Pharmacy worker practices related to use of misoprostol for abortion in one Mexican state

摘要: Abstract Background Pharmacies are important sites for access to health information and medications in Mexico. Most workers not trained issues may provide inaccurate consumers. Misoprostol is used by women throughout Mexico early abortion often purchased from pharmacies. This study aims understand the practices of pharmacy when asked advice about abortion, particular misoprostol. Study Design A random sample pharmacies both urban rural areas one state included chain independent ( n =169). Two mystery clients (MCs) visited pharmacies, requesting medication “bringing down period” then asking MCs recorded interactions following each visit standardized formats. Bivariate comparisons were made between spontaneous prompted discussions Associations considered statistically significant at α Results Ninety percent attending discussed misoprostol as an abortifacient, either spontaneously or after being MCs. was sale most (61%) these The majority (75%) did request a prescription. Over 75% all provided referral medical providers with whom they could seek follow-up visit. Sixteen suggested regimen consistent evidence recommendations using abortion. Regimens that underdosages common, few recommended potentially harmful overdosage. Instructions side effects risks rare. price ranged 900 1800 pesos (US$83–167) bottle 28 tablets (200 mcg each) US$4.07 per tablet, on average. Conclusions Pharmacy increasingly becoming aware effective abortifacient willing However, their limited inaccurate. Strategies need be developed so receive timely correct information, evidence-based recommendations. legal context (with restrictions every state, except City), restricted registration therapeutic agent only gastric ulcers fact among barriers advances training application