Thursday, April 28, 2016

Pass’ contraception in Ile-de-France: the pill does not really happening – Liberation

Three weeks already the subject of youth contraception back on the table without anyone very clear way. On April 7, the Regional Council of Ile-de-France, chaired by Valérie Pécresse (LR), decides to end the ‘Pass’ contraception’, a coupon book that allows young people to obtain contraceptives or testing for free. A decision strongly criticized by Planned Parenthood, women’s associations and the left.

The Health Minister, Marisol Touraine, in particular qualified Thursday that removing “disastrous signal at a time when we know that issues related to sexual health are issues quite important. ” Before you specify “makes vote at the end of last year a law that establishes free not only contraception but consultations and laboratory tests related to contraception, from 1 July next “, for minors over 15 years. What is’ Pass’ contraception ‘and what is the difference with this law that will soon applied?

What is the ‘Pass’ contraception ‘?

The Pass’ contraception is a checkbook without financial value available to young people, boys and girls, to benefit from medical consultations, contraception (condoms, pills, patches, IUDs ..) or a blood test for screening. It is detachable coupons to give to health professionals for free and anonymous care. Young people can receive this pass to an address of choice for more discretion and their actions can be performed without vital card in order to preserve confidentiality.

Half of French regions offer this happening today according to a report of the General Inspectorate of social Affairs (IGAS), released in April 2015. the majority of them offer the girls or boys who are between 15 and 26 years, mainly in schools (especially in high schools) partners. The Ile-de-France, who had set up in 2011, puts these coupons available to students 15 and 16, who can recover with school nurses from school. Two regions – PACA region and the former Aquitaine – distributed them only to girls. Then, the amounts of care vary greatly across regions, points the IGAS report. They range from 26 to 60 euros for blood samples, for example.

The Pass contraception is it distributed well today?

No, according to the IGAS report. First, because almost all private schools, higher education and colleges are excluded. Especially, young people make very little demand: their use rate is “extremely low” says the report. The proportion of passes distributed over the population is less than 4% in the four regions observed by IGAS (Poitou-Charentes, Rhône-Alpes, Aquitaine and Pays de Loire), with even a tiny 0.8% in Rhône-Alpes. Even when young people control the “Pass”, many will never use “utilization of distributed checkbook is still below 50% and sometimes even less than a quarter as Rhône-Alpes” remark IGAS

the report points including a lack of information, be it youth, but also for health professionals. “the youth can not go to n ‘any doctor or pharmacist with Pass. To accept it, health professionals must be registered in the device, or they are often not aware of its existence, “ remark Veronica Noseda, national coordinator at Family Planning. Result: the experience of some young people in the use of the past “sufficient to produce in a short time high against-publicity for the device” by IGAS.

In the case of the Ile-de-France, the President of the Regional Council Valérie Pécresse justifies its decision by explaining that the Pass had simply been abandoned: “I have noted, simply stopping by the left in secret, late 2013, distribution of the Pass’ contraception in Ile-de-France. There were no more a Pass contraception distributed at a high school in Ile-de-France since January 2014. “ In 2014 and 2015, the team of the Socialist Jean-Paul Huchon actually allocates a whole budget of EUR 20 000. “It’s a question of stock, PS opposition responds to the Regional Council. The coupons were already so they were not reissued. So there was no financial need. While the device was not at his best but the numbers do not mean no coupon has been distributed. He should have done a complete overhaul, change the device, but not delete it. “

The students of Ile-de-France they will no longer have free access contraception?

No. In Ile-de-France there, as elsewhere, planning centers where young people have access to free contraception. “ But not everyone has such easy access to our centers, highlights Veronica Noseda Family Planning. The Pass allows a public living in a rural area, so relatively far from our centers to have access to these services. It is therefore essential that young people can go to a general practitioner or a pharmacist to get otherwise it risks widening regional inequalities. “ According to her, even if the Pass’ is not used, ” as he hit a vulnerable age farthest is already good. ” The Pass’ contraception is complementary centers of Family Planning. In the current context, “where abortion centers disappear, where family Schedules lack resources, and where sex education largely on the willingness of schools, this suppression sign a real setback” adds the combination Dare feminism!.

the future law on contraception she can not solve the problem?

not entirely. The Social Security Financing Act for 2016 plans to enroll, from 1 July next support at 100% by the health insurance of all contraceptive-related actions (means of contraception but also medical consultations, biological ..) minor. In other words, all acts around the birth of girls aged 15 to 18 will now be free and confidential. When they will advance medical expenses, minor will not appear on the statement of the Social Security or mutual parent. Until then, the minor were only entitled to free contraception.

But unlike the Pass’ birth, which is issued to youth 15 to 26 years, major youth and boys will be excluded. Especially, the left and the associations believe that this law, essential, does not encourage the exchange that exists around the Pass’ contraception. These are indeed in general nurses in schools that receive the coupons and distribute them to students who wish, having exchanged about sex and sexually transmitted diseases. “Contraception should be part of a more comprehensive approach and should not only be the issue of a pill. Keep a debate around sexuality and not reduce it to medical acts “, says Veronica Noseda Family Planning.

Cécile Bourgneuf


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