More women are choosing longer-acting contraception at City Health clinics, with intra-uterine device insertions rising 68% as residents seek flexible reproductive healthcare options across Cape Town.
City Health recorded 1 098 intra-uterine contraceptive device insertions during the 2025/26 financial year, up from 652 in the previous year.
Almost 10 000 contraceptive implants were also administered during the same period, reflecting growing interest in methods that provide protection over a longer period without requiring daily action.
The figures are being highlighted ahead of World Contraception Day on 26 September, which this year is being observed under the theme “A choice for all – agency, intention, access.”
The focus is on ensuring that people have access to reliable information, professional healthcare support and a range of contraceptive options that allow them to make decisions according to their own circumstances and plans.
Access to contraception can help people decide whether and when they want to have children and how they want to space pregnancies.
Longer-acting methods such as IUCDs and implants can provide effective contraception for extended periods, reducing the need for frequent clinic visits or daily medication.
City Health said the increase in longer-acting contraception reflects changing preferences among women using its services.
Mayoral Committee Member for Community Services and Health Councillor Francine Higham said healthcare providers have an important role in ensuring residents can make informed decisions without judgement.
“Contraception is a personal decision, and our role is to make sure residents have access to reliable information, different options and healthcare professionals who will listen without judgement,” Higham said.
“We’ve seen an increase in the number of women opting for longer-acting methods, which in turn reduces the number of clinic visits.”
Other contraceptive options available through City Health include oral contraceptive pills, two- and three-month injections, and male and female condoms.
While most contraceptive methods are intended primarily to prevent unintended pregnancy, condoms can also provide protection against many sexually transmitted infections when used correctly and consistently.
There is no single contraceptive method that will suit everyone, making access to different options and professional advice an important part of reproductive healthcare.
Healthcare professionals can help residents understand how different methods work, discuss possible concerns and assist clients in selecting an option suited to their health needs, circumstances and preferences.
City Health clinics also provide services including HIV testing and prevention, PrEP, sexually transmitted infection services, pregnancy testing, antenatal and postnatal care, mental health support and counselling and referrals related to fertility concerns.
Residents receiving ongoing treatment can also access support to help them take medication as prescribed and attend follow-up appointments.
Family planning and contraceptive services are available free of charge at City Health clinics.
Residents can use the City Health Healthcare Appointments System to book a family planning appointment and select an available clinic, date and time.
The increase in longer-acting contraception highlights the importance of giving residents both access and choice, allowing people to make reproductive health decisions that reflect their lives, relationships and plans for the future.
