{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T06:12:02Z","timestamp":1791871922327,"version":"4.3.4"},"reference-count":35,"publisher":"BMJ","issue":"2","funder":[{"name":"Canadian Institutes for Health Research-Public Health Agency of Canada Applied Public Health Chair","award":["2014-2024"],"award-info":[{"award-number":["2014-2024"]}]},{"name":"Canadian Institutes for Health Research-Public Health Agency of Canada Applied Public Health Chair","award":["CPP-329455-107837"],"award-info":[{"award-number":["CPP-329455-107837"]}]},{"DOI":"10.13039\/100015539","name":"Australian Government","doi-asserted-by":"publisher","award":["Research Training Program"],"award-info":[{"award-number":["Research Training Program"]}],"id":[{"id":"10.13039\/100015539","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1143492"],"award-info":[{"award-number":["1143492"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Sex Reprod Health"],"accepted":{"date-parts":[[2022,10,22]]},"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Across most of Australia, the role of community pharmacists in contraceptive care has been unchanged since 2004. To understand their current scope of practice and potential for practice advancements, we examined community pharmacists\u2019 contraceptive knowledge and their attitudes, practices and perceived barriers to and benefits of contraceptive counselling provision.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A nationwide postal survey was conducted between September and December 2020. We contacted a state\/territory-stratified sample of 2149 community pharmacies and limited eligibility to one pharmacist per pharmacy. Summary statistics of respondent characteristics and parametric (\u03c7<jats:sup>2<\/jats:sup>, linear regression) and non-parametric (Mann-Whitney, logistic regression) tests were computed for the outcomes: practices, knowledge (reported and tested), confidence, attitudes, barriers and benefits.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Eligible responses were received from 366 pharmacies (19%). Pharmacists\u2019 median age was 34. Most (85% of) pharmacists agreed that contraceptive counselling fits within their current professional activities and emphasised benefits to their patients, including improved access to contraceptive decision support (80%), as being key motivators of counselling. A lack of payment mechanisms (66%), training opportunities (55%) and technical assistance tools (54%) were the most important barriers. Self-rated knowledge and confidence were highest for combined oral contraceptive pills and lowest for the copper intrauterine device (IUD). When tested, pharmacists were very knowledgeable about method, dosage, frequencies and costs, and relatively less knowledgeable about side-effects and IUD suitability for adolescents.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Community pharmacists provide contraceptive information and counselling but lack the necessary resources and support to be able to consistently provide quality, person-centred care. Remuneration mechanisms, training opportunities and pharmacy-specific professional resources need to be explored.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsrh-2022-201623","type":"journal-article","created":{"date-parts":[[2022,11,21]],"date-time":"2022-11-21T09:20:14Z","timestamp":1669022414000},"page":"87-96","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Improving access to quality contraceptive counselling in community pharmacy: examining the knowledge, attitudes and practices of community pharmacists in Australia"],"prefix":"10.1136","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9166-9719","authenticated-orcid":false,"given":"Pip Louise Maria","family":"Buckingham","sequence":"first","affiliation":[{"name":"Monash University Department of General Practice, Notting Hill, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Safeera","family":"Hussainy","sequence":"additional","affiliation":[{"name":"Monash University Department of General Practice, Notting Hill, Victoria, Australia"},{"name":"Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Soon","sequence":"additional","affiliation":[{"name":"The University of British Columbia Faculty of Pharmaceutical Sciences, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4340-7882","authenticated-orcid":false,"given":"Wendy V","family":"Norman","sequence":"additional","affiliation":[{"name":"Dept of Family Practice, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada"},{"name":"Public Health, Environments and Society, London School of Hygiene and Tropical Medicine Faculty of Public Health and Policy, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1035-7110","authenticated-orcid":false,"given":"Deborah","family":"Bateson","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health, The University of Sydney, The Daffodil Centre, Sydney, New South Wales, Australia"},{"name":"Family Planning New South Wales, Ashfield, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6158-7376","authenticated-orcid":false,"given":"Danielle","family":"Mazza","sequence":"additional","affiliation":[{"name":"Monash University Department of General Practice, Notting Hill, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,11,21]]},"reference":[{"key":"2025090511301255000_49.2.87.1","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1177\/17151635211018716","article-title":"\"Now what?!\" A practice tool for pharmacist-driven options counselling for unintended pregnancy","volume":"154","author":"Rebi\u0107","year":"2021","journal-title":"Can Pharm J"},{"key":"2025090511301255000_49.2.87.2","doi-asserted-by":"crossref","first-page":"1585","DOI":"10.1016\/S0140-6736(20)31785-2","article-title":"Use of effective contraception following provision of the progestogen-only pill for women presenting to community pharmacies for emergency contraception (Bridge-It): a pragmatic cluster-randomised crossover trial","volume":"396","author":"Cameron","year":"2020","journal-title":"Lancet"},{"key":"2025090511301255000_49.2.87.3","doi-asserted-by":"crossref","first-page":"647.e1","DOI":"10.1016\/j.ajog.2021.06.089","article-title":"Association of pharmacist prescription and 12-month contraceptive continuation rates","volume":"225","author":"Rodriguez","year":"2021","journal-title":"Am J Obstet Gynecol"},{"key":"2025090511301255000_49.2.87.4","unstructured":"The World Health Organization . Task sharing to improve access to family planning\/contraception. Geneva, Switzerland, 2017. WHO. Available: https:\/\/www.who.int\/reproductivehealth\/publications\/task-sharing-access-fp-contraception\/en\/ [Accessed 12 Mar 2021]."},{"key":"2025090511301255000_49.2.87.5","doi-asserted-by":"crossref","DOI":"10.4081\/gh.2015.358","article-title":"Spatial access disparities to primary health care in rural and remote Australia","volume":"10","author":"McGrail","year":"2015","journal-title":"Geospat Health"},{"key":"2025090511301255000_49.2.87.6","unstructured":"Kang M , Robards F , Sanci L . Access 3: young people and the health system in the digital age - final research report. Australia: Department of General Practice Westmead, The University of Sydney and Australian Centre for Public and Population Health Research, The University of Technology Sydney, 2015. https:\/\/www.uts.edu.au\/sites\/default\/files\/2019-04\/Access%203_young%20people%20and%20the%20health%20system%20in%20the%20digital%20age.pdf"},{"key":"2025090511301255000_49.2.87.7","unstructured":"Australian Medical Association (AMA) . AMA submission to the therapeutic goods administration \u2013 proposed amendments to the poisons standard \u2013 June 2021 \u2013 oral contraceptives, 2021. Australian Medical Association. Available: https:\/\/www.ama.com.au\/sites\/default\/files\/2021-06\/AMA%20submission%20to%20the%20TGA%20-%20proposed%20amendments%20to%20the%20Poisons%20Standard%20-%20June%202021%20proposals%20-%20oral%20contraceptives%20-%20FINAL.pdf [Accessed 20 Mar 2021]."},{"key":"2025090511301255000_49.2.87.8","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2021-201132"},{"key":"2025090511301255000_49.2.87.9","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2021-201104"},{"key":"2025090511301255000_49.2.87.10","unstructured":"Pharmaceutical Society of Australia . Non-prescription medicine treatment guideline: emergency contraception, 2022. PSA. Available: https:\/\/my.psa.org.au\/s\/article\/Non-prescription-medicine-treatment-guideline-Emergency-contraception [Accessed 05 May 2022]."},{"key":"2025090511301255000_49.2.87.11","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1016\/j.contraception.2018.04.020","article-title":"Emergency contraception supply in Australian pharmacies after the introduction of ulipristal acetate: a mystery shopping mixed-methods study","volume":"98","author":"Collins","year":"2018","journal-title":"Contraception"},{"key":"2025090511301255000_49.2.87.12","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/j.contraception.2010.06.003","article-title":"Pharmacy access to the emergency contraceptive pill: a national survey of a random sample of Australian women","volume":"83","author":"Hobbs","year":"2011","journal-title":"Contraception"},{"key":"2025090511301255000_49.2.87.13","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2010.07.001"},{"key":"2025090511301255000_49.2.87.14","doi-asserted-by":"crossref","unstructured":"Saha SK , Kong DCM , Thursky K . Antimicrobial stewardship by Australian community pharmacists: uptake, collaboration, challenges, and needs. J Am Pharm Assoc 2020.doi:10.1016\/j.japh.2020.10.014","DOI":"10.1016\/j.japh.2020.10.014"},{"key":"2025090511301255000_49.2.87.15","unstructured":"Pharmacy Board of Australia . Registrant Data Australia: Pharmacy Board of Australia and Australian Health Practitioner Regulation Agency, 2021. Available: https:\/\/www.pharmacyboard.gov.au\/about\/statistics.aspx [Accessed 18 Oct 2021]."},{"key":"2025090511301255000_49.2.87.16","doi-asserted-by":"crossref","first-page":"124","DOI":"10.3390\/pharmacy2010124","article-title":"Development of a survey to assess the acceptability of an innovative contraception practice among rural pharmacists","volume":"2","author":"Wong","year":"2014","journal-title":"Pharmacy"},{"key":"2025090511301255000_49.2.87.17","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.contraception.2015.03.013","article-title":"The acceptability of contraception task-sharing among pharmacists in Canada--the ACT-Pharm study","volume":"92","author":"Norman","year":"2015","journal-title":"Contraception"},{"key":"2025090511301255000_49.2.87.18","unstructured":"Rogers E . Diffusion of innovations. 5th ed. New York, NY, USA: Simon Schuster, 2003."},{"key":"2025090511301255000_49.2.87.19","unstructured":"Vanderbilt . National Institutes of Health, 2006. REDCap. Available: https:\/\/www.project-redcap.org\/ [Accessed 20 Oct 2021]."},{"key":"2025090511301255000_49.2.87.20","doi-asserted-by":"crossref","unstructured":"Dillman DA , Smyth JD , Christian LM . Internet, phone, mail, and mixed-mode surveys: the tailored design method. 4th ed. Hoboken, New Jersey: Wiley, 2014.","DOI":"10.1002\/9781394260645"},{"key":"2025090511301255000_49.2.87.21","unstructured":"Department of Health . Modified Monash model Canberra, 2021. Australian Government. Available: https:\/\/www.health.gov.au\/health-topics\/health-workforce\/health-workforce-classifications\/modified-monash-model [Accessed 20 Mar 2021]."},{"key":"2025090511301255000_49.2.87.22","unstructured":"Australian Bureau of Statistics . Census of population and housing: socio-economic indexes for areas (SEIFA), Australia, 2018. ABS. Available: https:\/\/www.abs.gov.au\/ausstats\/abs@.nsf\/Lookup\/by%20Subject\/2033.0.55.001~2016~Main%20Features~IRSD~19#:~:text=The%20Index%20of%20Relative%20Socio,only%20measures%20of%20relative%20disadvantage [Accessed 20 Mar 2021]."},{"key":"2025090511301255000_49.2.87.23","unstructured":"Department of Health . Health workforce locator Canberra, 2021. Australian Government. Available: https:\/\/www.health.gov.au\/resources\/apps-and-tools\/health-workforce-locator\/health-workforce-locator [Accessed 20 Mar 2021]."},{"key":"2025090511301255000_49.2.87.24","unstructured":"Stata . Stata 16 Texas, USA, 2019. StataCorp LLC. Available: https:\/\/www.stata.com\/stata16\/ [Accessed 20 Mar 2021]."},{"key":"2025090511301255000_49.2.87.25","unstructured":"Santos JRA . Cronbach\u2019s alpha: a tool for assessing the reliability of scales, 1999. JOE. Available: https:\/\/www.joe.org\/joe\/1999april\/tt3.php [Accessed 20 Mar 2021]."},{"key":"2025090511301255000_49.2.87.26","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1093\/ijpp\/riaa022","article-title":"Analysis of the demographics and characteristics of the Australian pharmacist workforce 2013\u20132018: decreasing supply points to the need for a workforce strategy","volume":"29","author":"Jackson","year":"2021","journal-title":"Int J Pharm Pract"},{"key":"2025090511301255000_49.2.87.27","doi-asserted-by":"crossref","first-page":"1673","DOI":"10.1016\/j.sapharm.2021.01.016","article-title":"Pharmacy-based initiatives to reduce unintended pregnancies: a scoping review","volume":"17","author":"Buckingham","year":"2021","journal-title":"Res Social Adm Pharm"},{"key":"2025090511301255000_49.2.87.28","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1111\/ajo.13021","article-title":"Hormonal contraceptive use in Australian women: who is using what?","volume":"59","author":"Skiba","year":"2019","journal-title":"Aust NZ J Obst Gynaeco"},{"key":"2025090511301255000_49.2.87.29","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.cptl.2019.10.005","article-title":"Pharmacist self-perception of readiness to prescribe hormonal contraception and additional training needs","volume":"12","author":"Stone","year":"2020","journal-title":"Curr Pharm Teach Learn"},{"key":"2025090511301255000_49.2.87.30","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1016\/j.sapharm.2017.10.001","article-title":"A multilevel stakeholder approach for identifying the determinants of implementation of government-funded community pharmacy services at the primary care level","volume":"14","author":"Hossain","year":"2018","journal-title":"Res Social Adm Pharm"},{"key":"2025090511301255000_49.2.87.31","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1016\/j.japh.2020.07.019","article-title":"Implementation of hormonal contraceptive furnishing in San Francisco community pharmacies","volume":"60","author":"Chen","year":"2020","journal-title":"J Am Pharm Assoc"},{"key":"2025090511301255000_49.2.87.32","doi-asserted-by":"crossref","first-page":"1157","DOI":"10.1016\/j.sapharm.2018.01.003","article-title":"Considering pharmacy workflow in the context of Australian community pharmacy: a pilot time and motion study","volume":"14","author":"Cavaye","year":"2018","journal-title":"Res Social Adm Pharm"},{"key":"2025090511301255000_49.2.87.33","unstructured":"Pharmaceutical Benefits Scheme . Seventh community pharmacy agreement (7CPA) Canberra, 2021. Department of health, Australian Government. Available: https:\/\/www.pbs.gov.au\/info\/general\/seventh-community-pharmacy-agreement [Accessed 23 Jun 2022]."},{"key":"2025090511301255000_49.2.87.34","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/j.contraception.2020.05.016","article-title":"Reasons for and experience in obtaining pharmacist prescribed contraception","volume":"102","author":"Rodriguez","year":"2020","journal-title":"Contraception"},{"key":"2025090511301255000_49.2.87.35","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1016\/j.neubiorev.2021.03.024","article-title":"Anxiety, depression, trauma-related, and sleep disorders among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis","volume":"126","author":"Marvaldi","year":"2021","journal-title":"Neurosci Biobehav Rev"}],"container-title":["BMJ Sexual &amp; Reproductive Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjsrh-2022-201623","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T18:52:56Z","timestamp":1757098376000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1136\/bmjsrh-2022-201623"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,21]]},"references-count":35,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023,4,11]]},"published-print":{"date-parts":[[2023,4]]}},"alternative-id":["10.1136\/bmjsrh-2022-201623"],"URL":"https:\/\/doi.org\/10.1136\/bmjsrh-2022-201623","relation":{},"ISSN":["2515-1991","2515-2009"],"issn-type":[{"value":"2515-1991","type":"print"},{"value":"2515-2009","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,21]]}}}