{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T21:43:15Z","timestamp":1783460595776,"version":"3.55.0"},"reference-count":16,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Fam Plann Reprod Health Care"],"accepted":{"date-parts":[[2015,10,29]]},"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To assess pharmacy workers\u2019 knowledge and provision of abortion information and methods in Kenya.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>In 2013 we interviewed 235 pharmacy workers in Nairobi, Mombasa and Kisumu about the medical abortion services they provide. We also used mystery clients, who made 401 visits to pharmacies to collect first-hand information on abortion practices.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The majority (87.5%) of pharmacy workers had heard of misoprostol but only 39.2% had heard of mifepristone. We found that pharmacy workers had limited knowledge of correct medical abortion regimens, side effects and complications and the legal status of abortion drugs. 49.8% of pharmacy workers reported providing abortion information to clients and 4.3% reported providing abortion methods. 75.2% of pharmacies referred mystery clients to another provider, though 64.2% of pharmacies advised mystery clients to continue with their pregnancy. Pharmacy workers reported that they were experiencing demand for abortion services from clients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Pharmacy workers are important providers of information and referrals for women seeking abortion, however their medical abortion knowledge is limited. Training pharmacy workers on medical abortion may improve the quality of information provided and access to safe abortion.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jfprhc-2013-100821","type":"journal-article","created":{"date-parts":[[2016,7,7]],"date-time":"2016-07-07T09:07:24Z","timestamp":1467882444000},"page":"208-212","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":35,"title":["Pharmacy workers\u2019 knowledge and provision of medication for termination of pregnancy in Kenya"],"prefix":"10.1136","volume":"42","author":[{"given":"Kate","family":"Reiss","sequence":"first","affiliation":[{"name":"Researcher, Research, Monitoring and Evaluation Team, Health Systems Department, Marie Stopes International, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katharine","family":"Footman","sequence":"additional","affiliation":[{"name":"Research Consultant, Research, Monitoring and Evaluation Team, Health Systems Department, Marie Stopes International, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vitalis","family":"Akora","sequence":"additional","affiliation":[{"name":"Research Officer, Research, Monitoring and Evaluation Team, Marie Stopes Kenya, Nairobi, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilson","family":"Liambila","sequence":"additional","affiliation":[{"name":"Senior Programme Officer, Population Council, Nairobi, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thoai D","family":"Ngo","sequence":"additional","affiliation":[{"name":"Head of Research, Research, Monitoring and Evaluation Team, Health Systems Department, Marie Stopes International, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,2,11]]},"reference":[{"key":"2025090222014681000_42.3.208.1","unstructured":"World Health Organization. Unsafe Abortion: Global and Regional Estimates of the Incidence of Unsafe Abortion and Associated Mortality in 2008 (6th edn). 2008. http:\/\/whqlibdoc.who.int\/publications\/2011\/9789241501118_eng.pdf [accessed 23 December 2014]."},{"key":"2025090222014681000_42.3.208.2","doi-asserted-by":"crossref","unstructured":"Mumah J , Kabiru CW , Mukiira C , et al . Unintended pregnancies in Kenya: a country profile. STEP UP research report. Nairobi, Kenya: African Population and Health Research Center, 2014.","DOI":"10.31899\/rh4.1055"},{"key":"2025090222014681000_42.3.208.3","unstructured":"National Council for Law Reporting with the Authority of the Attorney General. The Constitution of Kenya. 2010. http:\/\/www.kenyaembassy.com\/pdfs\/TheConstitution of Kenya.pdf [accessed 23 December 2014]."},{"key":"2025090222014681000_42.3.208.4","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1016\/S0140-6736(10)62229-5","article-title":"Can midlevel health-care providers administer early medical abortion as safely and effectively as doctors? A randomised controlled equivalence trial in Nepal","volume":"377","author":"Warriner","year":"2011","journal-title":"Lancet"},{"key":"2025090222014681000_42.3.208.5","unstructured":"Beitz J . Increasing access to reproductive health services through pharmacists. Outlook 2004;21. http:\/\/www.path.org\/publications\/files\/EOL_21_2_sept04.pdf [accessed 23 December 2014]."},{"key":"2025090222014681000_42.3.208.6","doi-asserted-by":"publisher","DOI":"10.1057\/jphp.2012.11"},{"key":"2025090222014681000_42.3.208.7","unstructured":"Ong'ech J , Osur J , Makanyengo M , et al . The Status of Misoprostol Use in Kenya. Nairobi, Kenya: Ipas Africa Alliance and the National Health and Development Organization (NAHEDO), 2008."},{"key":"2025090222014681000_42.3.208.8","doi-asserted-by":"crossref","first-page":"419","DOI":"10.4314\/eamj.v85i9.117082","article-title":"Management of simulated patients with sexually transmitted infections by staff of retail pharmacies in Kibera slums of Nairobi","volume":"85","author":"Kwena","year":"2008","journal-title":"East Afr Med J"},{"key":"2025090222014681000_42.3.208.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2010.09.001"},{"key":"2025090222014681000_42.3.208.10","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1363\/3707511","article-title":"How often and under which circumstances do Mexican pharmacy vendors recommend misoprostol to induce an abortion?","volume":"37","author":"Lara","year":"2011","journal-title":"Int Perspect Sex Reprod Health"},{"key":"2025090222014681000_42.3.208.11","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(05)26215-8"},{"key":"2025090222014681000_42.3.208.12","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1016\/j.contraception.2008.12.011","article-title":"Pharmacy worker practices related to use of misoprostol for abortion in one Mexican state","volume":"79","author":"Billings","year":"2009","journal-title":"Contraception"},{"key":"2025090222014681000_42.3.208.13","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/S0968-8080(05)26195-5","article-title":"Medical abortion in rural Tamil Nadu, South India: a quiet transformation","volume":"13","author":"Ramachandar","year":"2005","journal-title":"Reprod Health Matters"},{"key":"2025090222014681000_42.3.208.14","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1016\/j.contraception.2006.05.068","article-title":"Pharmacy provision of medical abortifacients in a Latin American city","volume":"74","author":"Lara","year":"2006","journal-title":"Contraception"},{"key":"2025090222014681000_42.3.208.15","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.ijgo.2011.12.017","article-title":"Pharmacy workers\u2019 knowledge and provision of abortifacients in Ho Chi Minh City, Vietnam","volume":"117","author":"Ngo","year":"2012","journal-title":"Int J Gynaecol Obstet"},{"key":"2025090222014681000_42.3.208.16","unstructured":"Centre for Reproductive Rights. In Harm's Way: The Impact of Kenya's Restrictive Abortion law. 2010. http:\/\/reproductiverights.org\/sites\/crr.civicactions.net\/files\/documents\/InHarmsWay_2010.pdf [accessed 23 December 2014]."}],"container-title":["Journal of Family Planning and Reproductive Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jfprhc-2013-100821","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T05:01:59Z","timestamp":1756875719000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1136\/jfprhc-2013-100821"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,2,11]]},"references-count":16,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2016,7,7]]},"published-print":{"date-parts":[[2016,7]]}},"alternative-id":["10.1136\/jfprhc-2013-100821"],"URL":"https:\/\/doi.org\/10.1136\/jfprhc-2013-100821","relation":{},"ISSN":["1471-1893","2045-2098"],"issn-type":[{"value":"1471-1893","type":"print"},{"value":"2045-2098","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,2,11]]}}}