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Reprod Health Matters. 2015 Feb;22(44 Suppl 1):116-24. doi: 10.1016/S0968-8080(14)43794-7.

Using a harm reduction lens to examine post-intervention results of medical abortion training among Zambian pharmacists.

Author information

1
Senior Research and Evaluation Advisor, Ipas, Chapel Hill, NC, USA. Electronic address: fetterst@ipas.org.
2
Independent consultant, Baltimore, MD, USA.
3
National Reproductive Health Specialist, UNFPA, Lusaka, Zambia.
4
Research and Evaluation Advisor, Ipas Zambia, Lusaka, Zambia.
5
Consultant Obstetrician-Gynaecologist, University of Zambia School of Medicine, Department of Obstetrics and Gynaecology, Lusaka, Zambia.
6
Technical Director of Reproductive and Child Health, AMREF, Nairobi, Kenya.
7
Research and Evaluation Advisor, Ipas, Chapel Hill, NC, USA.

Abstract

Despite broad grounds for legal abortion in Zambia, access to abortion services remains limited. Pharmacy workers, a primary source of health care for communities, present an opportunity to bridge the gap between policy and practice. As part of a larger operations study, 80 pharmacy workers, both registered pharmacists and their assistants, participated in a training on medical abortion in 2009 and 2010. Fifty-five of the 80 pharmacy workers completed an anonymous, structured training pre-test, treated as a baseline questionnaire; 53 of the 80 trainees were interviewed 12-24 months post-training in face-to-face interviews to measure the retention of information and training effectiveness. Survey questions were selected to illustrate the principles of a harm reduction approach to unsafe abortion. Bivariate analysis was used to examine pharmacy worker knowledge, attitudes and dispensing behaviours pre-training and at follow-up. A higher percentage of pharmacy workers reported referring women to a health care facility between surveys (47% to 68%, p = 0.03). The number of pharmacy workers who reported dispensing ineffective abortifacients decreased from baseline to end-line (30% to 25%) but the difference was non-significant. However, study results demonstrate that Zambian pharmacy workers have a role to play in safe abortion services and some are willing to play that role.

KEYWORDS:

Zambia; harm reduction; medical abortion; pharmacists

PMID:
25702075
DOI:
10.1016/S0968-8080(14)43794-7
[Indexed for MEDLINE]
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