While flu shots, pap smears and blood pressure checks are the preventative measures we more readily associate with preventive healthcare, contraception should feature just as prominently on that list, yet it is still often considered an ‘optional extra’.
According to a recent study, about 49% of all pregnancies in low- and middle-income countries are unintended. In South Africa, more than half of pregnancies are reported as unintended, with about 20% unwanted and 35% mistimed.
Dr Themba Hadebe, Clinical Executive at Bonitas, says that the public must become more informed on the importance of it. ‘Contraception must be recognised as a core part of preventive medicine, because it directly reduces maternal complications, unsafe abortions and the social and economic strain that unplanned pregnancies place on families.’
This year’s World Contraception Day, themed ‘A choice for all. Freedom to plan, power to choose’, is a reminder that the conversation on reproductive health cannot exclude the topics of prevention, choice and empowerment.
Tackling barriers to access
Despite its proven benefits, contraception remains out of reach for many South Africans. Barriers such as cost, limited availability in certain regions, stigma and misinformation continue to prevent people from making informed choices about their reproductive health.
Dr Hadebe notes that making contraception a more prominent part of preventive healthcare starts with knowledge and support. ‘For our members, normalising contraception as preventive medicine means providing clear information and, of course, easy access to the benefits they are entitled to. The more people understand their options and how to use them effectively, the more confident they can be in making decisions about their health and their futures.’
For medical scheme members in particular, contraception should never be seen as an out-of-pocket luxury. At Bonitas, all women up to the age of 50, have access to contraceptives alongside other preventive measures such as wellness screenings and check-ups. In this way, individuals can make proactive choices that protect both their health and financial wellbeing.
Normalising contraception as routine care
‘Preventative care should not only be viewed as the notion of keeping illnesses at bay, but rather as a means for empowering people to make decisions that keep them healthy and secure,’ says Dr Hadebe. ‘This includes reproductive health, which is central to overall wellness.’
This year’s World Contraception Day calls for contraception to be viewed and treated as routine healthcare. When placed alongside the already normalised forms of preventative care, contraception becomes less stigmatised and more widely accepted as part of the everyday health toolkit. This has a number of positive ripple effects, namely reducing maternal risks, as well as empowering women and their families to make informed decisions about their own reproductive health.
For 2025 we have a renewed Female Health Programme:In collaboration with CareWorks, it’s accessible to all female members aged 18 and above, with an emphasis on preventative care and early detection of female-specific health issues. In addition, we have an enhanced Maternity Programme to support expecting mothers. This includes early identification of and weekly engagement for high-risk pregnancies, post-childbirth care and associated mental health follow-up calls for new mums, given the prevalence of pre and postnatal depression. Also, milestone reminders for children under 3 and cover for antenatal vitamins through savings, day-to-day benefits or the Benefit Booster
Bonitas Medical Fund
0860 002 108
View Website: www.bonitas.co.za
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