Knowledge and use of emergency contraception by medical doctors on internship in a tertiary healthcare facility in Nigeria

Niger J Clin Pract. 2014 Jul-Aug;17(4):431-5. doi: 10.4103/1119-3077.134028.

Abstract

Context: Emergency contraception (EC) is widely used to prevent unwanted pregnancy and it is largely adopted in many countries as over the counter drug to improve access.

Aims: To determine and compare the correct knowledge, attitude and current use of EC among newly graduated medical doctors (MDs).

Settings and design: A cross-sectional study conducted among 255 newly graduated MDs at the University College Hospital, Ibadan, Nigeria.

Materials and methods: A pretested self-administered questionnaire was used to obtain data from consenting participants.

Statistical analysis used: Descriptive, bivariate, and multivariable analyses were performed, and statistical significance was set at 0.05. Statistical Package for Social Science version 15.0 (Chicago, IL, USA) software was used.

Results: The mean age of the respondents was 27.2 years (standard deviation = 2.1). The commonest indication for emergency contraceptive use mentioned was rape-96.5%. About 70% support EC in Nigeria, while about a quarter (26.9%) routinely counsel women about ECP use. About 21% of respondents currently use EC. Logistic regression analysis revealed significant results for gender [odds ratio (OR) =3.64; 95% confidence interval (CI) OR = 1.31-10.01), religion (OR = 0.26; 95% CI OR = 0.11-0.630) and marital status (OR = 0.19; 95% CI = 0.07-0.56).

Conclusion: The correct knowledge and professional disposition toward EC as a form of contraception is low. We recommend that in-service training should focus more on EC to improve the quality of their knowledge and attitude towards it.

MeSH terms

  • Adult
  • Contraception, Postcoital / methods
  • Contraception, Postcoital / statistics & numerical data*
  • Contraceptives, Postcoital / administration & dosage*
  • Cross-Sectional Studies
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Logistic Models
  • Male
  • Nigeria / epidemiology
  • Physicians / statistics & numerical data*
  • Pregnancy
  • Rape
  • Surveys and Questionnaires
  • Tertiary Care Centers
  • Young Adult

Substances

  • Contraceptives, Postcoital