Stagnant contraceptive sales after the Zika epidemic in Brazil
Stagnant contraceptive sales after the Zika epidemic in Brazil
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DOI：
10.1080/13625187.2017.1397623
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发表时间：
2017-01-01
影响因子：
1.7
通讯作者：
Fernandes, Arlete
中科院分区：
文献类型：
--
作者：
Bahamondes, Luis;Ali, Moazzam;Fernandes, Arlete
目的：我们的目的是评估寨卡病毒爆发后巴西全国激素和非激素避孕药的销售情况。方法：巴西的制药公司提供了2016年9月至2017年6月的月度销售数据。从公共和私营部门获得了关于已登记的现有现代避孕方法的销售数据：复方口服避孕药;单孕激素避孕药;阴道和透皮避孕药;注射避孕药;长效可逆避孕方法，包括释放铜的宫内节育器、释放左炔诺孕酮的宫内系统和释放依托孕烯的皮下埋植剂;和紧急避孕药。结果：78%的销售额包括药丸，贴片和阴道环（每月1 110万至1 380万个周期/单位），其次是紧急避孕药结论：数据显示，与更有效的LARC方法相比，短效方法的销售额要高得多。公共部门需要更加注重确保更好地获得LARC方法，方法是采取系统的办法，确保定期供应，提高专业技能，并为希望避免或推迟怀孕的夫妇创造更好的需求。在寨卡病毒感染地区，许多育龄妇女可能希望通过使用有效的LARC方法来延迟或推迟怀孕。公共部门应审查其关于LARC的政策，因为对这些方法的需求可能会增加，特别是在寨卡病毒流行地区。必须明确强调服务、获取和使用的质量。
Objectives: Our aim was to assess national hormonal and non-hormonal contraceptive sales in Brazil after the Zika virus outbreak.Methods: Pharmaceutical companies based in Brazil provided data on monthly sales from September 2016 to June 2017. Data from both the public and private sectors were obtained about sales of registered, available modern contraceptive methods: combined oral contraceptive pill; progestin-only pill; vaginal and transdermal contraceptives; injectable contraceptives; long-acting reversible contraceptive (LARC) methods, including the copper-releasing intrauterine device, the levonorgestrel-releasing intrauterine system and the etonogestrel-releasing subdermal implant; and emergency contraceptive pills.Results: Seventy-eight percent of sales comprised pills, patches and vaginal rings (11.1-13.8 million cycles/units per month), followed by emergency contraceptive pills (1.8-2.6 million pills), injectables (1.2-1.4 million ampoules) and LARC methods (6500-17,000 devices).Conclusions: The data showed much higher sales of short-acting methods compared with more effective LARC methods. The public sector needs to strengthen its focus on ensuring better access to LARC methods through a systematic approach ensuring regular supply, improved professional skills and better demand generation to couples wishing to avoid or delay pregnancy. In Zika virus-affected areas, many women of reproductive age may want to delay or postpone pregnancy by using an effective LARC method. The public sector should review its policies on LARC, as the need for these methods especially in Zika virus endemic areas may increase. A clear emphasis on quality in services, access and use is warranted.