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Revision as of 22:13, 16 November 2020
This table includes a list of countries by emergency contraceptive availability.[1]
(LNG refers to Levonorgestrel and UPA refers to Ulipristal acetate).
Country | Region | Availability | Over the counter | Non-prescription | Age restriction | Cost | Awareness | Notes |
---|---|---|---|---|---|---|---|---|
Afghanistan | Asia | Import only | [2] | |||||
Albania | Europe | None[3] | €15,60 (UPA)
€4,50 (LNG) |
66-75%[4][5] | "Currently, Postinor-2 (LNG) is the only EC brand available in Albania as there is a stock out of NorLevo in the country for unknown reasons."[6] | |||
Algeria | Africa | (LNG only) | [7] | |||||
Andorra | Europe | (16 and over) | Under 16s require parental consent[8] | €20 – €26 (UPA)
€6,1 – €7,8 (LNG) |
[9] | |||
Angola | Africa | (34%) | 580 - 2950 AKZ | 23.5%[10][11] | [2] | |||
Antigua and Barbuda | Caribbean | Some restrictions | [12] | |||||
Argentina | South America | Over 14 | Free at all public hospitals in Buenos Aires | [13][14] | ||||
Armenia | Caucasus | |||||||
Aruba | Caribbean | None | [15] | |||||
Australia | Oceania | (LNG only) | None[16] | $20–$30 (LNG)[17] | 97%[18] | [19] "Pharmacists can refuse supply on religious grounds, but must refer the woman to another supplier"[16] | ||
Austria | Europe | None | €31,90 (UPA)
€12,90–13,50 (LNG) |
≥84%[20] | [21] Common misconception that it acts like an abortifacient[20] | |||
Azerbaijan | Caucasus | |||||||
Bahamas | Caribbean | (LNG only) | Only available in family planning clinics [15] | |||||
Bahrain | Middle East | [2] | ||||||
Bangladesh | Asia | None | ৳24,00
Free (government clinics)[22] |
"Relatively unknown", 2001[23] | [24] | |||
Barbados | Caribbean | (LNG only) | Access restricted due to misinformation[25][26] | |||||
Belgium | Europe | None | €24,99 (€15,99 if <21 years old) (UPA),
€8,55–€9,85 (€0–€0,85 if <21 years old) (LNG) |
Fully reimbursed under prescription if under 21 [27][21] | ||||
Belarus | Europe | (LNG only) | None | €17 (UPA)
€10 (LNG) |
[28] | |||
Belize | Central America | (LNG only) | [29] | |||||
Benin | Africa | |||||||
Bhutan | Asia | Over the counter EC introduced in 2018[30] | ||||||
Bolivia | South America | None | Bs55.50 | [31] | ||||
Bosnia and Herzegovina | Europe | €25,30–30,00 (UPA)
€14,50–22,50 (LNG) |
Anecdotally available without prescription[32] | |||||
Botswana | Africa | (LNG only) | [33] | |||||
Brazil | South America | None | Free at most public hospitals, R$35 otherwise | [34][35] | ||||
Brunei | Asia | Possibly due to small population [2] | ||||||
Bulgaria | Europe | None (UPA)
Over 16 (LNG) |
€22,00 (UPA)
€15,00 (LNG) |
≥84%[20] | [36] | |||
Burkina Faso | Africa | |||||||
Burundi | Africa | (31%)[37] | [11] | 22.9% | Women can be refused service by providers, and it is dissaproved of by church leaders. Many are secretive about contraceptive use.[37][38] | |||
Cameroon | Africa | |||||||
Cambodia | Asia | |||||||
Canada | North America | (except Saskatchewan) | (LNG only) | [39][40] | ||||
Canada (Quebec) | North America | [39][40] | ||||||
Cape Verde | Africa | Possibly due to small population [2] | ||||||
Central African Republic | Africa | |||||||
Chad | Africa | |||||||
Chile | South America | None | [41] | |||||
China | Asia | |||||||
Colombia | South America | |||||||
Comoros | Africa | Import only | [2][11] | |||||
Congo, Democratic Republic of | Africa | (LNG only) | XOF 1200 | 23% (2015, Kinshasa)[42] | ||||
Costa Rica | Central America | Due to active opposition [2] | ||||||
Croatia | Europe | LNG only available without prescription if over 16 years old | €25,60 (UPA)
€21,40 (LNG) |
[43][21] | ||||
Cuba | Caribbean | [44] | ||||||
Curaco | Caribbean | (LNG only) | None | [45] | ||||
Cyprus | Europe | None | €29,42 (UPA) | Only UPA is available due to financial crisis [46][21] | ||||
Czech Republic | Europe | † | None (UPA)
†Under 17s need a prescription (LNG) |
€24,50 (UPA)
€21,00 (LNG) |
≥84%[20] | [47][48] | ||
Denmark | Europe | None | €23,36 (UPA)
€12,45 (LNG) |
45%[49] | [50][21] | |||
Djibouti | Africa | |||||||
Dominican Republic | Central America | |||||||
East Timor | Oceania | Due to conflict in the region [2] | ||||||
Ecuador | South America | (only at public health clinics) | None | Free at public health premises | [13][14] | |||
Egypt | Africa | [51] | ||||||
El Salvador | Central America | |||||||
Equatorial Guinea | Africa | Import only | [2] Pregnant girls are forced to leave school.[52] | |||||
Eritrea | Africa | Import only | [2] | |||||
Estonia | Europe | (LNG only) | €18,73 (UPA)
€15,79 (LNG) |
[53] | ||||
Ethiopia | Africa | |||||||
Fiji | Oceania | Import only | [2] | |||||
Finland | Europe | None | €33,60 (UPA)
€18,87 (LNG) |
>90%[54] | Sometimes provided free of charge in hospitals and family planning clinics[55][56][21] | |||
France | Europe | (LNG only) | €18,88 (UPA)
€6,75 (LNG) |
LNG is free for under 18s. LNG and UPA are free from family planning clinics[57][58][21] | ||||
Gabon | Africa | 49%[59] | ||||||
Gambia | Africa | Import Only | [60][11] | |||||
Georgia | Caucasus | |||||||
Germany | Europe | Parental consent if under 14 years old[61] | €30 (UPA)
€18 (LNG) |
If under 20 years old, free with prescription[62][63] | ||||
Ghana | Africa | None | 4-19 Cedis | 64%[59] | [64] | |||
Greece | Europe | None | €25.77 (UPA)
€7 (LNG) |
[21][65] | ||||
Guatemala | Central America | (LNG only) | None | [66] | ||||
Guinea-Bissau | Africa | Import only | [2] | |||||
Guinea-Conakry | Africa | |||||||
Guyana | Caribbean | (LNG only) | Guy $1000-$2500 | 30% | [67] | |||
Haiti | Caribbean | 19%[68] / 58%[69] | [2] | |||||
Hungary | Europe | Anecdotally easy to get without prescription along borders[70] | ||||||
Honduras | Central America | N/A | N/A | Due to active opposition. Misinformation is spread by the church and politicians that it causes "abortions, infertility and cancer"[2][71] | ||||
Hong Kong | Asia | [72] | ||||||
Iceland | Europe | (LNG only) | [73] | |||||
India | Asia | <33% | [74] | |||||
Indonesia | Asia | |||||||
Iran | Asia | |||||||
Iraq | Asia | Import only | [2] | |||||
Ireland | Europe | No age restriction[75][21] | ||||||
Israel | Middle East | None | ILS 166 (UPA)
ILS 55-100 (LNG) |
[76] | ||||
Italy | Europe | [21] | ||||||
Ivory Coast | Africa | |||||||
Jamaica | Central America | |||||||
Japan | Asia | [77][78] | ||||||
Jordan | Middle East | [2] | ||||||
Kazakhstan | Asia | €15,10 (UPA)
€5,54 (LNG) |
Easy to get without prescription along borders[79] | |||||
Kenya | Africa | None | Ksh200 | 59%[59] | [80] | |||
Kiribati | Polynesia | Import only | [2] | |||||
Kosovo | Europe | |||||||
Kuwait | Asia | [81] | ||||||
Kyrgyzstan | Asia | [82] | ||||||
Laos | Asia | |||||||
Latvia | Europe | [83] | ||||||
Lebanon | Asia | |||||||
Lesotho | Africa | 35% | [59] | |||||
Libya | Africa | Due to conflict in the region[2] | ||||||
Lithuania | Europe | (LNG only) | ≥84%[20] | [84] | ||||
Luxembourg | Europe | [21] | ||||||
Madagascar | Africa | [85] | ||||||
Malawi | Africa | 45%[59] | ||||||
Malaysia | Asia | $1.30-5.00 (LNG) | ||||||
Maldives | Asia | Import only | [2][11] | |||||
Mali | Africa | |||||||
Malta | Europe | €37,94 (UPA)
€19,90 (LNG) |
Available since 2016 after a judicial protest from the Women's Rights Foundation[86][87] There remains a common misconception that it is an abortifacient[citation needed] | |||||
Mauritania | Africa | |||||||
Mauritius | Indian Ocean | |||||||
Mexico | North America | (LNG only) | None | Free in family planning centres | 75% | [88] | ||
Micronesia | Oceania | Possibly due to small population [2] | ||||||
Moldova | Europe | €17,03 (UPA)
€8,04 (LNG) † |
62% (2012) | † Free for women under 21 and in cases of rape at Youth Friendly Health Centres[89] | ||||
Montenegro | Europe | Possibly due to small population [2] | ||||||
Morocco | Africa | [90] | ||||||
Mozambique | Africa | |||||||
Myanmar | Asia | None | Under Ks1,000 | Sale was stopped by authorities during holidays[91][92] | ||||
Nepal | Asia | (LNG only) | Rs. 100-150[93] | 28% (2011) | [94] Sales increased rapidly from 2015, so awareness data is possibly out of date [93] | |||
Netherlands | Europe | None | €35 (UPA)
€15 (LNG) |
Reimbursed under prescription [21] | ||||
New Zealand | Oceania | (LNG only) | None [95] | $35–$50[96] | [97] | |||
Niger | Africa | 4% (2012) | [98] | |||||
Nigeria | Africa | (LNG only) | None | ~$1.00 | 30% (2013) | [99] | ||
North Korea | Asia | Due to conflict in the region[2] | ||||||
Norway | Europe | None | €32,80 (UPA)
€24,60 (LNG) |
Often free of charge of needy patients [100][101] | ||||
Oman | Middle East | [102] | ||||||
Pakistan | Asia | |||||||
Papa New Guinea | Oceania | Import only | [2] | |||||
Paraguay | South America | Free at some public hospitals,
Gs. 35.000 otherwise |
[103] | |||||
Peru | South America | None | Free | Many found to be counterfeit[104] | ||||
Philippines | Asia | Due to active opposition[2] | ||||||
Poland | Europe | ≥84%[20] | [105] Common misconception that it acts like an abortifacient[20] | |||||
Portugal | Europe | Free from family planning centres, €12 otherwise | [106][21] | |||||
Qatar | Middle East | [2] | ||||||
Romania | Europe | None | €20 (UPA)
€13 (LNG) |
≥84%[20] | [107][21] | |||
Russia | Asia | €7,55 (LNG) | ≥84%[20] | De facto sold over counter, only LNG available[108] | ||||
Rwanda | Africa | Import only | [2][11] | |||||
Saint Kitts & Nevis | West Indies | Possibly due to small population [2] | ||||||
Saint Vincent & Grenadines | Caribbean | Import only | [2] | |||||
Samoa | Oceania | † | 4.7%[109] | †Available only at the TTM National Referral Hospital in Apia, reportedly to discourage ‘abuse’ by either nurses or client.[110] | ||||
São Tomé and Príncipe | Africa | Import only | [2][11] | |||||
Saudi Arabia | Middle East | 6.2% [111] | Prescription may have been available in the past, but it appears to be banned.[111][112][113] | |||||
Senegal | Africa | None | $10.36 (UPA)
$7.50 (LNG) |
13% [114] | [115] | |||
Serbia | Europe | |||||||
Seychelles | Africa | Import only | [2] | |||||
Sierra Leone | Africa | (LNG only) | 6.2%[116] | 30% of girls have their first child before turning 18. Pregnant girls are forced to leave school.[52][117] | ||||
Singapore | Asia | [118] | ||||||
Slovakia | Europe | None | €27 (UPA)
€22 (LNG) |
[119][21] | ||||
Slovenia | Europe | [21] | ||||||
Solomon Islands | Oceania | Import only | [2] | |||||
Somalia | Africa | Due to conflict in the region[2] | ||||||
South Africa | Africa | R86,68–100,75 (LNG) | 23% | [120][121] | ||||
South Korea | Asia | [122] | ||||||
South Sudan | Africa | Import only | [2] | |||||
Spain | Europe | None | ≥84%[20] | [123][21] | ||||
Sri Lanka | Asia | (LNG only) | Rs.90-150 | [124] | ||||
Sudan | Africa | Due to conflict in the region[2] | ||||||
Suriname | South America | |||||||
Sweden | Europe | None | €25 (UPA)
€17 (LNG) Free from youth centres |
[125][126][21] | ||||
Switzerland | Europe | €32,85 (UPA)
€17,50 (LNG) |
[127] | |||||
Syria | Asia | Import only | [2] | |||||
Taiwan | Asia | [128] | ||||||
Tajikistan | Asia | |||||||
Tanzania | Africa | (LNG only) | $5.00 | 11.8%[129] | Twenty percent of 15-19-year-old girls become pregnant, and are forced to leave school.[52][130] | |||
Thailand | Asia | |||||||
Tonga | Polynesia | Import only | [2] | |||||
Tunisia | Africa | |||||||
Turkey | Asia | €12 | [131] | |||||
Tuvalu | Polynesia | Possibly due to small population[2] | ||||||
UAE | Middle East | N/A | N/A | Banned because of the misconception that it is an abortifacient.[132][133] | ||||
United Kingdom | Europe | Over 16 without prescription | Free from health care professionals | ≥84%[20] | [134][21] | |||
United States of America | North America | (80%)[135] | (LNG only) | (LNG only) | None[136] | $40–50 USD (LNG)[137][138] | 45%[139] | [138]"roughly 1 in ten teens were incorrectly told they were too young to get [emergency contraception] without a prescription."[135] |
Uruguay | South America | Adult only | [140] | |||||
Uzbekistan | Asia | |||||||
Vanuatu | Oceania | 1000 Vatu | Personal experience in Port Vila, Efate 2018 | |||||
Venezuela | South America | † | †Technically available, but rare and prohibitavely expensive due to economic collapse [141][142][143] | |||||
Vietnam | Asia | (LNG only) | [144] | |||||
West Bank and Gaza | Middle East | Import only | [2] | |||||
Western Sahara | Africa | Due to conflict in the region and a small population[2] | ||||||
Zambia | Africa | Free of charge at public health institutions[145] | 7.5%[145] | [146] |
References
- ^ Countries with non-prescription access to EC
- ^ a b c d e f g h i j k l m n o p q r s t u v w x y z aa ab ac ad ae af ag ah ai aj ak al am Emergency Contraceptive Pill Registration Status by Country
- ^ "Albania".
- ^ https://escrh.eu/wp-content/uploads/2018/12/20180511_docif_emergency-contraception-albania.pdf
- ^ Doci, Florida; Thaci, Jonida; Foster, Angel M. (August 2018). "Emergency contraception in Albania: a multimethods qualitative study of awareness, knowledge, attitudes and practices". Contraception. 98 (2): 110–114. doi:10.1016/j.contraception.2018.03.033. PMID 29654750.
- ^ "Albania". European Consortium for Emergency Contraception. Retrieved 11 May 2019.
- ^ "Algeria - International Consortium for Emergency Contraception (ICEC)".
- ^ "Andorra: EC pills to be sold without prescription". European Consortium for Emergency Contraception. 6 June 2018.
- ^ "Andorra". European Consortium for Emergency Contraception. Retrieved 11 May 2019.
- ^ Nieto-Andrade, B.; Fidel, E.; Simmons, R.; Sievers, D.; Fedorova, A.; Bell, S.; Weidert, K.; Prata, N. (2017). "Women's Limited Choice and Availability of Modern Contraception at Retail Outlets and Public-Sector Facilities in Luanda, Angola, 2012–2015". Global Health: Science and Practice. 5 (1): 75–89. doi:10.9745/GHSP-D-16-00304. PMC 5493452. PMID 28193721.
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- ^ "COUNTING WHAT COUNTS:TRACKING ACCESS TO EMERGENCY CONTRACEPTION" (PDF). International Consortium for Emergency Contraception (ICEC). Retrieved 10 May 2019.
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{{cite document}}
: Unknown parameter|s2cid=
ignored (help) - ^ "EC Status and Availability: Bangladesh". International Consortium for Emergency Contraception (ICEC). Retrieved 10 May 2019.
- ^ "Half of Providers in Jamaica and Barbados Have Refused to Dispense Emergency Contraception". 29 January 2008.
- ^ "Barbados - International Consortium for Emergency Contraception (ICEC)".
- ^ "Belgium - ECEC".
- ^ "Belarus - ECEC".
- ^ "Belize - International Consortium for Emergency Contraception (ICEC)".
- ^ Pem, Deki; Nidup, Tshewang; Wangdi, Ugyen; Pelzom, Dorji; Mirzazadeh, Ali; McFarland, Willi (12 February 2018). "Emergency Contraceptive Pills (ECP) Knowledge, Attitudes, and Practices Among Women Working in the Entertainment Industry and Men in the Trucking Industry, Bhutan". AIDS and Behavior. 22 (S1): 121–124. doi:10.1007/s10461-018-2056-y. PMC 6045959. PMID 29435794.
- ^ "Bolivia - International Consortium for Emergency Contraception (ICEC)".
- ^ "Bosnia and Herzegovina - ECEC".
- ^ "Botswana - International Consortium for Emergency Contraception (ICEC)".
- ^ "Brazil - International Consortium for Emergency Contraception (ICEC)".
- ^ "CMI Brasil - Ministério amplia a distribuição gratuita da pílula do dia seguinte". Midiaindependente.org. Archived from the original on 2013-02-20. Retrieved 2013-02-14.
- ^ "Bulgaria". European Consortium for Emergency Contraception. 2015.
- ^ a b Ndayizigiye, M.; Fawzi, M. C. Smith; Lively, C. Thompson; Ware, N.C. (2017). "Understanding low uptake of contraceptives in resource-limited settings: A mixed-methods study in rural Burundi". BMC Health Services Research. 17 (1): 209. doi:10.1186/s12913-017-2144-0. PMC 5353936. PMID 28298207.
{{cite journal}}
: CS1 maint: unflagged free DOI (link) - ^ "Burundi". International Consortium for Emergency Contraception. Retrieved 11 May 2019.
- ^ a b "Emergency Contraception - Sex & U".
- ^ a b Plan B Canada. "plan B - The Morning After Pill: Where to get it". Retrieved 10 May 2019.
- ^ "Chile Court Okays Morning-After Pill". The Santiago Times. 2006-11-13. Retrieved 2006-11-17.
- ^ Hernandez; Muanda; Garcia; Matawa (2017). "Awareness and Perceptions of Emergency Contraceptive Pills Among Women in Kinshasa, Democratic Republic of the Congo". International Perspectives on Sexual and Reproductive Health. 43 (3): 121–130. doi:10.1363/43e4417. JSTOR 10.1363/43e4417. PMID 29553473. S2CID 3986447.
- ^ "Croatia - ECEC".
- ^ "Cuba - International Consortium for Emergency Contraception (ICEC)".
- ^ "Curacao - International Consortium for Emergency Contraception (ICEC)".
- ^ "Cyprus - ECEC".
- ^ "Czech Republic". European Consortium for Emergency Contraception. Retrieved 10 May 2019.
- ^ "Czech Republic: Morning-after pill made available over the counter". December 2011. Retrieved 16 February 2014.
- ^ Perslev, A.; Rørbye, C.; Boesen, H.C.; Nørgaard, M.; Nilas, L. (2002). "Emergency contraception: Knowledge and use among Danish women requesting termination of pregnancy". Contraception. 66 (6): 427–431. doi:10.1016/S0010-7824(02)00416-X. PMID 12499035.
- ^ Denmark - ECEC
- ^ "Egypt - International Consortium for Emergency Contraception (ICEC)".
- ^ a b c https://www.hrw.org/news/2018/06/14/africa-pregnant-girls-young-mothers-barred-school
- ^ "Estonia". European Consortium for Emergency Contraception. Retrieved 2018-08-07.
- ^ Falah-Hassani, Kobra; Kosunen, Elise; Shiri, Rahman; Rimpelä, Arja (2007). "Emergency contraception among Finnish adolescents: Awareness, use and the effect of non-prescription status". BMC Public Health. 7: 201. doi:10.1186/1471-2458-7-201. PMC 1976617. PMID 17688702.
{{cite journal}}
: CS1 maint: unflagged free DOI (link) - ^ "News about the NorLevo becoming prescription-free". Finnish National Agency for Medicines. January 2002. Archived from the original on 2006-08-27. Retrieved 2007-01-05.
- ^ "Finland - ECEC".
- ^ "Emergency contraception: Steps being taken to improve access". Guttmacher Institute. December 2002. Retrieved 2006-11-11.
- ^ "France - ECEC".
- ^ a b c d e http://www.cecinfo.org/custom-content/uploads/2017/05/ICEC-DHS-101317.pdf
- ^ "Gambia - International Consortium for Emergency Contraception (ICEC)".
- ^ Bundesapothekerkammer: Rezeptfreie Abgabe von Notfallkontrazeptiva („Pille danach“), S. 10. Archived 2015-04-02 at the Wayback Machine, January 28th 2015, accessed on am February 27th 2015
- ^ "Germany - ECEC".
- ^ "Bundesrat stimmt rezeptfreier "Pille danach" zu". sueddeutsche.de (in German). 2015. ISSN 0174-4917. Retrieved 2018-08-07.
- ^ https://www.cecinfo.org/country-by-country-information/status-availability-database/countries/ghana/
- ^ http://www.ec-ec.org/emergency-contraception-in-europe/country-by-country-information-2/greece/
- ^ "Guatemala - International Consortium for Emergency Contraception (ICEC)".
- ^ https://www.cecinfo.org/country-by-country-information/status-availability-database/countries/guyana/
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- ^ Lathrop, Eva; Telemaque, Youseline; Haddad, Lisa; Stephenson, Rob; Goedken, Peggy; Cwiak, Carrie; Jamieson, Denise J. (April 2013). "Knowledge and use of and opportunities for emergency contraception in Northern Haiti". International Journal of Gynecology & Obstetrics. 121 (1): 60–63. doi:10.1016/j.ijgo.2012.11.013. PMID 23332133. S2CID 21201052.
- ^ "Hungary - ECEC".
- ^ Nina Lakhani (24 April 2019). "Honduras urged to put an end to birth control myths". The Guardian.
- ^ "Should morning-after pills be made available over the counter in Hong Kong? - Hong Kong Free Press HKFP". 8 March 2016.
- ^ "Iceland".
- ^ Dixit, Anvita; Khan, M. E.; Bhatnagar, Isha (14 April 2018). "Mainstreaming of Emergency Contraception Pill in India: Challenges and Opportunities". Indian Journal of Community Medicine. 40 (1): 49–55. doi:10.4103/0970-0218.149271. PMC 4317981. PMID 25657513.
{{cite journal}}
: CS1 maint: unflagged free DOI (link) - ^ RTÉ News - Most pharmacists asked for morning-after pill
- ^ https://www.cecinfo.org/country-by-country-information/status-availability-database/countries/israel/
- ^ "Getting the Contraceptive Pill in Japan - Savvy Tokyo". 12 July 2016.
- ^ "緊急避妊薬、1月下旬にも使用可 審議会が承認意見". Archived from the original on December 28, 2010. Retrieved February 21, 2016.
- ^ "Kazakhstan - ECEC".
- ^ "Kenya - International Consortium for Emergency Contraception (ICEC)".
- ^ "Kuwait - International Consortium for Emergency Contraception (ICEC)".
- ^ "Kyrgyzstan - International Consortium for Emergency Contraception (ICEC)".
- ^ "Latvia - ECEC". ECEC. Retrieved 2018-08-07.
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- ^ "Madagascar - International Consortium for Emergency Contraception (ICEC)".
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- ^ "Malta". European Consortium for Emergency Contraception. Retrieved 11 May 2019.
- ^ "Mexico".
- ^ "Republic of Moldova".
- ^ "Morocco - International Consortium for Emergency Contraception (ICEC)".
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