{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T07:33:32Z","timestamp":1782459212037,"version":"3.54.5"},"reference-count":30,"publisher":"Public Library of Science (PLoS)","issue":"2","license":[{"start":{"date-parts":[[2022,2,11]],"date-time":"2022-02-11T00:00:00Z","timestamp":1644537600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Emergency contraceptives are used within 72 hours after unprotected sexual intercourse to prevent unwanted pregnancy. Although emergency contraceptives are widely available in Ethiopia, termination of pregnancy remains a public health problem indicating low uptake of emergency contraceptives after unprotected sexual intercourse. This study aimed to assess utilization and determinants of emergency contraceptives among women seeking termination of pregnancy in Northwest Ethiopia.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>An institutional-based cross-sectional study was carried out, supplemented by phenomenologically approached in-depth interviews. Systematic random sampling was used to select study participants. A structured questionnaire and an in-depth interview guide were used to collect data. Data were entered by EPI-info and analyzed through SPSS version 23 to conduct logistic regressions. Thematic analysis was used to conduct qualitative interpretation.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>Almost one-fifth (78; 19.2%) of the study participants used emergency contraceptives to prevent their index pregnancy. Women who had secondary education (aOR 3.28; 95% CI 1.59, 6.79) and women who had no living children (aOR 4.52; 95% CI 1.40, 14.57) had a positive significant association with emergency contraceptive utilization. On the other hand, women who did not discuss contraceptives with their sexual partner (aOR 0.49; 95% CI 0.27\u20130.91) and women without a history of abortion (aOR 0.45; 95% CI 0.24\u20130.97) had a negative significant association with emergency contraceptive utilization.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion and recommendation<\/jats:title>\n<jats:p>There is relatively low utilization of emergency contraception among pregnancy terminating women. Reproductive health programs should encourage women discussion with their partners about emergency contraceptives to decrease occurrence of unwanted pregnancy and termination of pregnancy.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0263776","type":"journal-article","created":{"date-parts":[[2022,2,11]],"date-time":"2022-02-11T18:27:36Z","timestamp":1644604056000},"page":"e0263776","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":5,"title":["Practice and determinants of emergency contraceptive utilization among women seeking termination of pregnancy in Northwest Ethiopia\u2014A mixed quantitative and qualitative study"],"prefix":"10.1371","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0144-4968","authenticated-orcid":true,"given":"Lebeza Alemu","family":"Tenaw","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2022,2,11]]},"reference":[{"issue":"4","key":"pone.0263776.ref001","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1093\/humrep\/dev019","article-title":"Emergency contraception. Widely available and effective but disappointing as a public health intervention: a review","volume":"30","author":"DT Baird","year":"2015","journal-title":"Human Reproduction"},{"key":"pone.0263776.ref002","first-page":"16","article-title":"Knowledge, attitudes, practices and barriers to use emergency contraception among women with unsafe abortion in Jimma Marie Stopes Clinic, South West Ethiopia.","volume":"3","author":"A. Anteneh","year":"2009","journal-title":"Ethiop J Reprod Health"},{"key":"pone.0263776.ref003","volume-title":"Emergency Contraceptive Pills: Medical and Service Delivery Guidelines Second Edition","author":"E. Raymond","year":"2004"},{"key":"pone.0263776.ref004","volume-title":"Scaling up changes in doctors\u2019 education for rural retention: a comment on World Health Organization recommendations","author":"N. Eyal","year":"2011"},{"issue":"4","key":"pone.0263776.ref005","doi-asserted-by":"crossref","first-page":"e380","DOI":"10.1016\/S2214-109X(18)30029-9","article-title":"Global, regional, and subregional trends in unintended pregnancy and its outcomes from 1990 to 2014: estimates from a Bayesian hierarchical model","volume":"6","author":"J. Bearak","year":"2018","journal-title":"The Lancet Global Health"},{"key":"pone.0263776.ref006","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1363\/3601610","article-title":"The estimated incidence of induced abortion in Ethiopia, 2008.","author":"S. Singh","year":"2010","journal-title":"International perspectives on sexual and reproductive health"},{"key":"pone.0263776.ref007","article-title":"Mainstreaming Emergency Contraception in Ethiopia\u2019s Public Sector: Final Project Report.","author":"J. Keesbury","year":"2007","journal-title":"Population Council & ECAfrique"},{"issue":"6","key":"pone.0263776.ref008","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/S0010-7824(01)00272-4","article-title":"Emergency contraception in South Africa: knowledge, attitudes, and use among public sector primary healthcare clients.","volume":"64","author":"J. Smit","year":"2001","journal-title":"Contraception"},{"key":"pone.0263776.ref009","article-title":"The essentials of contraceptive technology: a handbook for clinic staff.","author":"R. Hatcher","year":"1997","journal-title":"Chinese version"},{"key":"pone.0263776.ref010","volume-title":"Health survey 2011 central statistical agency Addis Ababa","author":"EDHS","year":"2012"},{"key":"pone.0263776.ref011","volume-title":"Emergency Contraception in Ethiopia: Provider and User Attitudes and Behaviors","author":"E. Gold","year":"2012"},{"key":"pone.0263776.ref012","volume-title":"Assessment of level of knowledge and utilization of emergency contraception among female students of Hawassa UniversitySouth Ethiopia.","author":"E. Tolossa","year":"2013"},{"issue":"1","key":"pone.0263776.ref013","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1093\/humupd\/dmq026","article-title":"Strategies to prevent unintended pregnancy: increasing use of long-acting reversible contraception","volume":"17","author":"PD Blumenthal","year":"2010","journal-title":"Human reproduction update"},{"key":"pone.0263776.ref014","volume-title":"Induced Abortion and Postabortion Care in Ethiopia","author":"Ethiopian public health institute(EPHI)","year":"2017"},{"key":"pone.0263776.ref015","author":"J. Bertrand","year":"1994","journal-title":"Handbook of indicators for family planning program evaluation"},{"issue":"1","key":"pone.0263776.ref016","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1186\/1472-6874-14-114","article-title":"Awareness, use and associated factors of emergency contraceptive pills among women of reproductive age (15\u201349 years) in tamaleGhana.","volume":"14","author":"A. Amalba","year":"2014","journal-title":"BMC women\u2019s health"},{"issue":"2","key":"pone.0263776.ref017","first-page":"116","volume":"72","author":"S. Kathpalia","year":"2016","journal-title":"Emergency contraception: Knowledge and practice among women and the spouses seeking termination of pregnancy. medical journal armed forces india"},{"issue":"3","key":"pone.0263776.ref018","first-page":"117","volume":"60","author":"M. Sahu","year":"2019","journal-title":"Knowledge and parity: Perspectives of usage of emergency contraceptive pills among women of a rural area of Delhi. Nigerian medical journal: journal of the Nigeria Medical Association"},{"key":"pone.0263776.ref019","author":"N.W. Workie","year":"2013","journal-title":"The health extension program in Ethiopia"},{"key":"pone.0263776.ref020","volume-title":"Knowledge of and Utilization of Emergency Contraceptive and Its Associated Factors among Women Seeking Induced Abortion in Public HospitalsEastern Tigray, Ethiopia, 2017: A Cross-Sectional Study.","author":"D. Abraha","year":"2019"},{"issue":"10","key":"pone.0263776.ref021","doi-asserted-by":"crossref","first-page":"e110008","DOI":"10.1371\/journal.pone.0110008","article-title":"Abate, Knowledge, attitude, practice, and determinants emergency contraceptive use among women seeking abortion services in Dire Dawa, Ethiopia.","volume":"9","year":"2014","journal-title":"PloS one"},{"issue":"1","key":"pone.0263776.ref022","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/1472-6874-12-3","article-title":"Knowledge, attitude and practice of emergency contraceptive among women who seek abortion care at Jimma University specialized hospital, southwest Ethiopia.","volume":"12","author":"T. Tesfaye","year":"2012","journal-title":"BMC women\u2019s health"},{"issue":"25","key":"pone.0263776.ref023","article-title":"The Contraceptive Knowledge, Practices and Reasons for Failure among Abortion Care Seekers in Hawassa CityEthiopia.","volume":"4","author":"L Tafesse","year":"2014","journal-title":"Journal of Biology, Agriculture and Healthcare"},{"issue":"4","key":"pone.0263776.ref024","article-title":"Contraceptive use among women seeking repeat abortion in Addis AbabaEthiopia.","volume":"17","author":"N. Prata","year":"2013","journal-title":"African journal of reproductive health"},{"issue":"1","key":"pone.0263776.ref025","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1186\/s13104-019-4707-0","article-title":"Utilization and associated factors of emergency contraception among women seeking abortion services in health institutions of Dessie town, North East Ethiopia, 2018.","volume":"12","author":"A.E. Feleke","year":"2019","journal-title":"BMC research notes"},{"issue":"7","key":"pone.0263776.ref026","doi-asserted-by":"crossref","first-page":"1612","DOI":"10.1093\/humrep\/dep064","article-title":"Emergency contraceptive use among 5677 women seeking abortion in ShanghaiChina.","volume":"24","author":"C.-X. Meng","year":"2009","journal-title":"Human Reproduction"},{"issue":"18","key":"pone.0263776.ref027","doi-asserted-by":"crossref","first-page":"3413","DOI":"10.3390\/ijerph16183413","article-title":"Psychosocial Profile and Reproductive Decisions of Women Undergoing Pregnancy Termination for Medical Reasons\u2014A Cross-Sectional Study.","volume":"16","author":"K. Zar\u0119ba","year":"2019","journal-title":"International journal of environmental research and public health"},{"issue":"1","key":"pone.0263776.ref028","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4102\/phcfm.v8i1.1094","article-title":"Contraceptive practices among women seeking termination of pregnancy in one public hospital in Eastern Cape, South Africa.","volume":"8","author":"E.O. Oluwole","year":"2016","journal-title":"African Journal of Primary Health Care & Family Medicine"},{"issue":"1","key":"pone.0263776.ref029","doi-asserted-by":"crossref","first-page":"926","DOI":"10.1186\/s13104-018-4031-0","article-title":"Factors associated with utilization of long term family planning methods among women of reproductive age attending Bahir Dar health facilities, Northwest Ethiopia.","volume":"11","author":"E. Tesfa","year":"2018","journal-title":"BMC research notes"},{"issue":"1","key":"pone.0263776.ref030","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/1742-4755-11-13","article-title":"Determinants of modern contraceptive utilization among married women of reproductive age group in North Shoa Zone, Amhara Region, Ethiopia.","volume":"11","author":"A. Mohammed","year":"2014","journal-title":"Reproductive health"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0263776","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,11]],"date-time":"2022-02-11T18:28:00Z","timestamp":1644604080000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0263776"}},"subtitle":[],"editor":[{"given":"Dylan A.","family":"Mordaunt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2022,2,11]]},"references-count":30,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2022,2,11]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0263776","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,11]]}}}