Over-the-counter pill provision: Evidence from Jamaica

Over-the-counter pill provision: Evidence from Jamaica
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DOI:
10.1111/j.1728-4465.2006.00089.x
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发表时间:
2006-06-01
影响因子:
2.1
通讯作者:
Janowitz, B
Janowitz, B
中科院分区:
医学2区
文献类型:
--
作者:
Chin-Quee, DS;Cuthbertson, C;Janowitz, B

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虽然许多国家允许在非处方药处分发口服避孕药,但人们对这种供应是否对使用者安全仍有疑问。最令人关切的是,有使用禁忌症的妇女是否可以获得避孕药。显然,没有这种禁忌症的妇女应该获得它,并提供有关其正确使用的充分信息。在牙买加的15家药店中,神秘顾客与药剂师接触,以确定他们是否愿意出售口服避孕药,并向他们索取关于正确使用这种方法的信息。除了从神秘的客户观察的数据,进行了采访,78名药剂师和524名药房客户购买口服避孕药,提供补充信息的知识,态度和经验的方法。对综合调查结果的分析表明,在牙买加,非处方提供口服避孕药是一种安全、实用和有效的分发方法。
Although many countries allow over-the-counter distribution of oral contraceptives, doubt remains about whether such provision is safe for the user. The greatest concern is whether women with contraindications for use are given access to the pill. Clearly, women without such contraindications should be given access to it and be offered adequate information about its correct use. In 15 pharmacies in Jamaica, mystery clients approached pharmacists to determine their willingness to sell oral contraceptives and to solicit information from them about correct use of the method. In addition to data from mystery-client observations, interviews were conducted with 78 pharmacists and with 524 pharmacy customers who bought oral contraceptives, providing complementary information about knowledge of, attitudes toward, and experiences with the method. Analysis of the combined findings suggests that over-the-counter provision of oral contraceptives is a safe, practical, and effective method of distribution in Jamaica.