Andorra, a small country home to less than 100.000 people[1], scores 47.9% in the 2020 Contraception Atlas. This score places the country in the red range of the ranking, as it performs poorly on both: policies affecting supplies and counselling and the availability of online information. From 2008 until 2018, prescription was mandatory to purchase emergency contraception pills. A positive development has been that, since June 2018, emergency pills are available over the counter from pharmacies for anyone over 16.
Recommendations:
- Andorra can improve access hormonal contraception by removing the need for prescriptions.
- Reimbursement schemes for adolescents and vulnerable groups should be included within the health system.
- Unbiased, coherent, and detailed online information needs to be provided. This should go hand in hand with counselling and sexual education that serve to contribute to destigmatise the topic of contraception.
[1] https://data.worldbank.org/country/AD
Breakdown by Criteria
Policies related to supplies and counselling
- Reimbursement
✔️Reimbursement within the national health system
❌Special reimbursement for adolescents (until 19)
✔️Special Reimbursement for vulnerable groups (unemployed/low income)
- Counselling
✔️Available, accessible, and affordable consultation
❌No need for third-party consent
❌Legal status (marital, citizenship) is not a barrier
- Prescription requirements
✔️Availability of emergency contraception without prescription
❌Availability of self-administered hormonal contraception without prescription
Availability of online information
- Type of online information
Website provided by Government supported integrated website
✔️Number of contraceptives - good
❌Info on costs of contraceptives
✔️Info on where to get contraceptives
- User friendliness
❌Regional or minority language included
✔️Web design
❌Discoverability of the website
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