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Knowledge and provision of misoprostol among pharmacy workers in Senegal: a cross sectional study

Overview of attention for article published in BMC Pregnancy and Childbirth, July 2017
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Title
Knowledge and provision of misoprostol among pharmacy workers in Senegal: a cross sectional study
Published in
BMC Pregnancy and Childbirth, July 2017
DOI 10.1186/s12884-017-1394-5
Pubmed ID
Authors

Kate Reiss, Katharine Footman, Eva Burke, Nafissatou Diop, Ramatoulaye Ndao, Babacar Mane, Maaike van Min, Thoai D. Ngo

Abstract

Making misoprostol widely available for management of postpartum haemorrhage (PPH) and post abortion care (PAC) is essential for reducing maternal mortality. Private pharmacies (thereafter called "pharmacies") are integral in supplying medications to the general public in Senegal. In the case of misoprostol, pharmacies are also the main supplier to public providers and therefore have a key role in increasing its availability. This study seeks to understand knowledge and provision of misoprostol among pharmacy workers in Dakar, Senegal. A cross-sectional survey was conducted in Dakar, Senegal. 110 pharmacy workers were interviewed face-to-face to collect information on their knowledge and practice relating to the provision of misoprostol. There are low levels of knowledge about misoprostol uses, registration status, treatment regimens and side effects among pharmacy workers, and corresponding low levels of training on its uses for reproductive health. Provision of misoprostol was low; of the 72% (n = 79) of pharmacy workers who had heard of the product, 35% (n = 27) reported selling it, though rarely for reproductive health indications. Almost half (49%, n = 25) of the respondents who did not sell misoprostol expressed willingness to do so. The main reasons pharmacy workers gave for not selling the product included stock outs (due to product unavailability from the supplier), perceived lack of demand and unwillingness to stock an abortifacient. Knowledge and availability of misoprostol in pharmacies in Senegal is low, posing potential challenges for delivery of post-abortion care and obstetric care. Training is required to address low levels of knowledge of misoprostol registration and uses among pharmacy workers. Barriers that prevent pharmacy workers from stocking misoprostol, including weaknesses in the supply chain and stigmatisation of the product must be addressed. Low reported sales for reproductive health indications also suggest limited prescribing of the product by health providers. Further research is needed to explore the reasons for this barrier to misoprostol availability.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 87 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 87 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 19 22%
Researcher 14 16%
Student > Ph. D. Student 11 13%
Student > Bachelor 7 8%
Student > Doctoral Student 6 7%
Other 6 7%
Unknown 24 28%
Readers by discipline Count As %
Medicine and Dentistry 24 28%
Nursing and Health Professions 10 11%
Social Sciences 8 9%
Pharmacology, Toxicology and Pharmaceutical Science 6 7%
Agricultural and Biological Sciences 4 5%
Other 8 9%
Unknown 27 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 July 2017.
All research outputs
#14,816,244
of 22,985,065 outputs
Outputs from BMC Pregnancy and Childbirth
#2,849
of 4,227 outputs
Outputs of similar age
#184,668
of 313,820 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#69
of 94 outputs
Altmetric has tracked 22,985,065 research outputs across all sources so far. This one is in the 34th percentile – i.e., 34% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,227 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.8. This one is in the 31st percentile – i.e., 31% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 313,820 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 40th percentile – i.e., 40% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 94 others from the same source and published within six weeks on either side of this one. This one is in the 26th percentile – i.e., 26% of its contemporaries scored the same or lower than it.