Provision of the emergency contraceptive pill without prescription : attitudes and practices of pharmacists in Australia

Hussainy, Safeera Y., Stewart, Kay, Chapman, Colin B., Taft, Angela J., Amir, Lisa H., Hobbs, Melissa K., Shelley, Julia M. and Smith, Anthony M. 2011, Provision of the emergency contraceptive pill without prescription : attitudes and practices of pharmacists in Australia, Contraception, vol. 83, no. 2, pp. 159-166, doi: 10.1016/j.contraception.2010.07.001.

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Title Provision of the emergency contraceptive pill without prescription : attitudes and practices of pharmacists in Australia
Author(s) Hussainy, Safeera Y.
Stewart, Kay
Chapman, Colin B.
Taft, Angela J.
Amir, Lisa H.
Hobbs, Melissa K.
Shelley, Julia M.
Smith, Anthony M.
Journal name Contraception
Volume number 83
Issue number 2
Start page 159
End page 166
Total pages 8
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2011
ISSN 0010-7824
Keyword(s) emergency contraceptive pill
emergency contraception
emergency hormonal contraception
Summary Background : As 5 years have elapsed since the emergency contraceptive pill (ECP) was made available without prescription in Australia, information was sought about the current attitudes and practices of pharmacists in relation to their increased role in ECP provision.

Study Design :
A mail survey was implemented; questionnaires were distributed to 750 pharmacies across Australia during 2008-2009. Descriptive statistics were calculated and multiple logistic regression was used to examine factors associated with declining to dispense ECP.

Results :
Response rate was 29%. Most pharmacists used a protocol to guide ECP dispensing (77.3%) and the majority had declined ECP provision (75.1%) in certain circumstances. Many usually counselled where confidentiality could be assured (62.8%), and agreed that it is a pharmacist's role to counsel on regular contraception (81.9%). Factors significantly associated (p≤.05) with dispensing practices included pharmacists' attitudes towards acceptability of advance prescription, their age, gender and pharmacy accessibility.

Conclusions :
New information about Australian pharmacists' current attitudes and practices towards ECP dispensing was identified. Pharmacists had stronger, more conservative attitudes than overseas pharmacists; however, the issues that emerged were similar to those reported overseas. To address these, revised training for local pharmacists is recommended.
Language eng
DOI 10.1016/j.contraception.2010.07.001
Field of Research 111503 Clinical Pharmacy and Pharmacy Practice
Socio Economic Objective 920507 Women's Health
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2011, Elsevier
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Document type: Journal Article
Collections: Faculty of Health
School of Health and Social Development
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