M. Suchira S. Suranga , Duminda Kumara Rajakaruna , Janaranga Dewasurendra , Garima Sharma , Arpita Das
{"title":"揭示生殖选择:斯里兰卡工厂女工对紧急避孕药的知识和做法","authors":"M. Suchira S. Suranga , Duminda Kumara Rajakaruna , Janaranga Dewasurendra , Garima Sharma , Arpita Das","doi":"10.1016/j.srhc.2023.100933","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>In Sri Lanka, the Emergency Contraceptive Pill (ECP) is categorized as a Schedule 2A medication, allowing it to be purchased over-the-counter without a prescription, but exclusively from licensed pharmacists. It is estimated that around 3 million ECPs are consumed by Sri Lankan women each year. This study aims to assess the knowledge and practices of Female Factory Workers (FFWs) on ECP and to unearth the association with unintended pregnancy and unsafe abortion.</p></div><div><h3>Methods</h3><p>After receiving written informed consent, a structured interview schedule was administered among 585 FFWs attached to eight factories in a selected Export Processing Zone (EPZ)<strong>.</strong> Data analysis was performed using SPSS software.</p></div><div><h3>Results</h3><p>Only 26 % of FFWs were aware of the effective time period to take an ECP to prevent a pregnancy. Most (67 %) had the impression that a valid prescription is required to purchase ECP from the pharmacies. Around one-tenth of the FFWs (11.3 %, n = 66) had used ECP during their lifetime. Among the 65 respondents who reported having experienced unintended pregnancies, only 26.2 % (n = 17) had utilized ECPs. In contrast, among the 22 respondents who disclosed a history of abortion, only two women had ever employed ECPs.</p></div><div><h3>Conclusion</h3><p>The study highlights the low knowledge and use of ECP among FFWs in Sri Lanka, contributing to unintended pregnancy and unsafe abortion. Results call for targeted interventions to improve knowledge and access to ECP, helping to reduce unintended pregnancy and improve reproductive health outcomes.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2023-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Unveiling reproductive choices: Knowledge and practices of emergency contraceptive pills among the female factory workers in Sri Lanka\",\"authors\":\"M. Suchira S. Suranga , Duminda Kumara Rajakaruna , Janaranga Dewasurendra , Garima Sharma , Arpita Das\",\"doi\":\"10.1016/j.srhc.2023.100933\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>In Sri Lanka, the Emergency Contraceptive Pill (ECP) is categorized as a Schedule 2A medication, allowing it to be purchased over-the-counter without a prescription, but exclusively from licensed pharmacists. It is estimated that around 3 million ECPs are consumed by Sri Lankan women each year. This study aims to assess the knowledge and practices of Female Factory Workers (FFWs) on ECP and to unearth the association with unintended pregnancy and unsafe abortion.</p></div><div><h3>Methods</h3><p>After receiving written informed consent, a structured interview schedule was administered among 585 FFWs attached to eight factories in a selected Export Processing Zone (EPZ)<strong>.</strong> Data analysis was performed using SPSS software.</p></div><div><h3>Results</h3><p>Only 26 % of FFWs were aware of the effective time period to take an ECP to prevent a pregnancy. Most (67 %) had the impression that a valid prescription is required to purchase ECP from the pharmacies. Around one-tenth of the FFWs (11.3 %, n = 66) had used ECP during their lifetime. Among the 65 respondents who reported having experienced unintended pregnancies, only 26.2 % (n = 17) had utilized ECPs. In contrast, among the 22 respondents who disclosed a history of abortion, only two women had ever employed ECPs.</p></div><div><h3>Conclusion</h3><p>The study highlights the low knowledge and use of ECP among FFWs in Sri Lanka, contributing to unintended pregnancy and unsafe abortion. Results call for targeted interventions to improve knowledge and access to ECP, helping to reduce unintended pregnancy and improve reproductive health outcomes.</p></div>\",\"PeriodicalId\":54199,\"journal\":{\"name\":\"Sexual & Reproductive Healthcare\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2023-11-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sexual & Reproductive Healthcare\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1877575623001234\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sexual & Reproductive Healthcare","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1877575623001234","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
在斯里兰卡,紧急避孕药(ECP)被归类为附表2A药物,允许在没有处方的情况下购买非处方药,但只能从持牌药剂师那里购买。据估计,斯里兰卡妇女每年消费约300万份ecp。本研究旨在评估女性工厂工人(ffw)对ECP的知识和实践,并揭示其与意外怀孕和不安全流产的关系。方法在获得书面知情同意后,对选定的出口加工区(EPZ) 8家工厂的585名ffw进行结构化访谈。采用SPSS软件进行数据分析。结果仅有26%的准妈妈知道服用ECP预防妊娠的有效时间。大多数(67%)的人认为从药店购买ECP需要有效的处方。大约十分之一的ffw (11.3%, n = 66)在其一生中使用过ECP。在65名报告经历过意外怀孕的受访者中,只有26.2% (n = 17)使用了ECPs。相比之下,在22名透露有堕胎史的受访者中,只有两名女性曾接受过体外受精手术。结论该研究强调了斯里兰卡外来妇女对体外受精的认知和使用较低,导致意外怀孕和不安全堕胎。结果要求采取有针对性的干预措施,以提高体外受精的知识和获得体外受精的机会,帮助减少意外怀孕和改善生殖健康结果。
Unveiling reproductive choices: Knowledge and practices of emergency contraceptive pills among the female factory workers in Sri Lanka
Background
In Sri Lanka, the Emergency Contraceptive Pill (ECP) is categorized as a Schedule 2A medication, allowing it to be purchased over-the-counter without a prescription, but exclusively from licensed pharmacists. It is estimated that around 3 million ECPs are consumed by Sri Lankan women each year. This study aims to assess the knowledge and practices of Female Factory Workers (FFWs) on ECP and to unearth the association with unintended pregnancy and unsafe abortion.
Methods
After receiving written informed consent, a structured interview schedule was administered among 585 FFWs attached to eight factories in a selected Export Processing Zone (EPZ). Data analysis was performed using SPSS software.
Results
Only 26 % of FFWs were aware of the effective time period to take an ECP to prevent a pregnancy. Most (67 %) had the impression that a valid prescription is required to purchase ECP from the pharmacies. Around one-tenth of the FFWs (11.3 %, n = 66) had used ECP during their lifetime. Among the 65 respondents who reported having experienced unintended pregnancies, only 26.2 % (n = 17) had utilized ECPs. In contrast, among the 22 respondents who disclosed a history of abortion, only two women had ever employed ECPs.
Conclusion
The study highlights the low knowledge and use of ECP among FFWs in Sri Lanka, contributing to unintended pregnancy and unsafe abortion. Results call for targeted interventions to improve knowledge and access to ECP, helping to reduce unintended pregnancy and improve reproductive health outcomes.