Journal of Community Medicine & Health Education最新文献

{"title":"Factors Associated with Knowledge, Attitude and Practice towards Emergency Contraception among Female Clients of Ethiopian Immigration and Nationality Affairs Office","authors":"Gessessew Bugssa, Tensay Kahsay, Abyot Asres, Yosief Tsige, B. Dimtsu","doi":"10.4172/2161-0711.1000305","DOIUrl":"https://doi.org/10.4172/2161-0711.1000305","url":null,"abstract":"Background: Proper knowledge, attitude and practice of contraceptives prevent occurrence of undesirable outcomes of the unintended conceptions. Objective: The aim of this study was to assess the level and factors associated with knowledge, attitude and practice of emergency contraception. Methods: An institution based cross sectional study design was conducted among 416 female clients of Ethiopian immigration and nationality affair office in Addis Ababa in 2013. Study participants were selected by systematic random sampling technique. Face to face interviewer administered structured questionnaire was employed to collect data on their socio-demographic and reproductive health issues. Both binary and multiple logistic regressions were done and statistical significance was considered based on 95% CI of odds ratios and P- Value <0.05. Result: Only 40.1% of the participants had ever heard about emergency contraceptive of whom 47.3% were found to be knowledgeable rated based on multiple knowledge questions. Around 39.4% had positive attitude towards emergency contraceptive. Only 9.3% of the sexually active participants have ever used emergency contraceptive. Lack of knowledge about the method was major barrier for not using emergency contraceptive. Age 20 and above years [AOR=7.20, 95% CI=1.26, 41.08], being married [AOR=12.49, 95%CI=1.81, 86.47] and ever used emergency contraceptive [AOR=5.26, 95%CI=1.05, 26.54] were significant predictors to knowledge of emergency contraceptive while having adequate knowledge about emergency contraceptive [AOR=5.08,95%CI=1.19,21.56] and ever used contraceptive [AOR=13.7, 95% CI=2.66, 70.59] were significant predictor for use of emergency contraceptive. Conclusion: The level of knowledge, attitude and practice towards emergency contraceptive is very low depicting potential of emergency contraceptive to prevent unintended pregnancies and their complications is far from being realized. Hence, awareness creations accompanied by availing necessary supplies are needed to raise knowledge and practice of emergency contraceptive among female adolescents departing to different nations.","PeriodicalId":130240,"journal":{"name":"Journal of Community Medicine &amp; Health Education","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127762935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges Experienced by Adolescent Girls while Menstruation in Kathmandu, Valley: A Qualitative Study","authors":"Ashok Pandey","doi":"10.4172/2161-0711.1000285","DOIUrl":"https://doi.org/10.4172/2161-0711.1000285","url":null,"abstract":"Background: Menstruation period is a risk factor for various infections. Adolescents’ school girls are more vulnerable to infection. The study was carried out to assess the knowledge and practices about menstruation among adolescent girls in Kathmandu Valley. Methods: An FGD was conducted in the two private and public school of Samakhushi. New Himalayan higher secondary school and Ranidevi School was selected with the help of teachers. Adolescent girls of age 12-18 years from one public school and another private school of Samakhusi, Kathmandu Valley were involved in this study. FGD was carried out with a total of 11 girls in New Himalayan School and the 10 girls were taken from the Ranidevi School. Out of 21 girls, 12 girls are from class 8, 5 girls are from class 9 and the remaining 4 girls are from class 10. To make the respondents feel ease and express freely on the little discussion issues of menstrual practices closed well ventilated classroom was selected. And verbal consent was taken from the respondent prior to FGD. Results: From the study, young girls describe the onset of menarche as a shocking or fearful event. Information was mainly provided about the use of cloth, the practice of rituals in the form of restrictions on their movements and behavior towards males and, of course, the possible effects of her “polluting touch” and the equality polluting potential of the menstrual cloth. The socio-cultural beliefs behind are based on the concept of “pollution” surrounding the conditions of menstruation and usually mothers imparted these beliefs to the girls as important know how to related to the practices during menstruation. Hindu culture women are not allowed to pray or fast nor is she allowed touching the holy book and temple. The girls are relieved from exclusion only after purification after the five days of menstruation. If any activities like touches of something is happened unknowingly then her mother, sister sprinkle the gold water through her body. Parents are more afraid of committing a sin if their daughters go to school during menstruation than the possibility of the latter failing in exams if they are not sent to school whenever they have a period. Most of the girls Bath daily during menstruation period. Some also bath in the third days of menstruation. In case of school absenteeism if infrastructure of toilet is present, in many instances basic lock system is missing or not functioning in public school. So they usually go in pairs by taking turns to go to their toilet and wait on each other. About the sanitary pad, they cannot afford always, most of them usually use old cloth material when staying at home and use sanitary pad only when they need to go out. The FGD finding is that on an average one re-useable cloth is used with the alternative of safety pad. Modern safety pads are frequently used in the school times. They re-use a single cloth for two to three menstrual cycles. However the girls clarified that the number of ","PeriodicalId":130240,"journal":{"name":"Journal of Community Medicine &amp; Health Education","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115257651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}