加纳堕胎药的药房配药:药房工作人员和使用者的经验。

IF 3.4 3区 医学 Q1 FAMILY STUDIES
BMJ Sexual & Reproductive Health Pub Date : 2023-10-01 Epub Date: 2023-03-21 DOI:10.1136/bmjsrh-2022-201674
Mercy Nana Akua Otsin, Kirsten Black, Leesa Hooker, Angela J Taft
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引用次数: 0

摘要

背景:自我管理的药物流产通常是安全的;然而,药店提供堕胎药是违反加纳堕胎法的。然而,有证据表明,越来越多的女性使用堕胎药。人们对这项法律对药房发放堕胎药和使用这些药物后需要医院护理的女性的影响缺乏了解。这项研究旨在解决这一差距。方法:我们对8名药房工作人员和18名 服用堕胎药后寻求医院护理的妇女。研究参与者于2017年6月至2018年3月期间从加纳阿散蒂地区的私人药店和医院招募。我们使用现象学来分析数据。结果:结果表明,将药店的医疗堕胎护理定为犯罪并不能阻止堕胎,而是促使堕胎在没有监督的情况下提供。它还拒绝对药房工作人员进行医疗堕胎护理方面的正式培训,导致他们无法提供正确的剂量信息,在确定堕胎药的价格时使用自己的自由裁量权,以及向谁配药。对于女性来说,这导致了与提供者的互动有限,即使在药物价格过高的情况下,她们也无法坚持自己的权利。结论:由于越来越多的加纳妇女从药店使用药物流产药,尽管这是非法的,但理想的情况是通过药店合法提供药物流产药。考虑到这种情况可能不会在短期内发生,当务之急是提高药房工作人员的技能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pharmacy dispensing of abortion pills in Ghana: experiences of pharmacy workers and users.

Background: Self-managed medical abortions are generally safe; however, pharmacy provision of abortion pills is against the Ghanaian abortion law. Nevertheless, evidence shows increasing numbers of women use it. An understanding of the influence of the law on pharmacies dispensing abortifacients and women who needed hospital care after using these pills is lacking. This study aimed to address this gap.

Methods: We conducted 26 interviews with eight pharmacy workers and 18 women who sought hospital care after using abortion pills. Study participants were recruited from private pharmacies and hospitals within the Ashanti Region of Ghana between June 2017 and March 2018. We employed phenomenology in analysing the data.

Results: Results show that criminalising medical abortion care from pharmacies does not stop abortions but rather drives it to be provided without oversight. It also denied pharmacy workers formal training in medical abortion care, resulting in situations where they failed to provide correct dosage information, used their discretion in determining the price of abortifacients and to whom they would dispense the pills. For women, it contributed to limited interaction with providers and an inability to insist on their rights even in instances where the pills were sold at exorbitant prices.

Conclusions: Due to the increasing numbers of Ghanaian women using medical abortion pills from pharmacies, although it is illegal, the ideal would be for medical abortion pills to be made legally available through pharmacies. Given that this may not occur in the short term, an immediate solution would be to upskill pharmacy workers.

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来源期刊
BMJ Sexual & Reproductive Health
BMJ Sexual & Reproductive Health Medicine-Reproductive Medicine
CiteScore
5.10
自引率
6.10%
发文量
38
期刊介绍: BMJ Sexual & Reproductive Health is a multiprofessional journal that promotes sexual and reproductive health and wellbeing, and best contraceptive practice, worldwide. It publishes research, debate and comment to inform policy and practice, and recognises the importance of professional-patient partnership.
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