Knowledge, Attitude and Practice of Oral Contraceptive Pill Use in Multi-center Study

Open Access

Abstract

Background: Oral contraceptive pills (OCPs) are the most widely used modern contraceptive method in Bangladesh, yet gaps in knowledge, attitudes, and practice may affect effective use. Aim of the study: To assess knowledge, attitudes, and practices regarding OCP use in a multi-center study and to identify socio-demographic determinants of correct use and discontinuation. Methods & Materials: A multi-center based cross-sectional study was conducted among 200 women aged ≥15 years in Dhaka city of Bangladesh. Data were collected using a structured questionnaire covering socio-demographics, reproductive history, and OCP-related KAP. Descriptive statistics and chi-square tests were applied using SPSS v26. Results: Among participants, 46% had good knowledge, 64% demonstrated positive attitudes, and 44% reported good practice. Current OCP use was 63%, with 47% adhering regularly. Main reasons for irregularity or discontinuation included side effects (39.5%) and forgetfulness (25.6%). Knowledge gaps existed regarding missed pill management (43%) and emergency contraception (30%). Health workers were the primary information source for 38%. Conclusion: Despite high awareness, knowledge and consistent use of OCPs remain suboptimal. Tailored counseling, follow-up, and multi-center interventions are necessary to enhance effective OCP use and reduce unmet family planning needs in Bangladesh.