Mesfin Dereje
Department of Public Health, Wolkite University College of Medicine and Health Science, Wolkite, Ethiopia.
Contracept Reprod Med. 2020 Sep 15;5:15. doi: 10.1186/s40834-020-00119-4. eCollection 2020.
Ethiopia is one of the sub-Saharan African countries with high maternal mortality and morbidity, unsafe abortion and adolescent births. Despite different policy measures taken by the government to improve sexual and reproductive health among adolescents their success is not well studied in Ethiopia. The objective of this study is to explore emergency contraceptive related knowledge, practice and its determinants among secondary school students in southern Ethiopia.
An institution-based cross-sectional study was conducted in selected high schools of Wolkite town, Southern Ethiopia from December to November 2019. Single population proportion formula was used to calculate sample size. A total of 327 female students participated in the study with a total response rate of 97%. Data were collected using a self-administered, structured questionnaire and cleaned, entered and analyzed using Statistical package for social science software version 21.
153 (54.8%) of the study participants had good knowledge about emergency contraceptives and only (40.5%) of sexually active participates used emergency contraceptives after unprotected sex. Type of admission and grade level of participants and discussion of reproductive health related issues with parents were significantly associated with good knowledge of Emergency contraceptive. Having partner and grade level of students were among the significant determinants of emergency contraceptive utilization.
The study showed an acceptable level of emergency contraceptive knowledge but only less than half of sexually active respondents used emergency contraceptives. To prevent unintended pregnancy among secondary school students sexual and reproductive health education should be given to students starting from their enrollment. Furthermore, parents should be encouraged to freely discuss sexual and reproductive health matters with their children.
埃塞俄比亚是撒哈拉以南非洲国家之一，孕产妇死亡率和发病率高，不安全堕胎和青少年生育问题严重。尽管政府采取了不同政策措施来改善青少年的性健康和生殖健康，但在埃塞俄比亚，这些措施的成效尚未得到充分研究。本研究的目的是探讨埃塞俄比亚南部中学生中与紧急避孕相关的知识、实践及其决定因素。
2019年12月至11月，在埃塞俄比亚南部沃基特镇选定的高中开展了一项基于机构的横断面研究。采用单总体比例公式计算样本量。共有327名女学生参与研究，总应答率为97%。使用自填式结构化问卷收集数据，并使用社会科学统计软件包21版进行清理、录入和分析。
153名（54.8%）研究参与者对紧急避孕有良好的了解，只有40.5%的性活跃参与者在无保护性行为后使用了紧急避孕措施。参与者的入学类型和年级水平以及与父母讨论生殖健康相关问题与对紧急避孕的良好了解显著相关。有伴侣和学生的年级水平是紧急避孕使用的重要决定因素。
该研究表明，中学生对紧急避孕的了解程度尚可，但只有不到一半的性活跃受访者使用了紧急避孕措施。为防止中学生意外怀孕，应从入学开始就对学生进行性健康和生殖健康教育。此外，应鼓励家长与孩子自由讨论性健康和生殖健康问题。
