The fourth edition of the clinical summary of emergency contraceptive pills (ECP) provides a two-page overview of ICEC’s Medical and Service Delivery Guidance. New information on the hormone UPA and new studies on the influence of BMI on effectiveness are briefly discussed, as well as how ECP regimens work, their efficacy and safety, guidelines on repeat use, and considerations for starting or resuming regular contraceptives following ECP regimens.
This section contains fact sheets, blog posts, technical statements, clinical guidelines, journal articles and publications focusing on policies and access. Several publications focus on sexual assault and humanitarian settings. For more information on specific themes, please visit the EC Issues Pages. Many of our publications are available in multiple languages.
Updated in 2018, the Medical and Service Delivery Guidance is ICEC’s most widely distributed publication. Designed to serve as a key reference and training document for service provision, it includes a range of medical and service delivery issues in an easy to use format, from screening, dosages, and counseling to EC pill regimens. Local programs can adapt this guidance as necessary to comply with national or other requirements. Available in English, Spanish, and French
For over 20 years, the International Consortium for Emergency Contraception (ICEC) has worked to expand access to emergency contraception, focusing on developing countries. This issue paper describes ICEC's work to implement a three year grant from the Bill & Melinda Gates Foundation (2014-2018), supporting advocacy and knowledge-sharing efforts at the global level, with the addition of focused strategies to expand access in DR Congo and Nigeria and additional technical assistance in other countries.
This article details the study to explore selected pharmacies' readiness to serve women seeking emergency contraception (EC) in Kinshasa, DRC. Recent programmatic and research efforts on addressing gaps in health systems of low-income countries increasingly see task shifting, i.e. the provision of healthcare by non-medically trained personnel, as a possible solution to increase the availability of specific services and commodities. In Kinshasa, private-sector pharmacies are the primary and preferred provider of family planning (FP) methods, and thus constitute a potential resource for expanding access to specific contraceptives. Authors: Julie H. Hernandez, Muanda Fidele Mbadu, Melissa Garcia, Annie Glover
With the current largest generation of young people, there is much to celebrate on August 12, International Youth Day. In particular, there is the growing recognition that as agents of change, adolescents and young people and their organisations are essential stakeholders who contribute to inclusive, just, sustainable and peaceful societies. Crucially, advocates working on sexual and reproductive health (SRH) and reproductive rights (RR) advance access for young people in meaningful ways. Here are 8 Top Tips for Advocates Working on Emergency Contraception created for International Youth Day
In advance of the Family Planning Summit in London , ICEC published a blog post on the continued importance of emergency contraception in the full family planning method mix. Policymakers, donors, governments and advocates from around the world will be gathering to discuss efforts to reach our Family Planning 2020 goals and ensure that more women and girls around the world are able to plan their families and their futures.
Melissa Garcia of ICEC and Sarah Rich of the Women’s Refugee Commission co-authored a blog post on the Sexual Violence Research Initiative’s website about EC and post-rape care. EC has particularly critical relevance for post-rape care since it can reduce the risk of pregnancy following unprotected sex, including forced sex, but it is not systematically provided to survivors, which violates their human rights. The blog piece discusses the most crucial barriers to EC access for sexual violence survivors, including policy, legal, and regulatory barriers; facility protocols and provider biases; and women’s low level of knowledge of EC and delayed care-seeking. As these barriers are often exacerbated in crisis settings, the blog piece calls for new approaches for ensuring that survivors receive EC.
Demographic and Health Surveys conducted every five years show that, while awareness of EC is increasing gradually, it remains quite low in comparison to other methods.
In an effort to draw more attention to emergency contraception access around the world, Elizabeth Westley and Monica Kerrigan authored a blog post on Devex’s website. In it, the authors discuss the unfinished agenda for EC access and point out that although EC remains the only contraceptive method that is effective after sexual intercourse, it is one of the most underutilized, underfunded, and unheard of tools to broaden access and choice for millions of women and youth globally.
A new blog post, authored by Elizabeth Westley and Melissa Garcia, details ICEC’s recent strategy to increase awareness of EC by promoting EC-related storylines in “entertainment for education” media projects. These projects, which are produced by our partners Population Media Center and ONG RAES and include engaging television and radio soap operas, provide innovative and unique opportunities to reach wide audiences in the countries where ICEC has focused work (Democratic Republic of the Congo, Senegal, and Nigeria).
National Essential Medicines Lists (EMLs) include medicines that fulfill primary health needs of a country’s population, as determined by its government. This fact sheet provides information regarding the inclusion or non-inclusion of emergency contraceptive pills (ECPs) in all available country EMLs. In addition, it lists which ECP regimens are indicated among those EMLs that include ECPs.
This document, co-authored by ICEC and the Inter-Agency Working Group on Reproductive Health in Crises, provides information about EC for health care providers in crisis settings. It discusses information about EC, such as the timeframe during which it can be taken and safety concerns, and provides a chart outlining the different regimens of oral contraceptive pills that can be taken to make EC when a dedicated EC product is not available.