Emergency contraception in Jordan: Assessing retail pharmacists' awareness, opinions, and perceptions of need.

Abstract:

OBJECTIVES:Jordan has a robust contraceptive method mix in both the public and private sectors and oral contraceptive pills and the copper-T intrauterine device are widely available. However, Jordan remains one of only a few countries in the world without a registered dedicated product for emergency contraception (EC). We aimed to explore retail pharmacists' knowledge of and attitudes toward EC in six Jordanian governorates. STUDY DESIGN:In 2016, we conducted 100 structured interviews with pharmacists in both urban and rural areas regarding their EC knowledge and provision practices. We interviewed representatives from both chain and independently-owned pharmacies in purposively selected areas of the country. We analyzed interviews for content and themes using deductive and inductive techniques. RESULTS:Our findings reveal a lack of knowledge of all EC modalities as well as misinformation about effectiveness and protocols for use. However, after describing dedicated progestin-only EC pills, study participants expressed tremendous enthusiasm for a dedicated product and the overwhelming majority indicated that they would stock EC pills if and when they were registered. CONCLUSION:The private sector plays a major role in contraceptive service delivery in Jordan. Although pharmacists are not well-versed in post-coital contraception they appear interested in incorporating EC pills into the contraceptive method mix. Redoubling efforts to register a dedicated progestin-only EC pill and supporting initiatives to educate pharmacists about how to use available technologies as EC appear warranted. IMPLICATIONS:Lack of access to emergency contraception has significant implications for women, in general, and refugee and displaced populations in particular. Supporting efforts to incorporate EC pills into the contraceptive mix in Jordan is a first step in supporting adherence to global standards of care and could help address unmet contraceptive needs.

journal_name

Contraception

journal_title

Contraception

authors

El-Mowafi IM,Foster AM

doi

10.1016/j.contraception.2019.10.002

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

261-265

issue

4

eissn

0010-7824

issn

1879-0518

pii

S0010-7824(19)30435-4

journal_volume

101

pub_type

杂志文章
  • A 4-year follow-up study of women with Norplant-2 contraceptive implants.

    abstract::One-hundred-thirty of 178 women who received Norplant-2 implants were followed prospectively for 4 years. Menstrual disorders were the most common reason for discontinuation. Only one patient conceived, for a failure rate of 0.6%. ...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/s0010-7824(01)00265-7

    authors: Qin LH,Goldberg JM,Hao G

    更新日期:2001-11-01 00:00:00

  • Progestin-only pill use and pill switching during breastfeeding.

    abstract::The opinions of 20 international experts in reproductive endocrinology and family planning service delivery were solicited concerning contraceptive pill use during breastfeeding and, in particular, to determine whether the experts felt that breastfeeding women who use progestin-only pills (POPs) should be advised to s...

    journal_title:Contraception

    pub_type: 社论

    doi:10.1016/0010-7824(95)00076-m

    authors: Visness CM,Rivera R

    更新日期:1995-05-01 00:00:00

  • Effects of levonorgestrel-releasing subdermal contraceptive implants on bone density and bone metabolism.

    abstract::A prospective, randomized clinical trial observed the effects of Norplant long-term contraceptive implants and domestic implants similar to Norplant on bone mineral density and bone metabolism in female acceptors for 1 year. Bone mineral density (BMD) and bone mineral content (BMC) of lumbar 2-4 and proximal femur of ...

    journal_title:Contraception

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0010-7824(99)00080-3

    authors: Di X,Li Y,Zhang C,Jiang J,Gu S

    更新日期:1999-09-01 00:00:00

  • Quick start: novel oral contraceptive initiation method.

    abstract::Conventional oral contraceptive (OC) starting instructions require waiting until menses to begin the OC. The conventional approach requires detailed patient education about when to begin and also may require the use of less effective or less acceptable interim contraceptive protection until menses. At our urban family...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/s0010-7824(02)00351-7

    authors: Westhoff C,Kerns J,Morroni C,Cushman LF,Tiezzi L,Murphy PA

    更新日期:2002-09-01 00:00:00

  • Safety evaluation of a male injectable antifertility agent, styrene maleic anhydride, in rats.

    abstract::Injection of a polymer, styrene maleic anhydride (SMA), into the lumen of the vas deferens of rats, was observed to have effective and reversible contraception. The safety evaluation of the polymer, for 90 days, was carried out in Charles Foster male rats. There have been no significant changes in any of the toxicity ...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/s0010-7824(89)80010-1

    authors: Sethi N,Srivastava RK,Singh RK

    更新日期:1989-02-01 00:00:00

  • Clinical performance of the TCu 380A and Lippes Loop IUDs in three developing countries.

    abstract::The clinical performance of the Copper T 380A (TCu 380A) and the Lippes Loop intrauterine devices (IUDs) were evaluated for 12 months in a group of 710 women who had one of the two IUDs inserted. Results are from a randomized clinical trial conducted at three collaborating research sites located in three developing co...

    journal_title:Contraception

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1016/0010-7824(95)00119-u

    authors: Farr G,Amatya R,Acosta M,Ekwempu C,Kisninci H

    更新日期:1995-07-01 00:00:00

  • Prevalence of visible disruption of cervical epithelium and cervical ectopy in African women using Depo-Provera.

    abstract::Associations between Depo-Provera (injectable, progesterone-only contraceptive) use and visible disruption of cervical epithelium and cervical ectopy were investigated using data collected as part of a cervical cancer screening study in periurban Cape Town, South Africa. Women were interviewed about their contraceptiv...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/s0010-7824(99)00049-9

    authors: Kuhn L,Denny L,Pollack AE,Wright TC

    更新日期:1999-06-01 00:00:00

  • Efficacy and acceptability of testosterone implants, alone or in combination with a 5alpha-reductase inhibitor, for male hormonal contraception.

    abstract::Testosterone (T) treatment suppresses serum gonadotropins and reduces sperm output sufficiently for contraceptive efficacy in approximately 70% of Caucasian men. In the remaining 30% of men, an increase in 5alpha-reductase activity may maintain testicular androgen activity, thus accounting for the failure of sperm sup...

    journal_title:Contraception

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0010-7824(00)00139-6

    authors: McLachlan RI,McDonald J,Rushford D,Robertson DM,Garrett C,Baker HW

    更新日期:2000-08-01 00:00:00

  • Treating acne with oral contraceptives: use of lower doses.

    abstract::Oral contraceptives (OCs) have been shown to effectively treat acne. Clinical trials of various doses of ethinyl estradiol (EE) combined with progestins such as levonorgestrel, desogestrel, norgestimate, gestodene, cyproterone acetate and drospirenone in monophasic, triphasic and combiphasic formulations used to treat...

    journal_title:Contraception

    pub_type: 杂志文章,评审

    doi:10.1016/j.contraception.2005.07.010

    authors: Huber J,Walch K

    更新日期:2006-01-01 00:00:00

  • The effect of levonorgestrel-releasing intrauterine device on menorrhagia in women taking anticoagulant medication after cardiac valve replacement.

    abstract:BACKGROUND:This study was conducted to evaluate the effect of levonorgestrel-releasing intrauterine devices (LNG-IUDs) on menorrhagia in patients receiving anticoagulant therapy after cardiac valve replacement. STUDY DESIGN:Forty women with menorrhagia who underwent cardiac valve replacement and were taking anticoagul...

    journal_title:Contraception

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.contraception.2009.02.007

    authors: Kilic S,Yuksel B,Doganay M,Bardakci H,Akinsu F,Uzunlar O,Mollamahutoglu L

    更新日期:2009-08-01 00:00:00

  • The efficacy and acceptability of a low-dose levonorgestrel intravaginal ring for contraception in a UK cohort.

    abstract::The efficacy and acceptability of a levonorgestrel-releasing intravaginal ring (IVR) for contraception was assessed in a British cohort studied as part of a multicentre, multinational clinical trial performed under the auspices of the World Health Organisation. One-hundred-and-fifty women took part in the study in two...

    journal_title:Contraception

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1016/0010-7824(91)90040-m

    authors: Elder MG,Lawson JP,Elstein M,Nuttall ID

    更新日期:1991-02-01 00:00:00

  • Long-term effect of low-dose combined steroid contraceptives on body iron status.

    abstract::The present study was aimed to evaluate iron metabolism in active and healthy adult women having taken oral contraceptives (OC) long-term. Mean dietary iron intake in age-matched control and experimental groups was adequate. Serum ferritin used as a marker for body iron stores was marginal in both groups underlying a ...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(92)90005-e

    authors: Massé PG,Roberge AG

    更新日期:1992-09-01 00:00:00

  • Economic analysis of contraceptives for women.

    abstract:OBJECTIVE:To examine from the health care services payer perspective the economic consequences of contraceptives available to women in the United States. METHODS:A Markov model was constructed to compare effectiveness and costs among nine contraceptive methods (including 3-month injectable, oral contraceptives, intrau...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/s0010-7824(03)00078-7

    authors: Chiou CF,Trussell J,Reyes E,Knight K,Wallace J,Udani J,Oda K,Borenstein J

    更新日期:2003-07-01 00:00:00

  • Perceptions of intrauterine contraception among women seeking primary care.

    abstract:BACKGROUND:Intrauterine contraception (IUC) is safe, highly effective and has few medical contraindications. Primary care providers see many women with chronic conditions who might benefit from IUC. STUDY DESIGN:We surveyed women aged 18-50 who visited one of four primary care clinics in Pennsylvania between October 2...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2013.02.004

    authors: Callegari LS,Parisi SM,Schwarz EB

    更新日期:2013-08-01 00:00:00

  • Interference with ovulation and luteal function by human ovarian follicular fluid peptide in bonnet monkeys, Macaca radiata.

    abstract::Partially purified human ovarian follicular fluid peptide (hGF2) was administered during follicular phase in 5 bonnet monkeys. In control as well as hGF2-injected animals, ovulation was synchronized by treatment with FSH, Pergonal and hCG. All the 5 control bonnet monkeys showed plasma estradiol peak followed by incre...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(92)90060-7

    authors: Nandedkar TD,Shahid JK,Kholkute SD,Darpe MB,Moodbidri SB

    更新日期:1992-04-01 00:00:00

  • Clinicians' perceptions and provision of hormonal contraceptives for HIV-positive and at-risk women in Southern Africa: an original research article.

    abstract:OBJECTIVES:To assess clinician provision of hormonal contraception for HIV-positive and at-risk women in Southern Africa. STUDY DESIGN:We conducted a nationally representative survey of clinicians (n=1444) in HIV-prevalent settings in South Africa and Zimbabwe to evaluate evidence-based contraceptive care and clinicia...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2014.04.010

    authors: Blanchard K,Chipato T,Ramjee G,Nhemachena T,Harper CC,Provider Study Writing Comittee.

    更新日期:2014-10-01 00:00:00

  • Post-operative discomfort after ring or clip tubal ligation--is there any difference and do indomethacin suppositories help?

    abstract::One-hundred patients undergoing Falope ring or clip laparoscopic tubal ligation were given either a placebo or a 100 mg indomethacin rectal suppository one hour pre-operatively. Treatment was randomised and double-blind. Post-operative analgesic requirements and side effects were monitored. Forty-seven patients receiv...

    journal_title:Contraception

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0010-7824(90)90018-q

    authors: MacLennan AH,Rodrigues LV,Krutli DR,Klomp A

    更新日期:1990-09-01 00:00:00

  • The zoapatle. VI. Revisited.

    abstract::A review of new Zoapatle publications was made, including five chemical compounds characterized recently. Relative potency of Kaurenoic acid, Kauradienoic acid (its mixture), Zoapatanol and Montanol was estimated in an in vitro guinea pig uterine assay. Kaurene compounds were several times more potent than Montanol an...

    journal_title:Contraception

    pub_type: 杂志文章,评审

    doi:10.1016/0010-7824(85)90084-8

    authors: Gallegos AJ

    更新日期:1985-05-01 00:00:00

  • Fertility regulation in male rats and hamsters with alkylating agents.

    abstract::A single intratesticular injection of TEPA or Thio-TEPA induced a period of infertility lasting 1-2 months. Restoration of fertility was characterized by a reduction of the litter size resulting from the first inpregnation post-treatment. There was no evidence of tissue pathogenesis 6-12 months after treatment. ...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(80)90061-x

    authors: Howe GR,Steward R

    更新日期:1980-08-01 00:00:00

  • Contraception services for incarcerated women: a national survey of correctional health providers.

    abstract:BACKGROUND:Incarcerated women have had limited access to health care prior to their arrest. Although their incarceration presents an opportunity to provide them with health care, their reproductive health needs have been overlooked. STUDY DESIGN:We performed a cross-sectional study of a nationally representative sampl...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2009.05.126

    authors: Sufrin CB,Creinin MD,Chang JC

    更新日期:2009-12-01 00:00:00

  • Interaction of anticonvulsants and oral contraceptives in epileptic adolescents.

    abstract::Oral contraceptives are in widespread use, and are commonly prescribed for contraception in patients taking other medications. An example of this is the concomitant use of oral contraceptives and anticonvulsants in epileptic patients. This combination creates a potential for drug interactions which may alter the effic...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(85)90062-9

    authors: Diamond MP,Greene JW,Thompson JM,VanHooydonk JE,Wentz AC

    更新日期:1985-06-01 00:00:00

  • Endometrial histology and progesterone levels in women using norethindrone acetate implants for contraception.

    abstract::The effect of a single implant-D containing 40 mg of norethindrone acetate on the endometrium and serum progesterone, and its mode of contraceptive action was investigated. 20 women aged 20-40 (parity 1-5) had used implant-D for periods of 7-27 months. Endometrial biopsies and peripheral venous bloods were collected...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(78)90066-5

    authors: Takkar D,Jeyaseelan S,Kinra G,Laumas KR,Hingorani V

    更新日期:1978-02-01 00:00:00

  • Observations of scanning electron microscopy detected abnormalities of non-lubricated latex condoms.

    abstract::To describe surface abnormalities found by scanning electron microscopy of non-lubricated latex condoms, thirty samples of 15 condoms were photographed at low (26-94x), medium (240-940x) and high (> 1000x) magnification. Each sample was initially scanned at low magnification to determine the presence and location of s...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(95)00259-6

    authors: Rosenzweig BA,Even A,Budnick LE

    更新日期:1996-01-01 00:00:00

  • Results of a safety and feasibility study of the diaphragm used with ACIDFORM Gel or K-Y Jelly.

    abstract:BACKGROUND:New strategies are needed for preventing HIV infection in women. One potential approach is female-initiated use of an effective topical microbicidal gel in combination with a cervical barrier such as the diaphragm. STUDY DESIGN:Randomized, placebo-controlled safety and feasibility trial of diaphragm with va...

    journal_title:Contraception

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.contraception.2009.10.011

    authors: von Mollendorf CE,Van Damme L,Moyes JA,Rees VH,Callahan MM,Mauck CK,Puren AJ,Tweedy K,Taylor D

    更新日期:2010-03-01 00:00:00

  • Medications to ease intrauterine device insertion: a systematic review.

    abstract:BACKGROUND:Potential barriers to intrauterine device (IUD) use include provider concern about difficult insertion, particularly for nulliparous women. OBJECTIVE:This study aims to evaluate the evidence on the effectiveness of medications to ease IUD insertion on provider outcomes (i.e., ease of insertion, need for adj...

    journal_title:Contraception

    pub_type: 杂志文章,评审

    doi:10.1016/j.contraception.2016.06.014

    authors: Zapata LB,Jatlaoui TC,Marchbanks PA,Curtis KM

    更新日期:2016-12-01 00:00:00

  • The effects of spermicides containing nonoxynol-9 on cervical cytology.

    abstract:BACKGROUND:This analysis was undertaken to compare the effect of the different dosages and formulations of spermicides containing nonoxynol-9 (N-9) on cervical cytology. STUDY DESIGN:A randomized trial was conducted at 14 sites in the United States to evaluate the effectiveness and safety of five spermicides containin...

    journal_title:Contraception

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.contraception.2007.11.015

    authors: Halpern V,Rountree W,Raymond EG,Law M

    更新日期:2008-03-01 00:00:00

  • Efficacy of fennel and combined oral contraceptive on depot medroxyprogesterone acetate-induced amenorrhea: a randomized placebo-controlled trial.

    abstract:OBJECTIVES:We aimed to determine the efficacy of fennel and low-dose combined oral contraceptive (LD-COC) on inducing menstrual bleeding and method continuation in women using depot medroxyprogesterone acetate (DMPA) who had no menstrual bleeding within the previous 45 to 140 days. STUDY DESIGN:In this double-blind do...

    journal_title:Contraception

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.contraception.2014.05.001

    authors: Mohebbi-Kian E,Mohammad-Alizadeh-Charandabi S,Bekhradi R

    更新日期:2014-10-01 00:00:00

  • A randomized study over 13 cycles to assess the influence of oral contraceptives containing ethinylestradiol combined with drospirenone or desogestrel on carbohydrate metabolism.

    abstract::In this open-label, randomized study we compared the influence of a new oral contraceptive containing 30 microg ethinylestradiol and 3 mg drospirenone (Yasmin) with a reference preparation containing 30 microg ethinylestradiol and 150 microg desogestrel (Marvelon) on variables of carbohydrate metabolism by means of or...

    journal_title:Contraception

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0010-7824(02)00537-1

    authors: Gaspard U,Scheen A,Endrikat J,Buicu C,Lefebvre P,Gerlinger C,Heithecker R

    更新日期:2003-06-01 00:00:00

  • Absence of interceptive effect in rats treated with Solanum lycocarpum (St. Hil).

    abstract::The interceptive effect of the powder of Solanum lycocarpum (St. Hil) (Solanaceae) fruit, used as a hypoglycemic agent by diabetic patients in Minas Gerais state (Brazil), was evaluated to observe possible effects upon zygote and pre-embryo transport in rats, since it contains solamargine and solasonine from which a 3...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/s0010-7824(00)00188-8

    authors: Peters VM,Pinheiro NL,Reis JE,Guerra MO

    更新日期:2001-01-01 00:00:00

  • Emergency contraception in South Africa: knowledge, attitudes, and use among public sector primary healthcare clients.

    abstract::To determine knowledge of, attitudes toward, and use of emergency contraception (EC), interviews were held with 1068 clients of 89 public sector primary healthcare facilities in two urban and two rural areas of South Africa. Only 22.8% of the clients had heard of EC. Awareness was significantly lower in the most rural...

    journal_title:Contraception

    pub_type: 杂志文章,多中心研究

    doi:10.1016/s0010-7824(01)00272-4

    authors: Smit J,McFadyen L,Beksinska M,de Pinho H,Morroni C,Mqhayi M,Parekh A,Zuma K

    更新日期:2001-12-01 00:00:00