在尼泊尔探索药房提供药物堕胎药丸:对药房工作者的知识和实践的混合方法研究
Nished Rijal1, Angel M Foster2
1PhD Candidate, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada; Collaborative on Interdisciplinary Global Abortion Research, Ottawa, ON, Canada. nrija043@uottawa.ca.
Sexual and reproductive health matters
|January 23, 2026
概括
在尼泊尔,许多妇女从药房直接寻求药物堕胎药丸. 虽然在没有处方的情况下受到法律限制,但由于需求,一些药房储存米费普里斯/米索普罗斯托尔,突出了获取挑战.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 制药科学 制药科学
背景情况:
- 在尼泊尔,药物堕胎是合法的,只需处方,但禁止药房直接提供米费普里斯/米索普罗斯托尔.
- 尼泊尔有相当数量的妇女从药房直接获得药物堕胎药丸,绕过法律道.
- 了解药房工作者的观点对于改善获得安全堕胎服务至关重要.
研究的目的:
- 调查尼泊尔药房工作人员关于药物堕胎护理的知识和做法.
- 为了确定分发或不分发米费普里斯/米索普罗斯托尔的原因,有或没有处方.
- 探索社区药房在扩大获得药物堕胎的潜在作用.
主要方法:
- 这是一项混合方法研究,涉及调查和半结构面试,对尼泊尔科希省的药房工作人员进行了调查.
- 对489名药房工作人员进行的关于知识,库存和发行实践的调查.
- 采访了25名药房工作人员,以探讨提供或不提供药物堕胎药丸的原因.
主要成果:
- 药房工作人员表现出对药物堕胎的法律地位和一般使用的高度了解.
- 接受调查的药房工作人员中有16%的药房工作人员储存了米费普里斯/米索普罗斯托尔,通常需要处方.
- 库存的原因包括法律允许和社区需求,而缺乏库存是由于缺乏培训,法律混乱,业务风险和供应问题.
结论:
- 社区药房在尼泊尔的药物流产中发挥着重要作用,尽管存在法律限制.
- 解决药房工作人员的培训需求和澄清法律模两可,可以提高安全堕胎的机会.
- 政策制定者和研究人员应该考虑社区药房在扩大获得基本生殖健康服务方面的潜力.
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