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Key Role of Drug Shops and Pharmacies for Family Planning in Urban Nigeria and Kenya

BACKGROUND: The Family Planning 2020 initiative aims to reach 120 million new family planning users by 2020. Drug shops and pharmacies are important private-sector sources of contraception in many contexts but are less well understood than public-sector sources, especially in urban environments. Thi...

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Autores principales: Corroon, Meghan, Kebede, Essete, Spektor, Gean, Speizer, Ilene
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Global Health: Science and Practice 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5199177/
https://www.ncbi.nlm.nih.gov/pubmed/28031299
http://dx.doi.org/10.9745/GHSP-D-16-00197
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author Corroon, Meghan
Kebede, Essete
Spektor, Gean
Speizer, Ilene
author_facet Corroon, Meghan
Kebede, Essete
Spektor, Gean
Speizer, Ilene
author_sort Corroon, Meghan
collection PubMed
description BACKGROUND: The Family Planning 2020 initiative aims to reach 120 million new family planning users by 2020. Drug shops and pharmacies are important private-sector sources of contraception in many contexts but are less well understood than public-sector sources, especially in urban environments. This article explores the role that drug shops and pharmacies play in the provision of contraceptive methods in selected urban areas of Nigeria and Kenya as well as factors associated with women's choice of where to obtain these methods. METHODS: Using data collected in 2010/2011 from representative samples of women in selected urban areas of Nigeria and Kenya as well as a census of pharmacies and drug shops audited in 2011, we examine the role of drug shops and pharmacies in the provision of short-acting contraceptive methods and factors associated with a women's choice of family planning source. RESULTS: In urban Nigeria and Kenya, drug shops and pharmacies were the major source for the family planning methods of oral contraceptive pills, emergency contraceptives, and condoms. The majority of injectable users obtained their method from public facilities in both countries, but 14% of women in Nigeria and 6% in Kenya obtained injectables from drug shops or pharmacies. Harder-to-reach populations were the most likely to choose these outlets to obtain their short-acting methods. For example, among users of these methods in Nigeria, younger women (<25 years old) were significantly more likely to obtain their method from a drug shop or pharmacy than another type of facility. In both countries, family planning users who had never been married were significantly more likely than married users to obtain these methods from a drug shop or a pharmacy than from a public-sector health facility. Low levels of family planning-related training (57% of providers in Kenya and 41% in Nigeria had received training) and lack of family planning promotional activities in pharmacies and drug shops in both countries indicate the need for additional support from family planning programs to leverage this important access point. CONCLUSIONS: Drug shops and pharmacies offer an important and under-leveraged mechanism for expanding family planning access to women in urban Nigeria and Kenya, and potentially elsewhere. Vulnerable and harder-to-reach groups such as younger, unmarried women and women who do not yet have children are the most likely to benefit from increased access to family planning at drug shops and pharmacies.
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spelling pubmed-51991772017-01-05 Key Role of Drug Shops and Pharmacies for Family Planning in Urban Nigeria and Kenya Corroon, Meghan Kebede, Essete Spektor, Gean Speizer, Ilene Glob Health Sci Pract Original Article BACKGROUND: The Family Planning 2020 initiative aims to reach 120 million new family planning users by 2020. Drug shops and pharmacies are important private-sector sources of contraception in many contexts but are less well understood than public-sector sources, especially in urban environments. This article explores the role that drug shops and pharmacies play in the provision of contraceptive methods in selected urban areas of Nigeria and Kenya as well as factors associated with women's choice of where to obtain these methods. METHODS: Using data collected in 2010/2011 from representative samples of women in selected urban areas of Nigeria and Kenya as well as a census of pharmacies and drug shops audited in 2011, we examine the role of drug shops and pharmacies in the provision of short-acting contraceptive methods and factors associated with a women's choice of family planning source. RESULTS: In urban Nigeria and Kenya, drug shops and pharmacies were the major source for the family planning methods of oral contraceptive pills, emergency contraceptives, and condoms. The majority of injectable users obtained their method from public facilities in both countries, but 14% of women in Nigeria and 6% in Kenya obtained injectables from drug shops or pharmacies. Harder-to-reach populations were the most likely to choose these outlets to obtain their short-acting methods. For example, among users of these methods in Nigeria, younger women (<25 years old) were significantly more likely to obtain their method from a drug shop or pharmacy than another type of facility. In both countries, family planning users who had never been married were significantly more likely than married users to obtain these methods from a drug shop or a pharmacy than from a public-sector health facility. Low levels of family planning-related training (57% of providers in Kenya and 41% in Nigeria had received training) and lack of family planning promotional activities in pharmacies and drug shops in both countries indicate the need for additional support from family planning programs to leverage this important access point. CONCLUSIONS: Drug shops and pharmacies offer an important and under-leveraged mechanism for expanding family planning access to women in urban Nigeria and Kenya, and potentially elsewhere. Vulnerable and harder-to-reach groups such as younger, unmarried women and women who do not yet have children are the most likely to benefit from increased access to family planning at drug shops and pharmacies. Global Health: Science and Practice 2016-12-23 /pmc/articles/PMC5199177/ /pubmed/28031299 http://dx.doi.org/10.9745/GHSP-D-16-00197 Text en © Corroon et al. http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly cited. To view a copy of the license, visit http://creativecommons.org/licenses/by/3.0/. When linking to this article, please use the following permanent link: http://dx.doi.org/10.9745/GHSP-D-16-00197
spellingShingle Original Article
Corroon, Meghan
Kebede, Essete
Spektor, Gean
Speizer, Ilene
Key Role of Drug Shops and Pharmacies for Family Planning in Urban Nigeria and Kenya
title Key Role of Drug Shops and Pharmacies for Family Planning in Urban Nigeria and Kenya
title_full Key Role of Drug Shops and Pharmacies for Family Planning in Urban Nigeria and Kenya
title_fullStr Key Role of Drug Shops and Pharmacies for Family Planning in Urban Nigeria and Kenya
title_full_unstemmed Key Role of Drug Shops and Pharmacies for Family Planning in Urban Nigeria and Kenya
title_short Key Role of Drug Shops and Pharmacies for Family Planning in Urban Nigeria and Kenya
title_sort key role of drug shops and pharmacies for family planning in urban nigeria and kenya
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5199177/
https://www.ncbi.nlm.nih.gov/pubmed/28031299
http://dx.doi.org/10.9745/GHSP-D-16-00197
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