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PharmaSMaSH Pharmaceutical Geographies of Self Managed Sexual Health

PharmaSMaSH 自我管理性健康的药物地理

基本信息

批准号：
EP/X042189/1
负责人：
Sydney Calkin
金额：
$ 161.19万
依托单位：
Queen Mary University of London
依托单位国家：
英国
项目类别：
Research Grant
财政年份：
2023
资助国家：
英国
起止时间：
2023 至无数据
项目状态：
未结题

来源：
https://gtr.ukri.org/projects?ref=EP%2FX042189%2F1
关键词：
PharmaSMaSH Pharmaceutical Geographies Self Managed

项目摘要

PharmaSMaSH is the first large scale, transnational study of "self-managed health". Self-managed health takes place when people get medicines and treatments outside the formal healthcare system, usually because they can't afford medical bills or because where they live means the treatment they want is stigmatised or illegal. Self-managed health is especially prevalent on issues of sexual and reproductive health, because these issues tend to be highly stigmatised and regulated by additional laws. PharmaSMaSH will explore three relevant examples of self-managed health: people who use pills to self-manage abortion, people who use antiretrovirals to self-manage HIV/AIDS prevention, and people who use sex hormones to self-manage gender transition. Treatment communities for these products and treatments self-organise around the world, circulating medications and information on how to use them. PharmaSMaSH will provide insight into the world of clandestine self-managed health, which is rapidly growing but poorly understood in scholarship and policy. By working with people who self-manage these health issues to understand how they access treatment and whether the medication they take is safe, PharmaSMaSH will find out if and how these communities can improve the design and delivery of health services - ultimately working with stakeholders from policy, clinical care, and civil society.

PharmaSMaSH是第一个大规模的跨国“自我管理健康”研究。当人们在正规医疗系统之外获得药物和治疗时，自我管理的健康就会发生，通常是因为他们负担不起医疗费用，或者因为他们居住的地方意味着他们想要的治疗是耻辱或非法的。自我管理的健康在性健康和生殖健康问题上特别普遍，因为这些问题往往受到高度的蔑视，并受到额外法律的管制。PharmaSMaSH将探讨自我管理健康的三个相关例子：使用药丸自我管理堕胎的人，使用抗逆转录病毒药物自我管理艾滋病毒/艾滋病预防的人，以及使用性激素自我管理性别转变的人。这些产品和治疗的治疗社区在世界各地自行组织，传播药物和如何使用它们的信息。PharmaSMaSH将提供深入了解秘密自我管理健康的世界，这是迅速增长，但在学术和政策了解甚少。通过与自我管理这些健康问题的人合作，了解他们如何获得治疗以及他们服用的药物是否安全，PharmaSMaSH将了解这些社区是否以及如何改善卫生服务的设计和提供-最终与政策，临床护理和民间社会的利益相关者合作。