Provision of emergency hormonal contraception through community pharmacies in a rural area.
OBJECTIVE
The provision of emergency hormonal contraception (EHC) through community pharmacies was introduced in Hambleton and Richmondshire, North Yorkshire, UK in December 2001 to contribute to the Teenage Pregnancy Strategy. The study aimed to establish how well the service is used, whether it is reaching the original target group, why people use the service and where it is accessed.


METHODS
This was a descriptive study conducted in a rural primary care trust.


RESULTS
From 1 January 2001 to 31 December 2003, there were 1412 pharmacy consultations for EHC and 1260 courses of EHC provided. General practitioner (GP) prescribing of EHC decreased but there was an overall increase in provision of EHC from pharmacies, GPs, family planning clinics, and accident and emergency departments. By December 2003, community pharmacies had become the largest provider of EHC.


CONCLUSIONS
The supply of EHC through community pharmacies provided clients with wider choice and improved access to services, which resulted in increased overall provision of EC in this rural area.
Lloyd
Kate
K
Public Health Directorate, Hambleton and Richmondshire Primary Care Trust, Thirsk, UK. kate.lloyd@hambrichpct.nhs.uk
Gale
Edward
E
D000293:Adolescent; D000328:Adult; D003283:Contraceptives, Postcoital, Synthetic / Q000600:supply & distribution*; D003376:Counseling; D003695:Delivery of Health Care / Q000458:organization & administration*; D005260:Female; D006297:Health Services Accessibility / Q000458:organization & administration*; D006801:Humans; D016912:Levonorgestrel / Q000600:supply & distribution*; D010594:Pharmacies / Q000706:statistics & numerical data*; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000517:prevention & control; D019035:Rural Health Services; D012424:Rural Population; D006113:United Kingdom
D003283:Contraceptives, Postcoital, Synthetic; D016912:Levonorgestrel