Knowlege, Attitude and Practice of contraceptive methods by the female students of the Faculty of Medecine and Biomedical Sciences of The University of Yaounde I

Stéphanie Carine MEKOUONG MPIOUANG
Gynecology and Obstetric, The University of Yaoune I
June, 2013
 

Abstract

Abstract
Background
Unwanted pregnancy and unsafe abortion is a major public health problem in low-and-middle income countries. Female students constitute one risk group for unsafe abortions. It has been estimated that widespread use of contraceptive methods may significantly reduce the number of abortion-related morbidity and mortality. The purpose of this study was to evaluate the knowledge, attitude and practice of contraceptive methods by female students of the Faculty of Medicine and Biomedical Sciences of The University of Yaounde I.
Methods
A consecutive sample of 180 female students of the FMBS of The University of Yaounde I (Cameroon) was selected for the study. For this study, we choose three promotions namely: first, fourth and seventh years. Data was collected by a self-administered, anonymous and pre-tested questionnaire.
Results
The response rate was 72.6% (180/248). The means age of our study was 20, 7 ± 2,5years. The age range 20-24 years was represented at 55%. Most of the respondents were single 96%. The average age at menarche was 12, 6 ± 1, 3:9-16 years; 56, 1% of these participants were sexually active and the average age of first intercourse was 17, 8±2, 1 years. About 43, 5% of the respondents, who were sexually active, had begun sexual activity as early as between 12 to 16 years. 27 of the respondents had already been pregnant, seven of whom declared having had at least one child. 85, 2% of them declared having had abortion, 95, 7% of which were voluntary. Excellent knowledge on contraception showed an increasing trend from 28% among the first years, to 79% among fourth years and 100% among seventh years. A greater proportion of them had good attitude towards contraception because they took morning after pills following unprotected intercourse or consult a medical doctor or a pharmacist. Of the 101, there was a high percentage in those who said they will take the morning after pill if they will have unprotected sexual intercourse or will consult a medical doctor or pharmacist. 65, 3% of sexually active respondents, irregular used contraception method, while 34, 7% regular used contraception. The male condom was the most used contraceptive method 77% , followed by oral contraceptives 11%, and female condom 2%.

Conclusion
The first year students had poor knowledge of contraception compared to students in the other classes (fourth and seventh years). Students who used the morning after pills or consulted the medical doctor or pharmacist after unprotected sexual intercourse had a positive attitude towards contraception. The male condom was the most widely used method among the students.


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