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In Botswana, you need a prescription to obtain oral contraceptives (birth control pills).<ref>[http://ocsotc.org/wp-content/uploads/worldmap/worldmap.html Global Oral Contraception Availability]</ref> | In Botswana, you need a prescription to obtain oral contraceptives (birth control pills).<ref>[http://ocsotc.org/wp-content/uploads/worldmap/worldmap.html Global Oral Contraception Availability]</ref> | ||
Since gaining independence in 1966, Botswana has experienced steady economic growth, largely due to its prosperous diamond industry. | Since gaining independence in 1966, Botswana has experienced steady economic growth, largely due to its prosperous diamond industry. Consequently, the country has seen an expansion of its health care resources, including family planning methods. In 1984, family planning services began to be included in nearly all health facilities and, in 1989, the family planning logistics manual (contraceptive commodities and drugs) was developed. While only 16% of women in Botswana used any form of contraception in 1974, the rate increased to 40% by 1996 and 51% by 2007. Meanwhile, the use of traditional methods, such withdrawal or the rhythm method, decreased from 7.5% in 1984 to 2.6% in 2007. In 2015, it was found that 56.3% of women in Botswana (who were of reproductive age and married/in unions) used some form of contraception, and 16.8% of women had unmet family planning needs. The most common forms of contraception were found to be male condoms (35.8%), contraceptive injectables (7.3%), birth control pills (6.5%) and female sterilization (2.2%). Traditional methods, like the rhythm methods (1.1%) and withdrawal (0.4%) were not common. There were also low usage rates of IUDs (0.9%), vaginal barrier methods (0.6%) and implants (0.5%).<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in | ||
Contraceptive Use Worldwide 2015]</ref> In 2016, two contraceptive implants (Jadelle and Nexplanon) and the contraceptive ring (Nuvaring) were more | Contraceptive Use Worldwide 2015]</ref> In 2016, two new contraceptive implants (Jadelle and Nexplanon) and the contraceptive ring (Nuvaring) were more introduced into the Botswanan health market,<ref>[http://www.botswanayouth.com/ministry-of-health-introduces-2-new-contraceptives/ MINISTRY OF HEALTH INTRODUCES 2 NEW CONTRACEPTIVES]</ref> and health care providers were trained in their usage by the UNFPA. For this reason, there may be wider usage of contraceptive implants and rings than recorded in previous data. | ||
As contraceptive methods have improved in Botswana, the fertility rate has declined. In 2017, the fertility rate in Botswana was 2.56 children born per woman. This was noticeably lower than fertility rates in 2000 (3.8 children per woman)<ref>[https://www.indexmundi.com/g/g.aspx?c=bc&v=31 Fertility Rates, Botswana]</ref> and especially since 1981 (7.1 births per woman),<ref>[http://siteresources.worldbank.org/INTPRH/Resources/376374-1282255445143/Botswana52411web.pdf Reproductive Health at a Glance: Botswana]</ref> indicating that women are gradually having less children and being exposed to more effective contraceptive methods. The lowest fertility rates are found in women who live in city or town areas and have a secondary or university education. | As contraceptive methods have improved in Botswana, the fertility rate has declined. In 2017, the fertility rate in Botswana was 2.56 children born per woman. This was noticeably lower than fertility rates in 2000 (3.8 children per woman)<ref>[https://www.indexmundi.com/g/g.aspx?c=bc&v=31 Fertility Rates, Botswana]</ref> and especially since 1981 (7.1 births per woman),<ref>[http://siteresources.worldbank.org/INTPRH/Resources/376374-1282255445143/Botswana52411web.pdf Reproductive Health at a Glance: Botswana]</ref> indicating that women are gradually having less children and being exposed to more effective contraceptive methods. The lowest fertility rates are found in women who live in city or town areas and have a secondary or university education. | ||
However, there is still much work to do to increase public awareness and access around contraceptives. There is no formal sex education in Botswana's school system,<ref>[http://www.advocatesforyouth.org/publications/publications-a-z/1335-youth-reproductive-and-sexual-health-in-botswana- Youth Reproductive and Sexual Health in Botswana]</ref> aside from basic education related to HIV prevention and certain elements of family life. Furthermore, some women have stated that they do not use contraceptives due to disapproval from their husbands or partners, and there may be still be an expectation placed upon women to have larger families, particularly in rural areas.<ref>[http://siteresources.worldbank.org/INTPRH/Resources/376374-1282255445143/Botswana52411web.pdf Reproductive Health at a Glance: Botswana]</ref> For a report that includes suggestions to improve contraceptive usage in Botswana, click [http://siteresources.worldbank.org/INTPRH/Resources/376374-1282255445143/Botswana52411web.pdf here]. | |||
===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||