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Table 3 Selected WHO policy guidance recommendationsa for FP compared to country policy guidance

From: Keeping essential reproductive, maternal and child health services available during COVID-19 in Kenya, Mozambique, Uganda and Zimbabwe: analysis of early-pandemic policy guidelines

WHO Recommendation Related Guidance in Country Policies
Kenya Mozambique Uganda Zimbabwe
If a woman’s regular contraceptive method is not available, other contraceptive options should be made available (including barrier methods, fertility awareness-based methods, and emergency contraception [EC]). For clients interested in surgical methods, alternatives to be offered (OCs, condoms, short-term injectable) Not mentioned Not mentioned Clients interested in LARCs to be counselled on alternative methods when LARCs are not available
Relax requirements for a prescription for OCs, EC, or self-injectable contraception, and provide clear information for referral care for adverse reactions. Condoms, combined OCs, combined contraceptive patches, and progesterone-only pills to be refilled without strict prescription requirement Not mentioned Not mentioned Not mentioned
Provide multimonth supplies of contraceptives. Recommends provision of 3-month supply of OCs, contraceptive skin patches Recommends 3-month supply for new users; 6-month supply for subsequent consultations Recommends 3-month supply of OCs, DMPA-SC Recommends 3-month supply of OCs
Enable pharmacies/drug shops to increase range of contraceptive options; allow for multimonth prescriptions and self-administration of DMPA-SC if available. Not mentioned Not mentioned Scale availability of FP services at all levels, including pharmacies and trained drug shops Not mentioned
  1. aMaintaining essential health services: operational guidance for the COVID-19 context (WHO, June 2020)