Telecontraception – A Way to Address A Health Care Disparity A Preliminary Literature Review

Unintended pregnancy continues to be a significant personal and public health concern in all countries. In 2015-2019 there were 121 million unintended pregnancies annually, corresponding to a global rate of 64 unintended pregnancies per 1000 women aged 15-49 years. While there are multiple contraception options available in general, access to them can be limited by a myriad of factors. Over the past two decades there has been an increase in mail order services for contraception that bypasses the traditional clinician office visit-examination-pharmacy model, thus increasing access for many women (and men). These companies have been proven to provide safe, convenient and economical contraception, thereby decreasing access burden for women throughout the world. This paper reviews the literature on evolution of mail order contraception, safety concerns, and technologic advances that facilitate provision of these services