Design and Methods

1. **Mc Nemar Chi-square P value Effectiveness of Educational Intervention on Knowledge Regarding Emergency Contraception among the Higher Secondary Students of Public Higher Secondary School in Dharan, Nepal Design and Methods Results Discussion and Conclusions Dev Kumari Shrestha RaiMaternal Health Nursing DepartmentCollege of Nursing,BPKIHS,Nepaldevkumari@hotmail.com Design: Pre experimental design Setting: Public higher secondary school Dharan Sample size: sample size was 60 students. Sampling technique: stratified random, sampling technique Table 1 Demographic Profile of Higher Secondary Students of Public High School in Dharan n=60 … 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). Investigators OmKumari Rai Dev Kumari Shrestha Rai 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. Data collection procedure Introduction 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. 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 • Data was collected in three phases: • Pretest phase (7th December 2008) • Intervention phase (7th December 2008) • Post test (19th December 2008) 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. 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 Table 2 Responses on Knowledge Regarding Emergency Contraception n=60 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%). Data analysis The data collected during the study has been analyzed using descriptive as well as inferential statistics Knowledge 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. 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 Conclusion Rational for Study 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 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 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. Cont…Table 2 Objectives Ethical consideration References • 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. Acknowledgement • 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 College of Nursing BPKIHS Participants of PHSS, Dharan RCOG 2012 References Croxatto 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. Table 3 Overall Change in the Percentage of Responses after the Educational Intervention 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) Thank You