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Workforce interventions to improve access to emergency contraception pills: a systematic review of current evidence in low- and middle-income countries and recommendations for improving performance.改善紧急避孕药获取途径的劳动力干预措施：对低收入和中等收入国家现有证据的系统评价及提高绩效的建议
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Emergency contraception: knowledge and attitudes of family physicians of a teaching hospital, Karachi, Pakistan.紧急避孕：巴基斯坦卡拉奇一家教学医院家庭医生的知识与态度
J Health Popul Nutr. 2009 Jun;27(3):339-44. doi: 10.3329/jhpn.v27i3.3376.
2
Knowledge of emergency contraception among women of childbearing age at a teaching hospital of Karachi.卡拉奇一家教学医院育龄女性对紧急避孕的认知情况。
J Pak Med Assoc. 2009 Apr;59(4):235-40.
3
Cost savings from the provision of specific methods of contraception in a publicly funded program.在一项公共资助项目中，通过提供特定避孕方法实现的成本节约。
Am J Public Health. 2009 Mar;99(3):446-51. doi: 10.2105/AJPH.2007.129353. Epub 2008 Aug 13.
4
Effect of an emergency contraceptive pill intervention on pregnancy risk behavior.紧急避孕药干预对妊娠风险行为的影响。
Contraception. 2008 May;77(5):333-6. doi: 10.1016/j.contraception.2008.02.001. Epub 2008 Mar 21.
5
Computer-assisted provision of emergency contraception a randomized controlled trial.计算机辅助提供紧急避孕措施：一项随机对照试验
J Gen Intern Med. 2008 Jun;23(6):794-9. doi: 10.1007/s11606-008-0609-x. Epub 2008 Apr 9.
6
Advance provision of emergency contraceptive pills reduces treatment delay: a randomised controlled trial among Swedish teenage girls.提前提供紧急避孕药可减少治疗延误：一项针对瑞典少女的随机对照试验。
Acta Obstet Gynecol Scand. 2008;87(3):354-9. doi: 10.1080/00016340801936024.
7
Knowledge and use of emergency contraception among women in the Western Cape province of South Africa: a cross-sectional study.南非西开普省女性对紧急避孕的认知与使用情况：一项横断面研究。
BMC Womens Health. 2007 Sep 12;7:14. doi: 10.1186/1472-6874-7-14.
8
A survey of knowledge, attitudes and practice of emergency contraception among university students in Cameroon.喀麦隆大学生紧急避孕知识、态度及行为的调查
BMC Emerg Med. 2007 Jul 17;7:7. doi: 10.1186/1471-227X-7-7.
9
Emergency contraception and fertility awareness among university students in Kampala, Uganda.乌干达坎帕拉大学生中的紧急避孕与生育意识
Afr Health Sci. 2006 Dec;6(4):194-200. doi: 10.5555/afhs.2006.6.4.194.
10
Awareness of emergency contraception among female college students in Chandigarh, India.印度昌迪加尔女大学生对紧急避孕的认知情况。
Indian J Med Sci. 2007 Jun;61(6):338-46.

紧急避孕药：探究一个发展中的穆斯林国家社区卫生工作者的知识与态度

Emergency contraceptive pills: Exploring the knowledge and attitudes of community health workers in a developing Muslim country.

作者信息

Mir Azeem Sultan, Malik Raees

机构信息

National Maternal Neonatal and Child Health Program, Race Course, Rawalpindi, Pakistan.

出版信息

N Am J Med Sci. 2010 Aug;2(8):359-64. doi: 10.4297/najms.2010.2359.

DOI:10.4297/najms.2010.2359
PMID:22737673
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3339059/
Abstract

BACKGROUND

Unsafe abortion is a major Public health problem in developing countries, where women make several unsafe attempts at termination of the unintended pregnancy before turning to health services. Community health workers can act as a bridge between the community and their health facilities and can use Emergency Contraceptive Pills to significantly reduce the mortality and morbidity related to unsafe abortions.

AIMS

This study explores the knowledge, attitudes and practices of the Lady Health Supervisor of the National Program for Family Planning, district Rawalpindi, regarding emergency contraception pills.

MATERIALS AND METHODS

The cross sectional survey was conducted during the monthly meeting of Lady Health Supervisors. Self administered, anonymous and voluntary questionnaire consisting of 17 items, regarding demographic profile, awareness, knowledge, attitudes and practices, was used.

RESULTS

Insufficient knowledge, high misinformation and strongly negative attitudes were revealed. More than half did not know that emergency contraceptive pills do not cause abortion. About four fifths believed that emergency contraceptive pills will lead to 'evil' practices in society. More than four fifths recognized that the clients of National Program for Family Planning need emergency contraceptive pills. The attitudes were significantly associated with knowledge (P=0.034, Fisher's Exact Test).

CONCLUSION

The awareness of emergency contraceptive pills is high. Serious gaps in knowledge have been identified. There is a clear recognition of the need of emergency contraceptive pills for the clients of National Program for Family Planning. However, any strategy to introduce emergency contraceptive pills must cater for the misplaced beliefs of the work force.

摘要

背景

不安全堕胎是发展中国家的一个主要公共卫生问题，在这些国家，女性在寻求医疗服务之前会多次尝试不安全的方式终止意外怀孕。社区卫生工作者可以充当社区与其卫生机构之间的桥梁，并可使用紧急避孕药显著降低与不安全堕胎相关的死亡率和发病率。

目的

本研究探讨了拉瓦尔品第地区国家计划生育项目的女性健康监督员对紧急避孕药的知识、态度和做法。

材料与方法

在女性健康监督员的月度会议期间进行了横断面调查。使用了一份由17个项目组成的自我管理、匿名且自愿的问卷，内容涉及人口统计学特征、意识、知识、态度和做法。

结果

结果显示知识不足、错误信息多且态度强烈消极。超过一半的人不知道紧急避孕药不会导致堕胎。约五分之四的人认为紧急避孕药会导致社会上的“不良”行为。超过五分之四的人认识到国家计划生育项目的服务对象需要紧急避孕药。态度与知识显著相关（P = 0.034，费舍尔精确检验）。

结论

对紧急避孕药的知晓率较高。已发现知识方面存在严重差距。人们明确认识到国家计划生育项目的服务对象需要紧急避孕药。然而，任何引入紧急避孕药的策略都必须考虑到工作人员错误的观念。