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斐济社区药店的紧急避孕措施获取情况:一项描述性研究。

Emergency contraception access in Fijian community pharmacies: A descriptive study.

机构信息

Family Planning Australia, Australia.

Family Planning Australia, Australia.

出版信息

Aust N Z J Public Health. 2024 Oct;48(5):100191. doi: 10.1016/j.anzjph.2024.100191. Epub 2024 Sep 26.

DOI:10.1016/j.anzjph.2024.100191
PMID:39332054
Abstract

OBJECTIVE

To assess pharmacists' knowledge regarding emergency contraceptive pills (ECPs), their attitudes towards women obtaining ECPs, and ECP counselling and dispensing practices.

METHODS

An online cross-sectional survey using Qualtrics was distributed via pharmacy emails and networks to recruit registered pharmacists working in community-based pharmacies.

RESULTS

There were 22 valid respondents, predominantly female pharmacists (68%), with an average of 7.5 years of registration. All pharmacists knew the correct time frame after unprotected sex for ECPs to be effective, and 73% knew how ECPs worked, but only 50% knew that there were no contraindications. Most pharmacists (86%) knew that ECPs should be available to all women and girls, but only 59% thought that a married woman should not have to get permission from her husband to buy ECPs. Information or education for clients on the correct use of ECPs was mainly provided by pharmacists (59%), mostly through verbal communication (96%). Only 5% of pharmacists had used the emergency contraception methods wheels.

CONCLUSIONS

There were gaps in pharmacists' knowledge regarding ECPs. Biases, judgemental attitudes, and suboptimal practices existed.

IMPLICATIONS FOR PUBLIC HEALTH

Targeted education and training for pharmacists is needed to improve access to ECPs in Fiji.

摘要

目的

评估药剂师对紧急避孕药(ECP)的了解程度、他们对女性获取 ECP 的态度,以及 ECP 咨询和配药的实践情况。

方法

使用 Qualtrics 进行在线横断面调查,通过药房电子邮件和网络向在社区药房工作的注册药剂师进行招募。

结果

共有 22 名有效受访者,主要是女性药剂师(68%),平均注册时间为 7.5 年。所有药剂师都知道无保护性行为后 ECP 有效的正确时间框架,73%的药剂师知道 ECP 的作用方式,但只有 50%的药剂师知道没有禁忌症。大多数药剂师(86%)知道 ECP 应该提供给所有妇女和女孩,但只有 59%的药剂师认为已婚妇女不应该需要得到丈夫的同意才能购买 ECP。关于 ECP 正确使用的客户信息或教育主要由药剂师提供(59%),主要通过口头交流(96%)。只有 5%的药剂师使用过紧急避孕方法轮。

结论

药剂师对 ECP 的了解存在差距。存在偏见、评判性态度和不理想的做法。

公共卫生影响

需要对药剂师进行有针对性的教育和培训,以改善斐济获取 ECP 的机会。

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