A cross-sectional study on the knowledge, attitudes and practices on the contraceptive and non-contraceptive use of hormonal contraceptives among Filipino women in a tertiary hospital

ABSTRACT

@#Background: In the Philippines, the extent to which hormonal contraceptives (HC) are used for reasons other than birth control is unknown. This study aims to examine how Filipino women use HC for contraceptive and non-contraceptive indications. Methods: This is Project 1 of a descriptive cross-sectional study involving a hospital-based (Project 1) and community-based (Project 2) survey. The questionnaire is adapted from the Georgia Reproductive Health Survey (RHS) 2005 and The Fog Zone 2009 from Guttmacher Institute. A face-to-face questionnaire collected demographic information and issues related to knowledge, attitude and experience in HC use among 15-45-year old Filipino women (n=244) seen at the Gynecologic Outpatient Department of the Philippine General Hospital. Results: Filipino women showed positive attitudes towards efficacy and safety of HC, which positively correlated with patterns of use. Majority possessed little knowledge regarding OCPs (82%), injectables (56%), and IUDs (39%). The major reasons for HC use were contraception (46%) and menstrual regulation (26%). Pills (77%) were most commonly utilized. A doctor’s recommendation (67%) primarily influenced choice of HC. Four out of 10 reported some difficulty in HC use. Conclusion: Although with limited knowledge, Filipino women have positive attitude towards, and have utilized HC both for gynecologic and contraceptive purposes.