Reproductive Health Program, Population Council, Nairobi, Kenya.
Patient Educ Couns. 2010 Dec;81(3):368-73. doi: 10.1016/j.pec.2010.09.001. Epub 2010 Oct 8.
To evaluate the provision of reproductive health information and services to users of emergency contraceptives (ECs) by private pharmacists.
The study involved intervention (9) and control (8) pharmacies, with baseline and endline assessments of EC provision through the use of mystery clients. Intervention pharmacies received weekly updates on EC, fliers with three key messages on EC, and information, education, and communication materials. Logistic regression models are estimated to predict the provision of reproductive health services to EC clients.
The differences between the control and intervention pharmacies with respect to the provision of additional information on EC and regular family planning services are in the expected direction but statistically insignificant. In contrast, the likelihood of providing information or referral for counseling or testing for sexually transmitted infections or HIV was lower in the intervention than in the control pharmacies but the difference was also not statistically significant.
Pharmacy providers in the country face institutional challenges in providing reproductive health services to EC clients.
The challenges could be addressed through pre-service training, targeted in-service training, sensitization of clients, and point-of-sale materials such as brochures, posters and package inserts.
评估私人药剂师向紧急避孕药（EC）使用者提供生殖健康信息和服务的情况。
该研究包括干预（9 家）和对照（8 家）药店，通过使用神秘客户对 EC 的提供情况进行基线和期末评估。干预药店每周都会收到关于 EC 的最新信息、带有三个关于 EC 的关键信息的传单，以及信息、教育和沟通材料。使用逻辑回归模型预测向 EC 客户提供生殖健康服务的情况。
在提供有关 EC 和常规计划生育服务的额外信息方面，控制药店和干预药店之间的差异在预期方向上，但统计学上无显著差异。相比之下，在干预药店中提供性传播感染或 HIV 咨询或检测信息或转介的可能性低于控制药店，但差异也无统计学意义。
该国的药店服务提供者在向 EC 客户提供生殖健康服务方面面临机构挑战。
通过岗前培训、有针对性的在职培训、客户意识提高，以及宣传册、海报和包装插页等销售点材料，可以解决这些挑战。
