Efficacy of Contraceptive Methods chart – new edition 2019

Family Planning Alliance Australia, 2019

How effective is each contraceptive method? This revised chart compares methods of contraception for their efficacy. 

The figures have been derived by expert consensus using results from a variety of studies, selecting figures from studies which appear to be most comparable to Australian conditions.

Withdrawing Depo-Provera contraceptives would result in more lives lost than HIV infections prevented

aidsmap / nam,  11 January 2018

Even if Depo-Provera and other contraceptive injections raise the risk of HIV infection, withdrawing them from use in African countries would greatly increase maternal mortality, a modelling study has shown. The loss of life due to pregnancy complications and unsafe abortions would far outweigh the number of HIV infections prevented, according to the study published in the December issue of Global Health: Science and Practice.

Contraception for women living with violence

Children by Choice, Last modified on: 22 May 2017

Contraceptive use is often compromised for women living with violence. 

Contraceptive options that are safe and appropriate for one woman may not work for another. If you’re working with women experiencing violence, it’s important to explore each woman’s unique circumstances and draw on her own knowledge to assess the degree of comfort and safety with her contraceptive options.

Important factors to consider include whether the perpetrator is likely to:

  • Monitor the woman’s Medicare or prescription records through her MyGov account;
  • Restrict or monitor access to health care professionals;
  • Monitor menstruation and fertility patterns;
  • Engage in severe physical assaults;
  • Be actively searching for the use of contraceptive drugs or devices; and/or
  • Engage in rape and other forms of sexual assault.

This guide is not intended to replace a full medical consultation with a professional, but does provide a starting point for thinking further about which contraceptive options might be safest and most appropriate given an individual patient’s or client’s circumstances.

  • Read more here
  • Download full resource (PDF) here 

 

Male contraceptive jab almost as effective as female pill, trial shows

Guardian, Friday 28 October 2016

A male contraceptive jab has been shown to be almost as effective as the female pill in a trial that could pave the way for men and women being able to share equal responsibility for birth control.

In the study, 350 men were given injections of hormones that were shown to dramatically lower their sperm count by “switching off” the male reproductive system. The drugs caused some unpleasant side-effects, however, meaning that the trial had to be halted early.

The findings are reported in the Journal of Clinical Endocrinology & Metabolism.

 

Uptake of long-acting, reversible contraception in three remote Aboriginal communities: a population-based study

Med J Aust 2016; 205 (1): 21-25. doi: 10.5694/mja16.00073

Objective: To assess the use, effectiveness and acceptance of prescribed contraception in three remote Western Australian Aboriginal communities

Conclusion: The high uptake of LARCs in these communities is consistent with international recommendations about contraception use. High acceptability was reflected in excellent continuation rates. Service delivery models that use community engagement and capacity building are recommended for broadening the focus of sexual health beyond sexually transmitted disease detection and management, giving priority to the reproductive rights and unmet needs of Aboriginal women.

  • Access Journal article here (if you cannot access the full text, please contact your librarian for assistance)

Youth Risk Behavior Surveillance: United States

Centers for Disease Control and Prevention, June 10, 2016

The CDC has released the report: Youth Risk Behavior Surveillance —  United States 2015.

The Youth Risk Behavior Surveillance System monitors six categories of priority health behaviors among youth and young adults: 1) behaviors that contribute to unintentional injuries and violence; 2) tobacco use; 3) alcohol and other drug use; 4) sexual behaviors related to unintended pregnancy and sexually transmitted infections (STIs), including human immunodeficiency virus (HIV) infection; 5) unhealthy dietary behaviors; and 6) physical inactivity.
A national school-based Youth Risk Behavior Survey (YRBS) is conducted by CDC and  by state and local education and health agencies. This report summarizes results for 118 health behaviors from surveys conducted among students in grades 9–12.

Relating to sex, the following behaviours were summarised:

Sexual Behaviors Related to Unintended Pregnancy and Sexually Transmitted Infections, Including HIV Infection
  • Ever Had Sexual Intercourse
  • Had First Sexual Intercourse Before Age 13 Years
  • Had Sexual Intercourse with Four or More Persons During Their Life
  • Currently Sexually Active
  • Condom Use
  • Birth Control Pill Use
  • IUD or Implant Use
  • Shot, Patch, or Birth Control Ring Use
  • Birth Control Pill; IUD or Implant; or Shot, Patch, or Birth Control Ring Use
  • Condom Use and Birth Control Pill; IUD or Implant; or Shot, Patch, or Birth Control Ring Use
  • Did Not Use Any Method to Prevent Pregnancy
  • Drank Alcohol or Used Drugs Before Last Sexual Intercourse
  • Tested for HIV

Behaviors that Contribute to Violence

  • Forced to Have Sexual Intercourse
  • Physical Dating Violence
  • Sexual Dating Violence
Many high school students are engaged in sexual risk behaviors related to unintended pregnancies and STIs, including HIV infection.
Nationwide, 41.2% of students had ever had sexual intercourse, 30.1% had had sexual intercourse during the 3 months before the survey (i.e., currently sexually active), and 11.5% had had sexual intercourse with four or more persons during their life. Among
currently sexually active students, 56.9% had used a condom during their last sexual intercourse.

Download report (PDF) here