Medical abortion provision by pharmacies and drug sellers in low-and middle-income countries : a systematic review
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We undertook a systematic review to assess 1) the level and quality of pharmacy and drug shop provision of medical abortion (MA) in low‐ and middle‐income countries (LMICs) and 2) interventions to improve quality of provision. We used standardized terms to search six databases for peer‐reviewed and grey literature. We double‐extracted data using a standardized template, and double‐graded studies for methodological quality. We identified 22 studies from 16 countries reporting on level and quality of MA provision through pharmacies and drug sellers, and three intervention studies. Despite widespread awareness and provision of MA drugs, even in legally restricted contexts, most studies found that pharmacy workers and drug sellers had poor knowledge of effective regimens. Evidence on interventions to improve pharmacy and drug shop provision of MA was limited and generally low quality, but indicated that training could be effective in improving knowledge. Programmatic attention should focus on the development and rigorous evaluation of innovative interventions to improve women's access to information about MA self‐management in low‐and middle‐income countries.
Footman , K , Keenan , K , Reiss , K , Reichwein , B , Biswas , P & Church , K 2018 , ' Medical abortion provision by pharmacies and drug sellers in low-and middle-income countries : a systematic review ' , Studies in Family Planning , vol. 49 , no. 1 , pp. 57-70 . https://doi.org/10.1111/sifp.12049
Studies in Family Planning
© 2018 The Authors. Studies in Family Planning published by The Population Council, Inc. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
DescriptionThis study was funded by the Strengthening Evidence for Programming on Unintended Pregnancy (STEP-UP) Research Consortium, which is funded by UKaid from the Department for International Development
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