Tuesday, 6 December 2011

BPAS plan to sell morning-after pill to teenagers online this Christmas will lead to more sexually transmitted disease and no less unplanned pregnancy

A British Pregnancy Advisory Service (BPAS) campaign, launched today, encourages women to stockpile emergency contraceptive pills over the Christmas period.

According to the Daily Telegraph a poster for the scheme, featuring the word ‘sex’ in fairy lights, asks: ‘Getting “turned on” this Christmas?’ And a dedicated website for the service is titled, rather bawdily, santacomes.org.

Women wanting to obtain the morning after pill, Levonelle One Step, will have to register their details on the website. They will then be phoned by a nurse for a 15-minute consultation intended to weed out young teenagers and assess suitability before being posted the pills.

However, BPAS has admitted that under-age girls will almost certainly obtain pills through the scheme by lying to them. Some children ‘will not be completely honest about their age’, a spokesman said. Under-16s would usually need a prescription to prevent a possible pregnancy in this way.

Andrew Lansley, the Health Secretary, said last night that he would prefer the pills to be issued after a face-to-face consultation but stopped short of saying he would intervene.

Not suprisingly critics have reacted sharply.

Michaela Aston, spokesman for the pro-life charity, Life, said the new service made getting the pills as easy as ordering a pizza. She said: ‘There are absolutely no guarantees that under-age girls won’t be given this pill, as there are no checks on their age carried out by BPAS.’

Norman Wells, director of the Family Education Trust, said: ‘When the morning after pill was first approved for use in the UK, assurances were given that it would be used only in exceptional circumstances and would remain a prescription-only drug under the control of doctors. Not only is it now being marketed as a “just-in-case” drug and supplied free of charge, but BPAS’s telephone service will inevitably lead to underage girls lying about their age in order to access it.’

Josephine Quintavalle, founder of the Pro-life Alliance, said: ‘BPAS won’t have any idea about what is really going on with the caller. She could be having underage sex. She could sell it to a friend.’

The risk of underage girls accessing the morning after pill is of course a key objection to the scheme.

But there is a more fundamental reason why this scheme is dangerous: Morning-after pills don’t actually cut teen pregnancy rates and actually increase the incidence of sexually transmitted infections.

Research findings demonstrating this earlier this year (published in the Journal of Health Economics (full text) just last December and reported in the Daily Telegraph in January) were the final nails in the coffin of the Labour government’s teenage pregnancy strategy, dreamt up by the now defunct Teenage Pregnancy Independent Advisory Group (TPIAG) which was set up in 2000 to advise the government on how to cut teenage pregnancy.

Part of its strategy was to make morning-after pills free over the counter to teenagers.

The research, by professors Sourafel Girma and David Paton of Nottingham University, compared areas of England where the scheme was introduced with others that declined to provide the morning-after pill free from chemists.

The academics found that rates of pregnancy among girls under 16 remained the same, but that rates of sexually transmitted infections increased by 12%.

Britain has the highest rate of teenage pregnancy in Western Europe. In 2008, the latest year for which figures are available, more than 7,500 girls in England and Wales became pregnant. Nearly two thirds of these pregnancies ended in abortion.

Rates of sexually transmitted diseases are also rising. In 2009 there were 12,000 more cases than the previous year, when 470,701 cases were reported. The number of infections in 16-to 19 year-olds seen at genito-urinary medicine clinics rose from 46,856 in 2003 to 58,133 in 2007.

International research has consistently failed to find any evidence that emergency birth control schemes achieve a reduction in teenage conception and abortion rates. But now we have evidence showing that not only are such schemes failing to do any good, but they may in fact be doing harm.

The phenomenon whereby applying a prevention measure results in an increase in the very thing it is trying to prevent is known as ‘risk compensation’.

The term has been applied to the fact that the wearing of seatbelts does not decrease the level of some forms of road traffic injuries since drivers are thereby encouraged to drive more recklessly.

In the same way it has been argued that making condoms readily available actually increases rather than decreases rates of pregnancy and sexually transmitted infections because condoms encourage teenagers to take more sexual risks in the false belief that they will not suffer harm.

Whilst condoms offer some protection against sexually transmitted infections the morning-after pill offers none.

They are the very last thing we need to foist on vulnerable drunken teenagers during the festive season and will simply encourage them to take more risks by giving them a false sense of security.

This latest BPAS strategy is underpinned by the dangerous assumption that there is no right or wrong in teenage sexual activity - just choice. This assumption has led to a values-free framework in which the rate of unplanned pregnancies and sexually transmitted disease amongst teenagers is the highest in Europe.

Its prime effect, apart from further inflating BPAS’s already inflated coffers with more taxpayers money, will be to lead to more reckless behaviour, more sexually transmitted disease and no decrease in unplanned pregnancy and abortion.

The best way to counter the epidemic of unplanned pregnancy and sexually transmitted disease is to promote real behaviour change through such programmes as Love for Life (Northern Ireland), Love2last (Sheffield), Challenge Team, Romance Academy or Lovewise (Newcastle). These are just the sorts of initiative that the government should be encouraging and their message of abstinence and caution is the one they should be giving.

This latest BPAS move is sadly yet another unfortunate, ill-conceived opportunistic knee-jerk response to Britain’s spiraling epidemic of unplanned pregnancy, abortion and sexually transmitted disease amongst teenagers and will only make matters worse. It is most unfortunate that the government is actually funding it through them.

Instead of pursuing these tired flawed ‘ambulance at the bottom of the cliff’ policies we should be focusing on evidence-based strategies aimed at bringing about real behaviour change.

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