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Nova Scotia Physicians Call for Public Funding of Birth Control and PrEP

Rising HIV cases paired with unaffordable contraception have deepened health disparities in Nova Scotia, highlighting the need for federal pharmacare adoption

Birth control pills are shown in Sacramento, Calif., on Aug. 26, 2016. THE CANADIAN PRESS/AP-Rich Pedroncelli

Overview

  • At a June 10 legislature health committee hearing four doctors, the head of the Halifax Sexual Health Centre and a Dalhousie pharmacy professor urged the province to cover contraceptives and HIV-prevention drug PrEP
  • Experts note that PrEP costs $200 to $250 per month compared with $1,500 to $2,000 for HIV treatment, making prevention a more cost-effective approach
  • Dr. Melissa Brooks said Nova Scotia’s restrictive pharmacare plan often fails to subsidize preferred birth control methods, contributing to a rise in unintended pregnancies
  • Chief Medical Officer Dr. Robert Strang reported that HIV incidence in the province doubled from 1.5 to 3 cases per 100,000 people between 2021 and 2024
  • Only P.E.I., Manitoba, British Columbia and the Yukon have signed on to the federal pharmacare program so far, and advocates are pressing Nova Scotia to enlist to access federal funding