like chocolate: adolescent emergency contraception use in nairobi karen p. fogg, m.ph. 1 jill...
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Like Chocolate: Like Chocolate: Adolescent Emergency Adolescent Emergency
Contraception Use in NairobiContraception Use in Nairobi
Karen P. Fogg, M.PH.Karen P. Fogg, M.PH.11
Jill Keesbury, Ph.D.Jill Keesbury, Ph.D.22
Rob Stephenson, Ph.D.Rob Stephenson, Ph.D.11
1 Rollins School of Public Health, Emory University, Atlanta, USA2 Population Council, Nairobi, Kenya
Background: Background: An “Epidemic" of EC An “Epidemic" of EC Abuse?Abuse?
Study ObjectivesStudy Objectives
Test assumptions of media reportsTest assumptions of media reports
Rapidly assess EC use in NairobiRapidly assess EC use in Nairobi
Serve as formative research for Serve as formative research for future in-depth study on EC use future in-depth study on EC use and risky sexual behaviorand risky sexual behavior
MethodologyMethodology
Survey of females 14-24 in Nairobi, Survey of females 14-24 in Nairobi, KenyaKenya
300 respondents 300 respondents – 100 secondary school100 secondary school– 100 University100 University– 100 Out-of-school100 Out-of-school
Questionnaire examined sexual Questionnaire examined sexual activity, contraceptive knowledge/use, activity, contraceptive knowledge/use, risk perceptionsrisk perceptions
FindingsFindings
Knowledge of EC is high Knowledge of EC is high among Nairobi’s among Nairobi’s adolescentsadolescents
Knowledge of EC in Survey Population and KDHS, Knowledge of EC in Survey Population and KDHS, by Percentageby Percentage
73.60%
27.50%
0%10%20%30%40%50%60%70%80%90%
100%
Surveyed adolescents(2005)
2003 KDHS (unmarriedsexually active women)
……but correct knowledge but correct knowledge is much loweris much lower
Knowledge of EC vs. Correct Knowledge of EC, Knowledge of EC vs. Correct Knowledge of EC, by percentageby percentage
n=296n=296
73.6%
42.9%
0%
20%
40%
60%
80%
100%
Knowledge Correct Knowledge
Most learn about EC from Most learn about EC from friends or familyfriends or family
Source of EC KnowledgeN=165
Other11%
School22%
Media16%
Friend/Family51%
Knowledge of EC does not Knowledge of EC does not imply useimply use
Knowledge of EC vs. Use of EC, by percentage
n=296
74%8.70%
0%
20%
40%
60%
80%
100%
Knowledge Self-reported Use
Use of EC among Nairobi Use of EC among Nairobi adolescents is higher than in the adolescents is higher than in the rest of the country, but still rest of the country, but still
relatively lowrelatively low Ever-use of EC vs. Other Modern Methods, Ever-use of EC vs. Other Modern Methods,
by percentage by percentage
8.70%
1.40%
17.30%
21.20%
0%
5%
10%
15%
20%
25%
30%
SurveyedAdolescents (2005)
2003 KDHS(Women 20-24)
EC Pill Injectables
Repeat use is lower than Repeat use is lower than implied by the mediaimplied by the media
You or Your Friends: You or Your Friends: Ever Use of EC vs. Repeat Use, by percentageEver Use of EC vs. Repeat Use, by percentage
N=165N=165
54.5%7.8%
0%
20%
40%
60%
80%
100%
Ever Use (you/yourfriends)
Repeat Use (you/yourfriends)
Most obtain EC from Most obtain EC from private pharmaciesprivate pharmacies
Source of ECN=165
Private Pharmacy
91%
Public Facility5%
Friend/Family, 3
ConclusionsConclusions
• Knowledge of EC is high among Knowledge of EC is high among adolescents in Nairobi, although adolescents in Nairobi, although correct and comprehensive correct and comprehensive information is lackinginformation is lacking
• There is no “epidemic” of EC abuseThere is no “epidemic” of EC abuse• Use of EC still remains low in comparison to other Use of EC still remains low in comparison to other methodsmethods• Repeat use is not widespreadRepeat use is not widespread
ContactsContacts
Jill Keesbury, Ph.D.Jill Keesbury, Ph.D.
Population Council, NairobiPopulation Council, Nairobi
PO Box 17643PO Box 17643
Nairobi 00500 KenyaNairobi 00500 Kenya
+254 20 271 3480+254 20 271 [email protected]