Russia scored 42.8% in the Contraception Atlas for 2020. The country with a population of over 145 million still experiences a rather high level of maternal death (17 deaths per 1000 live births) and 22 adolescent births per 1000 adolescents aged 15-19. There is no government supported website on contraception and contraceptive information is available only on the sites of pharmaceutical companies and commercial clinics. There are no reimbursements available neither for the general population nor for specific vulnerable groups. The contraceptive prevalence rate for women is 49%, decreasing to 41% in terms of modern contraception.
Recommendations:
- Reimbursement schemes need to be integrated within the Russian health care policy and it should include adolescents and vulnerable groups
- Counselling and access to information must always go hand in hand with destigmatisation and demystification of contraception. To achieve success, it is crucial to encourage better SRHR education, as well as, improved training for health care providers.
- Unbiased, coherent, and detailed online information on modern contraception needs to be provided with government support.
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 other online resources
✔️Number of contraceptives - excellent
❌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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