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Related Experiment Videos

Emergency contraception: models to increase accessibility.

Marsha M Cohen1, Sheila Dunn, Rhonda Cockerill

  • 1Centre for Research in Women's Health, Sunnybrook and Women's College Health Sciences Centre and the University of Toronto, Toronto, ON, Canada.

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|June 14, 2003
PubMed
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Emergency contraception (EC) access is expanding, but barriers like cost and knowledge persist. Exploring various dispensing models can improve accessibility for all women, potentially reducing unwanted pregnancies.

Area of Science:

  • Reproductive Health
  • Public Health Policy
  • Pharmacology

Background:

  • Recent focus on increasing access to emergency contraception (EC) without a prescription.
  • Existing barriers to EC accessibility include a 72-hour window, cost, and lack of awareness.
  • Concerns regarding non-prescription EC include reduced physician visits, potential increase in STIs, and suboptimal regular contraception use.

Purpose of the Study:

  • To discuss issues surrounding emergency contraception accessibility.
  • To explore various models for obtaining EC, including prescription, pharmacist-physician collaboration, pharmacist-dispensed, behind-the-counter, and on-the-shelf options.
  • To identify an ideal model that enhances EC accessibility for adolescents, low-income women, and all women.

Main Methods:

Related Experiment Videos

  • Literature review and policy analysis of emergency contraception dispensing models.
  • Exploration of potential impacts of different accessibility levels on contraceptive use and health outcomes.
  • Discussion of cost-effectiveness for the healthcare system.

    • Main Results:

    • Multiple models for EC access exist, each with potential benefits and drawbacks.
    • Improved accessibility is a growing reality, necessitating a discussion on optimal dispensing strategies.
    • Enhanced EC access is projected to reduce unwanted pregnancies and associated healthcare costs.

    Conclusions:

    • The optimal model for emergency contraception should prioritize improved accessibility for vulnerable populations and all women.
    • Increased availability of EC can lead to significant cost savings for the healthcare system by preventing unintended pregnancies.
    • Addressing barriers to EC access is crucial for reproductive health and well-being.