Ali Kubba


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    De-medicalising contraception
    Access to contraception is a reproductive health
    right. While sex ‘just happens’, women need to
    go through several hoops to obtain contraception.
    Regulations, protocols and guidelines drive
    service provision but do affect the perceptions
    of both users and providers. Evidence-based
    de-medicalisation of contraception may remove
    personal and systematic barriers to effective use of
    family planning methods. Emergency contraception
    is a case study in this area. Other models of care
    have emerged in the last decade. These include
    over and under the counter oral contraception,
    vending condoms and emergency contraception
    and web based services. Themes emerging
    from such models suggest that research, service
    provision and advocacy schemes should aim to
    push the boundaries of contraceptive regulation
    towards user-friendly non-medicalised care.

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    OC without prescription

    Ali Kubba MB ChB FRCOG FFSRH, London, United Kingdom

    OCs are the most studied drugs of the modern age. Their non-contraceptive benefits are signi-ficant but largely unknown to users. Their adverse effects are uncommon so most women are eligible to use OCs. The EBM tool for prescribing is the WHO Medical Eligibility Criteria. These are highly adaptable to checklists that users themselves or pharmacists/web based providers can use to select safe use.

    Self selection or facilitated self selection for OC use, increases access and cuts costs for the user and the healthcare system. I will be discussing models of delivery and the experience from a small project in South London.