{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T12:05:38Z","timestamp":1765713938035},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,8,2]],"date-time":"2018-08-02T00:00:00Z","timestamp":1533168000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"The Society of Family Planning Research Fund"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine whether auxiliary nurse\u2010midwife provision of medical abortion in pharmacies was associated with reduced post\u2010abortion contraceptive use in Nepal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The present prospective observational study compared contraceptive use among women aged 16\u201345\u00a0years and up to 63\u00a0days of pregnancy, who presented at one of six privately\u2010owned pharmacies or six public health facilities in the Chitwan and Jhapa districts of Nepal for medical abortion between October 16, 2014, and September 1, 2015. Participants obtained medical abortions per Nepali protocol and completed a follow\u2010up visit and interview at 14\u201321\u00a0days. Effective contraceptive use was compared between abortion care settings using multivariable mixed effects logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 605 participants, 600 completed follow\u2010up at 14\u201321\u00a0days; 474 (79.0%) were using a contraceptive method, most commonly pills (180 [30.0%]) and injectables (175 [29.2%]), followed by condoms (82 [13.7%]), long\u2010acting reversible methods (33 [5.5%]), and sterilization (4 [0.7%]). Receipt of care from a private pharmacy was not associated with a difference in the use of hormonal or long\u2010acting methods (adjusted odd ratio 0.89, 95% confidence interval 0.60\u20131.33).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Medical abortion provision from pharmacies by qualified providers can provide women with necessary induced\u2010abortion care while not compromising longer\u2010term pregnancy prevention.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12595","type":"journal-article","created":{"date-parts":[[2018,7,11]],"date-time":"2018-07-11T03:26:39Z","timestamp":1531279599000},"page":"211-216","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Pharmacy access to medical abortion from trained providers and post\u2010abortion contraception in Nepal"],"prefix":"10.1002","volume":"143","author":[{"given":"Mahesh C.","family":"Puri","sequence":"first","affiliation":[{"name":"Center for Research on Environment Health &amp; Population Activities (CREHPA)  Kusunti, Lalitpur, Kathmandu Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia C.","family":"Harper","sequence":"additional","affiliation":[{"name":"Bixby Center for Global Reproductive Health Department of Obstetrics, Gynecology and Reproductive Sciences School of Medicine University of California, San Francisco  San Francisco CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dev","family":"Maharjan","sequence":"additional","affiliation":[{"name":"Center for Research on Environment Health &amp; Population Activities (CREHPA)  Kusunti, Lalitpur, Kathmandu Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maya","family":"Blum","sequence":"additional","affiliation":[{"name":"Bixby Center for Global Reproductive Health Department of Obstetrics, Gynecology and Reproductive Sciences School of Medicine University of California, San Francisco  San Francisco CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corinne H.","family":"Rocca","sequence":"additional","affiliation":[{"name":"Bixby Center for Global Reproductive Health Department of Obstetrics, Gynecology and Reproductive Sciences School of Medicine University of California, San Francisco  San Francisco CA USA"},{"name":"Advancing New Standards in Reproductive Health (ANSIRH) Department of Obstetrics, Gynecology and Reproductive Sciences School of Medicine University of California, San Francisco  Oakland CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,8,2]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Health worker roles in providing safe abortion care and post\u2010abortion contraception","author":"World Health 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