College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand.
Health Services Academy, Islamabad, Pakistan.
Sci Rep. 2024 Nov 18;14(1):28474. doi: 10.1038/s41598-024-79550-5.
Approximately one billion women require family planning services worldwide, 842 million women are currently using modern contraceptives, and 80 million are using traditional contraceptive methods for family planning (FP). Health literacy (HL) can significantly make women aware of contraceptives for family planning. This study aims to assess the effectiveness of health education in determining perceptions and intended contraceptive use among university students in Pakistan. A pre-and post-approach with cross-sectional study design was conducted in the public sector University of Islamabad from July to December 2022. A self-administered and structured questionnaire comprising variables on knowledge level and intended contraceptive use was conducted among randomly selected students (n = 396). Survey respondents were given Health Education Intervention (HEI), which included a lecture regarding contraception use for family planning, and a posttest assessment was conducted on the same group of students. Statistical Package for Social Science (SPSS) version 24 was used for statistical data analysis. An Institutional Review Board (IRB) of the Health Services Academy (HSA) approved this study. A majority, 217 (55%), were female respondents. There was a significant difference in the overall mean score between pretest and posttest assessments after the intervention. Hence, the findings proved that this intervention successfully improved the knowledge and intention of the participants to use FP. Moreover, after the HEI, 99% of respondents had improved knowledge about family planning methods and the benefits of contraceptive use. Knowledge, perceived benefits, and intended use of contraceptives for FP were significantly improved after the HEI (P < 0.05). In the posttest, the most learned methods were intrauterine devices, injections, implants, and withdrawal. Most of the participants were already well aware of condoms and oral pills. The study concludes that health education is an effective intervention to improve the knowledge, perception, and intended contraceptive use among undergraduate university students regarding family planning.
全世界约有 10 亿女性需要计划生育服务，目前有 8.42 亿女性正在使用现代避孕药具，还有 8000 万女性正在使用传统避孕方法进行计划生育 (FP)。健康素养 (HL) 可以显著提高女性对计划生育避孕药具的认识。本研究旨在评估健康教育在确定巴基斯坦大学生对避孕措施的认知和使用意图方面的效果。2022 年 7 月至 12 月，在伊斯兰堡公立大学采用了一种预前后测的横断面研究设计。在随机选择的学生 (n=396) 中进行了一项自我管理和结构化问卷，其中包括知识水平和避孕意图使用变量。向调查受访者提供了健康教育干预 (HEI)，其中包括关于计划生育避孕措施使用的讲座，对同一组学生进行了后测评估。统计分析采用社会科学统计软件包 (SPSS) 版本 24。卫生服务学院 (HSA) 的机构审查委员会 (IRB) 批准了这项研究。大多数 217 名（55%）受访者为女性。干预后，预测试和后测试评估之间的总体平均分数有显著差异。因此，调查结果证明，这种干预成功地提高了参与者使用 FP 的知识和意图。此外，在健康教育之后，99%的受访者提高了对计划生育方法和避孕使用益处的了解。健康教育后，对 FP 避孕措施的知识、感知益处和使用意图有了显著提高 (P<0.05)。在后测中，学习最多的方法是宫内节育器、注射、植入物和撤退。大多数参与者已经很了解避孕套和口服避孕药。该研究得出结论，健康教育是一种有效的干预措施，可以提高大学生对计划生育的知识、认知和避孕措施的使用意图。
