{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T02:20:31Z","timestamp":1780626031650,"version":"3.54.1"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,3,6]],"date-time":"2018-03-06T00:00:00Z","timestamp":1520294400000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000278","name":"Department for International Development","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000278","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Studies in Family Planning"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We undertook a systematic review to assess 1) the level and quality of pharmacy and drug shop provision of medical abortion (MA) in low\u2010 and middle\u2010income countries (LMICs) and 2) interventions to improve quality of provision. We used standardized terms to search six databases for peer\u2010reviewed and grey literature. We double\u2010extracted data using a standardized template, and double\u2010graded studies for methodological quality. We identified 22 studies from 16 countries reporting on level and quality of MA provision through pharmacies and drug sellers, and three intervention studies. Despite widespread awareness and provision of MA drugs, even in legally restricted contexts, most studies found that pharmacy workers and drug sellers had poor knowledge of effective regimens. Evidence on interventions to improve pharmacy and drug shop provision of MA was limited and generally low quality, but indicated that training could be effective in improving knowledge. Programmatic attention should focus on the development and rigorous evaluation of innovative interventions to improve women's access to information about MA self\u2010management in low\u2010and middle\u2010income countries.<\/jats:p>","DOI":"10.1111\/sifp.12049","type":"journal-article","created":{"date-parts":[[2018,3,6]],"date-time":"2018-03-06T13:03:48Z","timestamp":1520341428000},"page":"57-70","source":"Crossref","is-referenced-by-count":91,"title":["Medical Abortion Provision by Pharmacies and Drug Sellers in Low\u2010 and Middle\u2010Income Countries: A Systematic Review"],"prefix":"10.1111","volume":"49","author":[{"given":"Katharine","family":"Footman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Keenan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Reiss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Reichwein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pritha","family":"Biswas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Church","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,3,6]]},"reference":[{"issue":"1","key":"e_1_2_7_2_1","first-page":"13","article-title":"Knowledge and inventory management of misoprostol for reproductive health services amongst community pharmacists in Anambra and Delta states of Nigeria","volume":"2","author":"Adinma E.","year":"2013","journal-title":"Afrimedic Journal"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2007.05.011"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.4314\/ebomed.v9i2.71688"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.12.011"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(92)90270-Z"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/sti.76.4.299"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2013.02.003"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0021932000019210"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01849540"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2008.12.016"},{"issue":"44","key":"e_1_2_7_12_1","first-page":"116","article-title":"Using a harm reduction lens to examine post\u2010intervention results of medical abortion training among Zambian pharmacists","volume":"22","author":"Fetters T.","year":"2015","journal-title":"Reproductive Health Matters"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(05)26215-8"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(95)00388-6"},{"issue":"6","key":"e_1_2_7_15_1","doi-asserted-by":"crossref","first-page":"203","DOI":"10.4269\/ajtmh.2007.77.203","article-title":"Medicine sellers and malaria treatment in sub\u2010Saharan Africa: What do they do and how can their practice be improved?","volume":"77","author":"Goodman C.","year":"2007","journal-title":"The American Journal of Tropical Medicine and Hygiene"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31533-1"},{"issue":"1","key":"e_1_2_7_17_1","article-title":"Quality of Misoprostol products","volume":"30","author":"Hall P.E.","year":"2016","journal-title":"WHO Drug Information"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2007.03.009"},{"key":"e_1_2_7_19_1","article-title":"Client\u2013pharmacy worker interactions regarding medical abortion in Zambia in 2009 and 2011","author":"Hendrickson C.","year":"2015","journal-title":"International Journal of Gynecology and Obstetrics"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2013.07.037"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2012.10.020"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2006.05.068"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1363\/3707511"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00704.x"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/tmi.12062"},{"issue":"3","key":"e_1_2_7_26_1","first-page":"92","article-title":"Over the counter sale of drugs for medical abortion\u2010 Knowledge, Attitude, and Practices of pharmacists of Delhi, India","volume":"6","author":"Mishra A.","year":"2016","journal-title":"International Journal of Pharmacological Research"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.15171\/ijhpm.2014.71"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2011.12.017"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0120637"},{"issue":"5","key":"e_1_2_7_30_1","article-title":"Availability and provision of abortifacients among pharmacies in a restricted Southeast Asian city","volume":"1","author":"Reiss K.","year":"2014","journal-title":"Journal of Pharmaceutical Care & Health Systems"},{"key":"e_1_2_7_31_1","first-page":"E72","article-title":"FCS35.8 Improving pharmacy workers\u2019 knowledge of misoprostol for menstrual regulation in Bangladesh: The effectiveness of training, detailing and call centre interventions","volume":"131","author":"Reiss K.","year":"2015","journal-title":"International Journal of Gynecology and Obstetrics"},{"key":"e_1_2_7_32_1","unstructured":"Reiss K. K.Keenan S.Dijkerman P.Choudhury S.Mitu S.Nuremowla andT.Ngo.2015b.P0277: Pharmacy provision of medication for menstrual regulation in Bangladesh: a national survey of knowledge and practice inXXI FIGO World Congress of Gynecology and Obstetrics. Vancouver: International Journal of Gynocology and Obstetrics 131 Suppl 5 E314\u2010E607 pp.E393\u2013E394."},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2013-100821"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-017-1394-5"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(14)70227-X"},{"key":"e_1_2_7_36_1","article-title":"Facility\u2010based treatment for medical complications resulting from unsafe pregnancy termination in the developing world, 2012: A review of evidence from 26 countries","author":"Singh S.","year":"2015","journal-title":"BJOG: An International Journal of Obstetrics & Gynaecology"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11096-009-9294-z"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1057\/jphp.2012.11"},{"issue":"44","key":"e_1_2_7_39_1","first-page":"104","article-title":"Pharmacy workers in Nepal can provide the correct information about using mifepristone and misoprostol to women seeking medication to induce abortion","volume":"22","author":"Tamang A.","year":"2015","journal-title":"Reproductive Health Matters"},{"key":"e_1_2_7_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(05)26194-3"},{"key":"e_1_2_7_41_1","article-title":"50% pharmacies unregistered","author":"Uzzal M.","year":"2014","journal-title":"Dhaka Tribune"},{"key":"e_1_2_7_42_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzq022"},{"key":"e_1_2_7_43_1","volume-title":"Unsafe Abortion: Global and Regional Estimates of the Incidence of Unsafe Abortion and Associated Mortality in 2008","author":"World Health Organization","year":"2011"},{"key":"e_1_2_7_44_1","volume-title":"Safe Abortion: Technical and Policy Guidance for Health Systems","author":"World Health Organization","year":"2012"},{"key":"e_1_2_7_45_1","unstructured":"Zamberlin N.2007. \u201cAcceso saberes y experiencias acerca del aborto con medicamentos: el circuito del misoprostol en la Ciudad de Buenos Aires\u201d [Knowledge and experience of accessing medical abortion: The circulation of misoprostol in the city of Buenos Aires]. Buenos Aires:s Ministerio de Salud Argentina"}],"container-title":["Studies in Family Planning"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fsifp.12049","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/sifp.12049","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,17]],"date-time":"2023-09-17T11:13:21Z","timestamp":1694949201000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/sifp.12049"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3]]},"references-count":44,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["10.1111\/sifp.12049"],"URL":"https:\/\/doi.org\/10.1111\/sifp.12049","archive":["Portico"],"relation":{},"ISSN":["0039-3665","1728-4465"],"issn-type":[{"value":"0039-3665","type":"print"},{"value":"1728-4465","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3]]}}}