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Emergency contraception: lessons learned from the UK.

Katie D Schenk¹

¹Reproductive Health Alliance, London, UK. kschenk@pcdc.org

The Journal of Family Planning and Reproductive Health Care

|April 12, 2003

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Emergency contraception (EC) is available over-the-counter in the UK, increasing reproductive choice. However, high costs remain a barrier for some women, highlighting the need for continued access improvements.

Area of Science:

Reproductive Health
Public Health Policy
Pharmacy Practice

Background:

Since 2001, UK women over 16 can buy progestogen-only emergency hormonal contraception without a prescription.
This policy shift occurred within the context of evolving contraceptive options, pharmacy roles, and political influences.

Purpose of the Study:

To analyze the process of making emergency contraception (EC) available over-the-counter in the UK.
To identify key factors and challenges in deregulation and implementation.

Main Methods:

Document analysis of policy, professional, and user-related developments.
Charting multisectoral changes leading to EC deregulation.
Examining stakeholder views and behaviors.

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Main Results:

The deregulation involved clinical research, professional engagement, and policy adjustments.
Implementation faced challenges, but provided a new reproductive choice for some.
Significant access barriers persist due to high costs for young women and those unable to afford it.

Conclusions:

Lessons from the UK's EC deregulation, emphasizing stakeholder partnership and transparency, are applicable globally.
Professional groups play a crucial role in facilitating such changes.
Despite progress, cost remains a significant barrier to equitable EC access.