FHI 360, Division of Health Services Research, 359 Blackwell Street, Suite 200, Durham, North Carolina, USA.
FHI 360, Division of Health Services Research, 359 Blackwell Street, Suite 200, Durham, North Carolina, USA.
Contraception. 2018 Nov;98(5):379-382. doi: 10.1016/j.contraception.2018.08.013. Epub 2018 Aug 28.
Drug shops and pharmacies have long been recognized as the first point of contact for health care in developing countries, including family planning (FP) services. Drug shop operators and pharmacists should not be viewed as mere merchants of short-acting contraceptive methods, as this ignores their capacity for increasing uptake of FP services and methods in a systematic and collaborative way with the public sector, social marketing groups and product distributors. We draw on lessons learned from the rich experience of earlier efforts to promote a variety of public health interventions in pharmacies and drug shops. To integrate this setting that provides convenience, confidentiality, access to user-controlled contraceptive methods (i.e., pills, condoms and potentially Sayana Press®) and a gateway to clinic-based FP services, we propose three promising practices that should be encouraged in future interventions to increase access to quality FP services.
药店和药房长期以来一直被认为是发展中国家医疗保健的第一站,包括计划生育(FP)服务。不应将药店经营者和药剂师仅仅视为短期避孕方法的商人,因为这忽略了他们以系统和协作的方式与公共部门、社会营销团体和产品经销商一起增加 FP 服务和方法的采用能力。我们借鉴了早期在药店和药房推广各种公共卫生干预措施的丰富经验。为了整合提供便利、保密性、用户控制的避孕方法(即药丸、避孕套和潜在的 Sayana Press®)以及诊所 FP 服务的通道的这种设置,我们提出了三种有前途的做法,在未来增加获得优质 FP 服务的干预措施中应加以鼓励。