{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T23:56:54Z","timestamp":1790553414403,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T00:00:00Z","timestamp":1756598400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T00:00:00Z","timestamp":1756598400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2026,3]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objective<\/jats:title>\n To evaluate aspects of information provision and counselling for medical abortion as provided through clinics compared with pharmacies.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Secondary analysis of data from two non\u2010randomised, non\u2010inferiority cohort studies.<\/jats:p>\n <\/jats:sec>\n \n Population<\/jats:title>\n Women seeking medical abortion at less than nine weeks gestational duration from either clinics or pharmacies in Cambodia and Ghana.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Descriptive statistics are reported separately by country, comparing clinic and pharmacy clients on medical abortion counselling and information provision outcomes.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measures<\/jats:title>\n Self\u2010reported detailed information on the counselling and information received at the point of medical abortion access, from the health provider (clinic) or the pharmacy provider (pharmacy).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Participants received more medical abortion information from clinician providers than from pharmacy workers in both countries. The largest differences between clinic and pharmacy participants were seen in providing information about expected bleeding (Cambodia: 98.1% in clinics vs. 57.9% in pharmacies,\n p<\/jats:italic>\n \u2009<\u20090.001; Ghana: 67.0% in clinics vs. 34.7% in pharmacies,\n p<\/jats:italic>\n \u2009<\u20090.001) and information about expected cramping (Cambodia: 98.9% in clinics vs. 82.7% in pharmacies,\n p<\/jats:italic>\n \u2009<\u20090.001; Ghana: 83.8% in clinics vs. 56.2% in pharmacies,\n p<\/jats:italic>\n \u2009<\u20090.001). Fewer pharmacy participants across both countries reported receiving information on circumstances during the abortion process when one should seek medical attention (Cambodia: 90.6% in clinics vs. 48.9% in pharmacies,\n p<\/jats:italic>\n \u2009<\u20090.001; Ghana: 90.8% in clinics vs. 79.1% in pharmacies,\n p<\/jats:italic>\n \u2009<\u20090.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Clinician providers in our study asked more questions related to medical eligibility and provided more information about the abortion process than pharmacists; however, almost all pharmacists provided information about how to take the regimen and some information about what to expect during the process. Pharmacists were less likely than clinicians to provide the clients with warning signs for which to seek medical care. Pharmacy interventions, including training, client\u2010facing information, and supportive policies, should be the focus of future research.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/1471-0528.18344","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T04:33:30Z","timestamp":1756701210000},"page":"638-646","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Assessing Information and Counselling Provision for Medical Abortion Care in Pharmacies Versus Clinics: Secondary Analysis of Two Non\u2010Inferiority Cohort Studies"],"prefix":"10.1111","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9602-3674","authenticated-orcid":false,"given":"Nathalie","family":"Kapp","sequence":"first","affiliation":[{"name":"Ipas Chapel Hill USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayaga A.","family":"Bawah","sequence":"additional","affiliation":[{"name":"Regional Institute for Population Studies (RIPS) University of Ghana Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bunsoth","family":"Mao","sequence":"additional","affiliation":[{"name":"University of Health Sciences Phnom Penh Cambodia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caesar","family":"Agula","sequence":"additional","affiliation":[{"name":"Regional Institute for Population Studies (RIPS) University of Ghana Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie L.","family":"Menzel","sequence":"additional","affiliation":[{"name":"Ipas Chapel Hill USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel K.","family":"Antobam","sequence":"additional","affiliation":[{"name":"Regional Institute for Population Studies (RIPS) University of Ghana Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick O.","family":"Asuming","sequence":"additional","affiliation":[{"name":"University of Ghana Business School (UGBS) University of Ghana Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vonthanak","family":"Saphonn","sequence":"additional","affiliation":[{"name":"University of Health Sciences Phnom Penh Cambodia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth","family":"Eckersberger","sequence":"additional","affiliation":[{"name":"Ipas Chapel Hill USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin E.","family":"Pearson","sequence":"additional","affiliation":[{"name":"Ipas Chapel Hill USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,31]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"World Health Organization \u201cAbortion Care Guideline [Internet] \u201d(2022) https:\/\/iris.who.int\/bitstream\/handle\/10665\/349316\/9789240039483\u2010eng.pdf?sequence=1."},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.16668"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2019.07.006"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2018-200060"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15922"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15684"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-067513"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(21)00461-7"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2020-200880"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2024.03.003"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/sifp.12049"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2017.08.002"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2023-201931"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-024-03137-5"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2022-201722"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2024.110538"},{"key":"e_1_2_10_18_1","unstructured":"World Health Organization \u201cGlobal Abortion Policies Database [Internet] \u201d(2018) https:\/\/abortion\u2010policies.srhr.org\/."},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-025-02500-8"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-019-4318-4"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.xagr.2021.100025"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0244969"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0278132"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/sifp.12151"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2022-201674"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.3389\/frph.2025.1472696"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004757"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2023.102347"},{"key":"e_1_2_10_29_1","unstructured":"About ACQTool [Internet] \u201cACQTool\u201d accessed October 7 2024 https:\/\/www.acqtool.org\/about\u2010acqtool\/."},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-034670"}],"container-title":["BJOG: An International Journal of Obstetrics & Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.18344","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1471-0528.18344","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.18344","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T23:47:04Z","timestamp":1790552824000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.18344"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,31]]},"references-count":29,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1111\/1471-0528.18344"],"URL":"https:\/\/doi.org\/10.1111\/1471-0528.18344","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,31]]},"assertion":[{"value":"2025-01-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}