City Health recorded a 68% increase in intra-uterine contraceptive device (IUCD) insertions during the 2025-’26 financial year, as more women turned to longer-acting contraception.

A total of 1 098 IUCDs were inserted at City clinics, up from 652 the previous year, while nearly 10 000 contraceptive implants were administered over the same period. An IUCD is a small device placed in the uterus to prevent pregnancy for several years, while a contraceptive implant is a tiny rod inserted under the skin of the upper arm that releases hormones over time.

Choice for all

The figures were highlighted as part of World Contraception Day on 26 September, which this year carried the theme “A choice for all – agency, intention, access”. Free family planning and contraceptive services are available at all City Health clinics.

Mayco member for community services and health, Francine Higham, said contraception was a personal decision and the City’s role was to ensure residents had access to reliable information, a range of options and healthcare professionals who would listen without judgement.

“We’ve seen an increase in the number of women opting for longer-acting methods, which in turn reduces the number of clinic visits,” said Higham.

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Range of options

Longer-acting methods such as IUCDs and implants provide effective contraception over an extended period without requiring daily or frequent action. Other options available at City clinics include the oral contraceptive pill, two- and three-monthly injections, and male and female condoms, which offer the best protection against sexually transmitted infections (STIs).

City clinics also provide HIV testing and prevention, including pre-exposure prophylaxis (PrEP), a medication taken to prevent HIV infection. Further services include STI treatment, pregnancy testing, antenatal and postnatal care, mental health support, and counselling and referrals for fertility-related concerns.

Residents can book a family planning appointment through the City Health Healthcare Appointments System, selecting an available date and time. An SMS confirmation is sent once the appointment is booked.

City Health is encouraging residents to ask questions, understand their options and make choices that support their health and the future they want.

Visit the City of Cape Town’s Healthcare Appointment System online or contact your nearest clinic for more information.