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Assessment of provider knowledge and availability of emergency contraception in Malawian health facilities and private pharmacies pdf, 206kb

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Assessment of provider knowledge and availability of emergency contraception in Malawian health facilities and private pharmacies pdf, 206kb
Assessment of Provider Knowledge and Availability of
Emergency Contraception in Malawian Health
Facilities and Private Pharmacies
Objectives and The Contraceptive Prevalence Rate (CPR) in Malawi is around 58.6% among married
Background women, of which 19.4% have unmet need for contraception leading to large numbers of
mistimed/ unwanted pregnancies. Emergency Contraception (EC), as part of a wide range
of options, especially for cases of unprotected sex or perceived contraceptive failure, has
the potential to significantly reduce unintended pregnancy incidence and the
consequent abortion rates. A national survey investigating levels and factors affecting
provider knowledge and availability of Emergency contraception was undertaken in a
representative sample of public facilities and private pharmacies in Malawi.
This was a cross sectional study with both quantitative and qualitative methods of data
collection. The survey respondents included family planning coordinators, pharmacists
(in public and private institutions), police officers manning victim support units and
deans/course coordinators of training institutions. The sampling frame constituted all
251 health facilities in Malawi (except Catholic run facilities).
The commonest indication for EC was unprotected sex/burst condom. EC stock-outs in
the preceding 12 months was only experienced in 12% of the SDPs surveyed.
Respondents identified cultural/religious beliefs and misconception related to ECs being
viewed as an ‘abortion pill’ as the main barriers to utilization.
Conclusion: Despite wide and consistent availability of ECs utilization remains low. Police
officers manning VSUs are particularly lacking knowledge on EC. There is need to address
cultural/religious beliefs and misconception in a comprehensive advocacy program to
promote EC utilization.
Geographic Malawi
location
Main deliverables The paper is under review to be submitted for journal publication. It is for presentation
at the International Conference on Family Planning in Bali.
Partners
Sources of funding UN Commission for Life Saving Commodities
Date Issued 02 November 2015
Contact [email protected] http://www.who.int/reproductivehealth/en/
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