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Pharmacist recommendations for emergency contraception in Belgium: a simulated user study
Gabrielle Vander Steen1,2, Jeanne Ropers1,2, Charlotte Rousseau1,2
1Department of Obstetrics and Gynaecology, Saint Pierre University Hospital 322, Brussels, Belgium.
Summary
Pharmacists in Belgium dispensed emergency contraception adequately in only 64% of cases. Improving dispensing practices for emergency contraception requires better pharmacist training and standardized checklists.
Area of Science:
- Reproductive Health
- Pharmaceutical Sciences
- Public Health
Background:
- Emergency contraception (EC) is vital for preventing unintended pregnancies following unprotected sex or contraceptive failure.
- In Belgium, EC is available over-the-counter, making pharmacists key providers.
- This study investigates pharmacist dispensing practices for EC in Belgium.
Purpose of the Study:
- To assess the dispensing practices of emergency contraception by pharmacists in two Belgian regions.
- To identify factors influencing the adequate dispensing of EC.
Main Methods:
- A simulated patient study was conducted using a predefined scenario.
- The scenario involved a 25-year-old woman seeking EC 3.5 days after unprotected intercourse.
- 260 pharmacies were randomly selected, with data analyzed from 216 (83.1%).
Main Results:
- Adequate dispensing of EC, including ulipristal acetate or intrauterine device referral, occurred in 64% of cases.
- Correct dispensing was associated with pharmacists asking relevant questions about the last menstrual period and timing of intercourse.
- Over one-third of pharmacies failed to provide appropriate EC.
Conclusions:
- A significant proportion of Belgian pharmacies do not adequately dispense emergency contraception.
- There is a clear need for improved EC dispensing practices.
- Enhanced pharmacist training and the implementation of dispensing checklists are recommended to improve EC provision.
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