NAPPA offers FREE Family Planning services and support to individuals and couples to enable them to freely decide if/when to have children, how many to have and how to adequately space their children so the mother and children can be as healthy as possible.
Using Family Planning or contraceptives contributes to preventing unintended pregnancies (including teenage pregnancies), unsafe abortions and baby dumping. Some forms of contraceptives, such as the male and female condoms, also help prevent infection with STIs, including HIV.
The most widely available forms of contraceptives at NAPPA clinics and Government health facilities in Namibia are:
• Injections - two types of injections are available for use; Nur-Isterate (effect lasts for two months) and Depo Provera (effect lasts for three months). It is preferable to have the injection during menstruation (bleeding) so the Service Provider can be sure you are not pregnant. However if you attend at a time when you are not menstruating the Service Provider will ask you to have a pregnancy test – the injection should not be given to women who are already pregnant!
• Pills - Women who prefer to use pills can choose between three types of Combined Oral Contraceptive (COC) which contain two female hormones (such as Triphasil, Nordette and Ovral) and Progestin Only Pill (POP) also known as the Mini Pill (such as Micronovum). These hormonal contraceptives work through stopping ovulation (the release of the egg) and therefore there is no egg to be fertilised by the sperm.
• Condoms - FREE male and female condoms and sexual lubricants (lube) are available to promote safer sexual practices. Staff at the clinics can show you how to use condoms correctly and can answer any questions you have related to condoms and lubes.
• Emergency oral contraceptive pill (ECP) – also known as “the morning after pill”, this is another method that is available for use in certain situations to prevent pregnancy. Provided ECP is taken within 72 hours of sexual intercourse, it can prevent pregnancy in the following situations or instances: when a condom has broken during sexual intercourse, when sex took place without contraception (unprotected sex) and rape.
ECP should not be used in place of regular family planning methods as it should only be used in an emergency. A regular contraception method should be chosen to prevent pregnancy longer term.
There are other forms of Family Planning which are permanent, for males (known commonly as vasectomy) and females (known commonly as tubal ligation or female sterilisation), that are provided in many hospitals in Namibia. NAPPA staff can refer you for these procedures.