CALIFORNIA FAMILY HEALTH COUNCIL, INC. Emergency Contraception Initiative Anna García, Project Director Emergency Contraception Initiative Increase the network of EC providers FREE EC Provider kit and technical assistance Offer EC resources and policy updates
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Emergency Contraception Initiative
Anna García, Project Director
Less nausea & vomiting
Single dose or two doses
Consists of two .75mg Levonorgestrel tablets
Estrogen & progestin
50% nausea/20% vomiting
Two doses 12 hours apart
Varied number of tablets for proper EC dosing by brandComparison of EC pills
US Government 1983
Hughes ACOG 1972
Source: ACOG 1998
Müller et al. 2003; Ortiz et al. 2004; Croxatto et al. 2005
ACOG 1996, CRLP 1999
Source: Alan Guttmacher Institute
386 522 326 379 191 146Number of Women
Piaggio, G. et al. Lancet 1998: 352; 721.
EC on hand to take right after sex when it’s most effective
Avoid barriers to access (transportation, work, school, childcare)
Eliminates potential embarrassment or shame
Cuts down walk-in EC patients
Reduces the urgent need for EC
Advance prescription is good for one yearBenefits of EC in Advance:
rate up to 87% for EC taken 3 to 5 days after unprotected sex (Rodrigues, et al. 2001).
von Hertzen H, et al. Lancet. 2002;360:1803-1810.
SOURCE: De Santis, M. Fertility and Sterility, August 2005.
“Repeated use poses no health risks and should not be cited as a reason for denying EC treatment.”
—World Health Organization
or required by funding source
Adapted from the ACOG Practice Patterns, EC patient management algorithm, 1996 and Managing Contraception, Using ECPs, 2002-2003.
Encourage Pharmacy Stocking management algorithm, 1996 and
California Legislation management algorithm, 1996 and
SB 1169 made EC “behind the counter”
SB 545 put a $10 cap on pharmacy consult
SB 490 creates a statewide EC protocol
SB 644 requires pharmacies to fill EC prescriptions or refer
EC Pharmacy Programs
EC On-line Training*
www.pharmacyaccess.orgEC Pharmacy Access
*1 hour CE or CME credit for Health Care Professionals
Raymond et. al., 2003 and Gold et. al., 2004; Raine et. al., 2005 (respectively)
EC in advance…
for healthcare professional