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WHO expands recommended contraceptive options, backs longer-lasting methods

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The World Health Organisation (WHO) has recommended an expanded range of contraceptive options, including longer use of some existing methods, mifepristone for emergency contraception and the development of new contraceptives for men.

The recommendations are contained in a new publication, “WHO guidelines on expanding contraceptive options”, aimed at helping countries broaden access to contraceptive methods supported by available scientific evidence.

WHO said the expansion was necessary to give people more options when deciding whether to use contraception, which method to use, and when to change or stop a method.

The global health body estimates that 164 million women who want to delay or avoid pregnancy are not currently using contraception.

Longer use of existing methods

Under the new guidance, WHO recommends that combined oral contraceptive pills may be taken for extended periods of up to six months or continuously for up to one year, instead of the conventional cyclical use.

The organisation also supports the use of contraceptive implants for up to five years, saying this could reduce the frequency of replacement procedures, clinic visits and associated costs.

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WHO also recommends mifepristone as an additional emergency contraceptive option.

It said mifepristone should be taken as soon as possible and within five days of unprotected sex.

According to the organisation, available evidence indicates that mifepristone at doses of 10 to 50 milligrams is likely to be as safe and effective as other emergency contraceptive methods.

Speaking on the need to expand contraceptive choices, Pascale Allotey, Director of WHO’s Department of Sexual, Reproductive, Maternal, Child and Adolescent Health and Ageing, said contraception should reflect people’s different needs and circumstances.

She said the choice of a contraceptive method should take into account factors including convenience, invasiveness, behaviour, reliability and accessibility.

“Choice is a gender equality issue,” Ms Allotey said, adding that contraception was not “one-size-fits-all”.

She noted that people should have the confidence and control to choose a contraceptive method, change it or stop using it.

WHO cautions against some contraceptive methods

While expanding the range of recommended methods, WHO said there was insufficient evidence to support some contraceptives for inclusion in family planning programmes.

The organisation called for further research into ormeloxifene before it is included in family planning programmes, citing limited evidence on its safety.

It also recommended against adding quinestrol-containing contraceptive pills to national contraceptive programmes because of limited evidence and reports of serious adverse events.

Push for male contraceptives

WHO said expanding contraceptive choices should also include methods that allow men to take greater responsibility for preventing pregnancy.

Currently, the main contraceptive methods under men’s direct control are condoms, withdrawal and vasectomy.

Despite the limited options, WHO said about 30 per cent of couples rely on a male method of contraception.

The organisation said its research challenges the longstanding assumption that men would not use new contraceptive methods.

More than 75 per cent of couples surveyed said they would be willing to use a new male contraceptive, while more than 85 per cent of women said they would trust their male partners to take responsibility for contraception.

To support the development of new methods, WHO has developed its first Target Product Profile for male contraceptives.

The profile outlines characteristics that future male contraceptive methods should aim to meet, including safety, effectiveness, acceptability and affordability.

READ ALSO: WHO urges safer care for people living with noncommunicable diseases

WHO said the profile is intended to provide researchers, funders and developers with clearer direction while helping to shape a contraceptive market that reflects users’ needs.

New male contraceptives in development

Several hormonal and non-hormonal male contraceptive methods are currently being researched, with some candidates in advanced clinical trials.

WHO said this suggests that new reversible male contraceptives could reach the market within the next five to 10 years.

The organisation said it would continue supporting countries to update their policies and family planning programmes in line with the best available scientific evidence.


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Health

Cardiologist warns military personnel of hypertension, heart disease risks

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A military cardiologist, Life Ajemba, has warned that hypertension, prolonged stress, and inadequate sleep could increase the risk of cardiovascular disease among serving military personnel and veterans.

Mr Ajemba, a major-general, said hypertension remains one of the most common cardiovascular conditions among serving personnel and military retirees.

Speaking in an interview with the News Agency of Nigeria on Wednesday in Abuja, he urged military personnel and veterans to prioritise their heart health through regular medical checks, physical exercise, healthy diets and adequate rest.

He cited studies which showed that hypertension accounted for 15.31 per cent of cases treated among mainly military retirees between 2015 and 2020.

He also referenced another study which found a hypertension prevalence of 34.3 per cent among military personnel.

He noted that major risk factors included alcohol consumption, tobacco smoking, family history of cardiovascular disease and being overweight.

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According to him, the demanding nature of military service could also increase cardiovascular risks due to physical stress, psychological trauma, irregular schedules and inadequate sleep.

“Military duties affect heart health through a combination of extreme physical stress, psychological trauma and environmental exposures that increase the risk of cardiovascular disease,” he said.

The military cardiologist explained that prolonged stress could increase the release of hormones such as adrenaline and cortisol, leading to increased heart rate and blood pressure.

He added that sleep deprivation, anxiety and other psychological pressures could further increase the risk of hypertension, coronary artery disease, heart attack and stroke.

Mr Ajemba stressed the importance of regular medical screening among military personnel, saying early detection could help identify silent conditions such as high blood pressure, abnormal cholesterol levels and elevated blood sugar.

He said routine medical checks could include blood pressure and heart rate monitoring, blood tests, lipid profiles, electrocardiograms (ECGs), chest X-rays, and echocardiography where necessary.

READ ALSO: PT Health Watch: How Pregnancy-Induced Hypertension puts mother, baby at risk

“Early detection ensures that soldiers receive treatment while remaining fit for duty, preventing medical evacuation and safeguarding their long-term health,” he said.

He also encouraged military personnel to maintain regular physical exercise, saying fitness helped reduce blood pressure, improve heart efficiency and increase resistance to operational fatigue.

Mr Ajemba, however, advised personnel to combine physical fitness with healthy eating, adequate rest and avoidance of smoking and excessive alcohol consumption.

He said maintaining a healthy lifestyle could help military personnel reduce cardiovascular risks and remain fit both during active service and after retirement.

(NAN)


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Plateau develops five-year plan as HIV donor funding declines

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The Plateau State Government and health stakeholders are developing a five-year transition plan to sustain HIV prevention, treatment and care as international donor funding for HIV programmes in Nigeria declines.

Ibinibo Chukwuemeka, Director of Health Systems Strengthening at APIN Public Health Initiatives, said the changing funding landscape would require greater government ownership and stronger measures to sustain HIV services as donor support winds down, according to a report by the Africa Independent Television (AIT) on Wednesday.

The AIDS Prevention Initiative in Nigeria, now known as APIN Public Health Initiatives, has supported HIV prevention, treatment and care in Plateau State for about 25 years.

APIN says its programmes have expanded HIV treatment access to rural and peri-urban communities, including through primary healthcare facilities.

The proposed five-year framework is expected to guide the state in assuming greater responsibility for financing and coordinating HIV services while protecting gains recorded in prevention, testing, treatment and care.

Health officials, representatives of relevant government ministries and other stakeholders are working on strategies to mitigate the impact of the anticipated reduction in donor support and prevent disruption of services for people living with HIV.

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Among the measures under consideration is the integration of HIV and AIDS services into the Plateau State Health Insurance Scheme.

Stakeholders are also exploring local sources of antiretroviral drugs to help ensure uninterrupted access to treatment as external funding declines.

The proposed transition framework would provide a roadmap for sustaining HIV interventions and clarifying the responsibilities of the state government and other stakeholders in financing and delivering essential services.

The development comes amid a broader shift in Nigeria’s HIV response towards greater domestic financing and government ownership.

In June, the Federal Government launched the National HIV and AIDS Strategic Plan 2026–2030, which prioritises domestic financing, expansion of health insurance and integration of HIV services into the broader healthcare system as the country seeks to reduce dependence on donor-supported interventions.

The need for alternative financing has become more pressing as international support for HIV programmes declines.

Nigeria’s existing national HIV financing framework has also identified locally produced antiretroviral drugs and increased government investment as potential ways of reducing the country’s funding vulnerability.

Plateau has previously taken steps towards greater domestic ownership of its HIV response.

READ ALSO: Body with parts removed found near Plateau market

At the state’s 2025 World AIDS Day commemoration, officials disclosed that 51,370 people were living with HIV in the state as of September 2025, while 47,056 adults and 1,835 children were receiving antiretroviral therapy.

The state’s HIV response recorded 2,786 new infections and 460 HIV-related deaths in 2024, according to figures presented by the Plateau State Commissioner for Health, Nicholas Ba’amlong, in December 2025.

The success of the proposed transition will depend largely on sustained government funding, effective planning and the ability of the state health system to absorb services previously supported by external partners.

For people living with HIV, stakeholders say ensuring uninterrupted access to antiretroviral treatment and other essential services must remain central to the transition.


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