Khartoum

Sudan / Khartoum

OVERVIEW

Contraception (Birth Control)

General Note: There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click here.

Laws & Social Stigmas

In Sudan, you can purchase condoms and birth control pills at pharmacies without a prescription. However, for other forms of birth control, such as implants, injectables, and IUDs, you may need to directly visit a hospital or clinic to obtain them.

The overall rate of modern contraceptive methods in Sudan remains low. While it has certainly increased in the last few decades, jumping from 4% in the late 1970s to 9% in 2012, the rate of adoption has been very slow, especially in rural areas. This can be partially attributed to lack of education regarding modern contraceptive methods and, for rural women, increased difficulty in obtaining contraception. Furthermore, religion, cultural taboos and traditional gender roles can play a large part in women's decision-making. Sudan is a primarily Muslim country (estimated at 97% Muslim), and many women are heavily influenced by their husbands, religious clerics or communities. It's also important to remember that, in Sudan, about 87%-90% of women have undergone female genital mutilation (FGM).

According to a 2007 study, the most commonly used modern contraceptive methods were the pill (47.7%), IUDs (10.2%) and injections (7.5%). The study also found that traditional methods were rather prevalent, particularly breastfeeding (33%), rhythm method (16.1%) and withdrawal (3.6%). The study found that only 1% of respondents used condoms as primary contraceptive methods.

The history of modern family planning in Sudan goes back to 1965, when the Sunday Family Planning Association was founded. This was followed by the establishment of the Maternal and Child Health and Family Planning Project by the Ministry of Health in 1975. Later, in 1985, family planning services were integrated under the Primary Health Care System. In 2010, contraceptive implants were adopted by FMH, which are primarily used in Khartoum.

What to Get & Where to Get It

• You can get an IUD at hospitals or health centers.
• You can get the contraceptive implant in Sudan.

Costs

The contraceptive implant costs around 80 SDG (for the device) and 200 SDG for the insertion. The cost for an IUD is aboot 40 SDG.

Emergency Contraception (Morning After Pill)

Important Notes: Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC as soon as possible after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click here and here.

What to Get & Where to Get It

Note: The longest-lasting EC is currently ellaOne. It lasts up to 5 days (120 hours) after unprotected sex. Check to see if your country carries ellaOne. If your country doesn't carry ellaOne, copper IUDs may also prevent pregnancy up to 5 days after unprotected sex. If none of these options are available, and it's been over 3 days since you had unprotected sex, you can still take EC, which may work up to 5 days. Note that EC pills are not 100% effective and should be taken as soon as possible.

Sexually Transmitted Infections (STIs/STDs)

Important Notes - Learn about PEP and PrEP: If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click here. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click here.

Menstruation

Note: In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click here. To learn more about menstrual underwear, click here.

Abortion

Important Note: There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click here.

List of Additional Resources

• Sudan Family Planning Association: "The Sudan Family Planning Association (SFPA) was established in 1965 by pioneers in obstetrics and gynaecology in response to increases in maternal, neonatal and infant mortality and morbidity. As the statistics show, Sudan is a country in great need of frontline sexual and reproductive health (SRH) services. Advocacy, and undertaking information, education and communication (IEC) programmes are critical."