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Expanding access to emergency contraception in developing countries
C Ellertson1, B Winikoff, E Armstrong
1Population Studies Center, University of Pennsylvania, Philadelphia, USA.
Studies in Family Planning
|September 1, 1995
Summary
Emergency contraception (EC) offers safe and effective pregnancy prevention. Expanding access in developing countries is crucial, despite challenges, to meet urgent needs.
Area of Science:
- Reproductive Health
- Global Health Equity
- Contraceptive Technology
Background:
- Emergency contraception (EC) methods are proven safe and effective for preventing unintended pregnancies.
- Current availability of EC is limited in many developing countries, despite a significant need.
- Previous research highlights the potential of EC but underscores access barriers in low-resource settings.
Purpose of the Study:
- To review current emergency contraception methods and their global implementation.
- To assess the need and urgency for expanding EC access in developing nations.
- To identify facilitators and challenges for introducing and broadening EC availability in developing countries.
Main Methods:
- Literature review of existing emergency contraception regimens.
- Analysis of the prevalence and urgency of need for EC in developing countries.
- Description of essential elements for establishing EC access and review of favorable conditions in select developing nations.
Main Results:
- Several emergency contraception regimens are safe and effective, yet often inaccessible in developing countries.
- The need for EC in developing nations is significant and urgent.
- Conditions in some developing countries may be more conducive to EC introduction than in industrialized nations.
Conclusions:
- Broadening access to emergency contraception in developing countries requires addressing specific challenges.
- Recommendations are provided for policymakers to improve EC availability and utilization.
- Strategic planning and policy interventions are necessary to overcome barriers to EC access globally.
Keywords:
Abortifacient AgentsAbortion, Drug InducedAbortion, InducedAge FactorsBehaviorBiologyContraceptionContraceptive Agents, EstrogenContraceptive Agents, Female--side effectsContraceptive Agents, Postcoital--side effectsContraceptive Agents, ProgestinContraceptive Agents--side effectsContraceptive AvailabilityContraceptive EffectivenessContraceptive MethodsCost EffectivenessDemographic FactorsDeveloping CountriesEconomic FactorsEndocrine SystemEthinyl EstradiolEvaluationEvaluation IndexesFamily PlanningFertility Control, PostcoitalFertility Control, PostconceptionHormone AntagonistsHormonesIudIud, Copper ReleasingLevonorgestrelLiterature ReviewNeedsPhysiologyPopulationPopulation CharacteristicsQuantitative EvaluationRu-486Social BehaviorSteroid Abortifacients