Prospects for coitally-dependent hormonal contraception: perspectives from women in urban Kenya and Nigeria

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Abstract

Introduction

Emergency contraceptive pills (ECPs) were developed and marketed with the emergency aspect firmly in mind, but research and anecdotal evidence indicate that some women use them as a form of regular contraception, spurring efforts in the reproductive health community to explore the development of a coitally-dependent oral contraceptive pill.

Methods

We asked women of reproductive age in Nairobi, Kenya and Lagos, Nigeria how likely they would be to use a hypothetical pericoital pill and why.

Results

Bivariate logistic regressions indicated that women aged 18–35 years, with secondary education or higher, and who had ever used condoms or short-acting methods, were more likely to say that they would use this hypothetical pill. Women who had ever used a family planning method or ECPs were also more likely to say they would use this pill. The likely adopters reported that they would use the pericoital method if it prevented pregnancy with little or no health problems and was convenient and easy to use.

Conclusion

The findings suggest that should a safe and effective pericoital hormonal pill become available then a significant number of women would adopt this method.

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