Purpose: The purpose of this study was to explore knowledge and attitude toward ECPs among school health teachers. It was also to investigate whether education on ECPs is being provided and whether any barriers to education on ECPs exist in high school.

Methods: This survey is a cross sectional descriptive study. Questionnaires including informed consent were sent to high school health teachers in Seoul with a stamped return envelope. Fifty one school health teachers from 51 high schools responded. Data were collected by mail from November 10 to December 8, 2006. The reliability coefficients were .81 for attitude (12 items) and .71 for Knowledge (12 items).

Results: Most of respondents were female (98%) and average age was 45.50 years. The mean scores of knowledge and attitude were 8.51 (range 1 to 12) and 2.69 (range 1 to 5), respectively. Most of respondents (86.3%) wanted to know more about ECPs. Only 51% of schools were offering education on ECPs even though sex education is being offered in most of the schools (94%). The barriers to implementation of education on ECPs for students were lack of time for health education due to other curriculum priority, conservative values and norms in school, parents’ opposition, insufficient budgets, and lack of information.

Conclusions: School health teachers can play an important role in educating and counseling adolescents about contraception including ECPs. This study indicates that some teachers need to update their knowledge and develop a more positive attitude toward ECPs to fulfill their role effectively. Also, school health teachers should make every effort to educate their students about the proper use of ECPs and to eliminate existing barriers.