Knowledge, attitude and practice of emergency contraception among health care providers in Ismailia, Egypt

Objective: To explore the knowledge, attitude and practice of health care providers in Ismailia, Egypt regarding emergency contraception. Participants and method: A structured questionnaire was distributed to a total of 270 health care providers (obstetrics and gynecology specialists and general practitioners or family physicians). The questionnaire contained four main domains: demographic characteristics; knowledge about EC; attitude toward EC; and practice of EC. Results: Knowledge of specialists was significantly higher than general practitioners/family physicians regarding the three most commonly used methods of EC, viz; combined oral contraceptive (Yuzpe) method, progesterone only pills (plan B) method and IUCD. Only 39.5% of specialists and 24.0% of GPs/family physicians had good knowledge of EC (p = 0.01). 45.7% of specialists and 42.6% of GPs/family physicians had favorable attitude toward EC with no significant difference. 39.5% of specialists and 26.6% of GPs/family physicians reported ever prescribing EC. Yuzpe method was the most commonly prescribed method by specialists (31.5%) and GPs/family physicians (27.0%) with no significant difference. Knowledge and favorable attitude were significantly associated in both groups. Age and years of experience significantly affected the three outcome measures. Conclusion: A deficit in knowledge and a negative attitude shown by health care providers lead to an insufficient use of EC methods. (C) 2013 Production and hosting by Elsevier B.V. on behalf of Middle East Fertility Society.