Jamaican and Barbadian Health Care Providers' Knowledge, Attitudes and Practices Regarding Emergency Contraceptive Pills

Yam, Eileen A.; Gordon-Strachan, Georgiana; McIntyre, Garth; Fletcher, Horace; Garcia, Sandra G.; Becker, Davida; Ezcurra, Enrique
December 2007
International Family Planning Perspectives;Dec2007, Vol. 33 Issue 4, p160
Academic Journal
CONTEXT: Little is known about health care providers' knowledge of, attitudes toward and provision of emergency contraceptive pills in the English-speaking Caribbean, where sexual violence and unplanned pregnancies are persistent public health problems. METHODS: We conducted interviewer-administered surveys of 200 Barbadian and 228 Jamaican pharmacists, general practitioners, obstetrician-gynecologists and nurses in 2005-2006. For each country, Pearson's chi-square tests were used to assess differences in responses among the four provider groups. RESULTS: Nearly all respondents had heard of emergency contraceptive pills, and large majorities of Barbadian and Jamaican providers had dispensed the method. However, about half had ever refused to dispense it; frequently cited reasons were medical contraindications to use, recent use, method unavailability, safety concerns and being uncomfortable prescribing it. Only one in five providers knew that the method could be safely used as often as needed, and few knew that it was effective if taken within 120 hours of unprotected sexual intercourse. About a quarter of Barbadian and half of Jamaican providers thought the method should be available without a prescription, and half of all providers believed that its use encourages sexual risk-taking and leads to increased STI transmission. Nonetheless, most respondents believed the method was necessary to reduce rates of unintended pregnancy and were willing to dispense it to rape victims, women who had experienced condom failure and women who had not used a contraceptive. CONCLUSIONS: Future educational efforts among Jamaican and Barbadian health care providers should emphasize the safety and proper use of emergency contraceptive pills, as well as the need to increase the availability of the method.


Related Articles

  • Evaluation of knowledge, attitude, and perception regarding Halal pharmaceuticals, among general medical practitioners in Malaysia. Saleha Sadeeqa; Azmi Sarriff; Imran Masood; Maryam Farooqi; Muhammad Atif // Archives of Pharmacy Practice;Oct-Dec2013, Vol. 4 Issue 4, p138 

    Objective: To evaluate the knowledge, attitude, and perception (KAP) regarding Halal pharmaceuticals, among general medical practitioners in Malaysia. Materials and Methods: This was a cross-sectional study, carried out between September 2012 and November 2012 period, using a structured,...

  • STUDY: PHYSICIAN'S MOOD AFFECTS CARE.  // Medical Economics;2/19/2010, Vol. 87 Issue 4, p18 

    The article reports on the study of Ben-Gurion University regarding the impact of physicians' mood on the quality of after care services provided in Negev, Israel.

  • Fundamental ethical principles in health care. Thompson, Ian E. // British Medical Journal (Clinical Research Edition);12/5/1987, Vol. 295 Issue 6611, p1461 

    Focuses on the fundamental ethical principles as requirements of morality and logical foundation of health care services. Overview of the Hippocratic tradition as the foundation; Historical, cultural and logical background of the principles; Arguments relative to the justification of the...

  • Pneumococcal Vaccination: Perceptions of Primary Care Physicians. Noe, Cherie; Markson, Lawrence // Gerontologist;Oct1996 Supplement, Vol. 36 Issue 1, p236 

    Despite evidence that pneumococcal vaccination is simple, safe and cost-effective, prior studies indicate less than 20% of eligible adults are immunized. To detect barriers to vaccination among primary care physicians, we mailed questionnaires addressing knowledge, attitudes and practice to 371...

  • Type of physician associated with prostate cancer treatment. Cona, Christen; Harris, Jason; Lawrence, Leah; Southall, Jennifer // Hem/Onc Today;3/25/2010, Vol. 11 Issue 6, p34 

    The article discusses research on the type of physicians and prostate cancer treatment, by T. L. Jang and colleagues, published in the 2010 issue of "Archives of Internal Medicine."

  • Surgeons are less likely than family physicians to recommend lumbar spine surgery. Press, Robert; Rapp, Susan M.; Springer, Thomas M. // Orthopaedics Today Europe;Mar/Apr2010, Vol. 13 Issue 2, p15 

    The article discusses research on the attitude of surgeons, compared to family physicians, toward lumbar spine surgery, by S. Samuel Bederman and colleagues, published in the 2010 issue of "Spine."

  • CHANGES IN ATTITUDES AND PRACTICES IN PRIMARY HEALTH CARE WITH REGARD TO EARLY INTERVENTION FOR PROBLEM DRINKERS. Bendtsen, Preben; Ã…kerlind, Ingemar // Alcohol & Alcoholism;Sep1999, Vol. 34 Issue 5, p795 

    During an intervention period of 1 to 2 months, a project team supported general practitioners (GPs) and nurses in four primary health care centres in Sweden in introducing new routines for detection and treatment of problem drinkers. After the implementation of the new methods, the GPs reported...

  • A survey of resilience, burnout, and tolerance of uncertainty in Australian general practice registrars. Cooke, Georga P. E.; Doust, Jenny A.; Steele, Michael C. // BMC Medical Education;2013, Vol. 13 Issue 1, p1 

    Background: Burnout and intolerance of uncertainty have been linked to low job satisfaction and lower quality patient care. While resilience is related to these concepts, no study has examined these three concepts in a cohort of doctors. The objective of this study was to measure resilience,...

  • Physician Sociality Communication and Its Effect on Patient Satisfaction. Koermer, Chas D.; Kilbane, Meghan // Communication Quarterly;Feb2008, Vol. 56 Issue 1, p69 

    This investigation examined the relationship between physicians' sociality usage and subsequent patient satisfaction. The SPSS (Service Provider Sociality Scale) was distributed to 198 adults from a midwestern state. Multiple regression results revealed that both courtesy expressions and...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics