ADDIS ABABA UNIVERSITY COLLEGE OF HEALTH SCIENCE SCHOOL OF ALLIED HEALTH SCIENCES DEPARTMENT OF NURSING AND MIDWIFERY THE KNOWLEDGE, ATTITUDE, PRACTICE OF CONTRACEPTION AND UNINTENDED PREGNANCY AMONG UNMARRIED FEMALE STUDENT IN METTU TEACHER TRAINING COLLEGE SOUTH WEST, OROMIYA REGION ETHIOPIA BY:-ALEMAYEHU DESSALE (Bsc) A THESIS SUBMITTED TO ADDIS ABABA UNIVERSITY COLLEGE OF HEALTH SCIENCES, SCHOOL OF ALLIED HEALTH SCIENCES , DEPARTMENT OF NURSING AND MIDWIFERY IN PARTIAL FULFILLMENT OF THE REQUIREMENT FOR THE DEGREE OF MASTER OF MATERNITY AND REPRODUCTIVE HEALTH IN NURSING JUNE, 2017 ADDIS ABABA ADDIS ABABA UNIVERSITY COLLEGE OF HEALTH SCIENCE SCHOOL OF ALLIED HEALTH SCIENCES DEPARTMENT OF NURSING AND MIDWIFERY THE KNOWLEDGE, ATTITUDE, PRACTICE OF CONTRACEPTION AND UNINTENDED PREGNANCY AMONG UNMARRIED FEMALE STUDENT IN METTU TEACHER TRAINING COLLEGE SOUTH WEST, OROMIYA REGION ETHIOPIA BY:-ALEMAYEHU DESSALE (Bsc) Email: adassale3@gmail.com ADVASORS: ENDALEW GEMACHU (Bsc, MSc) GIRUM SEBSIBE (Bsc, MSc) JUNE, 2017 ADDIS ABABA Approval of the Board of examiners This thesis by Alemayehu Dessale is accepted by the board of examiners as satisfying thesis requirement for the degree of masters of Science in Maternity and Reproductive health nursing Research advisors: Full name Rank Sig Date Endalew Gemechu (BSc, MSc) lecturer _ Girum Sebsibe (BSc, MSc) lecturer _ Examiners: Full name Tadese Bedada (BSc, MSc) Rank lecturer Sig _ Date _ Declaration I, the undersigned, declare that this paper is my original work and has not been presented for master’s degree in this or another university and that all sources of materials used for this paper have been fully acknowledged Principal investigator: Alemayehu Dessale (Bsc) Signature: Date Name of institution: Addis Ababa University This thesis has been submitted for examination with my approval as university advisors Name of advisors: Endalew Gemachu (Bsc, MSc) Signature: _ Date _ Girum Sebsibe (Bsc, MSc) Signature: Date I Abstract Background: Unintended pregnancy is a pregnancy that is either unplanned or unwanted at the time of conception Globally, about 86 million pregnancies were unintended and causes’ death of 358,000 women around the world each year due to pregnancy-related causes In Ethiopian abortion accounts for 60 % of gynecological admissions Objective: The aim of this study was to find the knowledge, attitude, and practice of contraception and the prevalence of unintended pregnancy among unmarried female student in Mettu teacher training college Methods: Institutional based Cross sectional study was conducted from April 8-28, 2017using adapted and modified structured, self-administered questionnaire The simple random sampling method was used to select departments and each department was stratified based on batches and samples sizes were proportionally allocated to each size and 360 female students involved in the study Data analyzed using frequency, percentage while logistic regressions were used for comparative purposes The magnitude of the association was measured using chi-square test at 95% confidence interval (CI) and P< 0.05 considered statistically significant Result: From total participant 29.8% them were sexually active and 30.8% of them had unintended pregnancy Fifty three percent had knowledge, fifty seven percent of respondent had negative attitude and 58.3% were used contraceptive method The most commonly ever used methods were oral pills (35.2%), rhythmic method (29.5%) and condom (13.9%).Unintended pregnancy were significant associated with age group, department they learn, method suitable for college students, ever used method and reason for not using contraceptive method Conclusion and recommendation: One third of unmarried female students were sexually active and experienced unintended pregnancy More than half students had knowledge on contraception and negative attitude toward contraception Heath bureau of Mettu town and Mettu teacher training college should design strategy to increase the students’ knowledge, attitude and utilization of contraceptive method Keywords: unintended pregnancy, contraception, unmarried female, students II Acknowledgement I would like thanks Addis Ababa University College of Allied Health Sciences Department of Nursing and Midwifery for giving me this opportunity and Mettu University for sponsoring my education I would like to extend my heartfelt thanks to my advisors Endalew Gemechu and Girum Sebsibe for their unreserved guidance and constructive comments and suggestions of unfailing moral support in carrying out this research proposal and keen interest to read the document by devoting their precious time and providing constructive criticism which helped me significantly until the end of this research III Table of Contents Approval of the Board of examiners Declaration I Abstract II Acknowledgement III List of Tables VI List of figure VII List of Acronyms VIII Introduction 1.1 Background 1.2 Statement of the problem 1.3 Significance of the study Literature Review 2.1 Sociodemographic characteristic and unintended pregnancy 2.2 Contraceptive knowledge and attitude 2.3 The adoption and frequency of contraception method 11 2.4 The reasons for contraception non-use 12 Objective 14 3.1 General objective 14 3.2 Specific objectives 14 Methodology 15 4.1 Study Area 15 4.2 Study Design 15 4.3 Study Period 15 4.4 Source Population 15 4.5 Study Population 16 4.6 Study Unit 16 4.7 Sample size Determination 16 4.8 Sampling Method 17 IV 4.9 Study Variables 18 4.9.1 Dependent variable 18 4.9.2 Independent variable 18 4.10 Eligibility criteria 18 4.10.1 Inclusion criteria 18 4.10.2 Exclusion criteria 18 4.11 Data Collection Procedures and Methods 18 4.12 Operational definition 19 4.13 Data Processing and Analysis Procedures 19 4.14 Data Quality Control 19 4.15 Ethical Consideration 20 Results 21 5.1 Socio demographic characteristics 21 5.2 Contraceptive Knowledge 22 5.3 Students Attitude toward contraceptives 24 5.4 Contraception Practice 26 5.5 Prevalence of Knowledge, Attitude, Practice and Unintended Pregnancy 29 5.6 Factors associated with unintended pregnancy 29 Discussion 33 Conclusion 35 Recommendation 35 Limitation and Strength of the study 35 Reference 36 Annex I:-Consent form (English version) 39 Annex II: - English version questionnaires 40 Annex III: - Afan Oromo version consent form 48 Seensa 48 Annex V Afan Oromo version of questionnaires 49 V List of Tables Table Frequency distribution of general demographic characteristics of students in Mettu teacher training college, Oromiya, Ethiopia (N=360) 21 Table Frequency distribution of contraceptive knowledge of Mettu Teacher Training College students, Oromiya, Ethiopia (N=360) 23 Table frequency distribution of students Attitude toward contraceptives in Mettu Teacher Training College, Oromiya, Ethiopia (N=360) 25 Table Frequency distribution of contraceptive practice of Mettu TTC students, Oromiya, Ethiopia (N=360) 27 Table Prevalence of Knowledge, attitude, practice and Unintended Pregnancy among students in Mettu teacher training college, Oromiya, Ethiopia (N=360) 29 Table Factors associated with unintended pregnancy among students in Mettu teacher training college, Oromiya, Ethiopia (N=360) 30 VI List of figure Figure: Conceptual frame work of unintended pregnancy 13 Figure: Sampling method 17 VII ... Prevalence of Knowledge, attitude, practice and Unintended Pregnancy among students in Mettu teacher training college, Oromiya, Ethiopia (N=360) 29 Table Factors associated with unintended pregnancy. .. UNIVERSITY COLLEGE OF HEALTH SCIENCE SCHOOL OF ALLIED HEALTH SCIENCES DEPARTMENT OF NURSING AND MIDWIFERY THE KNOWLEDGE, ATTITUDE, PRACTICE OF CONTRACEPTION AND UNINTENDED PREGNANCY AMONG UNMARRIED FEMALE. .. of unintended pregnancy among student in Mettu shows that 65.9% of college students are sexually active at the time of the study and 51.7% of them received highest abortion care compared to Mettu