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Emergency contraception in a historic southern city: Mystery caller study in Birmingham, Alabama
Heami Yi1, Carol A Stamm2, Garth Wright3
1University of Colorado Anschutz Medical Campus School of Medicine, Aurora, CO, USA.
Background:
Alabama's Human Life Protection Act (the Act) signed in 2019 became law in 2022, making provision of abortion a felony offense.
Objective:
In 2020, we assessed the accessibility of emergency contraception (EC) pills in Birmingham, Alabama prior to the Act's enactment given the probable increased need for EC access due to abortion criminalization.
Study Design:
Pharmacy staff were asked about availability, price, location, and identification requirements to obtain EC.
Results:
Of 69 pharmacies, 59% had levonorgestrel EC and none had ulipristal acetate EC available.
Conclusion:
There are persistent barriers to EC accessibility that should be addressed as abortion is increasingly restricted.

