Is repeat use of emergency contraception common among pharmacy clients? Evidence from Kenya

Keesbury, Jill; Morgan, Gwen; Owino, Benter

doi:10.1016/j.contraception.2010.08.010

Cited by 26 publications

(48 citation statements)

References 6 publications

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“…21 In addition, infrequent sexual activity as a consequence of being involved in long-distance relationships has been mentioned as a reason behind repeated EC use. 2,31 This study further investigated reasons that contribute to infrequent sexual activity among young people and found that, in Addis Ababa, it was mostly shaped by the secrecy surrounding premarital sexuality; this was influenced in particular by the pressure felt by women to live up to longstanding normative frameworks about womanhood that prescribe them to abstain from sex until marriage, as well as the moral judgment of society felt by both men and women. 22,27 Avoiding damage to one's reputation has been found to be an important factor in shaping sexual behavior across many different settings.…”

Section: Discussionmentioning

confidence: 99%

Emergency contraceptive use in Addis Ababa, Ethiopia: Challenging common assumptions about young people’s contraceptive practices

Both

2015

Reproductive Health Matters

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Drawing on an ethnographic case study of young people's (aged 18-29) use of emergency contraceptives (ECs) in Addis Ababa, Ethiopia, this article highlights areas of disconnect between how reproductive health experts envision EC use and local meanings ascribed to ECs by young people. ECsdesigned by reproductive health experts to be used only in case of emergency -were preferred by study participants over other contraceptive methods because of their ease of use, discreetness, perceived minimal side effects on beauty and future fertility, and usefulness in navigating reproductive intentions. The findings point to features that young people find desirable when it comes to contraceptive methods and suggest that common assumptions of reproductive health experts about young people's contraceptive practices need to be reconsidered, namely: 1) that young people can plan for prevention of unwanted pregnancy by buying a contraceptive method in advance; 2) that existing contraceptive technologies are appropriate for young people; 3) that young people prefer to use modern contraceptive methods; and 4) that young people in premarital relationships aim to prevent unplanned pregnancy.

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Section: Discussionmentioning

confidence: 99%

Emergency contraceptive use in Addis Ababa, Ethiopia: Challenging common assumptions about young people’s contraceptive practices

Both

2015

Reproductive Health Matters

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“…Moreover, data on women who use emergency contraception as a primary method tend to draw on urban populations. 4,6,7 We selected Lucknow and Kampala as study sites because they represented urban settings that contraception users were recruited through clinics and by following up with any focus group participants who mentioned having used the method. In Lucknow, we were able to recruit emergency contraception users the same way we recruited focus group participants.…”

Section: Country Contextsmentioning

confidence: 99%

“…4 Moreover, a survey of women in urban Nigeria found that those who reported having used emergency contraception had done so an average of five times in a six-month period. 7 Interviews with West…”

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confidence: 99%

“…3 Studies from a number of countries suggest that some women are already using emergency contraception offlabel as an on-demand pill, demonstrating latent demand for a pericoital method. [4][5][6] Women who do not have sex frequently are particularly likely to use emergency contraception as their regular method. 4 Moreover, a survey of women in urban Nigeria found that those who reported having used emergency contraception had done so an average of five times in a six-month period.…”

mentioning

confidence: 99%

“…[4][5][6] Women who do not have sex frequently are particularly likely to use emergency contraception as their regular method. 4 Moreover, a survey of women in urban Nigeria found that those who reported having used emergency contraception had done so an average of five times in a six-month period. 7 Interviews with West…”

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confidence: 99%

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Consumer Perspectives on a Pericoital Contraceptive Pill in India and Uganda

Cover¹,

Drake²,

Kyamwanga³

et al. 2013

IPSRH

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A substantial proportion of women in developing countries with an unmet need for family planning cite infrequent sex as a reason for not practicing contraception: 6-39% of women with unmet need in Sub-Saharan Africa and 14-35% in South and Southeast Asia.1 Notably, about one in four adolescent women aged 15-19 with unmet need report that they are not using a method because they do not have sex frequently. 2 For women who have infrequent sex, an oral contraceptive pill taken only at the time of intercourse may offer advantages in terms of convenience and ease of use; because this method is discreet and female-controlled, it may appeal to other women as well. Pericoital contraceptive pills-also referred to as "ondemand" or "real-time" contraceptives-are being considered as a way to address unmet need, especially among women who have sex no more than six times a month. There is currently no oral contraceptive pill marketed for such use. Women could take a pericoital contraceptive pill within 24 hours before or after intercourse, rather than daily. Levonorgestrel, one compound being considered as the active component in a pericoital pill, is a synthetic progestin that has been used as an active hormonal ingredient in daily birth control pills for about 40 years. It is also the key ingredient in contraceptive implants, hormone-releasing IUDs and emergency contraceptive pills. Levonorgestrel is off-patent and has a good safety profile. 3Studies from a number of countries suggest that some women are already using emergency contraception offlabel as an on-demand pill, demonstrating latent demand for a pericoital method.4-6 Women who do not have sex frequently are particularly likely to use emergency contraception as their regular method. 4 Moreover, a survey of women in urban Nigeria found that those who reported having used emergency contraception had done so an average of five times in a six-month period. 7 Interviews with WestAfrican women using emergency contraception as a regular method reveal a preference for the convenience of an "occasional pill" and for episodic, rather than sustained, exposure to hormones (reflecting their safety concerns about hormones that remain in the system). 8 These studies show that in the absence of a coitus-related, female-controlled contraceptive method that does not interrupt sexual activity and is labeled and marketed for routine use, women have adapted an existing method to meet that need. There are obvious similarities between a potential pericoital contraceptive product and currently available emergency contraception; for example, both are coitus-related methods, and the same active ingredient may be used for both. That said, a dedicated pericoital pill would be labeled and marketed for use within 24 hours before or after sex, as a routine contraceptive method. While repeat use of levonorgestrel does not pose any known health risks,

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Repeat use of emergency contraception in Kenya: letter to the editor

Raymond

Westley

2011

Contraception

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Is repeat use of emergency contraception common among pharmacy clients? Evidence from Kenya

Cited by 26 publications

References 6 publications

Emergency contraceptive use in Addis Ababa, Ethiopia: Challenging common assumptions about young people’s contraceptive practices

Emergency contraceptive use in Addis Ababa, Ethiopia: Challenging common assumptions about young people’s contraceptive practices

Consumer Perspectives on a Pericoital Contraceptive Pill in India and Uganda

Repeat use of emergency contraception in Kenya: letter to the editor

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