Limits...
Mainstreaming of emergency contraception pill in India: challenges and opportunities.

Dixit A, Khan ME, Bhatnagar I - Indian J Community Med (2015 Jan-Mar)

Bottom Line: However, its use has remained low due to various barriers including reservations among medical fraternity.The major barriers to easy access of ECP include misconceptions and reservations of providers (disapproval of ECP provision by CHWs, opposition to its being an OTC product, and myths, misconceptions, and moral judgments about its users) including influential gynecologists.For mainstreaming ECP, the paper recommends educational campaign focusing on gynecologists and CHWs, relaxing restrictive policy on advertisement of ECP, involving press media and strengthening supply chain to ensure its regular supply to ASHA (CHW).

View Article: PubMed Central - PubMed

Affiliation: Reproductive Health Program, Population Council, New Delhi, India.

ABSTRACT

Background: Emergency Contraception Pill (ECP) is an essential intervention to prevent unwanted pregnancies. However, its use has remained low due to various barriers including reservations among medical fraternity.

Materials and methods: This paper presents findings on barriers to ECP's easy access for potential users from (i) a cross-sectional survey of providers' attitudes, beliefs, and practices and interviews with key opinion leaders, (ii) three consultations organized by Population Council with policymakers and public health experts, and (iii) evidence from scientific literature.

Results: The major barriers to easy access of ECP include misconceptions and reservations of providers (disapproval of ECP provision by CHWs, opposition to its being an OTC product, and myths, misconceptions, and moral judgments about its users) including influential gynecologists.

Conclusion: For mainstreaming ECP, the paper recommends educational campaign focusing on gynecologists and CHWs, relaxing restrictive policy on advertisement of ECP, involving press media and strengthening supply chain to ensure its regular supply to ASHA (CHW).

No MeSH data available.


Graph showing the trend in increase for ECP sale in India
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4317981&req=5

Figure 1: Graph showing the trend in increase for ECP sale in India

Mentions: Shop audit report by AC Nielsen ORG MARG reveals that sale of ECP in last 5 years has increased almost 4 times, from 4.9 million in 2008 to 16.4 million in 2013, as illustrated in the Figure 1 below.


Mainstreaming of emergency contraception pill in India: challenges and opportunities.

Dixit A, Khan ME, Bhatnagar I - Indian J Community Med (2015 Jan-Mar)

Graph showing the trend in increase for ECP sale in India
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4317981&req=5

Figure 1: Graph showing the trend in increase for ECP sale in India
Mentions: Shop audit report by AC Nielsen ORG MARG reveals that sale of ECP in last 5 years has increased almost 4 times, from 4.9 million in 2008 to 16.4 million in 2013, as illustrated in the Figure 1 below.

Bottom Line: However, its use has remained low due to various barriers including reservations among medical fraternity.The major barriers to easy access of ECP include misconceptions and reservations of providers (disapproval of ECP provision by CHWs, opposition to its being an OTC product, and myths, misconceptions, and moral judgments about its users) including influential gynecologists.For mainstreaming ECP, the paper recommends educational campaign focusing on gynecologists and CHWs, relaxing restrictive policy on advertisement of ECP, involving press media and strengthening supply chain to ensure its regular supply to ASHA (CHW).

View Article: PubMed Central - PubMed

Affiliation: Reproductive Health Program, Population Council, New Delhi, India.

ABSTRACT

Background: Emergency Contraception Pill (ECP) is an essential intervention to prevent unwanted pregnancies. However, its use has remained low due to various barriers including reservations among medical fraternity.

Materials and methods: This paper presents findings on barriers to ECP's easy access for potential users from (i) a cross-sectional survey of providers' attitudes, beliefs, and practices and interviews with key opinion leaders, (ii) three consultations organized by Population Council with policymakers and public health experts, and (iii) evidence from scientific literature.

Results: The major barriers to easy access of ECP include misconceptions and reservations of providers (disapproval of ECP provision by CHWs, opposition to its being an OTC product, and myths, misconceptions, and moral judgments about its users) including influential gynecologists.

Conclusion: For mainstreaming ECP, the paper recommends educational campaign focusing on gynecologists and CHWs, relaxing restrictive policy on advertisement of ECP, involving press media and strengthening supply chain to ensure its regular supply to ASHA (CHW).

No MeSH data available.