Bangladesh and Pakistan Face Contraceptive Shortages Amid Economic Strain

Economic challenges in both Bangladesh and Pakistan have led to significant contraceptive shortages, raising concerns about public health and population management. Reports indicate that while Bangladesh is on the verge of running out of condoms, many in Pakistan find them too expensive due to high taxation.

In Bangladesh, the situation is critical. According to the National Contraceptive Summary Report, the nation’s condom stocks are expected to be depleted within a few weeks. Over the last six years, the country has experienced a staggering 57 percent decline in contraceptive availability. This shortage extends beyond condoms, encompassing various contraceptives such as pills, intrauterine devices (IUDs), injectables, and implants. As of December 11, 2025, government data reveals that available stocks will last only 39 days.

The decline in contraceptive distribution can be attributed to delays in procurement processes and funding shortages faced by the Directorate General of Family Planning. Public health experts warn that an increase in unplanned pregnancies could follow, reversing the progress Bangladesh has made in population control. The nation’s fertility rate has already begun to rise, creating additional concerns regarding maternal health and child nutrition.

In Pakistan, the challenges are different but equally concerning. While condoms are still available, their prices have skyrocketed, making them unaffordable for many. The country imposes an 18 percent General Sales Tax (GST) on condoms and other contraceptives, significantly increasing costs for consumers. Despite the government’s acknowledgment of contraceptives as essential health products, requests for tax relief were denied by the International Monetary Fund, which stated that such concessions could undermine the government’s revenue and fiscal system.

As a result, many low-income families in Pakistan are unable to budget for these crucial health products. Experts warn that this situation may exacerbate the existing high growth rate in the country. The unavailability of condoms also raises the risk of sexually transmitted diseases as both nations grapple with economic and political instability. This could place further strain on already fragile healthcare systems and jeopardize essential public health services.

Both Bangladesh and Pakistan are at a crossroads, facing a potential public health crisis that could have far-reaching implications. As they navigate these challenges, the need for accessible contraceptives becomes increasingly urgent, underscoring the importance of robust healthcare policies and funding to support population management and public health initiatives.