AIDS and Behavior

, Volume 22, Supplement 1, pp 121–124 | Cite as

Emergency Contraceptive Pills (ECP) Knowledge, Attitudes, and Practices Among Women Working in the Entertainment Industry and Men in the Trucking Industry, Bhutan

  • Deki Pem
  • Tshewang Nidup
  • Ugyen Wangdi
  • Dorji Pelzom
  • Ali Mirzazadeh
  • Willi McFarlandEmail author
Original Paper


Emergency contraceptive pills (ECP) were recently made available over the counter in Bhutan. We evaluated knowledge, attitudes, and practices concerning ECP in 2 populations at risk for HIV and STI (sexually transmitted infections): entertainment women (drayang) and male truck drivers and helpers (truckers). Of 179 drayang and 437 truckers intercepted at venues, 73.7 and 21.1%, respectively, had heard of ECP; 47.0% of drayang had used them. Their concerns about ECP use included harm to the body, impact on future pregnancy, side effects, and HIV/STI risk. Education programs are needed in Bhutan to increase awareness of ECP for unplanned pregnancy and condoms to prevent HIV and STI.


Emergency contraceptive pills Contraceptives, post-coital Drayang Truck drivers Bhutan Sexually transmitted diseases 



We would like to thank health workers of Health Information Service Centre (HISC) of Phuntsholing and Thimphu of Bhutan and drayang employers for their support, enumerators for collecting data, and participants for sharing their personal information. We wish to acknowledge support for training in scientific writing from the University of California, San Francisco’s International Traineeships in AIDS Prevention Studies (ITAPS), U.S. NIMH, R25MH064712, and from the Starr Foundation Scholarship Fund.


This study was funded by the National STI and HIV/AIDS Programme, Ministry of Health of Bhutan; and the National Institute of Mental Health (Grant R25MH064712) through the University of California, San Francisco’s International Traineeships in AIDS Prevention Studies program.

Compliance with Ethical Standards

Conflict of interest

All authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

 Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Deki Pem
    • 1
  • Tshewang Nidup
    • 1
  • Ugyen Wangdi
    • 1
  • Dorji Pelzom
    • 2
  • Ali Mirzazadeh
    • 3
  • Willi McFarland
    • 3
    Email author
  1. 1.Faculty of Nursing and Public HealthKhesar Gyalpo University of Medical Sciences of BhutanThimphuBhutan
  2. 2.Policy and Planning DivisionMinistry of HealthThimphuBhutan
  3. 3.Global Health SciencesUniversity of CaliforniaSan FranciscoUSA

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