The relationship between knowledge levels and practice of dual contraception as a prevention of unplanned pregnancy, abortions, sexually transmitted infections including Human Immuno Virus

Abstract

Unplanned pregnancy is the major cause of induced abortion one of the leading causes of maternal mortality and morbidity in the world (Mambolea, 2012). At Morgenster mission hospital there is an increasing number of women presenting with problems related with unplanned pregnancies. This was revealed through a growing number of women aged 15 to24 years admitted following illegal abortion. Hundred thousands of women become pregnant without intending and most of them decide to end the pregnancy in abortions. The purpose of the study was to examine the relationship between knowledge levels and practice of dual contraception as a prevention of unplanned pregnancy, abortions, sexual transmitted infections including HIV infection, among women aged 15 to 24 years at Morgenster mission hospital. Health Belief Model was used to provide the theoretical frame to guide the study. A quantitative, descriptive correlational design was used in this study. A sample size of 84 women was selected using convenient sampling technique. The inclusion criteria were all women aged15 to 24 years enrolled at Morgenster mission hospital. Structured interview schedule was done for 20 to 25 minutes to participant in a private room. Descriptive inferential statistics were used to analyse data. The major findings of the participant had high knowledge on dual contraception. Mean score was 10.6, standard deviation of2. 3 and on practice of dual contraception mean score was 2.6 and standard deviation 2.1 .The findings indicated a positive significant relationship between knowledge levels and practice on dual contraception r =. 260*, p<=0.017.Regression analysis was done and regression coefficient was R squared = .068 which means 6.8% variations or change in practice of dual contraception is explained by change in knowledge levels on dual contraception. Midwifery practice should emphasize on practice of dual contraception as of unplanned pregnancy, STIs including HIV during family planning sessions.