Unsafe abortion is a major public health problem in Ethiopia contributing to the highrnmaternal mortality rate. The youth constitute a high risk group for unsafe abortions. Itrncan be lessened by the use of ECP to prevent unintended pregnancy. Despite thernavailability of the method, access to and use of this method remains low in the country.rnThe purpose of this study was to evaluate knowledge, attitudes and practice of ECPrnamong university students in Adama and BahirDar, Ethiopia.rnA sample of 400 female students of Adama and Bahir Dar Universities and 40 servicernproviders in the two towns were selected for the study. Data were collected by a selfadministered,rnanonymous and pre-tested questionnaire, FDGs and KIIs.rnThe findings of the study indicate that of the total potential ECP users a slightly less thanrn50% were aware of the method and much lesser in Bahir Dar University. The majority ofrnthe health service providers who participated in the KII and the FGD participantsrnreported that they had heard about the method. However, knowledge of the generalrnfeatures of emergency contraceptive pills was very low and misinformation was highrnamong these groups. Awareness about EC was more strongly associated with prior sexrnpractice. Users and providers generally had positive attitudes regarding emergencyrncontraceptive pills; however, some believed that emergency contraceptive pills werernabortificient. Those with adequate knowledge generally showed favorable attitudesrntowards emergency contraceptive pills. Few respondents (less than J 0%) had usedrnemergency contraceptive pills. Prescription pattern of providers was velY low. Mediarnand friends were important source of information on ECP for most of the respondentsrnfamiliar with the method.rnThe study recommends an urgent need to educate the youth about ECP including therncorrect timing of use. Health service providers need training about ECP. It is alsornrecommended that training programs target the types of providers who are lessrnknowledgeable about the method.