Misuse of Postinor-2 among Kenyan youth is alarming

Increase of sexual liberation and evolving attitudes towards relationships have made the youth more open-minded and exploratory when it comes to their sexual lives. While this newfound freedom has undoubtedly brought positive changes, it has also led to some unintended consequences, including the misuse of contraceptive pills.

With the availability and accessibility of contraception, particularly oral contraceptive pills, young people have more control over their reproductive health and the ability to engage in sexual activities without the immediate fear of pregnancy.

However, this ease of access has also led to a casual and sometimes irresponsible attitude towards contraceptive pill usage.

According to the Kenya Demographic and Health survey, among sexually active unmarried women aged 15–49, 70% use a contraceptive method and 59% of these women use a modern method. 

The use of traditional methods is more common among sexually active unmarried women than among currently married women (11% and 6%, respectively). 

Among currently married women, the most used methods are injectable (20%), implants (19%) and contraceptive pills.

There are various contraceptive pills available in addition to Postinor-2. It's important to note that different contraceptive pills have different hormonal formulations, dosages, and instructions for use. Some common examples of contraceptive pills include combination Pills, progestin-Only Pills (Mini Pills) and extended Cycle Pills Emergency.

These pills, like Postinor-2, are intended for use after unprotected intercourse or contraceptive failure. They contain higher doses of hormones and are most effective when taken as soon as possible after intercourse. Other emergency contraceptive pills include Plan B One-Step, Next Choice, and Ella.

In recent years, an increasing number of young people in Kenya have been resorting to the misuse of Postinor-2, going for only Ksh.100 to Ksh.150 in most pharmacy outlets in Kenya.

This trend has sparked growing concerns among healthcare professionals, parents, and the broader society. The misuse of Postinor-2 not only poses significant health risks but also raises questions about the lack of access to comprehensive sexual education and affordable contraception methods.

Several factors contribute to the growing misuse of Postinor-2. First, limited access to accurate sexual education remains a major challenge. Many young people lack proper knowledge about contraception methods, their correct usage and the importance of regular birth control options. Consequently, some individuals turn to emergency contraception out of ignorance or misinformation.

The role of religion in shaping attitudes towards contraceptive use, including Postinor-2, is complex and multifaceted. While some religious perspectives may discourage or prohibit the use of contraceptives based on moral or theological grounds, other religious traditions or individuals within those traditions may adopt more flexible or permissive stances that prioritize individual well-being and responsible family planning.

Joy Kiende takes the role of religion seriously and says that she cannot take contraceptive pills since it is not allowed.

  “I don’t take contraceptive pills because of my religion and the myths and misconceptions that surround it,” Joy told citizen digital.

Misuse of Postinor-2 can have serious health consequences. The pill contains high doses of levonorgestrel, which can disrupt the hormonal balance in a woman's body. Frequent usage can lead to irregular menstrual cycles, heavy bleeding, and an increased risk of ectopic pregnancy.

Furthermore, the pill is not 100% effective, and repeated use may result in unintended pregnancies, which could lead to psychological distress and even unsafe abortions.

Postinor-2 has had many cases of failure others even getting pregnant, Ann not her real name, says that she got pregnant despite of her taking the pills.

“I used to take [postinor-2] P2 pills after unprotected sex, until I got pregnant, yet I had taken the pill, am now 3 months pregnant,” Ann stated.

 Addressing the misuse of Postinor-2 requires a multi-faceted approach. One crucial element is the provision of comprehensive sexual education in schools and communities. Comprehensive sexual education programs should provide accurate information about contraception methods, their correct usage, and the importance of regular birth controll.

Doctor Margarete Wamucii, a doctor at Embu level five, says that it is wise for one to use Family planning method if one is sexually active.

“Instead of abusing the postinor-2 drug, how I wish the youth can embrace and use family planning methods especially when one is sexually active or is living with his partner” says, Doctor Margarete Wamucii.

The rising misuse of Postinor-2 among Kenyan youth is a matter of great concern. It not only poses health risks to individuals but also highlights the need for comprehensive sexual education and improved access to affordable contraceptive methods. By addressing these challenges, Kenya can empower its youth to make informed choices about their sexual and reproductive health, ultimately fostering a healthier and more responsible generation.