Pharmacists as youth-friendly service providers: documenting condom and emergency contraception dispensing in Kenya
Pharmacists as youth-friendly service providers: documenting condom and emergency contraception dispensing in Kenya
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DOI：
10.1007/s00038-020-01348-9
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发表时间：
2020-05-01
影响因子：
4.6
通讯作者：
Hilber, Adriane Martin
中科院分区：
文献类型：
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作者：
Gonsalves, Lianne;Wyss, Kaspar;Hilber, Adriane Martin
目标 这项位于肯尼亚的研究通过确定以下各项来确定药房是否是尚未开发的“青年友好型”卫生服务来源：(1) 年轻人（18-24 岁）是否能够成功获得避孕套和紧急避孕药 (ECP)； (2) 是否按照国家指南发放避孕药具； (3) 年轻人对于从药房人员处获得 ECP 和安全套有何感受。方法 本研究使用多种方法来收集和交叉检查年轻人与配药药房人员报告的购买经历。其中包括：焦点小组讨论；深度访谈；关键知情人访谈；和神秘顾客。结果 当有库存时，年轻人能够从药店成功获得 ECP 和安全套。咨询是零星的：当它发生时，并不总是准确的。尽管缺乏咨询，年轻人仍表示对与药房人员的快速、交易性互动感到满意。结论 药房工作人员和年轻客户之间的简短交易互动似乎“足够适合年轻人”。虽然所提供的服务还有加强的空间（提高准确性和范围），但这应该以不会从根本上改变当前互动的方式进行。
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.