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Creating privacy in pharmacies in West Africa
Sethson Kassegne1, Robert-Hugues Yaovi Nagbe1, Ibitola Tchitou1
1CERA Group, Togo.
Health & Place
|August 31, 2025
Summary
Pharmacies in West Africa can improve access to contraception. However, creating sufficient private space is crucial for users seeking reproductive health services, especially with expanding contraceptive options.
Area of Science:
- Reproductive Health
- Social Pharmacy
- West African Healthcare Systems
Background:
- Substantial unmet need for contraception in West Africa.
- Pharmacies offer potential for increased access to reproductive health services.
- User perceptions of privacy in pharmacies are mixed, posing a challenge for service delivery.
Purpose of the Study:
- To explore privacy concerns and strategies within pharmacy settings in West Africa related to contraceptive services.
- To inform the implementation of the ACEPT Project, which introduces injectable and implant contraceptives in pharmacies.
- To understand how privacy is currently managed in West African pharmacies and its implications for expanding contraceptive services.
Main Methods:
- Qualitative study involving in-depth interviews with pharmacy clients and staff.
- Ethnographic observations of pharmacy environments across Côte d'Ivoire, Senegal, and Togo.
- Collaborative analysis of emergent themes by country teams.
Main Results:
- Physical private space is limited in West African pharmacies.
- Users and pharmacists employ various tactics to create temporary visual and audio privacy.
- Strategies include using coded language, concealing purchases, and arranging pharmacy layouts.
Conclusions:
- Current privacy in pharmacies is often "momentary" and relies on user and pharmacist ingenuity.
- Expanding contraceptive services, particularly injectables and implants, necessitates addressing privacy concerns.
- The development of dedicated physical private space in pharmacies is essential for future service expansion.
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