Serbia

Emergency contraception (EC) is available in Serbia: LNG EC and UPA EC are included in national policies for family planning, and local pharmacies distribute EC pills, but EC is not reimbursed or covered by social security.

Sexual & reproductive health background information

Female population aged 15-49 Median age at first sexual intercourse for females between ages 15 and 24 Mean age at birth of first child Total fertility rate % use of modern contraceptive methods
Estimate 1,615,2891 182 27.73 1.44 18.45
Year 2011 2013 2013 2011 2014

Accessibility & prescription status

In Serbia, LNG EC is available behind the counter from pharmacies, which means that EC is available without a prescription but is not on the shelves and needs to be requested in order to purchase. According to regulations, a prescription is required to purchase UPA EC from pharmacies. However, anecdotal data suggests that UPA EC can be bought without a prescription in some pharmacies.

Physicians are the sole health care professionals who are authorized to prescribe UPA EC and to provide or prescribe LNG EC.

Cost

Type of EC Approximate Cost Brand(s) Available
LNG € 8,80 Escapelle, Postinor-2
UPA € 24 ellaOne

The cost of EC is not reimbursed or covered by social security in Serbia.

Guidelines & common practices

Serbia has two guidelines that cover EC: Kontracepcija, by G. Radonjic, B. Nikolic et al. (2011), which is the official book for students of the Medical Faculty; and a publication by the Center for Family Planning of the Dr. Vukan Čupić Institute for Health Protection of Mother and Child of Serbia, authored by Dr. Katarina Sedlecky. These guides provide recommendations on LNG and UPA EC pills.

Health care providers rarely provide general information about EC during regular consultations or prescribe EC in advance of need.

EC use

Ever use of EC EC use in the last 12 months % with no prescription Repeated use of EC in last 12 months
Estimate n/a n/a 996 n/a
Year n/a n/a 2010-11 n/a

 

Sources

Population Census of the Republic of Serbia, 2011.

Ministry of Health, National Institute of Public Health of Serbia. Istraživanje zdravstvenog stanja stanovnistva Srbije 2013). Belgrade, NIPH. 2014.

Statistical Office of the Republic of Serbia. 2013.

4 European health for all database (HFA-DB), World Health Organization Regional Office for Europe. Total fertility rate. Retrieved 18 June 2013, from http://data.euro.who.int/hfadb/.

Statistical Office of the Republic of Serbia and UNICEF. Serbia Multiple Indicator Cluster Survey and Serbia Roma Settlements Multiple Indicator Cluster Survey, 2014. Final Reports. Belgrade, Serbia: 2014.

6 Personal correspondence, 2015.

Last update: June 2015