April 2022 · Volume 11 · Issue 4 Page 1054
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Abdelkarim M et al. Int J Reprod Contracept Obstet Gynecol. 2022 Apr;11(4):1054-1061
www.ijrcog.org
pISSN 2320-1770 | eISSN 2320-1789
Original Research Article
Contraception use among Muslim women in
Alexandria, Egypt: a descriptive pilot study
Maryam Abdelkarim
1
*, Asmaa Namoos
2
, Assem M. Khamis
3
, Salma Zook
4
, Norhan Bader
5
,
NourEldin Abosamak
4
, Dina Ramadan
4
, Rana Ramadan
4
, Mostafa Abdou
4
, Ola Faried
4
,
Abd El-Moneim A. Fawzy
4
, Tamas S. Gal
2
INTRODUCTION
Egypt started implementing a family planning program in
1965 to reduce the wide demographic gap due to declining
mortality rates and a consistently high birth rate.
1
Even
though Egypt's fertility rate and annual population growth
rate have significantly decreased over time, the United
Nations population division estimated Egypt’s average
DOI: https://dx.doi.org/10.18203/2320-1770.ijrcog20220883
1
Department of Obstetrics and Gynecology, Alexandria University, Egypt
2
Department of Social and health Scineces, Virginia Commonwealth University, Richmond, VA, USA
3
Hull York Medical School, York, United Kingdom
4
Alexandria University, Alexandria, Egypt
5
American University of Beirut, Beirut, Lebanon
Received: 31 January 2022
Revised: 03 March 2022
Accepted: 04 March 2022
*Correspondence:
Maryam Abdelkarim,
E-mail: Abdelkarim0maryam@gmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Background: This pilot study aimed to create a questionnaire survey directed to understand knowledge gaps related to
contraception among Muslim women in Alexandria, Egypt, so potential interventions could be designed to enable more
informed decision-making. The project was a mixed-method, cross-sectional study using a questionnaire survey.
Methods: Participants were randomly selected at outpatient clinics at Alexandria university hospitals in September and
October 2020. The inclusion criteria were to be an 18 year old or older woman and able to give consent. The recruitment
goal for this pilot study was 100 participants. The consented participants were interviewed about demographics, socio-
structural and contraception use. The questionnaire was tested using a focus group of 11 women. The study data was
collected using KoBoToolbox and exported to the SPSS software for descriptive analysis. The primary outcome was to
validate the survey questionnaire and the secondary outcome to assess knowledge regarding contraception methods and
emergency contraception.
Results: The age of study participants ranged from 18-60 with a mean of 34 years. Almost all participants had
previously heard of various contraceptive methods and 75% used them before. The majority did not know about
emergency contraception. Most respondents had a favorable attitude toward family planning, and their primary sources
of information were family and friends.
Conclusions: Preliminary findings show that most women knew about contraception methods, though few of them
heard of emergency contraception. Because of the patriarchal nature of Egyptian society, family planning education
should target the whole population.
Keywords: Contraception, Emergency contraception, Family planning, Awareness