5184.0 Thinking Outside the Clinic: Expanding Service Delivery Options

Wednesday, October 29, 2008: 12:30 PM
Pharmacies and other commercial outlets represent an important source of reproductive health care. However, pharmacy settings may not always provide good quality services and information. In New York, a program was initiated to increase access to and awareness of Emergency Contraception (EC) through pharmacies and other outlets. The strategies used and the lessons learned during this endeavor will be shared in the first presentation. In many African countries, small private drug shops are the first stop for rural dwellers seeking health care. These are sometimes controversial, because drug shop operators are notorious for providing health services for which they are not qualified. The second panelist will examine illegal provision of Depo Provera in three rural districts in Uganda. Turning back to the US, a telephone survey was conducted in the rural Midwest to quantify providerís attitudes towards access to contraceptive products. The issues faced by providers offering contraceptive products will be presented. EC services are available both by prescription and over- the- counter in the US. The last two presentations will discuss how to promote pharmacies in the US as a point of access for reproductive health services and supplies.
Session Objectives: 1) Understand preliminary results of the project regarding EC distribution and provider education 2) Describe the reasons why drug shops are controversial in Africa 3) Discuss issues faced by providers in providing contraceptive products, particularly in rural areas 4) Understand barriers and strategies to implement/bring new clinical reproductive health services, beyond EC, to local pharmacies 5) Understand EC course content and curricula being taught at US pharmacy schools.

12:30 PM
Emergency Contraception Education and Outreach Project, New York City
Julia E. Kohn, MPA, Phoebe Browne, MPH, Nyanda Labor, MPH, Cristina Yunzal-Butler, PhD and Delia Easton, PhD
12:45 PM
Contraceptive Injections in Rural Drug Shops in Uganda
John Stanback, PhD, Martha Bekiita, Olivia Nakayiza and Conrad Otterness, MPH
1:00 PM
Consumers' attitudes towards physician and pharmacist roles in accessing contraceptive products
Karen B. Farris, PhD FAPhA, Natoshia M. Askelson, MPH, PhD, Erica L. Spies, MS, Mary L. Aquilino, MSN, PhD, FNP and Mary E. Losch, PhD
1:15 PM
Beyond EC: Access to reproductive health services in pharmacies - state level approaches and lessons learned
Nicole Monastersky Maderas, MPH, Sharon Cohen Landau, MPH and Ingrid Dries-Daffner, MPH

See individual abstracts for presenting author's disclosure statement and author's information.

Organized by: Population, Family Planning, and Reproductive Health
Endorsed by: Public Health Nursing, Socialist Caucus, School Health Education and Services

CE Credits: CME, Health Education (CHES), Nursing