Abstract
IntroductionDespite Ethiopia’s government’s commitment to alleviating unwanted pregnancy and unsafe abortion by increasing holistic reproductive health service accessibility, the rate of unwanted pregnancy among female students in the universities is distressing and becoming a multisectoral concern. Therefore, this systematic review aimed to assess the prevalence and determinant of emergency contraceptive practice among female university students in Ethiopia.ResultThe overall pooled prevalence of emergency contraceptive practice among female university students in Ethiopia was 34.5% [95% CI [20.8, 48.2%]. The pooled odds ratio showed that positive association between practice of emergency contraceptives with age of the students [OR, 0.19; 95% CI: 0.04, 0.98, P = 0.05] Previous contraceptive methods use [OR, 0.22; 95% CI: 0.12, 0.40, P = 0.0001], Marital status [OR, 0.09; 95% CI: 0.02, 0.40, P < 0.002] and knowledge [OR, 0.12; 95% CI: 0.04, 0.37, P < 0.0003].ConclusionThe practice of emergency contraceptives among university female students was 34.5% and explained by knowledge, age, previous use of contraceptive methods and marital status.
Highlights
Despite Ethiopia’s government’s commitment to alleviating unwanted pregnancy and unsafe abortion by increasing holistic reproductive health service accessibility, the rate of unwanted pregnancy among female students in the universities is distressing and becoming a multisectoral concern
Determinants of emergency contraceptive practice The results of this review have shown determinants significantly associated with emergency contraceptive practice in Ethiopia were, Age [OR, 0.19; 95% CI:0.04, 0.98, P = 0.05] Previous contraceptive method use [OR, 0.22; 95% CI: 0.12, 0.40, P = 0.000001], Marital status [OR, 0.09; 95% CI: 0.02, 0.40, P < 0.002] and knowledge [OR, 0.12; 95% CI: 0.04, 0.37, P < 0.0003]
Knowledge of the student This review demonstrated that there was significant association between students’ knowledge and emergency contraceptive practice in the random model [OR, 0.12; 95% CI: 0.04, 0.37; P = 0.0003]
Summary
Despite Ethiopia’s government’s commitment to alleviating unwanted pregnancy and unsafe abortion by increasing holistic reproductive health service accessibility, the rate of unwanted pregnancy among female students in the universities is distressing and becoming a multisectoral concern. 250 million pregnancies are occurred annually, and 11% of pregnancy are accounted by adolcent one third of them are untended and 20 % of the pregnancy ended up with induced abortion [1, 2]. The Young generation was facing multiple reproductive health problems and among them, unintended pregnancy poses a major contest in developing countries. Due to economic dependability and lack of friendly approach in the facility, young women prone to end Around 80 million unintended pregnancies occurred in the developing world in 2012, resulting in 40 million abortions and 10 million miscarriages [4]. According to the World Health Organization report every year, nearly 5.5 million African women have unsafe abortions. In the Ethiopian context, Emergency contraceptives are not part of family planning methods but used as an emergency contraceptive by women when they encountered different situations that predispose them for
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