The Botswana Medical Eligibility Criteria Wheel: Adapting a Tool to Meet the Needs of Botswana’s Family Planning Program

Caron R Kim, Nancy Kidula, Molly K Rammipi, Lesego Mokganya, Mary Lyn Gaffield


In efforts to strive for family planning repositioning in Botswana, the Ministry of Health convened a meeting to undertake an adaptation of the Medical eligibility criteria for contraceptive use (MEC) wheel.  The main objectives of this process were to present technical updates of the various contraceptive methods, to update the current medical conditions prevalent to Botswana and to adapt the MEC wheel to meet the needs of the Botswanian people.  This commentary focuses on the adaptation process that occurred during the week-long stakeholder workshop.  It concludes with the key elements learned from this process that can potentially inform countries who are interested in undergoing a similar exercise to strengthen their family planning needs. (Afr. J Reprod Health 2016; 20[2]: 9-12)

Full Text:



Cates W, Jr. Family planning: the essential link to achieving all eight Millennium Development Goals. Contraception 2010;81(6):460-1. 2. Organization. WH. Medical eligibility criteria for contraceptive use: Fifth Edition. 5th ed, 2015. 3. UNAIDS. Republic of Botswana: Progress Report of the National Response to the 2011 declarations of commitments on HIV/AIDS. Reporting Period: 2014: National AIDS Coordinating Agency, 2015. 4. Kraft JM, Galavotti C, Carter M, et al. Use of dual protection in Botswana. Studies in family planning 2009;40(4):319-28. 5. Cleland J, Conde-Agudelo A, Peterson H, et al. Contraception and health. Lancet 2012;380 (9837):149-56.


  • There are currently no refbacks.