‘Evidence plainly demonstrates that the availability of contraception lowers the charge of unwanted pregnancies.’ Photograph: Linda Nylind for the Guardian
Teenage women need to be given greater entry to the morning-soon after pill in schools and GP surgeries alongside free condoms, according to new advice.
The National Institute for Health and Care Excellence (Good) explained under-25s – such as people underneath the age of consent – need to be able to entry emergency contraception much more readily.
Free of charge condoms – like female condoms – must also be “readily available” for young guys and females at places such as “colleges, schools and youth clubs”.
The new guidance is aimed at cutting the higher numbers of undesirable teenage pregnancies across England.
Below the strategies, Wonderful mentioned suitably competent nurses (such as school nurses) and pharmacists should be provided the ability to dispense cost-free emergency contraceptive drugs in accordance with patient group directions (PGDs). PGDs permit overall health staff to supply a medicine straight to a patient without having the want for a prescription.
There are two types of emergency contraceptive pill. Levonelle has to be taken within 72 hrs (3 days) of sex, and ellaOne has to be taken within 120 hrs (five days) of intercourse. Meanwhile, an IUD can be inserted up to 5 days following unprotected sex.
Great also renewed its 2010 get in touch with for youthful folks to be offered emergency contraception to preserve at property in situation they require it. And it explained young ladies have to be advised of locations they can obtain free, confidential pregnancy tests with same-day outcomes. Youthful females ought to also be “encouraged to take into account and select a appropriate type of contraception for their long term demands”, the advice mentioned.
Regarding below-16s, Nice stated health experts offering emergency contraception have to be mindful that they can give it to underneath-16s “with out parental expertise or consent, in accordance with ideal practice advice”.
It extra: “Health professionals, such as pharmacists, who are unwilling (or unable) to supply emergency contraception must give younger women information of other neighborhood providers where they can be witnessed urgently.”
Wonderful explained younger individuals need to be offered access to contraception and suggestions at practical areas so nobody is denied solutions due to the fact of where they dwell.
Professor Mike Kelly, director of the centre for public wellness at Great, explained: “It is truly critical that sexual wellness solutions supplying data and advice can be found in spots in which young men and women have accessibility to them.
“Evidence clearly shows that the availability of contraception reduces the charge of unwanted pregnancies. Neighborhood planners and companies of services have to make confident that what they offer is appropriate for their region.
“Youthful folks often find contraceptive companies and advice challenging to locate. This can be for a amount of reasons. They may possibly not know the place solutions are, who gives them or when they are open. They can also be wrongly worried that information they give could not be taken care of confidentially. For that explanation, this guidance focuses on ensuring they acquire culturally sensitive, confidential, non-judgmental and empathic guidance and assistance tailored to their individual needs.”
The guidance also mentioned condoms should always be supplied in addition to other kinds of contraception to reduce the charge of sexually transmitted infections.
Anne Weyman, chair of the independent committee that produced the guidance and former chief executive of the Family members Preparing Association (FPA), said: “Most sexually lively younger women use at least one method of contraception. The great information is that the amount of under-18s turning into pregnant is falling. But we truly need to create on this latest progress simply because England nevertheless has one of the highest teen pregnancy prices in Europe.
“Most of the youthful girls who turn into pregnant even though nonetheless a teenager do not plan to do so. Practically half of all pregnancies among 15-to-18-year-olds end with an abortion.
“The new advice aims to decrease undesirable pregnancies by ensuring that younger men and women have access to a complete selection of contraceptive strategies, not just capsules and condoms, but the longer-acting approaches, such as contraceptive injections and implants. We also require to make confident that younger individuals get very good contraceptive advice so that they can pick and use the right strategy for them.
“As properly as the pointless heartache for these young ladies, undesired pregnancies also have a economic cost, with abortions for youthful females underneath 25 costing the NHS roughly £53m every single yr. Investing in contraceptive companies is a very good use of funds.”
Office for Nationwide Statistics figures launched in February showed that the United kingdom beneath-18 conception rate stays the lowest because 1969, at 27.9 per one,000 women aged 15 to 17. The amount of pregnancies in individuals under 18 fell to 27,834 in 2012 in contrast with 31,051 in 2011 – a ten% drop. Some five,432 below-16s fell pregnant in 2012, compared with 5,991 in 2011.
Amid below-16s, three,251 pregnancies resulted in abortion – 59.eight% of the total. This is down on 60.2% the previous yr and 62.5% the 12 months ahead of that.
The figures also revealed that 253 women underneath 14 fell pregnant in 2012, fewer than the preceding year, with nearly three-quarters having an abortion.