1 / 11

STRATEGIES USED TO ENHANCE ACCEPTABILITY OF EMERGENCY CONTRACEPTION (EC)

STRATEGIES USED TO ENHANCE ACCEPTABILITY OF EMERGENCY CONTRACEPTION (EC). Medard M. Lech MD, PhD, FPCOG, DPH School of Public Health National Postgrad. Center of Medical Education Warsaw, Poland. BUDAPEST 13th September 2003.

huslu
Download Presentation

STRATEGIES USED TO ENHANCE ACCEPTABILITY OF EMERGENCY CONTRACEPTION (EC)

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. STRATEGIES USED TO ENHANCE ACCEPTABILITY OF EMERGENCY CONTRACEPTION (EC) Medard M. Lech MD, PhD, FPCOG, DPH School of Public Health National Postgrad. Center of Medical Education Warsaw, Poland. BUDAPEST 13th September 2003

  2. Abortion rates (for 1000 live births) in selected Europen countries • Czech Republic - 410 (Year 1999) • Hungary - 782 (Year 1997) • Lithuania - 518 (Year 1999) • Poland - ? • Russia - 1860 (Year 1997) • Source: www.who.int

  3. Hormonal Emergency Contraception (EC) • The easy way of distribution, • Simple method of dosage, • Low cost, • High effectiveness.

  4. REASONS for the use of EC are obvious. MYTHS - Social/Medical restrains from EC use are more than dubious Low effectiveness, huge unwanted effects, act as the „early abortion – pills”, complications in farther pregnancies sterility/infertility etc

  5. EC BARRIERS • Lack of awareness, • Difficult access (in most of the European countries) • Not complete understanding of the mode of action, • Ethics/religious opposition.

  6. Why not? Awareness Taboo (!) Ambivalent attitude of policy makers, Lack of sexual education, Failure of sexual education, Poor social marketing of EC

  7. Why not? Difficult access Patients have to know the EC methods, Patients have to find urgently* the prescriber, Patients have to obtain easily the EC product. */ time constraints

  8. Why not? MODE OF ACTION ? Effects on the migration and function of spermatozoa, Effects on the ovulatory process, D o u b t f u l l effects on the endometrium* */ Croxattio H.B. Emergency Contraception pills: how do they work? IPPF Med.. Bull, 2002;36(6):1-2.

  9. LNG 0.75 Postinor Postinor Duo Levonelle Rigesoft Norlevo EC products approved as an OTC only in France, Sweden, Norway, UK, Portugal, Belgium, Denmark, Switzerland and Finland, (Romania?) LNG 0.25+EE 0.05 Tetragynon Fertilan Products registered for EC are available all over Europe

  10. Strategies used to enhance EC use

  11. ESC next step ?? The ESC Seminar (?)/Special Session(?) „From Biology to Emergency Contraception”

More Related