EVERY WOMEN EVERY CHILD UN COMMISSION ON LIFE-‐SAVING

3.1.3 Emergency Contraceptive Pill Problem statement Uganda introduced the Emergency contraception in the public sector in 2008 and guidelines were developed and distributed to the health facilities by the national Medical Stores warehouses. However, emergency contraception is not well integrated into family planning programs leading to inadequate use and provision as part of contraceptive method mix. Specific issues identified Provider issues: Low provider and user awareness including use post rape and also there is sufficient information and skills to provide the product; Pharmacists and drug-­‐sellers are not trained in advocacy and provision; Not widely available particularly in rural health facilities units. Emergency contraception is not well integrated into family planning programs. Adolescents and youth in schools & rural areas have limited access & knowledge on where to find them and how to use them. Pharmacists and drug-­‐sellers are not trained in advocacy and provision. Poor availability and access issues at public health facilities while they are expensive in the private sector. Awareness/ demand Consumers including youth and adolescents are not knowledgeable about emergency contraception as an effective method of pregnancy prevention. Service providers are also not adequately knowledgeable of ECPs as a Family Planning method. Implementation plan a) Immediate plan • Review of the family planning strategy and guidelines to provide for the use of ECPs and develop job aids and train health workers on counseling and dispensing of ECPs • Through social marketing develop media messages, IEC materials, community programs, train youth to be part of the VHT program. b) Intermediate plan Continue provision of ECPs through the public pull & push logistics system including continued inclusion in the basic kits for HCII & HC III 3.2 Maternal Health Commodities