 40% of women while none of these women were aware of the existence of Intra Uterine Contraceptive Device (IUCD) insertion as an option for EC About 50% of women identified general practitioners or family medicine clinics as their main sources of knowledge about EC. Increased advertising was considered desirable by 72% while 37% considered over the counter availability of EC pill desirable and only 36% of women were uncomfortable to use EC because of religious reasons.
EC has a potential to offer women an important option for fertility control. Lack of women's knowledge about EC use and availability may account in part for its limited use. There is a need to improve women's education about EC. The primary health care providers can play a major role in informing their patients about emergency contraception.
评估巴基斯坦卡拉奇育龄妇女对紧急避孕的知识和态度。
2006年7月至12月，对在巴基斯坦卡拉奇一家教学医院的家庭医疗诊所就诊的400名已婚妇女进行了问卷调查。在家庭医疗诊所对妇女进行问卷调查，以了解她们对紧急避孕（EC）的知识水平和使用态度，确保知情同意和保密的伦理要求。数据录入Epi数据并在SPSS中进行分析。
88%的妇女不了解紧急避孕。83%是家庭主妇。只有少数（11.5%）妇女曾使用紧急避孕来预防怀孕，其中只有40%的妇女知道性交后避孕药的正确有效时间，而这些妇女中没有一人知道宫内节育器（IUCD）插入作为紧急避孕的一种选择。约50%的妇女将全科医生或家庭医疗诊所视为她们了解紧急避孕的主要知识来源。72%的人认为增加广告宣传是可取的，37%的人认为紧急避孕药非处方可得是可取的，只有36%的妇女因宗教原因对使用紧急避孕感到不适。
紧急避孕有可能为妇女提供一种重要的生育控制选择。妇女对紧急避孕的使用和可得性缺乏了解可能部分导致了其使用受限。有必要加强妇女对紧急避孕的教育。初级卫生保健提供者在向患者宣传紧急避孕方面可以发挥主要作用。
