Emergency contraception: consumption, profile of emergency contraceptive users and performance of the pharmacist in accessing the morning-after pill among women in Salvador/Bahia
contraceptive; pill; pharmacist; pharmacy; woman
Objectives: To know the profile of emergency contraceptive users and the performance of the pharmacist in accessing the morning-after pill among women in Salvador/Bahia. Methods: An observational, descriptive and cross-sectional study was conducted with women and pharmacists in the municipality of Salvador/BA, between November 2018 and September 2019. To achieve the objectives, an online semi-structured questionnaire was applied, through the Google Forms® Platform, with women between 15-49 years of age, residents of Salvador/BA, who have already declared the use of emergency contraceptives. And to collect the pharmacist’s performance profile, a face-to-face questionnaire was applied with Pharmacists working in Pharmacies and Drugstores in Salvador. Results: 216 women participated in the study, 51% were aged 23-29, 87% were single, 76% had completed or ongoing higher education, and 74% had family income between 2-5 minimum wages. Unprotected sexual intercourse was the most cited reason (60%) for using the morning-after pill, and all women purchased the drug from the private company. Among these, 39% of the participants reported irregular periods after the use of the morning-after pill. Only 17% of women reported being satisfied with the guidance they received at the time of purchasing the morning-after pill, and 43% were never served by a pharmacist when purchasing the medicine. As for pharmacists, 64% adequately consider inhibition of ovulation as the mechanism of action of the morning-after pill. Among pharmacists, 90% agree that the drug brings harmful effects to women’s reproductive health, 67% said they always guide consumers of emergency contraception, and 40% has already indicated its use. Conclusion: More than half of the participants in this study are single and have completed or ongoing higher education. Unprotected sexual intercourse was the most commonly cited reason for emergency contraceptive use, and irregularity in menstruation was the most common undesirable effect. In addition, there is a low rate of satisfaction among women with the guidance received by pharmacists. Most of them, in turn, know at least one mechanism of action of the morning-after pill and report providing guidance to women who purchase emergency contraception.