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

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.

More information

  • Publication Year: 2015
  • Country/Region: Zambia
  • Accessible: Yes
  • Source: Reproductive Health Matters. February 2015, Volume 22, Issue 44, Supplement 1: Pages 116–124
  • Doi: 10.1016/S0968-8080(14)43794-7
  • Link: http://www.rhm-elsevier.com/article/S0968-8080(14)43794-7/fulltext?mobileUi=0
  • Language: English
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2015 Author(s)   Fetters T, Raisanen K, Mupeta S, Malisikwanda I, Vwalika B, Osur J, Dijkerman S In Article Key words