Use of non-emergency contraceptive pills and concoctions as emergency contraception among Nigerian University students: results of a qualitative study
Use of non-emergency contraceptive pills and concoctions as emergency contraception among Nigerian University students: results of a qualitative study
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DOI：
10.1186/s12889-016-3707-4
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发表时间：
2016-10-04
影响因子：
4.5
通讯作者：
Adeniyi, Oladele Vincent
中科院分区：
文献类型：
--
作者：
Ajayi, Anthony Idowu;Nwokocha, Ezebunwa Ethelbert;Adeniyi, Oladele Vincent
背景资料：紧急避孕可以大大降低意外怀孕和不安全堕胎的发生率，特别是在撒哈拉以南非洲。尽管尼日利亚受过教育的年轻妇女对幼儿保育的认识不断提高，但使用率仍然很低。因此，本研究探讨了主要障碍，以使用EC女大学生通过分析他们的知识，紧急避孕，曾经使用过的方法，感知的疗效，其acceptability.Methods：本文汇集了调查结果，从几个焦点小组（N = 5）和深入访谈（N = 20）进行未婚女本科生在两所尼日利亚大学。与会者认为使用避孕套和禁欲是预防意外怀孕的最有效方法。然而，许多参与者被误导了紧急避孕。一般来说，参与者依赖非常规且未经证实的EC; Ampiclox、“Alabukun”、盐水溶液以及石灰和碳酸钾，并认为它们可以有效预防意外怀孕。此外，受访者对预防意外怀孕方法的叙述表明，紧急避孕信息不足、依赖未经证实的原始避孕方法以及对现代避孕的误解构成了使用紧急避孕的障碍。研究结果表明，女大学生对紧急避孕措施的了解有误，她们对未经证实的避孕药的依赖构成了使用紧急避孕药的障碍。批准的EC方法。这些障碍对预防队列中的计划外怀孕具有严重影响。针对使用未经证实的紧急避孕方法和对EC的误解的行为干预对尼日利亚的这一队列至关重要。
Background: Emergency contraception (EC) can significantly reduce the rate of unintended pregnancies and unsafe abortions especially in sub-Saharan Africa. Despite the increasing awareness of EC among educated young women in Nigeria, the rate of utilisation remains low. This study therefore explores the main barriers to the use of EC among female university students by analysing their knowledge of emergency contraception, methods ever used, perceived efficacy, and its acceptability.Methods: This paper brings together the findings from several focus groups (N = 5) and in-depth interviews (N = 20) conducted amongst unmarried female undergraduate students in two Nigerian universities.Results: Participants considered the use of condom and abstinence as the most effective methods of preventing unplanned pregnancy. However, many participants were misinformed about emergency contraception. Generally, participants relied on unconventional and unproven ECs; Ampiclox, "Alabukun", salt water solution, and lime and potash and perceived them to be effective in preventing unplanned pregnancies. Furthermore, respondents' narratives about methods of preventing unwanted pregnancies revealed that inadequate information on emergency contraception, reliance on unproven crude contraceptive methods, and misconception about modern contraception constitute barriers to the use of emergency contraception.Conclusions: The findings suggested that female university students are misinformed about emergency contraception and their reliance on unproven ECs constitutes a barrier to the use of approved EC methods. These barriers have serious implications for prevention of unplanned pregnancies in the cohort. Behavioural interventions targeting the use of unproven emergency contraceptive methods and misperceptions about ECs would be crucial for this cohort in Nigeria.