Young People's Use and Perceptions of Emergency Contraceptives in Sub‐Saharan Africa: Existing Insights and Knowledge Gaps

Abstract

AbstractDespite growing international attention to the sexual and reproductive health and rights of young people, their uptake of modern contraceptive methods remains low, especially in Sub‐Saharan Africa. This article focuses on young people's use of a relatively new contraceptive method, emergency contraceptives (ECs). Emergency contraceptives can be used after intercourse and have been marketed to be used when other contraceptives fail or after unplanned, unprotected intercourse. This article reviews qualitative evidence from seven studies on young people's experiences with this contraceptive method. Many users of ECs were in their twenties, well‐educated, and either single or in a relationship. Repeated use was found in four of the studies, and ECs may fit within an existing range of post‐coital methods used to prevent pregnancies. While concerns about side effects were reported frequently among non‐users of ECs, other women preferred ECs above other hormonal contraceptive methods. Men were actively involved, for example, as providers of information to their partners, and as purchasers of ECs. Young people's understandings of ECs hence differ from the meanings inscribed to these pills at an international level. Further research on this topic is needed to ensure that young people's (emergency) contraceptive needs are well understood and responded to.