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Updated Jul 26, 2019
Emergency contraceptive pills can be used to reduce the chance of pregnancy following unprotected intercourse, including when a condom breaks or when a woman has missed oral contraceptive pills. Emergency contraceptive pills contain progestin dosed at high levels and are sold in packs of one or two pills. One pack is for single use. For two-pill packs, pills can be taken 12 hours apart, or they can be taken together, which can help improve compliance. Emergency contraceptive pills are effective up to 5 days (120 hours) after intercourse, but are likely to be more effective the sooner they are taken. Emergency contraceptive pills work by interfering with ovulation (release of egg from the ovary) and interfering with fertilization of the egg by the sperm. Emergency contraception does not disrupt existing pregnancy.
Unit of intervention1 dose (containing one or two pills)
Formulation1.5mg progestin per dose
TypeShort-term contraceptive method
Target populationWomen of reproductive age (15-49)
Increased access to family planning helps women prevent unintended and high-risk pregnancies, contributes to the overall health of women and their children, and reduces the need for abortion. For more information about how PSI is empowering women and couples to lead healthier lives, visit our website at:
PSI’s estimates for the health impact of family planning use a methodology developed by Marie Stopes International (MSI) in the Impact 2 model (version 4).Please see http://mariestopes.org/impact-2 for detailed methodology. PSI’s current approach for estimating the impact on child mortality is based on assumptions about changes in mortality risk for children under-five years of age with lengthening birth intervals. PSI is working with modelers from partner organizations to integrate new evidence and adopt a set of common assumptions across impact models for family planning.
PSI uses USAID’s couple years of protection (CYP) conversion factors to represent the estimated protection against unintended pregnancy provided by contraceptive methods during one year. PSI does not modify these conversion factors when estimating CYPs provided.Service provision:
When a client directly receives a family planning method from a PSI or PSI-affiliated provider during a consultation, PSI claims 100% of the impact of that service.Distribution:
When PSI distributes a family planning method but does not provide it directly to a client, PSI claims 90% of the impact of that product, to take into account supply chain wastage.Referrals:
When a client is referred by PSI to a non-PSI service provider, such as the public sector, instead of providing the service itself, PSI claims 50% of the impact of that service. This impact is only attributed to PSI when the referral is confirmed with appropriate documentation.Model Outputs (impact metrics)
Estimates of DALYs averted, deaths averted, CYPs provided, and unintended pregnancies averted represent the projected health impact of the intervention. It is “projected” because it has not been directly measured.Examples based on distribution of emergency contraceptive pills in Myanmar in 2015
* We are able to produce deaths averted coefficients for maternal deaths and child deaths individually. Within PSI’s Impact Calculator, these estimates are aggregated into a single deaths averted estimate. Estimates of maternal deaths averted are available via the export function within the calculator in most cases. Please contact email@example.com for more information.Examples of Statement of modeled results:
In 2015, an estimated 5,000 CYPs would be provided and 2 deaths, 180 DALYs, and 450 unintended pregnancies would be averted if 100,000 doses of emergency contraceptive pills were distributed in Myanmar.