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Please help, our condom tore last night

R A Rutgers, D A Verkuyl

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |August 26, 1998
    PubMed
    Summary
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    Access to emergency contraception in Bulawayo is severely limited, with many healthcare providers unaware of or not following guidelines for dispensing the morning-after pill (MAP). This study highlights critical gaps in reproductive healthcare delivery.

    Area of Science:

    • Reproductive Health
    • Public Health Policy
    • Pharmaceutical Services

    Background:

    • Comprehensive reproductive healthcare is essential for community well-being.
    • Zimbabwe National Family Planning Council (ZNFPC) guidelines exist for emergency contraception.
    • Bulawayo faces challenges in delivering adequate reproductive health services.

    Purpose of the Study:

    • To identify bottlenecks in emergency contraception (EC) delivery in Bulawayo.
    • To assess healthcare provider knowledge and practices regarding the morning-after pill (MAP).
    • To evaluate the accessibility and appropriateness of EC services.

    Main Methods:

    • A simulated client study was conducted in 55 health facilities in Bulawayo.
    • Volunteers posed as needing emergency contraception.

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  • Prescription accuracy and provider attitudes were documented.

    • Main Results:

    • Only 16% of consultations resulted in a correct morning-after pill prescription.
    • 30 instances (55%) resulted in no treatment being prescribed.
    • Healthcare providers displayed judgmental attitudes towards sexually active teenagers and lacked awareness of the Essential Drug List for MAP.

    Conclusions:

    • Significant barriers exist in the provision of emergency contraception in Bulawayo.
    • Healthcare provider education and adherence to national guidelines are crucial for improving EC access.
    • Addressing judgmental attitudes and improving drug availability are necessary steps.