Evaluation of the participation of community pharmacists in family planning services: A nonrandomized controlled trial

Background: Community pharmacists (CPs) are increasingly participating in family planning services (FPS) in different health systems but the underpinnings of effectiveness in these services remain poorly understood and rarely documented.Objectives This study examined knowledge, attitude and practice...

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Main Authors: Folukemi Bosede Aladenola, Kanayo Patrick Osemene, Romanus Maduabuchi Ihekoronye
Format: Article
Language:English
Published: Elsevier 2024-06-01
Series:Exploratory Research in Clinical and Social Pharmacy
Online Access:http://www.sciencedirect.com/science/article/pii/S2667276624000258
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author Folukemi Bosede Aladenola
Kanayo Patrick Osemene
Romanus Maduabuchi Ihekoronye
author_facet Folukemi Bosede Aladenola
Kanayo Patrick Osemene
Romanus Maduabuchi Ihekoronye
author_sort Folukemi Bosede Aladenola
collection DOAJ
description Background: Community pharmacists (CPs) are increasingly participating in family planning services (FPS) in different health systems but the underpinnings of effectiveness in these services remain poorly understood and rarely documented.Objectives This study examined knowledge, attitude and practice (KAP) of FPS among CPs and assessed the impact of an intervention on these indices.Methods: A nonrandomized controlled trial was conducted using two equivalent groups (n = 61 each) of randomly-selected CPs in Southwestern Nigeria. Intervention comprised a training package for the intervention group followed by a 2-month monitoring of participants' practices. Pre- and post-intervention data were collected using validated questionnaire and analyzed using appropriate descriptive (frequency, percentages, mean) and inferential statistics including chi-square test to examine association between categorical variables, and t-test to compare differences between means at alpha level of 0.05 for all statistical tests.Results: Pre-intervention knowledge of FPS in both groups was poor with no significant difference in their mean scores [t (120) = 0.34; p = 0.74]. Post-intervention, 79% of intervention group demonstrated good knowledge (controls remained poor), with significant difference in mean knowledge scores across the groups [t (120) = −33.59; p < 0.05*]. Pre-intervention attitude in both control (97%) and intervention group (95%) were negative. Post-intervention, 93% of intervention group exhibited positive attitude (controls remained negative), Mean difference 72.8 [t (120) = −77.21; p < 0.05*]. Preintervention practice scores were poor in control (92%) and intervention (90%) groups. Post-intervention, 83.6% of intervention group had good practice scores (controls remained poor), Mean difference 48.9 [t (120) = −31.0; p < 0.05*].Conclusion: Pre-intervention scores for KAP of FPS were poor among respondents. All the indices were significantly improved by the study intervention. Policy reforms are recommended to train CPs in the provision of FPS for enhanced reproductive health services.
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spelling doaj.art-97ffda0258d44eeeab3123a9382dd8a82024-03-17T07:59:13ZengElsevierExploratory Research in Clinical and Social Pharmacy2667-27662024-06-0114100430Evaluation of the participation of community pharmacists in family planning services: A nonrandomized controlled trialFolukemi Bosede Aladenola0Kanayo Patrick Osemene1Romanus Maduabuchi Ihekoronye2Ministry of Health, Akure, Ondo State, NigeriaDepartment of Clinical Pharmacy and Pharmacy Administration, Faculty of Pharmacy, Obafemi Awolowo University, Ile-Ife, NigeriaDepartment of Clinical Pharmacy and Pharmacy Administration, Faculty of Pharmacy, Obafemi Awolowo University, Ile-Ife, Nigeria; Corresponding author at: Department of Clinical Pharmacy and Pharmacy Administration, Faculty of Pharmacy, Obafemi Awolowo University, Ile-Ife, Nigeria.Background: Community pharmacists (CPs) are increasingly participating in family planning services (FPS) in different health systems but the underpinnings of effectiveness in these services remain poorly understood and rarely documented.Objectives This study examined knowledge, attitude and practice (KAP) of FPS among CPs and assessed the impact of an intervention on these indices.Methods: A nonrandomized controlled trial was conducted using two equivalent groups (n = 61 each) of randomly-selected CPs in Southwestern Nigeria. Intervention comprised a training package for the intervention group followed by a 2-month monitoring of participants' practices. Pre- and post-intervention data were collected using validated questionnaire and analyzed using appropriate descriptive (frequency, percentages, mean) and inferential statistics including chi-square test to examine association between categorical variables, and t-test to compare differences between means at alpha level of 0.05 for all statistical tests.Results: Pre-intervention knowledge of FPS in both groups was poor with no significant difference in their mean scores [t (120) = 0.34; p = 0.74]. Post-intervention, 79% of intervention group demonstrated good knowledge (controls remained poor), with significant difference in mean knowledge scores across the groups [t (120) = −33.59; p < 0.05*]. Pre-intervention attitude in both control (97%) and intervention group (95%) were negative. Post-intervention, 93% of intervention group exhibited positive attitude (controls remained negative), Mean difference 72.8 [t (120) = −77.21; p < 0.05*]. Preintervention practice scores were poor in control (92%) and intervention (90%) groups. Post-intervention, 83.6% of intervention group had good practice scores (controls remained poor), Mean difference 48.9 [t (120) = −31.0; p < 0.05*].Conclusion: Pre-intervention scores for KAP of FPS were poor among respondents. All the indices were significantly improved by the study intervention. Policy reforms are recommended to train CPs in the provision of FPS for enhanced reproductive health services.http://www.sciencedirect.com/science/article/pii/S2667276624000258
spellingShingle Folukemi Bosede Aladenola
Kanayo Patrick Osemene
Romanus Maduabuchi Ihekoronye
Evaluation of the participation of community pharmacists in family planning services: A nonrandomized controlled trial
Exploratory Research in Clinical and Social Pharmacy
title Evaluation of the participation of community pharmacists in family planning services: A nonrandomized controlled trial
title_full Evaluation of the participation of community pharmacists in family planning services: A nonrandomized controlled trial
title_fullStr Evaluation of the participation of community pharmacists in family planning services: A nonrandomized controlled trial
title_full_unstemmed Evaluation of the participation of community pharmacists in family planning services: A nonrandomized controlled trial
title_short Evaluation of the participation of community pharmacists in family planning services: A nonrandomized controlled trial
title_sort evaluation of the participation of community pharmacists in family planning services a nonrandomized controlled trial
url http://www.sciencedirect.com/science/article/pii/S2667276624000258
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