Spain’s, home to over 46 million, has a particular structure impacting contraceptive counseling and product reimbursement, healthcare provision is a competency delegated to each of the 17 Comunidad Autónoma. Overall, Spain scores 66% in the 2020 atlas. The country’s public health system reimburses citizens for most contraceptive methods, even if the level of subvention can be higher or lower depending on the area of residence. As of November 2019, the Ministry of Health has begun reimbursing the contraception ring. There are Centres for Family Planning and Reproductive Health which provide various services, including emergency contraception free of charge and without prescription, as well as without disclosure of age or status. As to the availability of online information, Spain provides comprehensive user-friendly websites offering the reader neutral information on different contraception methods.
Recommendations:
- Online information should provide the reader with information on modern contraception to increase its awareness as the contraceptive prevalence rate of modern methods is lower (58) than the general contraceptive prevalence rate (60)
- Access to contraception and family planning services should be ensured in all Comunidades Autónomas to guarantee all citizen’s equal access to free of charge contraception
- Spain should put effort into ensuring sexual education in schools since it has a higher adolescent birth rate (7) than its neighbors. Denmark has the lowest one (3).
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 non-government supported website
✔️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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