Using semi covert research to evaluate an emergency hormonal contraception service

Area of Science:

• Pharmacy Practice and Public Health

Background:

• Evaluating the implementation of patient group direction (PGD) protocols is crucial for ensuring safe and effective medication supply.
• Understanding patient experiences is vital for assessing the quality of pharmaceutical services, particularly for sensitive medications like emergency hormonal contraception.

Purpose of the Study:

• To assess adherence to the PGD protocol for emergency hormonal contraception supply.
• To evaluate the professional conduct of pharmacists during consultations.
• To explore women's perceptions of the emergency hormonal contraception service delivery.

Main Methods:

• A semi-covert research design was employed, utilizing two female researchers posing as clients.
• Standardized scenarios regarding unprotected sexual intercourse and missed oral contraceptive pills were used.
• Consultations were audio-recorded, and researchers documented their subjective experiences post-consultation.

Main Results:

• The PGD protocol was generally adhered to, with appropriate supply of emergency hormonal contraception in both scenarios.
• Consultation duration ranged from 10-15 minutes, conducted in private areas or dispensaries.
• Participants reported pharmacists were courteous, non-judgmental, and confidentiality was maintained.

Conclusions:

• The study indicates appropriate utilization of the PGD protocol for emergency hormonal contraception in the sampled pharmacies.
• Women researchers reported positive experiences, highlighting the pharmacist's non-judgmental attitude and the opportunity for discussion.
• Despite sample size limitations, findings support the effective delivery of this service by community pharmacists.