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    Using a Harm Reduction Lens to Examine Post-intervention Results of Medical Abortion Training among Zambian Pharmacists

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    Research article (822.9Kb)
    Publication Date
    2015-02-18
    Authors
    Fetters, Tamara
    Raisanen, Keris
    Mupeta, Stephen
    Malisikwanda, Isikanda
    Vwalika, Bellington
    Osur, Joachim
    Dijkerman, Sally
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    (7 total)
    Type
    Article, Journal
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    Citation

    Tamara Fetters, Keris Raisanen, Stephen Mupeta, Isikanda Malisikwanda, Bellington Vwalika, Joachim Osur & Sally Dijkerman (2014) Using a harm reduction lens to examine post-intervention results of medical abortion training among Zambian pharmacists, Reproductive Health Matters, 22:sup44, 116-124, DOI: 10.1016/S0968-8080(14)43794-7

    Abstract/Overview

    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. © 2015

    Subject/Keywords
    Medical abortion; Pharmacists; Harm reduction; Zambia
    Further Details

    © 2015 Reproductive Health Matters

    Publisher
    Reproductive Health Matters
    ISSN
    print-0968-8080; online-1460-9576
    Permalink
    https://repository.amref.ac.ke/handle/123456789/642
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    • General - GEN [355]

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