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

Autor: Gonsalves L; 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. gonsalvesl@who.int.; Swiss Tropical and Public Health Institute (Swiss TPH), Basel, Switzerland. gonsalvesl@who.int.; University of Basel, Basel, Switzerland. gonsalvesl@who.int., Wyss K; Swiss Tropical and Public Health Institute (Swiss TPH), Basel, Switzerland.; University of Basel, Basel, Switzerland., Gichangi P; International Centre for Reproductive Health Kenya, Mombasa, Kenya.; Department of Human Anatomy, University of Nairobi, Nairobi, Kenya.; Ghent University, Ghent, Belgium., Hilber AM; Swiss Tropical and Public Health Institute (Swiss TPH), Basel, Switzerland.; University of Basel, Basel, Switzerland.
Jazyk: angličtina
Zdroj: International journal of public health [Int J Public Health] 2020 May; Vol. 65 (4), pp. 487-496. Date of Electronic Publication: 2020 May 22.
DOI: 10.1007/s00038-020-01348-9
Abstrakt: 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.
Databáze: MEDLINE
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