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

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

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

5. 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

6. 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

7. 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?

8. 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

12. Merci !