World Contraception Day: City calls on women to make informed choices for their futures
22 September 2025
On World Contraception Day, observed annually on 26 September, the City of Cape Town’s Health Department reminds women and young people that they hold the power of choice when it comes to their reproductive health. Contraception is not only about preventing pregnancy – it enables people to take charge of their futures, complete their education, pursue careers, and raise families when they are ready. Read more below:
Despite progress, misconceptions still discourage people from using contraceptives.
Some of the most common myths are that contraceptives cause infertility, are only for older women, are all the same and that they can cause serious illness.
'Contraception is about choice, dignity, and health. Every woman has the right to make decisions about their own body and their future. By empowering women and young people with choices, we are supporting stronger families, healthier communities, and a brighter future for Cape Town,' said Mayoral Committee Member for Community Services and Health, Councillor Francine Higham.
The facts are that fertility returns once contraception is stopped; adolescents and young adults can safely use a wide range of methods; there are many safe and effective options and an individual can choose what works best for them; and most contraceptives are very safe, with trained nurses on hand to help each client choose the most appropriate option.Recent City Health data highlights both progress and areas for growth.
- More than 750 000 contraceptive services were provided between July 2023 and June 2025.
- Injectables remain the most widely used method, with more than 180 000 women choosing medroxyprogesterone in 2024/25, although usage declined slightly compared to the previous year.
- Sub-dermal implants are becoming increasingly popular, with a 22% increase in uptake in 2024/25.
- The uptake among younger clients is improving, particularly for implants, showing that adolescents and young adults are increasingly making empowered choices about their reproductive health.
City Health provides a comprehensive range of contraceptive options, free of charge, to suit every lifestyle and need.
- Oral contraceptive pill: taken daily, protects against pregnancy when used consistently.
- Injectables: (Medroxyprogesterone, Norethisterone Enanthate). These provide protection for two to three months, depending on the type.
- Sub-dermal implant: a small rod placed under the skin of the arm, is effective for up to three years.
- Intrauterine devices (IUCDs): Hormonal IUCD (Mirena) [now available at City Health facilities], protects for up to five years and can also help manage heavy menstrual bleeding.
- Male and female condoms: protect against pregnancy and reduce the risk of sexually transmitted infections (STIs).
All services are delivered by trained health professionals in a safe and confidential environment. Clients can book appointments at their nearest City Health facility, where counselling and guidance are available to support informed choices.
On World Contraception Day this year, City Health encourages all residents to access free contraceptive services at its facilities and take the opportunity to make informed decisions about their reproductive health.
'We want residents to know these services are freely available, confidential, and delivered with compassion and care,' Councillor Higham concluded.
Published by:
City of Cape Town, Media Office
