探索尼泊尔药房中药物堕胎药丸的可用性和可访问性:报告与实际供应实践相比
Nished Rijal1, Angel M Foster2
1Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
药物堕胎药丸,米费普里斯顿和米索普罗斯托尔,在尼泊尔东部超过三分之一的药房可以在没有处方的情况下获得. 这突显了法规与实践之间的差距,影响了获得生殖健康护理的机会.
科学领域:
- 生殖健康 生殖健康
- 药品接入 药品接入 药品接入
- 全球健康 全球健康
背景情况:
- 尼泊尔政府允许处方药从药房发放药物堕胎药丸.
- 社区药房正在成为药物流产的关键点.
研究的目的:
- 评估尼泊尔东部药房中药物堕胎药丸 (米费普里斯顿和米索普罗斯托尔) 的可用性.
- 评估药房工作人员在开处方和不开处方的情况下使用这些药物的做法.
主要方法:
- 对489名药房工作人员进行了横截面调查.
- 180家药房使用了神秘客户的方法来评估实际的发行做法.
- 描述性统计数据被用于数据分析.
主要成果:
- 大约16%的受访药房报告销售药物堕胎药片.
- 在38%的访问中,神秘客户在没有处方的情况下成功获得了米费普里斯和米索普罗斯托尔.
- 购买的药片通常是组合包装,价格明显高于报告的调查价格.
结论:
- 尽管有监管框架,但在尼泊尔东部的大部分药房中,可以在没有处方的情况下获得米费普里斯和米索普罗斯托尔.
- 需要支持药房工作人员提供准确的信息,以确保安全的药物流产.
- 扩大药房工作人员的培训对于社区堕胎护理的质量和安全至关重要.
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