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Navarrete J, Hughes CA, Yuksel N, Schindel TJ, Yamamura S, Terajima T, Sriboonruang T, Patikorn C, Anantachoti P. Community Pharmacists' Experiences and Attitudes towards the Provision of Sexual and Reproductive Health Services: An International Survey. Healthcare (Basel) 2023; 11:healthcare11111530. [PMID: 37297670 DOI: 10.3390/healthcare11111530] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2023] [Revised: 05/19/2023] [Accepted: 05/22/2023] [Indexed: 06/12/2023] Open
Abstract
Access to comprehensive sexual and reproductive health (SRH) services remains a challenge worldwide. Describing community pharmacists' SRH services in countries with different scopes of practice will aid in understanding how pharmacists view their roles and how to support them in providing needed services. A cross-sectional web-based survey was administered to pharmacists working in community pharmacies in Japan, Thailand, and Canada. The survey covered 7 SRH categories: pregnancy tests, ovulation tests, contraception, emergency contraception, sexually transmitted and blood-borne infections, maternal and perinatal health, and general sexual health. Descriptive statistics were used to analyze the data. A total of 922 eligible responses were included in the analysis (Japan = 534, Thailand = 85, and Canada = 303). Most Thai and Canadian participants reported dispensing hormonal contraceptives (Thailand = 99%, Canada = 98%) and emergency contraceptive pills (Thailand = 98%, Canada = 97%). Most Japanese participants provided patient education on barrier contraceptives for men (56%) and information on the safety of medications in pregnancy (74%) and breastfeeding (76%). The majority of participants expressed interest in additional training and expanding their roles in SRH. Sharing international experiences can guide challenges faced by the evolution of pharmacists' practice in SRH. Providing pharmacists support could help their readiness for this role.
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Affiliation(s)
- Javiera Navarrete
- Faculty of Pharmacy and Pharmaceutical Sciences, College of Health Sciences, University of Alberta, Edmonton, AB T6G 2H1, Canada
| | - Christine A Hughes
- Faculty of Pharmacy and Pharmaceutical Sciences, College of Health Sciences, University of Alberta, Edmonton, AB T6G 2H1, Canada
| | - Nese Yuksel
- Faculty of Pharmacy and Pharmaceutical Sciences, College of Health Sciences, University of Alberta, Edmonton, AB T6G 2H1, Canada
| | - Theresa J Schindel
- Faculty of Pharmacy and Pharmaceutical Sciences, College of Health Sciences, University of Alberta, Edmonton, AB T6G 2H1, Canada
| | - Shigeo Yamamura
- Faculty of Pharmaceutical Sciences, Josai International University, Chiba 283-8555, Japan
| | - Tomoko Terajima
- Faculty of Pharmaceutical Sciences, Shonan University of Medical Sciences, Kanagawa 244-0806, Japan
| | - Tatta Sriboonruang
- Faculty of Pharmaceutical Sciences, Chulalongkorn University, Bangkok 10330, Thailand
| | - Chanthawat Patikorn
- Faculty of Pharmaceutical Sciences, Chulalongkorn University, Bangkok 10330, Thailand
| | - Puree Anantachoti
- Faculty of Pharmaceutical Sciences, Chulalongkorn University, Bangkok 10330, Thailand
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Christin-Maitre S. [Worldwide contraception]. Med Sci (Paris) 2022; 38:457-463. [PMID: 35608469 DOI: 10.1051/medsci/2022058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
The latest statistics concerning contraceptive use in the world have been published in 2019 by the United Nations. Among the 1.9 billion of women of reproductive age (15-49 years), 1.1 billion have a need for family planning. Among them, 190 millions are not using any contraception, although they wanted to avoid a pregnancy. There is a significant discrepancy among continents concerning the percentage of contraceptive use and the distribution of the different types of contraception. Female sterilization is the most widespread method of contraception since it represents 24% of all contraception methods used. Male condoms is used by 21% of couples. Thus, progress is still needed to disseminate effective, well tolerated and potentially reversible methods of contraception. Education of females, couples, medical and paramedical staff is one of the priority targets to improve contraception throughout the world.
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Affiliation(s)
- Sophie Christin-Maitre
- Service d'endocrinologie, diabétologie et médecine de la reproduction, Hôpital Saint-Antoine, 75012 Paris, France - Sorbonne Université, Inserm UMR-S 933, Maladies génétiques d'expression pédiatrique, Hôpital Trousseau, 26 avenue Arnold Netter, 75571 Paris Cedex 12, France
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Yamamura S, Terajima T, Navarrete J, Hughes CA, Yuksel N, Schindel TJ, Sriboonruang T, Anantachoti P, Patikorn C. Reproductive Health Services: Attitudes and Practice of Japanese Community Pharmacists. Healthcare (Basel) 2021; 9:healthcare9101336. [PMID: 34683016 PMCID: PMC8544538 DOI: 10.3390/healthcare9101336] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Revised: 09/28/2021] [Accepted: 10/04/2021] [Indexed: 11/16/2022] Open
Abstract
The provision of sexual and reproductive health (SRH) services is an important part of a community pharmacist’s role in many countries. However, such services are not traditionally provided by pharmacists in Japan. We surveyed the practice and attitudes regarding the provision of SRH services among Japanese community pharmacists with a focus on reproductive health (RH) topics. The participants were asked about the provision of RH services, attitudes toward their role as SRH providers, and self-reported confidence in providing education to patients on RH topics. We obtained 534 effective responses. About half of the participants reported providing RH services, and only 21% were involved in dispensing emergency contraception pills. Although the proportion of pharmacists providing education on these topics was considerably lower, about 80% recognized the importance of their role as SRH advisors. Confidence in providing patient education about RH topics depended on their experience in providing such services. Most participants were interested in additional SRH training (80%). Our results suggest that training programs could help to expand Japanese community pharmacists’ roles as SRH providers and increase their confidence in the education of patients. This study provides useful insights to expand pharmacists’ roles in Japan as providers of comprehensive SRH services.
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Affiliation(s)
- Shigeo Yamamura
- Faculty of Pharmaceutical Sciences, Josai International University, Gumyo 1, Togane, Chiba 283-8555, Japan;
- Correspondence: ; Tel.: +81-475-53-4583
| | - Tomoko Terajima
- Faculty of Pharmaceutical Sciences, Josai International University, Gumyo 1, Togane, Chiba 283-8555, Japan;
| | - Javiera Navarrete
- Faculty of Pharmacy and Pharmaceutical Sciences, College of Health Sciences, University of Alberta, Edmonton, AB T6G 2H1, Canada; (J.N.); (C.A.H.); (N.Y.); (T.J.S.)
| | - Christine A. Hughes
- Faculty of Pharmacy and Pharmaceutical Sciences, College of Health Sciences, University of Alberta, Edmonton, AB T6G 2H1, Canada; (J.N.); (C.A.H.); (N.Y.); (T.J.S.)
| | - Nese Yuksel
- Faculty of Pharmacy and Pharmaceutical Sciences, College of Health Sciences, University of Alberta, Edmonton, AB T6G 2H1, Canada; (J.N.); (C.A.H.); (N.Y.); (T.J.S.)
| | - Theresa J. Schindel
- Faculty of Pharmacy and Pharmaceutical Sciences, College of Health Sciences, University of Alberta, Edmonton, AB T6G 2H1, Canada; (J.N.); (C.A.H.); (N.Y.); (T.J.S.)
| | - Tatta Sriboonruang
- Faculty of Pharmaceutical Sciences, Chulalongkorn University, Bangkok 10330, Thailand; (T.S.); (P.A.); (C.P.)
| | - Puree Anantachoti
- Faculty of Pharmaceutical Sciences, Chulalongkorn University, Bangkok 10330, Thailand; (T.S.); (P.A.); (C.P.)
| | - Chanthawat Patikorn
- Faculty of Pharmaceutical Sciences, Chulalongkorn University, Bangkok 10330, Thailand; (T.S.); (P.A.); (C.P.)
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