Breaking The Silence on Emergency Contraception

In a country where access to reproductive health services is still unequal, emergency contraceptives (ECs) offer a vital second chance to prevent unintended pregnancies.

Yet many Namibians remain unaware of how they work, where to get them, or even that they exist.

Emergency contraceptives are safe, effective methods used to prevent pregnancy after unprotected sex, contraceptive failure (like a broken condom), or sexual assault.

They are not abortion pills – they work by delaying ovulation or preventing fertilisation. There are two main types: emergency contraceptive pills (ECPs), such as levonorgestrel, which are available at most clinics and pharmacies; and copper intra-uterine devices (IUDs), which are inserted by a healthcare provider and are effective up to five days after intercourse.

Yes, according to the Ministry of Health and Social Services, ECs are available at many public health facilities, often free of charge.

However, access can be limited in rural areas due to supply shortages and stigma.

Let’s clear up some common misconceptions: Firstly, a myth is that ECs cause abortion; the fact is they prevent pregnancy before it begins.

Secondly, the myth that they are dangerous for teens is false: ECs are safe for all women of reproductive age. Finally, while the myth persists that they cannot be used more than once, the fact is that they are safe for occasional use, but not as a regular method.

Timing matters greatly. Emergency pills are most effective when taken within 72 hours of unprotected sex – the sooner, the better. Copper IUDs can be used up to five days later and offer long-term protection.

To get help, visit your nearest clinic, hospital, or pharmacy. Ask for emergency contraception – you do not need a police report or parental consent. Health workers are trained to provide confidential, non-judgemental care.

Unintended pregnancies can derail education, careers, and health. ECs give women, especially young women, the power to take control of their futures.

But this only works if we break the silence, fight the stigma, and spread the facts.

Emergency contraception is not a luxury. It is a right.

Let’s talk about it, ask for it, and demand better access for all Namibians.

– Dr Loide Ambuga-Nghifikwa

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