Implementation of a Pharmacist-Driven Contraception Service at a Safety-Net Health-System

Area of Science:

• Reproductive Health
• Clinical Pharmacy
• Public Health

Background:

• Access to contraception is crucial for preventing unintended pregnancies but often faces accessibility barriers.
• High patient demand for contraception visits is frequently unmet due to limited traditional provider availability.
• The role of clinical pharmacists in providing contraception services is an under-researched area.

Purpose of the Study:

• To develop and implement a pharmacist-led contraception service within a safety-net health system.
• To enhance patient access to essential reproductive healthcare services.
• To address the gap in pharmacist-provided contraception care.

Main Methods:

• A comprehensive clinical contraception service was established, led by a pharmacist.
• A collaborative practice agreement (CPA) was created, enabling pharmacists to prescribe and manage contraceptives.
• Electronic medical record enhancements supported the service, which was piloted in a Narcotics Treatment Program (NTP) clinic.

Main Results:

• During the initial five half-day sessions, the pharmacist issued seven contraceptive prescriptions, including three for emergency contraception.
• Only one patient out of those seen was consistently using a contraceptive method prior to the visit.
• The service demonstrated a significant need for improved contraceptive access among the patient population.

Conclusions:

• Pharmacist-led interventions highlight the critical need for enhanced access to contraceptive services.
• Pharmacist-managed programs in sexual and reproductive health can effectively bridge access gaps.
• Patients reported high satisfaction with the ease of access provided by the pharmacist-led service.