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Dev Kumari Shrestha RaiMaternal Health Nursing DepartmentCollege of Nursing,BPKIHS,Nepaldevkumari@hotmail.com

Design and Methods

Design: Pre experimental designSetting: Public higher secondary school DharanSample size: sample size was 60 students.Sampling technique: stratified random, sampling technique

Results

Table 1 Demographic Profile of Higher Secondary Students of Public High School in Dharan n=60 …

Discussion and Conclusions

References

Finding revealed that knowledge about the meaning of Contraception, the report reveals that in the pre-test 78.3% gave the correct response which increased to 86.7% in the post-test. However the difference between the pre-test and post-test was not found to be significant (P=0.383).

Effectiveness of Educational Intervention on Knowledge Regarding Emergency Contraception among the Higher Secondary Students of

Public Higher Secondary School in Dharan, Nepal

InvestigatorsOmKumari RaiDev Kumari Shrestha Rai

Emergency contraception could be a powerful means to prevent unwanted pregnancies and their devastating consequences for women’s health, social well being and life project and for the unwanted child.1

Introduction

Unintended pregnancy poses a major challenge to the reproductive health of young adults in developing countries.

Some young women with unintended pregnancies obtain abortions many of which are performed in unsafe conditions and others carry their pregnancies to term, incurring risks of morbidity and mortality higher than those for adult women.2

Rational for Study

Women in the younger group are twice as likely to be affected by complications related to childbirth 4.Making young women aware about emergency contraception may help to prevent unwanted pregnancies and promote safe sex5

Objectives

•To assess the knowledge regarding Emergency Contraception among the Higher Secondary Students of Public Higher Secondary School before and after the educational intervention.•To implement an educational package on Emergency Contraception.•To compare the knowledge regarding Emergency Contraception among the higher secondary students before and after the educational intervention.

Data collection procedure

Data was collected in three phases:

•Pretest phase (7th December 2008) •Intervention phase (7th December 2008) •Post test (19th December 2008)

Data analysis

The data collected during the study has been analyzed using descriptive as well as inferential statisticsKnowledge score of the participants between the pre-test and post-test were compared using Mc Nemar Chi square test and Fischer’s Exact significant test. Wilcoxon Sign Rank test was used to find the overall significance of the educational intervention program.

Ethical consideration

•Formal approval was obtained from the concerned authority.• Verbal consent was obtained from each participants .• Purpose of the study was briefly informed to

each participants.• Confidentiality was maintained throughout the study period and used only for research purpose

Demographic variables frequency percentageAge

15-20 years 60 100

Sex

Male

Female

26

34

43.3

56.7

Residence

Rural

Urban

6

54

10

90

Religion

Hindu

Others(Buddhist,Christian,Kirat)

44

16

73.3

24.7

Marital status

Unmarried 60 100

Table 2 Responses on Knowledge Regarding Emergency Contraception n=60

Knowledge regarding

Pretest (n=60) Posttest (n=60)

Difference in

%

P value

Correct response

% Correct response

%

Definition of EC.

31 51.7 56 93.3 41.6 <0.001**

Types as ECD

8 13.3 55 91.7 78.4 <0.001**

Purpose of EC

19 31.7 39 65.0 33.3 <0.001*

EC prevent from STI

28 46.7 52 86.7 40 <0.001**

EEC prevent future pregnancy.

56 93.3 57 95 1.7 1.000*

Side effects of EC

8 13.3 22 36.7 23.4 0.007*

Days of IUCD used as EC.

7 11.7 37 61.7 50 <0.001**

**Mc Nemar Chi-square P value

Cont…Table 2

Table 3 Overall Change in the Percentage of Responses after the Educational Intervention

Range Mean SD Z value* P value

Pre-test 3.57 – 75 44.46 14.14 -6.66 <0.001Post-test 46.43 –

10078.75 10.77

Fifty one percent in the pre-test gave correct response regarding the meaning of Emergency Contraception which was changed to 93.3% in the post test. Result was significant.

types of the family planning devices that can be used as an Emergency Contraception the responses in the pre-test and post-test were 13.3% and 91.7%.Difference was significant.time period within which an Intra-uterine devices can be used as an Emergency Contraception, the report revealed that in the pre-test 11.7% gave the correct responses which was increased to 61.7% in the post test,it is also significant result.

the time interval between the first and second doses of ECP in the pre-test was 33.3% which was markedly increased in post-test (91.7%).

The overall mean score of knowledge on Emergency Contraception of the respondents were 44.46 in the pre-test which was changed to 78.75 in the post-test. the difference was found to be significant (p<0.001

The findings of the study showed that the post-test mean score on knowledge regarding Emergency Contraception was increased from the pre-test mean score

the educational intervention was very effective in increasing the knowledge of the students. Thus, it signifies that a planned teaching program should be provided to update their knowledge and can be prevent from unwanted pregnancy and unsafe abortion.

Conclusion

AcknowledgementCollege of Nursing BPKIHSParticipants of PHSS, DharanRCOG 2012

ReferencesCroxatto HB, Fernandez SD. Emergency contraception- a human right issue. Best Practice and Research clinical Obstetrics and Gynaecology 2006; 20(3):311-322.Harrison KA et al. The influence of maternal age and parity on child bearing with special reference to primi gravidae aged 15 years and under. British journal of Obstetrician and Gynaecology 1985; 5:23-31.

Unsafe abortion around the world. (Online) http://www.ppacca.org. (assessed on Nov 26th 2008).Harper C, Ellertson C. The emergency contraceptive pill: A Survey of knowledge and attitudes among students at Princeton University. American Journal of Obstetric and Gynaecology 1995; 173: 1438-45.Harper C, Ellertson C. Knowledge and perception of the emergency contraceptive pills among a college age population. A qualitative approach. Family Planning Perspective 1995; 27: 149-54.

Arowajolu AO, Adekunle AO. Perception and Practice of Emergency Contraception by the Post Secondary School Students in South west Nigeria. African Journal of Reproductive Health 2000; 4(1):56-65. Sedgh G et al., Induced abortion worldwide in 2008: levels and trends, Lancet, 2012, (forthcoming)