Determinant of emergency contraceptive practice among female university students in Ethiopia: systematic review and meta
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(2020) 5:18
Contraception and Reproductive Medicine
REVIEW
Open Access
Determinant of emergency contraceptive practice among female university students in Ethiopia: systematic review and metaanalysis Rekiku Fikre1*, Belay Amare1, Alemu Tamiso2 and Akalewold Alemayehu2
Abstract Introduction: Despite Ethiopia’s government’s commitment to alleviating unwanted pregnancy and unsafe abortion by increasing holistic reproductive health service accessibility, the rate of unwanted pregnancy among female students in the universities is distressing and becoming a multisectoral concern. Therefore, this systematic review aimed to assess the prevalence and determinant of emergency contraceptive practice among female university students in Ethiopia. Result: The overall pooled prevalence of emergency contraceptive practice among female university students in Ethiopia was 34.5% [95% CI [20.8, 48.2%]. The pooled odds ratio showed that positive association between practice of emergency contraceptives with age of the students [OR, 0.19; 95% CI: 0.04, 0.98, P = 0.05] Previous contraceptive methods use [OR, 0.22; 95% CI: 0.12, 0.40, P = 0.0001], Marital status [OR, 0.09; 95% CI: 0.02, 0.40, P < 0.002] and knowledge [OR, 0.12; 95% CI: 0.04, 0.37, P < 0.0003]. Conclusion: The practice of emergency contraceptives among university female students was 34.5% and explained by knowledge, age, previous use of contraceptive methods and marital status. Keywords: Emergency contraceptive, Ethiopia, Female university students, Systematic review, Meta-analysis
Background Worldwide, 250 million pregnancies are occurred annually, and 11% of pregnancy are accounted by adolcent then, one third of them are untended and 20 % of the pregnancy ended up with induced abortion [1, 2]. The Young generation was facing multiple reproductive health problems and among them, unintended pregnancy poses a major contest in developing countries. Due to economic dependability and lack of friendly approach in the facility, young women prone to end * Correspondence: [email protected] 1 Department of Midwifery, Hawassa University, College of Medicine and Health Sciences, P.O. Box 1560, Hawassa, Ethiopia Full list of author information is available at the end of the article
unwanted pregnancy through unsafe conditions which take the highest share for morbidity and mortality compared with adult women [3]. Around 80 million unintended pregnancies occurred in the developing world in 2012, resulting in 40 million abortions and 10 million miscarriages [4]. According to the World Health Organization report every year, nearly 5.5 million African women have unsafe abortions. Moreover, 59% of all unsafe abortions in Africa are among young women aged 15–24 years [5]. In the Ethiopian context, Emergency contraceptives are not part of family planning methods but used as an emergency contraceptive by women when they encountered different situations that predispose them for
© The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 Internation
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