Evidence map›Paper›PMID 29508948›Full record

SynthesisStudies in family planning2018

Medical Abortion Provision by Pharmacies and Drug Sellers in Low- and Middle-Income Countries: A Systematic Review.

Katharine Footman, Katherine Keenan, Kate Reiss, Barbara Reichwein, Pritha Biswas, Kathryn Church

Abstract readSystematic Review
In one paragraph

Synthesis in Studies in family planning, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Medical abortion offered in pharmacy versus clinic-based settings.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Pooled it
  4. Self-administered versus provider-administered medical abortion.The Cochrane database of systematic reviews · 2020
    Pooled it
  5. Article
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  7. Article
  8. Quality of Medication Abortion Services From Pharmacies and Drugstores in Ethiopia: A Two-Stage Study.BJOG : an international journal of obstetrics and gynaecology · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
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  17. Article
  18. Article
  19. Article
  20. Haematometra arising from multiple abortions: a comprehensive case report.The Journal of international medical research · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Katharine Footman
Katherine Keenan
Kate Reiss
Barbara Reichwein
Pritha Biswas
Kathryn Church

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We undertook a systematic review to assess 1) the level and quality of pharmacy and drug shop provision of medical abortion (MA) in low- and middle-income countries (LMICs) and 2) interventions to improve quality of provision. We used standardized terms to search six databases for peer-reviewed and grey literature. We double-extracted data using a standardized template, and double-graded studies for methodological quality. We identified 22 studies from 16 countries reporting on level and quality of MA provision through pharmacies and drug sellers, and three intervention studies. Despite widespread awareness and provision of MA drugs, even in legally restricted contexts, most studies found that pharmacy workers and drug sellers had poor knowledge of effective regimens. Evidence on interventions to improve pharmacy and drug shop provision of MA was limited and generally low quality, but indicated that training could be effective in improving knowledge. Programmatic attention should focus on the development and rigorous evaluation of innovative interventions to improve women's access to information about MA self-management in low-and middle-income countries.

Indexed as

Abortifacient AgentsDeveloping CountriesHealth Knowledge, Attitudes, PracticeHumansPatient Education as TopicPharmaceutical ServicesQuality of Health CareAbortifacient Agents

Identifiers

PMID29508948
PMCPMC5947709

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.