1.1 Women have the right to control or manage their
own sexuality and fertility.
is a genuinely-felt need for Emergency Contraception in India to prevent a large
number of unplanned pregnancies, and to bring down the incidence of abortions
and unwanted pregnancies with the availability of EC as a ‘back-up’ method.
1.3 Emergency Contraception is indicated as a back-up
method in the following situations:
during contraceptive usage e.g. ruptured or slipped condom, misplaced intra-uterine
device, displaced diaphragm or forgotten pill.
(b) Unprotected intercourse due to failure to use a contraceptive, miscalculation
of safe period or inappropriate coitus interruptus.
(c) Incorrect or inconsistent use of a regular contraceptive
(d) Accidental intercourse due to rape, assault or sexual coercion.
1.4 Emergency Contraceptive Pill availability as a
‘back-up’ will increase confidence of users spacing contraception and increase
1.5 Combined Oral
Contraceptive Pill is already available in India but it is not recommended as
an ideal Emergency Contraceptive Pill. Levonorgestrel needs to be introduced as
the dedicated method of choice.
is an important issue even when the method is only for occasional use. Thus it
is better to start a programme with a better method, and even if some wait is
required in making Levonorgestrel available, it is worthwhile in the interest
of women’s health.
1.7 ECP should be
made available as soon as possible as a two-pill pack, each tablet containing
0.75mg Levonorgestrel :
(a) The packing should
include instructions on one-time use, method of use, side-effects, efficacy, action
to be taken in case of failure, need for regular contraception and no protection
from sexually transmitted infections/AIDS.
(b) Packaging should be made as non-embarrassing as possible, so that people do
not shy away from use.
is not required in the packet; woman just needs to be counselled about the potential
(d) Pricing should be kept
as low as possible, to make it accessible to poorer classes, in whose case the
need may be more.
1.8 Training manuals
for intra-uterine device and oral pills should mention their potential use as
Emergency Contraception including details of counselling in such situations.
1.9 Mifepristone should be introduced only at a later
date, when more research has been done on its potential as Emergency Contraception
and safety profile.