Abstract

To elaborate the impact of family planning training on general practitioners' knowledge, attitude and practices regarding emergency contraception. A cross sectional survey involving 270 general practitioners was conducted in Hyderabad from 1(st) Oct to 31(st) Dec 2010. Participants were divided into two groups on the basis of attending family planning training course after graduation and were interviewed face to face. Data was noted on questionnaire asking their knowledge, attitude and practices regarding emergency contraception. Data was analyzed on SPSS version 11. Student t-test was applied to compare the proportions among two groups. Out of 270 general practitioners, male & female participants were 132 (48.9%) and 138 (51.1%) respectively. Mean experience as private general practitioner was 7.48 + 7.6 years. One third of the participants 84 (31.1%) have attended five days training course on family planning in the past, while 186 (69.9%) did not have any training. Source of training was government institutes 46(17%) and non government organization in 38 (14.1%) cases. Significant positive difference was noted on emergency contraception knowledge, attitude and use in group who attended family planning training. Educational intervention has a positive impact on health care provider's knowledge, attitude and practices of emergency contraception.

Highlights

  • Pakistan’s population has reached the mark of 180 millions, making it as the sixth most populous country with projected population of 314 million in the year 2050.1 The issues of low contraceptive prevalence, high and sustained unmet need of family planning is responsible for enormous number of unplanned pregnancies and induced abortions in Pakistan

  • Situation in Pakistan is nearly same, in spite of the fact that Post coital emergency contraception (PCEC) is integral part of family planning services provided by public and private sector and public awareness campaigns have been launched on television and newspapers

  • World wide lack of awareness on the part of patients and physicians are found as main barrier to use of PCEC

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Summary

Introduction

Pakistan’s population has reached the mark of 180 millions, making it as the sixth most populous country with projected population of 314 million in the year 2050.1 The issues of low contraceptive prevalence, high and sustained unmet need of family planning is responsible for enormous number of unplanned pregnancies and induced abortions in Pakistan. Post coital emergency contraception (PCEC) is considered world wide as safe, cost effective and evidence based strategy to avoid unplanned pregnancies and their consequences. It is defined as the use of a drug or a device to prevent pregnancy after unprotected intercourse. Researchers have recommended educational interventions for preservice and in-service health care providers in order to promote PCEC.[5,6]

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