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药剂师作为对青年友好的服务提供者:记录肯尼亚的 condom 和 emergency contraception 的配给情况。

Pharmacists as youth-friendly service providers: documenting condom and emergency contraception dispensing in Kenya.

机构信息

Department of Sexual and Reproductive Health and Research, including UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, Geneva, Switzerland.

Swiss Tropical and Public Health Institute (Swiss TPH), Basel, Switzerland.

出版信息

Int J Public Health. 2020 May;65(4):487-496. doi: 10.1007/s00038-020-01348-9. Epub 2020 May 22.

Abstract

OBJECTIVES

This Kenya-based study ascertained whether pharmacies were an untapped source of 'youth-friendly' health services by determining (1) whether young people (aged 18-24) could successfully obtain condoms and emergency contraception (ECP); (2) whether contraceptives were dispensed according to national guidelines; and (3) how young people felt about obtaining ECP and condoms from pharmacy personnel.

METHODS

This study used several methods to capture and cross-check purchasing experiences as reported by young people with those of dispensing pharmacy personnel. These included: focus group discussions; in-depth interviews; key informant interviews; and mystery shoppers.

RESULTS

When in stock, young people were successfully able to obtain ECP and condoms from pharmacies. Counselling was sporadic: when it happened, it was not always accurate. Despite a lack of counselling, young people reported being satisfied with the quick, transactional interaction with pharmacy personnel.

CONCLUSIONS

The brief, transactional interactions between pharmacy personnel and young clients appear to be 'youth-friendly enough'. While there is room to strengthen the services provided (improving both accuracy and scope), this should be done in a manner that does not fundamentally alter the current interaction.

摘要

目的

本肯尼亚研究旨在确定药店是否是“青年友好型”卫生服务的未开发资源,具体方法为:(1)确定年轻人(18-24 岁)是否能成功购买到避孕套和紧急避孕药(ECP);(2)确定避孕药的分发是否符合国家指南;(3)了解年轻人对从药店工作人员那里获得 ECP 和避孕套的感受。

方法

本研究使用了多种方法来捕捉和交叉核对年轻人报告的购买体验与药店工作人员的分发体验。这些方法包括:焦点小组讨论、深入访谈、关键知情人访谈和神秘顾客。

结果

当有库存时,年轻人能够成功地从药店获得 ECP 和避孕套。咨询服务时有时无:即使提供了咨询,也并不总是准确。尽管缺乏咨询,年轻人还是对与药店工作人员的快速交易式互动表示满意。

结论

药店工作人员与年轻客户之间简短的交易式互动似乎“足够友好”。虽然有空间加强所提供的服务(提高准确性和范围),但应以不从根本上改变当前互动的方式进行。

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