Emergency contraceptive knowledge and practice among unmarried women in Enugu, southeast Nigeria.

BACKGROUND With a high incidence of unwanted pregnancies and unsafe abortion especially among unmarried women in developing countries, there is need to promote emergency contraception (EC). OBJECTIVE To assess the unmarried women's knowledge, attitude and practice of EC. METHODS A random sample of a cross-section of 594 unmarried women in Enugu, southeast Nigeria, was surveyed with questionnaire between January and April 2004. RESULTS Of the 1,160 unmarried women interviewed initially, 51% had heard of EC. One hundred (16.9%) knew the correct meaning of EC and these were mainly those with higher educational qualification, previous unwanted pregnancy, or had used modern contraception (p<0.05). Other respondents mentioned vaginal douching, application of traditional remedies to the vagina as effective emergency contraceptives. Although sixty percent (n=354) of respondents had used regular modern contraception, only 20% (n=119) had ever used EC. Few respondents knew correctly how EC function and the recommended timeframe for use. The two most common sources of information about EC were mass media (49.2%) and friends (28.8%). Seventy three percent (n=87) of emergency contraceptive users had some difficulties obtaining EC due to non-availability (n=42), attitude of health service providers to unmarried women demanding contraception (n=28) and cost (n=17). The attitude of the health service providers may have accounted for the dearth of information on EC even among users. Sixty-seven percent of respondents favored the use of EC by unmarried women. Opposition to the use of EC by unmarried women is because ofbeliefthat it has some health effect (n=72), induces abortion (n=80) and for religious reasons (n=42). CONCLUSION Provision of appropriate information and access to EC, better service providers' attitude towards unmarried women is advocated.