Exploring the Non-Hormonal and On-Demand Contraceptives Value Propositions: Perspectives from End Users, Private Sector Healthcare Providers, and Stakeholders in Kenya and Uganda

Andrew Secor, Population Services International (PSI)
Eden Demise, Population Services International
Julius Njogu, Population Services International
Doreen Nakimuli, PSI Uganda
Kristen Little, PSI

Background: On-demand contraceptives, those taken either right before or after sex, and non-hormonal contraceptive pills represent new options in the product development pipeline and may address users’ specific needs/desires related to hormonal profiles, side effects, and dosing schedules. However, information is limited on the value of these products among end-users and providers. Methods: We are conducting mixed-methods research in Kenya and Uganda using semi-structured in-depth interviews (IDIs) with private sector providers (n=80) and women of reproductive age (WRA, n=96), and an online survey with WRA (n=700). Findings: Data collection is on-going in Uganda, with full results expected by November 2024. Preliminary results from the Kenya WRA e-surveys (n=356) and IDIs (n=48) are presented below. Most respondents (86%, n=275) in Kenya said they would be likely to use an on-demand pill. WRA cited potential advantages of on-demand pills including ease of use, flexibility in timing (before or after sex) and use based on need, and discreetness of use. Most participants who reported a preference for non-hormonal contraceptives cited side effects as influencing their decision. Conclusion: Preliminary results suggest on-demand and non-hormonal contraceptives are acceptable and desirable among end users. Full results will help inform clinical trial pathway decisions and product positioning.

Keywords: Family Planning and Contraception, Sexual and Reproductive Health and Rights, Mixed methods research, Fertility

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