Perceptions and practices of community pharmacists regarding emergency contraceptives in Jordan: A qualitative study

Dima Jum’Ah, Ammena Y. Binsaleh, Sireen AR. Shilbayeh, Abdulsalam Halboup, Rana Abu Farha

Abstract

This exploratory qualitative study examines the awareness, perceptions, and roles of Jordanian community pharmacists in providing emergency contraception. Twenty semi-structured interviews were conducted with pharmacists from two major governorates, exploring their counseling practices, knowledge of emergency contraceptives, product differences, concerns, and views on patient requests. Findings show that pharmacists' decisions are influenced by societal stigma, legal constraints, and personal beliefs, with market trends also affecting dispensing practices. The gap was evident in how pharmacists were short on knowing the variety of different types and approaches to emergency contraception. Patient initiative in seeking information significantly mattered and influenced how pharmacists responded to such situations. Also, they reported ethical dilemmas when they handled these medications. Pharmacies in Jordan are so intertwined with community, where people sought to seek pharmacists’ help in almost every occasion, proving ever strongly how it makes a difference whether the space is safe and supportive or not, especially for reproductive health issues. Our study highlighted where do we fall short and the need to design programs that fill the gaps in knowledge, perception, and practice.

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References

Batur P, Kransdorf LN and Casey PM. Emergency

Contraception. Mayo Clin Proc. 2016;91(6):802-807.

Morgan G, Keesbury J and Speizer I. Emergency

contraceptive knowledge and use among urban

women in Nigeria and Kenya. Studies in Family

Planning. 2014;45(1):59-72.

Kwame KA, Bain LE, Manu E and Tarkang EE. Use and

awareness of emergency contraceptives among

women of reproductive age in sub-Saharan Africa: a

scoping review. Contraception and Reproductive

Medicine. 2022;7(1):1.

Nona RA, Ray RA, Taylor SM and Glass BD. Knowledge,

attitudes, and practices of community pharmacists

providing over-the-counter emergency hormonal

contraception: a scoping review. International

Journal of Pharmacy Practice. 2024.

Sunny A, Varghese TP and Mary Varghese N. Knowledge,

Attitude, and Dispensing Practice of Emergency

Contraceptive Pills among Community Pharmacists:

A Cross-sectional Survey. Current Drug Therapy.

;19(3):354-359.

Nona RA, Ray RA, Taylor SM and Glass BD. Knowledge,

attitudes, and practices of community pharmacists

providing over-the-counter emergency hormonal

contraception: a scoping review. International

Journal of Pharmacy Practice. 2024:riae062.

Mittal S. Emergency contraception - potential for women's

health. The Indian journal of medical research.

;140 Suppl(Suppl 1):S45-52.

WHO. Preventing unsafe abortion: evidence brief. World

Health Organization;2019.

Sedgh G, Singh S and Hussain R. Intended and unintended

pregnancies worldwide in 2012 and recent trends.

Studies in family planning. 2014;45(3):301-314.

Rudzinski P, Lopuszynska I, Pazik D, Adamowicz D,

Jargielo A, Cieslik A, Kosieradzka K, Stanczyk J,

Meliksetian A and Wosinska A. Emergency

contraception - A review. Eur J Obstet Gynecol

Reprod Biol. 2023;291:213-218.

Haeger KO, Lamme J and Cleland K. State of emergency

contraception in the U.S., 2018. Contracept Reprod

Med. 2018;3:20.

AlHamawi R, Khader Y, Al Nsour M, AlQutob R and

Badran E. Family planning interventions in Jordan: A

scoping

review.

Womens Health (Lond).

;19:17455057231170977.

MOH. Family planning costed implementation plan (FP

CIP): 2020-2024. Ministry of Health 2024 2022.

Adaki AY and Moses AE. Awareness, Attitude and

Utilization of Emergency Contraceptives Among

Women in Ussa Local Government Area of Taraba

State, Nigeria. Int J Sci Res in Multidisciplinary

Studies Vol. 2024;10(10).

Gitonga E and Gage AJ. Modern contraceptive prevalence

and its predictors among non-refugee and refugee

Somali women in Nairobi city, Kenya; a comparative

view. Frontiers in Global Women's Health.

;5:1328612.

Muia E, Ellertson C, Lukhando M, Elul B, Clark S and

Olenja J. Emergency contraception in Nairobi, Kenya:

knowledge,

attitudes

and practices among

policymakers, family planning providers and clients,

and

university

;60(4):223-232.

students.

Contraception.

Yam EA, Gordon-Strachan G, McIntyre G, Fletcher H,

Garcia SG, Becker D and Ezcurra E. Jamaican and

Barbadian health care providers' knowledge, attitudes

and practices regarding emergency contraceptive

pills. International family planning perspectives.

:160-167.

WMA. World Medical Association Declaration of Helsinki:

ethical principles for medical research involving

human subjects. Jama. 2013;310(20):2191-2194.

El-Mowafi IM and Foster AM. Emergency contraception in

Jordan: Assessing retail pharmacists' awareness,

opinions, and perceptions of need. Contraception.

;101(4):261-265.

Wall LL and Brown D. Refusals by pharmacists to dispense

emergency contraception: a critique. Obstetrics and

gynecology. 2006;107(5):1148-1151.

Todd Zwillich TZ. US pharmacies vow to withhold

emergency

contraception.

;365(9472):1677-1678.

The

Lancet.

Nguyen TTX, Nguyen TTQ, Le LH and Dinh DX.

Knowledge, attitudes, and practices toward

emergency contraceptive pills among community

pharmacists and pharmacy customers: A cross

sectional study in urban Vietnam. Contraception.

;128:110275.

Barrense-Dias Y, Stadelmann S, Suris JC and Akre C. From

request to dispensation: how adolescent and young

adult females experience access to emergency

contraception in pharmacies. Eur J Contracept

Reprod Health Care. 2022;27(5):403-408.

Ebuehi OM, Ebuehi OA and Inem V. Health care providers'

knowledge of, attitudes toward and provision of

emergency contraceptives in Lagos, Nigeria.

International

family

;32(2):89-93.

planning

perspectives.

Zaami S, Signore F, Baffa A, Votino R, Marinelli E and Del

Rio A. Emergency contraception: unresolved clinical,

ethical and legal quandaries still linger. Panminerva

Med. 2021;63(1):75-85.

Schiavon R, Jiménez-Villanueva CH, Ellertson C and

Langer A. [Emergency contraception: a simple, safe,

effective and economical method for preventing

undesired pregnancy]. Revista de investigacion

clinica; organo del Hospital de Enfermedades de la

Nutricion. 2000;52(2):168-176.

Blanchard K, Harrison T and Sello M. Pharmacists'

knowledge and perceptions of emergency

contraceptive pills in Soweto and the Johannesburg

Central Business District, South Africa. International

family planning perspectives. 2005:172-178.

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