Emergency contraception supply in Australian pharmacies after the introduction of ulipristal acetate: a mystery shopping mixed-methods study

Contraception
Jack Charles CollinsRebekah Jane Moles

Abstract

To explore the supply of emergency contraception (EC) from Australian community pharmacies after the introduction of ulipristal acetate (UPA) and to explore pharmacists' knowledge, decision-making, attitudes and beliefs surrounding supplying EC. A mixed-methods approach of mystery shopping with structured interview was employed. From August to November 2017, 20 pharmacy students mystery-shopped 10 community pharmacies in metropolitan Sydney, Australia, requesting "the morning after pill." Each pharmacy was visited five times with varying scenarios. Structured interviews were conducted immediately postvisit. Visit data were analyzed descriptively and comparatively. Interviews were transcribed verbatim and categorically analyzed. Of 50 planned visits, 43 were analyzed. EC was supplied in 38 requests by pharmacists (54% male). Levonorgestrel (LNG) was more frequently supplied than UPA (74% vs. 26%). UPA was only supplied when intercourse occurred >72 h prior. Directions for use were provided in 35 supplies. No difference in questioning or counseling was found based on sex of requester. Female pharmacists provided more counseling points (MED=4 [IQR=4-5] vs. MED=3 [IQR=0-4]; p<.01). Two pharmacists asked all guideline questions, and...Continue Reading

Citations

Sep 19, 2020·International Journal of Environmental Research and Public Health·Bernhard LangerVanessa Wenig
Oct 28, 2018·BMC Research Notes·Andrea L Murphy, David M Gardner
Sep 10, 2020·Pharmacy : Journal of Pharmacy, Education and Practice·Jonathon ErtlLuke Bereznicki
Jun 20, 2020·BMJ Sexual & Reproductive Health·Anna GlasierUNKNOWN Trial steering committee
Aug 21, 2020·Research in Social & Administrative Pharmacy : RSAP·Paul Am Gregory, Zubin Austin
May 12, 2021·Research in Social & Administrative Pharmacy : RSAP·Jack C CollinsCarl R Schneider

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