Gauly Julia, Atherton Helen, Ross Jonathan D C
Warwick Medical School, University of Warwick, Coventry CV4 7HL, UK.
University Hospitals Birmingham NHS Foundation Trust, Birmingham B15 2TH, UK.
Pharmacy (Basel). 2021 Mar 17;9(1):61. doi: 10.3390/pharmacy9010061.
The health provider Umbrella delivers several SRHS through more than 120 pharmacies in Birmingham (England). Umbrella pharmacy data collected between August 2015 and August 2018 were used to descriptively analyse the uptake and user characteristics for emergency contraception, short-acting oral contraception, condoms and chlamydia treatment. In total, 54,309 pharmacy visits were analysed. A total of 30,473 females presented for emergency contraception. Most were supplied with an emergency contraceptive pill (98.6%, 30,052 out of 30,473), which was levonorgestrel in 57.4% of cases (17,255 out of 30,052). Of those females who attended for short-acting oral contraception, 54.3% (1764 out of 3247) were provided with the progesterone-only pill. Of those who were given chlamydia treatment, the majority received doxycycline (76.8%, 454 out of 591). A total of 74% (14,888 out of 19,998) of those who requested condoms were not provided with specific instructions on their use. Pharmacies have the potential to make a substantial contribution to the delivery of an integrated sexual health service including rapid access to emergency contraception, convenient delivery of short-acting hormonal contraception and treatment of chlamydia. Appropriate education, support and audit is required to ensure the delivery of high-quality care.
医疗服务机构“保护伞”通过伯明翰（英国）的120多家药店提供多项性健康和生殖健康服务（SRHS）。利用2015年8月至2018年8月期间收集的“保护伞”药店数据，对紧急避孕、短效口服避孕、避孕套和衣原体治疗的使用情况及用户特征进行描述性分析。总共分析了54309次药店就诊情况。共有30473名女性前来寻求紧急避孕服务。大多数人获得了紧急避孕药（98.6%，30473人中的30052人），其中57.4%的情况（30052人中的17255人）使用的是左炔诺孕酮。在前来寻求短效口服避孕服务的女性中，54.3%（3247人中的1764人）获得了仅含孕激素的避孕药。在接受衣原体治疗的人中，大多数人接受的是强力霉素（76.8%，591人中的454人）。在索要避孕套的人中，共有74%（19998人中的14888人）没有得到关于如何使用避孕套的具体指导。药店有潜力为提供综合性性健康服务做出重大贡献，包括快速获得紧急避孕服务、方便地提供短效激素避孕服务以及衣原体治疗。需要进行适当的教育、支持和审核，以确保提供高质量的护理。
