Preventing unintended pregnancy: Pharmacists' roles in practice and policy via partnerships

Farris, Karen B.; Ashwood, Daniel; McIntosh, Jennifer; DiPietro, Natalie A.; Maderas, Nicole Monastersky; Landau, Sharon Cohen; Swegle, John; Solemani, Orod

doi:10.1331/japha.2010.09195

Cited by 39 publications

(67 citation statements)

References 31 publications

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“…Our findings among Canadian pharmacists support those found among similar models for pharmacist task-sharing in contraception provision in the United States [9,10,31]. Similarly, BC implemented a registered nurse contraception task-sharing model in 2009 [11].…”

Section: Discussionsupporting

confidence: 82%

“…Current Canadian regulations are increasingly expanding pharmacist scope of practice, including independent prescription of a variety of medications [6][7][8]. Models exist in the United States to allow pharmacists to independently initiate prescription contraception [9]. For example, Gardiner's Direct Access study demonstrated effectiveness and acceptability for pharmacists to independently provide hormonal contraceptives using protocols [10].…”

Section: Introductionmentioning

confidence: 99%

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The acceptability of contraception task-sharing among pharmacists in Canada — the ACT-Pharm study

et al. 2015

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Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

The acceptability of contraception task-sharing among pharmacists in Canada — the ACT-Pharm study

et al. 2015

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“…Nine states (Alaska, California, Hawaii, Massachusetts, Maine, New Hampshire, New Mexico, Vermont, and Washington) have EC pharmacy access protocols in place for pharmacists who have completed EC training . Pharmacists should pursue the training requisite to provide this service, network with local providers to set up collaborative practice agreements, and market these services to the community . However, the prerogative of individual pharmacists to decline to personally participate in activities that conflict with their beliefs while ensuring timely patient access to drugs should be respected, as supported by ACCP .…”

Section: Role Of the Pharmacist In Improving Accessmentioning

confidence: 99%

Over‐the‐Counter Access to Emergency Contraception without Age Restriction: An Opinion of the Women's Health Practice and Research Network of the American College of Clinical Pharmacy

et al. 2013

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Family planning remains a high priority area for the United States, with goals to increase the proportion of pregnancies that are intended, reduce pregnancy rates among adolescents, and increase contraceptive use prioritized in the Healthy People 2020 objectives. Contraception intended for use after unprotected intercourse, known as emergency contraception, remains underutilized. Levonorgestrel is one method of oral emergency contraception, which prevents fertilization and does not disrupt an already established pregnancy; thus, timing of administration is critical. Despite data demonstrating safety and efficacy, evidence-based decision making has been overshadowed by politically charged actions involving levonorgestrel emergency contraception for over a decade. The Women's Health Practice and Research Network of the American College of Clinical Pharmacy supports expanded access to levonorgestrel emergency contraception and removal of barriers such as age restrictions on the nonprescription drug product. Pharmacists remain a key provider of emergency contraceptive services and can help ensure timely access. In states where direct pharmacy access to emergency contraception is available, pharmacists are encouraged to participate. Education, research, and advocacy are other important responsibilities for pharmacists in this arena.

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“…5 Pharmacists are easily accessible, can be seen without an appointment, and are trusted healthcare professionals. 6, 7 In a recent review by Farris et al, the rationale for pharmacists' and pharmacy staff’s role in reducing unintended pregnancy was identified, highlighting that pharmacists may assist with ensuring appropriate contraceptive use and adherence and with adverse effect monitoring, and that pharmacists may provide information on non-prescription contraceptive products. In fact, condoms are the third most widely used contraceptive product, and many are purchased at pharmacies.…”

Section: Introductionmentioning

confidence: 99%

Young women's perceptions and experiences with contraception supply in community pharmacies

Fakih

Batra

Gatny

et al. 2015

Journal of the American Pharmacists Association

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Background Unintended pregnancy is a major public health problem in the United States.. Correct contraceptive use can reduce the rate of unintended pregnancy. Community pharmacies are well positioned to provide contraceptives and advise about contraception. Objectives (1) determine young women’s perceptions and experiences with contraception supply in community pharmacies and (2) identify whether very pharmacy characteristics predicted positive experiences. Design This study was comprised of two cross-sectional surveys including an online women’s pharmacy perceptions and experiences (PPE) survey and a faxed/observed survey of community pharmacies. Setting One County in Michigan, USA Participants Young women and community pharmacies Main outcome measure The two surveys were merged to explore pharmacy characteristics that may impact women’s perceptions and experiences with community pharmacies. Multiple logistic regression analysis was used to explore relationships between pharmacy characteristics and positive outcomes. Results The response rate for the PPE survey was 54% (n= 334/637). Data from all community pharmacies in the county was retrieved via fax (n= 41/94, 43.6%) or observation (n= 53/94, 56.4%). Women were included in this analysis if they indicated a regular (most commonly used) pharmacy in the county of interest (n=210). Over 50% of women (n= 125/210) visited a pharmacy more than once per month. Sixty percent of women were currently using something to prevent pregnancy (n=124/210, 60.8%). Thirty-five percent of women had a positive experience (n=73/210, 34.8%). In the multiple logistic regression, women who visited a chain pharmacy had almost 65% lower odds of an overall positive experience with their regular pharmacy, compared to women who visited a grocery or mass merchandise pharmacy (OR: 0.35, 95% CI: 0.16, 0.75). Conclusion Young women visit community pharmacies and use contraceptives frequently. Interventions need to be developed and implemented to improve young women’s perceptions and experiences with contraception at community pharmacies.

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Preventing unintended pregnancy: Pharmacists' roles in practice and policy via partnerships

Cited by 39 publications

References 31 publications

The acceptability of contraception task-sharing among pharmacists in Canada — the ACT-Pharm study

The acceptability of contraception task-sharing among pharmacists in Canada — the ACT-Pharm study

Over‐the‐Counter Access to Emergency Contraception without Age Restriction: An Opinion of the Women's Health Practice and Research Network of the American College of Clinical Pharmacy

Young women's perceptions and experiences with contraception supply in community pharmacies

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