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Legal Challenges to EC in Ecuador
May 2006
  In Ecuador, women's access to EC was, until recently, assured. The Ecuadorian Political Constitution (1998) includes sexual and reproductive rights; EC is listed as a family planning method in the Ministry of Public Health's Reproductive Health program; and as of 2002, EC was included in the protocol of assistance to victims of sexual violence.

However, in 2005 a claim was presented by an individual before the Ecuadorian Constitutional Court requesting the suspension of distribution of Postinor-2- Levonorgestrel 0.75, with the argument that EC challenged Ecuador's constitution. The Ministry of Health did not respond to the challenge or participate in this case. Scientific arguments and evidence presented in collaboration with women's and civil rights groups were ignored, as was a supportive letter from CLAE (the Latin America Consortium for Emergency Contraception) and support from FLASOG (the Latin American Federation of Obstetric and Gynecological Societies). Instead, in May 2006, the Constitutional Court opted to accept the arguments of the individual plaintiff, which resulted in suspension of the registration of Postinor-2 for the Ecuadorian market. Now, certain anti-contraception groups are requesting the extension of the recent resolution of the Constitutional Court to all contraceptives made available by the Ministry of Health; other methods containing levonorgestrel may be particularly at risk.
East African journalist-to-journalist seminar on reproductive health and EC
June 2006
  When EC receives attention in the African media, it is frequently sensationalized and informed by anecdotal evidence, unsubstantiated claims, and conservative ideologies. In Kenya, for example, one national newspaper reported that young girls were eating EC "like chocolate." To better inform this debate, ECafrique undertook a rapid diagnostic of EC use among Nairobi women, aged 14-25. Results of the surveys determined that repeat use of EC is not widespread, and there is not an epidemic of EC abuse among adolescents as reported. (View the case study and PowerPoint presentation on the ICEC Website here). To promote more consistent and objective reporting on EC, ECafrique, in conjunction with the US-based National Press Foundation (NPF) and the Population Reference Bureau, convened a skill-building workshop in Nairobi, Kenya from June 15-18, 2006. As part of the NPF's Journalist-to-Journalist program, this seminar focused on increasing journalists' overall awareness of reproductive health issues (including EC) while at the same time improving their ability to effectively convey this information to the public. Twenty-two leading health reporters from Kenya, Ethiopia, Uganda, Tanzania, and Malawi were selected for the 4-day training, which immediately preceded the 2nd Africa Conference on Sexual Health and Rights. At the conference, participants were able to test their newly-acquired skills under the guidance of top guest editors, filing reports for their home publications and contributing to the conference newsletter. A similar activity for francophone journalists in West Africa is currently being planned.
PATH releases updated client brochure
Spring 2006
  PATH announces the online availability of its updated client brochure "It's Not Too Late to Prevent Pregnancy." The brochure is provided in 14 languages (Amharic, Arabic, Cambodian, Chinese, English, French, Haitian-Creole, Korean, Laotian, Portuguese, Russian, Somali, Spanish, Vietnamese), each with culturally appropriate illustrations. The updated information includes the extended effectiveness timeframe (up to 5 days/120 hours) and the effectiveness of a single dose (one 1.5 mg instead of 2 doses of 0.75 mg each) of the levonorgestrel-only regimen. The brochures can be downloaded on this site as 8.5 x 11 PDFs- for the A4 size brochures, visit PATH's EC Publications site.
 
IPPF/WHR update: EC and advocacy in the Caribbean
July 2006
  International Planned Parenthood Federation, Western Hemisphere Region (IPPF/WHR) is currently working on a regional advocacy campaign to increase access to emergency contraception in the Caribbean. Member Associations in Barbados, St. Lucia and Trinidad and Tobago are working with IPPF/WHR to create comprehensive advocacy campaigns for national political change in relation to the provision of Emergency Contraception. The IPPF/WHR team conducted a political mapping exercise in each country, identifying all of the key political players and stakeholders to ensure that the most strategic advocacy efforts are made within each country context. Each country has an individual campaign that they will implement to improve access to EC. Some of the hoped-for results include having the Ministry of Health place EC on the national drug formulary so that all government centres offer EC by the end of the project and ensuring that EC is a part of the national rape victim treatment protocol.
 
Consortium member FHI publishes new report on EC and adolescents
February 2006
  Family Health International has published a new working paper titled Adolescents and Emergency Contraceptive Pills in Developing Countries, available here to download.
 
EC launched in Indonesia by Consortium member DKT International
December 2005
  DKT International launched Gideon Richter's Postinor 2 in December 2005 and will be making this available through their national distribution network. DKT will include EC in future training and outreach to midwives, pharmacists, and doctors (more than 5,000 midwives have been trained in the last 2-3 years) and will develop educational materials in Bahasa, Indonesia. There are an estimated 2 million abortions each year in Indonesia; DKT International hopes the availability of EC can help reduce these numbers.
 
ECafrique reports EC now available in five regions of Ethiopia
Winter 2005
  The Ministry of Health, Ethiopian Society of Obstetricians and Gynecologists (ESOG), ECafrique (the African Consortium for EC), and the Concept Foundation continue to work towards mainstreaming EC services into the public and non-governmental sectors. Doctors and nurses have been trained and service provision is underway in the country's five main regions: Addis Ababa, Amhara, Tigray, Oromia, and SNNPR.

This project supports incorporating EC into the pre-training curriculum of nursing, medical and community health students at each of the country's leading medical schools. Small stipends are being offered to support student research on EC. ECafrique has also developed a CD-ROM of EC-related resources for students who wish to learn more about the method, but whose access to the Internet is limited. The CD-ROM covers EC technology, service delivery guidelines, training materials, and other topics. To compliment the focus on students and their research, the project is also sponsoring guest lectures and other initiatives to exchange information on EC.

Finally, efforts are underway to secure the registration of Postinor-2 with the Ethiopian Drug Administration and Control Authority. The local pharmaceutical firm, Beker Pharmaceuticals & Medical Supplies, submitted their application for registration of the product, thereby opening up the door for future importation of Postinor 2, once current stocks are exhausted.

 
ECafrique surveys women in Nairobi in response to anecdotal media claims of EC abuse
December 2005
  The Kenyan media reported anecdotal stories about overuse of EC by young people; although unsubstantiated, this news item nonetheless had an impact on the national policy debate. To better inform this debate, ECafrique undertook a rapid diagnostic of EC use among Nairobi women, aged 14-25. Three hundred self-administered questionnaires were administered to university and high school students, as well as to a sample of 100 out-of- school women. In addition, a series of open-ended interviews were carried out with 10 pharmacists operating throughout the city. Data is currently being analyzed.


 

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