Staff and Users' Experiences of Pharmacy-Based Sexual and Reproductive Health Services: A Qualitative Interview Study from the UK

Overview

Journal Pharmacy (Basel)

Date 2020 Nov 6

PMID 33153148

Citations 1

Authors

Julia Gauly

Jonathan Ross

Joanne Parsons

Helen Atherton

Affiliations

Soon will be listed here.

Abstract

Since August 2015, a large range of sexual health and reproductive health services have been provided in more than 120 pharmacies across Birmingham (England). Our study aimed to explore how pharmacy staff and pharmacy users experience delivering or being provided with sexual health and reproductive health services. Between March and September 2019, semi-structured interviews were conducted with 15 pharmacy staff delivering sexual and reproductive health services and 15 people who had used a sexual and reproductive health service at the pharmacy. Interviews were analysed thematically. Pharmacy users found services convenient to use and were largely satisfied with pharmacy staff consultation skills. Staff were motivated to deliver the services, although some felt that they did not receive sufficient recognition for their work. Barriers to pharmacy-based sexual and reproductive health services were identified, including lack of privacy for users, lack of staff and user awareness of the services, lack of trained staff to deliver services and lack of capacity for copper coil insertions in females presenting for emergency contraception. The identification of barriers to effective service provision can be used to improve the delivery of sexual and reproductive health services in pharmacies and lead to a greater uptake.

Citing Articles

Uptake and User Characteristics for Pharmacy-Based Contraception and Chlamydia Treatment: A Quantitative Retrospective Study from the UK.

Gauly J, Atherton H, Ross J Pharmacy (Basel). 2021; 9(1).

PMID: 33802886 PMC: 8005973. DOI: 10.3390/pharmacy9010061.

References

Ryder H, Aspden T, Sheridan J . The Hawke's Bay Condom Card Scheme: a qualitative study of the views of service providers on increased, discreet access for youth to free condoms. Int J Pharm Pract. 2015; 23(6):381-9. DOI: 10.1111/ijpp.12178. View

Bearak J, Popinchalk A, Alkema L, Sedgh G . Global, regional, and subregional trends in unintended pregnancy and its outcomes from 1990 to 2014: estimates from a Bayesian hierarchical model. Lancet Glob Health. 2018; 6(4):e380-e389. PMC: 6055480. DOI: 10.1016/S2214-109X(18)30029-9. View

Famiyeh I, MacKeigan L, Thompson A, Kuluski K, McCarthy L . Exploring pharmacy service users' support for and willingness to use community pharmacist prescribing services. Res Social Adm Pharm. 2018; 15(5):575-583. DOI: 10.1016/j.sapharm.2018.07.016. View

Gauly J, Ross J, Hall I, Soda I, Atherton H . Pharmacy-based sexual health services: a systematic review of experiences and attitudes of pharmacy users and pharmacy staff. Sex Transm Infect. 2019; 95(7):488-495. DOI: 10.1136/sextrans-2019-054096. View

Marlow L, Waller J, Evans R, Wardle J . Predictors of interest in HPV vaccination: A study of British adolescents. Vaccine. 2009; 27(18):2483-8. DOI: 10.1016/j.vaccine.2009.02.057. View

Watson M, Silver K, Watkins R . How does the public conceptualise the quality of care and its measurement in community pharmacies in the UK: a qualitative interview study. BMJ Open. 2019; 9(3):e027198. PMC: 6475360. DOI: 10.1136/bmjopen-2018-027198. View

Aranda K, Coleman L, Sherriff N, Cocking C, Zeeman L, Cunningham L . Listening for commissioning: A participatory study exploring young people's experiences, views and preferences of school-based sexual health and school nursing. J Clin Nurs. 2017; 27(1-2):375-385. DOI: 10.1111/jocn.13936. View

Parker R, Bell A, Currie M, Deeks L, Cooper G, Martin S . 'Catching chlamydia': combining cash incentives and community pharmacy access for increased chlamydia screening, the view of young people. Aust J Prim Health. 2013; 21(1):79-83. DOI: 10.1071/PY12135. View

Deeks L, Cooper G, Currie M, Martin S, Parker R, Del Rosario R . Can pharmacy assistants play a greater role in public health programs in community pharmacies? Lessons from a chlamydia screening study in Canberra, Australia. Res Social Adm Pharm. 2013; 10(5):801-6. DOI: 10.1016/j.sapharm.2013.11.006. View

10.

Fejzic J, Barker M . Pharmacy practitioners' lived experiences of culture in multicultural Australia: From perceptions to skilled practice. PLoS One. 2019; 14(6):e0217673. PMC: 6584003. DOI: 10.1371/journal.pone.0217673. View

11.

Rowley J, Vander Hoorn S, Korenromp E, Low N, Unemo M, Abu-Raddad L . Chlamydia, gonorrhoea, trichomoniasis and syphilis: global prevalence and incidence estimates, 2016. Bull World Health Organ. 2019; 97(8):548-562P. PMC: 6653813. DOI: 10.2471/BLT.18.228486. View

12.

Hindi A, Jacobs S, Schafheutle E . Solidarity or dissonance? A systematic review of pharmacist and GP views on community pharmacy services in the UK. Health Soc Care Community. 2018; 27(3):565-598. DOI: 10.1111/hsc.12618. View

13.

Walker I, Leigh-Hunt N, Lee A . Redesign and commissioning of sexual health services in England - a qualitative study. Public Health. 2016; 139:134-140. DOI: 10.1016/j.puhe.2016.05.018. View

14.

Bradshaw M, Tomany-Korman S, Flores G . Language barriers to prescriptions for patients with limited English proficiency: a survey of pharmacies. Pediatrics. 2007; 120(2):e225-35. DOI: 10.1542/peds.2006-3151. View

15.

Gauly J, Atherton H, Kimani P, Ross J . Utilisation of pharmacy-based sexual and reproductive health services: a quantitative retrospective study. Sex Transm Infect. 2020; 97(2):126-133. PMC: 7892391. DOI: 10.1136/sextrans-2020-054488. View

16.

Dhital R, Whittlesea C, Norman I, Milligan P . Community pharmacy service users' views and perceptions of alcohol screening and brief intervention. Drug Alcohol Rev. 2010; 29(6):596-602. DOI: 10.1111/j.1465-3362.2010.00234.x. View

17.

Schwei R, Del Pozo S, Agger-Gupta N, Alvarado-Little W, Bagchi A, Chen A . Changes in research on language barriers in health care since 2003: A cross-sectional review study. Int J Nurs Stud. 2015; 54:36-44. PMC: 4943579. DOI: 10.1016/j.ijnurstu.2015.03.001. View

18.

van Loo I, Dukers-Muijrers N, Heuts R, van der Sande M, Hoebe C . Screening for HIV, hepatitis B and syphilis on dried blood spots: A promising method to better reach hidden high-risk populations with self-collected sampling. PLoS One. 2017; 12(10):e0186722. PMC: 5650165. DOI: 10.1371/journal.pone.0186722. View

19.

Downing S, Payze C, Doyle-Adams S, Gorton C . Emergency contraception over-the-counter: practices and attitudes of pharmacists and pharmacy assistants in far North Queensland. Aust N Z J Obstet Gynaecol. 2011; 51(6):527-31. DOI: 10.1111/j.1479-828X.2011.01347.x. View

20.

Hilverding A, DiPietro Mager N . Pharmacists' attitudes regarding provision of sexual and reproductive health services. J Am Pharm Assoc (2003). 2017; 57(4):493-497. DOI: 10.1016/j.japh.2017.04.464. View