DMPA-SC in Pharmacies and Drug Shops John Stanback, FHI 360 Tuesday, January 31, 2017 Increasing Access to Next Generation Injectables

Increasing Access to Next Generation Injectables - January 30 - February 2, 2017 - Dakar, Senegal

Global status of FP in drug shopS AM or EJ? can’t recall

What is the status of DMPA-SC in pharmacies and drug shops? Injectable contraceptives commonly sold in retail outlets in many countries DMPA-SC beginning to appear in a small number of countries Few countries include pharmacies in their FP planning (Even fewer include drug shops) DMPA-SC has great potential for retail sales and provision

Advantages of pharmacies and drug shops First stop for care Overlooked provider of FP Drug shops reach the poor and rural Many drug shop operators have clinical training Member of community, youth friendly Research and experience demonstrate drug shops can provide quality services

What should countries consider? Relative risk of providing DMPA-SC in pharmacies and drug shops versus… Risk of unintended pregnancy How can your country harness the potential of pharmacies and drug shops? Is DMPA already socially marketed? Is it low-priced Is a prescription required? Can pharmacists inject? Can other qualified operators inject? Referrals?

Policies that can increase access Loosen or remove prescription requirement Allow pharmacists to inject Allow qualified non-pharmacists to inject Task sharing policies “Tiered accreditation” Train drug shop operators as CHWs Home / self-injection

Merci !