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Component 2.6

Contraceptive Supplies

Definitions

Broad range of FDA approved methods:

includes a choice of combination oral contraceptives (phasic and monophasic), at least one non-oral combination contraceptive (ring or patch), a progestin-only pill and injectable, IUD and IUS, sub-dermal implant, latex and non-latex male condoms, female condoms, two types of spermicide, diaphragm or cervical cap, Fertility Awareness Method (FAM), emergency contraception pills (ECP) for immediate use, information about abstinence and withdrawal, and information and referral for sterilization.

On-site:

on the premises, such as in the clinic, in the building or on the campus, so that a patient does not have to travel to another location such as a separate retail pharmacy.

Strategies

Contraceptive choice is an important aspect of quality care as patients may be more likely to select a method that fits her/his unique circumstances.1

  • Provide a broad range of FDA-approved methods available onsite or by referral.2
  • Administer EC for immediate use on-site according to proven efficacy guidelines for appropriate weight and body mass index (BMI).3,4
  • Dispense up to a one-year supply of FDA-approved methods on-site. Dispensing a one-year supply of pills is associated with a 30% reduction in the odds of conceiving an unplanned pregnancy, compared with dispensing just one or three packs.5

Resources

  1. Providing Quality Family Planning Services (QFP), Recommendations of CDC and U.S. Office of Population Affairs, 2014, page 13: http://www.cdc.gov/mmwr/pdf/rr/rr6304.pdf
  2. Broad range of FDA approved contraceptive methods as defined in the Oregon Health Authority Reproductive Health Program Manual, Section A.6: http://public.health.oregon.gov/HealthyPeopleFamilies/ReproductiveSexualHealth/Resources/Documents/ FP_Program_Manual/sectiona.pdf
  3. Association of Reproductive Health Professionals. 2011. Update on Emergency Contraception: http://www.arhp.org/Publications-and-Resources/Clinical-Proceedings/EC/Methods
  4. EC: Challenges and Choices. Algorithm for Dispensing Emergency Contraceptives Rapkin, R.B., Creinin, M. OBG Management 2011; 23(8): slides 16-24: http://www.ctcfp.org/wpcontent/uploads/EC-Challenges-Choices1.pdf
  5. Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies Foster, Diana Greene PhD; Hulett, Denis; Bradsberry, Mary; Darney, Philip MD, MSc; Policar, Michael MD, MPH Obstetrics & Gynecology: http://journals. lww.com/greenjournal/Fulltext/2011/03000/Number_of_Oral_ Contraceptive_Pill_Packages.8.aspx#