Deregulation of emergency contraception (EC) from prescription-only to over-the-counter (OTC) availability is likely to occur in the near future. While some work has explored the views of professionals on the potential benefits and disadvantages of deregulation, little work has focused on the user perspective. The aim of this study was to explore womens' views of OTC availability of emergency contraception.

Qualitative semi-structured interviews were undertaken with 27 women between the ages of 18-29. Interviewees were diverse with respect to place of recruitment (general practice, a family planning clinic and a Brook Advisory Centre) and previous use of EC (no previous use, used once, used twice or more). Interviews took place between August and November 2000.

The interviews focused on a number of issues including: previous experience with EC and general contraceptive use, potential concerns regarding safety, advantages and disadvantages of obtaining EC from a pharmacy, willingness to pay for EC and the effect of increased availability on sexual behaviour. Interview transcripts were analysed with the aid of QSR NUD*IST software.

Analysis of the data is ongoing although, overall, respondents appear to be in favour of deregulation. Emerging themes from the data include reservations regarding overuse and over-reliance on EC by 'others', particularly the young. Issues regarding privacy in pharmacies and the qualifications of pharmacy staff to provide such a service were raised. Respondents felt the cost of EC should neither act as a deterrent nor be so low as to be inconsequential. A cost around the current prescription charge was frequently cited.

While most respondents would like to obtain their EC from a pharmacy, pharmacy staff will need to prove that they can provide EC in a knowledgeable, sensitive and non-judgemental manner. Most respondents felt that health education and surveillance issues should be targeted to the younger users of EC.