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→Contraception (Birth Control)
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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. Furthermore, the country has seen an expansion of its health care resources, including adoption of family planning methods. In 2017, Botswana had a fertility rate of 2.56 children per women. While only 16% of women in Botswana uses 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 by 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 widely introduced into the Botswanan health market, 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 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. | |||
===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* Tip: Sexual Reproductive Health (SRH) services include help with family planning, contraception and infertility. | |||
* You should be able to find '''male condoms''' and potentially also '''female condoms''' in Botswana. In 2016, the UNFPA provided health care providers with 450,000 female condoms.<ref>[http://botswana.unfpa.org/news/botswana-introduces-contraceptive-implants Botswana introduces contraceptive implants]</ref> | |||
* You should be able to find '''oral contraceptives (birth control pills)''' in Botswana. | |||
* You should be able to find '''contraceptive implants''' in Botswana. Typically, you'll find Jadelle (a progestin-only implant) and Implanon NXT (which has etonogestrel, a synthetic female hormone resembling progesterone)<ref>[http://allafrica.com/stories/201607280247.html Botswana: Ministry of Health Introduces New Contraceptives]</ref> in Botswana. In 2016, UNFPA supported the Ministry of Health in training some local health care providers in the handling of Jadelle implants.<ref>[http://botswana.unfpa.org/news/botswana-introduces-contraceptive-implants Botswana introduces contraceptive implants]</ref> | |||
* The '''vaginal ring''' (such as the Nuvaring) is available in Botswana,<ref>[http://allafrica.com/stories/201607280247.html Botswana: Ministry of Health Introduces New Contraceptives]</ref> <ref>[http://www.botswanayouth.com/ministry-of-health-introduces-2-new-contraceptives/ MINISTRY OF HEALTH INTRODUCES 2 NEW CONTRACEPTIVES]</ref> as of 2016, according to reports. | |||
===Costs=== | ===Costs=== | ||