Emergency Contraceptive Pills (ECP)
Note, October 2017: The WHO has released its revised Medical Eligibility Criteria and Selected Practice Recommendations for Contraceptive Use in 2015-16. Links are below. The TRP module will be updated to reflect those changes by early 2018. Please consult the revised WHO documents for changes in the interim.
This module on Emergency Contraceptive Pills (ECP) is designed for the providers in developing countries who most often are tasked with providing FP services—primarily nurses and nurse-midwives, as well as primary care physicians and in some cases pharmacists—and assumes trainees will have at minimum level of clinical training. The training materials are designed to be used by clinical trainers and pre-service educators with a thorough understanding of adult learning principles and the ability to provide clinical training on ECPs in pre-service or in-service settings.
By the end of the training, trainees should be able to do the following:
- Discuss the consequences of unwanted pregnancy.
- Describe the characteristics of emergency contraceptive pills (ECP) in a manner that clients can understand:
- What ECPs are and how they work (mechanism and onset of action)
- Side effects
- Possible precautions or complications
- ECP regimens
- Key points for providers and clients
- Describe the indications for use of ECPs
- Demonstrate how to screen clients for ECP use
- Demonstrate counseling ECP clients including:
- Characteristics of ECPs
- How to address common concerns, myths and misconceptions about ECPs
- How to use ECPs
- Possible side effects of ECPs and how to manage them
- The importance of starting regular contraceptives after ECP use