Effectiveness of Video-assisted Instruction on Awareness and Attitude regarding Emergency Contraceptives among the Eligible Couples Residing at Loni (Bk)

Abstract

Background: Despite the availability of highly effective method of contraception, many pregnancies are unplanned and unwanted. Such pregnancies can result in abortion and carry an excess risk of morbidity and mortality. The risk of pregnancy with one unprotected act of sexual intercourse can be as high as one in three, depending on the cycle of exposure in relation to ovulation. For the women exposed to unprotected sexual intercourse, e.g. Lack of contraceptive use, condom breakage, missed pills or sexual assault, emergency contraception can be used to prevent an unwanted pregnancy, the present study was undertaken with objectives to assess the effectiveness of video-assisted instruction of awareness and attitude on emergency contraception among eligible couples. Material and Method: A quasi-experimental study, pre and post-test design without control group approach was undertaken in Loni (Bk). The data were collected from 60 eligible couples who are selected by convenient sampling technique to meet the inclusion criteria. The self-prepared and validated structured questionnaire in multiple choice format (for assessment of awareness) and modified 5-point Likert scale (for assessment of attitude) was used for the data collection. The intervention used for the study was the video-assisted instructions. During these interventions, the educative materials like poster; pamphlet, leaflet, and PowerPoint presentation were used. The data collection was carried out in three phases, pre-test was carried out before implementation, the video-assisted instructions followed by post-test was conducted after 7 days of intervention. The appropriate statistical analysis method was used wherever it is required. Results: The collected data was analyzed by descriptive and inferential statistic. In relation to overall in pre-test, the awareness score among male was 6.09±2.89 which is 25.8%, indicates 'poor level of awareness', while after implementation of video-assisted instruction; in post-test, the awareness score was 23.8±0.58 which is 99.5% indicates ‘good level awareness’. The effectiveness was 74%, while in female pre-test score was 7.8±3.34 which is 30%, indicates 'poor level of awareness', while after implementation of video-assisted instruction; in post-test, the awareness score was 25.9±0.37 which is 99.7% indicates 'good level awareness’. The effectiveness was 69%. The paired ’t’ test was calculated and value among male awareness is t=3.04, and in female t=2.58 while male attitude value is t=4.55, female attitude t=2.06, which is statistically significant and higher than the table value df-60, table value -2.00, p<0.05 level, shows the significant difference. Also, findings reveal that there was significant association found between the awareness and attitude and demographic variables like age X² = 27.5, age at marriage X² =4.36 at df-1, table value -3.84, p≥0.05. There was a positive relationship existed between the awareness and attitude on emergency contraception. ‘r’ value among the male r=0.20, and in females r=0.27. Conclusion: The study outcome revealed that the video-assisted instruction was found to be effective in improving the awareness and attitude on emergency contraception among the eligible couples. It emphasized that having the video-assisted instruction on emergency contraception with educative materials improved the awareness and develop positive attitude on emergency contraception among the eligible couples.