Abstract
Context: Recent concerns over teenage pregnancy, abortion and sexuality have pushed emergency contraceptive methods to the fore once again. The studies on knowledge and attitudes of providers are of particular importance, as they will have direct effects on potential users of emergency contraception. Aim/Method: This paper is a critical and systematic review of available literature relevant to knowledge, attitude and practice of emergency contraception among providers. Literature was reviewed from the late 1980s to date, with articles accessed using PUBMED and MEDLINE through the Internet. Relevant references from published articles were also used to source more information. All articles were published in English. It summarises the work done so far in this area, with indications for future research. Result: Most of the studies are in developed countries with very little research in developing countries. Most studies undertaken have been through telephone interviews, postal surveys, and focus group discussions. Some provider studies are targeted at a specific subtype of health professionals or different clinic settings. Majority of studies, however, point to the fact that knowledge of emergency contraception is poor among family planning service providers. Conclusion: Women must know that it is possible to prevent pregnancy after an unprotected intercourse before they can look for this service. Knowledge of emergency contraception is therefore crucial for its use. Training and re-training of health professionals is needed to improve knowledge and increase awareness. Emergency contraception is financially, psychologically and physically less burdensome than abortion. Key Words: Post-Coital, Contraception, Family Planning Services. [Trop J Obstet Gynaecol, 2003, 20: 153-158]
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