5 States face extreme shortage of abortion pills amid corona outbreak

New Delhi : There is an extreme shortage of medical abortion drugs across the country, with acute crisis due to lack of stocks in Delhi, Punjab, Tamil Nadu, Haryana and Madhya Pradesh, a study on Monday revealed.

The study conducted by the Foundation for Reproductive Health Services on 1,500 chemists showed that merely one per cent of the chemists in Punjab, two per cent in Tamil Nadu and Haryana, 6.5 per cent in Madhya Pradesh and 34 per cent in Delhi have stocked the abortion drug.

The State which fared best is Assam at 69.6 per cent.

As per the study, the non-stocking of drugs seems to be linked with over-regulation by drug control authorities. About 79 per cent of chemists do not stock the drugs to avoid legal issues and excessive documentation requirements.

Even in Assam, which has the highest stocking percentage, 58 per cent chemists report over-regulation of drugs. State-wise legal barriers continue to be a major reason for non-stocking of the abortion drugs, with 63 per cent chemists in Haryana, 40 per cent in Madhya Pradesh, 74 per cent in Punjab and 79 per cent in Tamil Nadu reporting so.

FRHS Chief Executive Officer V.S Chandrashekar told IANS: "The main reason for not stocking drugs is over-regulation by local drug authorities. Even while it is a Schedule K drug and is even given to ASHA workers to distribute in communities, many retailers are not stocking them due to misconceptions and legal barriers."

He added that medical abortion drugs are the most preferred method with 81 per cent of abortions being administered through them and hence their lack of availability hinders women, who do not wish to opt for surgical abortion methods.

"In the midst of the pandemic when movement of people is restricted and clinical methods of family planning are not adequately available, there is a dire need to ensure unrestricted access to drugs," said Chandrashekar, who is also the member of Pratigya Campaign Advisory Group.

While the purpose of the study was to verify the availability of drugs, the findings also reveal that Emergency Contraceptive Pills (ECP) are not being stocked by chemists in the state of Tamil Nadu.

Only 3 per cent of the chemists surveyed in the state reported stocking ECPs and 90 per cent not stocking shared that the pills are banned in the state. Emergency Contraceptive Pills are non-prescription drugs and are also stocked and distributed by ASHAs under the National Family Planning Program. Not allowing chemists to stock ECP denies women of Tamil Nadu a safe and easy to use contraceptive choice.

The primary reason for non-availability of MA drugs seems to be the incorrect understanding that medical abortion combipacks can be used for gender biased sex selection among regulatory officials.A Medical abortion combipacks is indicated for use only up to nine weeks while an ultrasound can detect the sex of the fetus at 13-14 weeks gestation.