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Training and supporting pharmacists to supply progestogen-only emergency contraception
Lesley Bacon1, Imogen Savage, Sue Cook
1Community Health South London NHS Trust, London, UK. mikembacon@aol.com
The Journal of Family Planning and Reproductive Health Care
|April 12, 2003
Summary
Community pharmacists received effective training and support to supply progestogen-only emergency contraception (POEC) via a Patient Group Direction (PGD). This enabled expanded access to reproductive health services.
Area of Science:
- Pharmacy Practice
- Reproductive Health
- Public Health
Background:
- Community pharmacists are key healthcare providers.
- Emergency contraception services can improve reproductive health outcomes.
- Patient Group Directions (PGDs) facilitate pharmacist-led service delivery.
Purpose of the Study:
- To evaluate the training and support for pharmacists supplying progestogen-only emergency contraception (POEC) under a Patient Group Direction (PGD).
- To assess the impact of this service expansion on pharmacist practice and client care.
Main Methods:
- Systematic analysis of pharmacist data (pre-training, during training, 5 and 13-14 months post-launch).
- Analysis of clinical support calls and pharmacy records.
- Follow-up with pharmacists in the training cohort and those not selected.
Main Results:
- Formal training with role-play was successful and fostered team-building.
- Pharmacists gained confidence and understanding of client confidentiality.
- 152 clinical support calls received in the first year, primarily regarding clinical criteria; 60% resulted in supply.
- Pharmacist concerns about service misuse persisted but PGD cohort showed more positivity.
Conclusions:
- Training and support empower pharmacists to deliver extended reproductive health services.
- Mobile phone support is crucial for this service.
- This initiative enhances the role of community pharmacists in reproductive healthcare.
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