ArticleBMJ open2020
Mixed-methods study on pharmacies as contraception providers to Kenyan young people: who uses them and why?
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 27 citations in OpenAlex.
- Increasing young people's use of sexual and reproductive health services in government health facilities in rural Kenya.PloS one · 2026Article
- Co-design of a digital health intervention to provide pharmacy-based, person-centered contraceptive decision support for youth in Kenya.PLOS global public health · 2026Article
- Inequities in effective coverage of family planning services in low- and middle-income countries: linking household and facility surveys.Journal of global health · 2025Article
- Exploring opportunities to enhance the quality of pharmacy-based contraceptive service delivery for adolescents and young women in Kenya: a multimethod qualitative study.BMC health services research · 2025Article
- Priorities for contraceptive method and service delivery attributes among adolescent girls and young women in Kenya: a qualitative study.Frontiers in reproductive health · 2024Article
- Assessing acceptability and effectiveness of a pleasure-oriented sexual and reproductive health chatbot in Kenya: an exploratory mixed-methods study.Sexual and reproductive health matters · 2023Article
- What do outlet's and provider's characteristics mean for family planning consumers? A comparative study of Kenya, Nigeria and Uganda.BMC women's health · 2023Article
- "So let me give you money, you give me what I want": decision-making priorities around contraceptive method and source choice among young women in Kenya.Reproductive health · 2023Article
- Understanding factors influencing home pregnancy test use among women in western Kenya: A qualitative analysis.Frontiers in reproductive health · 2023Article
- Differences in contraceptive prices between and within family planning outlets in urban and semiurban Nigeria: a prospective cohort study.AJOG global reports · 2022Article
- Perceptions of peer contraceptive use and its influence on contraceptive method use and choice among young women and men in Kenya: a quantitative cross-sectional study.Reproductive health · 2022Article
- Designing drug shops for young women in Tanzania: applying human-centred design to facilitate access to HIV self-testing and contraception.Health policy and planning · 2021Article
- Multiple Logistic Regression Model for Determinants of Injectable Contraceptive Uptake Among Women of Reproductive Age in Kenya.Journal of family & reproductive health · 2021Article
- Potentials and pitfalls of including pharmacies as youth-friendly contraception providers in low- and middle-income countries.BMJ sexual & reproductive health · 2021Article
- Emergency contraceptive utilization and associated factors among adolescents and young adults in Gulu East Division, Northern Uganda.Women's health (London, England)Article
- Willingness to Test for HIV and Initiate Post-exposure Prophylaxis Among Adolescent Girls and Young Women Seeking Emergency Contraceptive Pills in Pharmacies in Nairobi and Kisumu, Kenya: A Longitudinal Study.The Journal of the Association of Nurses in AIDS Care : JANACArticle
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 3 countries.
Funding
Abstract
objectivesThis study sought to answer two questions: (1) what are the characteristics of young Kenyans aged 18-24 who use contraception obtained at pharmacies, and (2) why are pharmacies appealing sources of contraception? DESIGN AND
settingThis was a mixed-methods study in one peri-urban part of Kwale County, Kenya. Methods included cross-sectional survey (n=740), six focus group discussions, 18 in-depth interviews and 25 key-informant interviews. Quantitative data analysis identified factors pushing young people to pharmacies for modern contraception versus other sources. Qualitative data analysis identified reasons pharmacies were perceived to be appealing to young clients.
participantsParticipants were (1) young people aged 18-24 from the study area, including a subset who had recently purchased contraception from a pharmacy; or (2) pharmacy personnel and pharmacy stakeholders.
resultsAmong surveyed participants who had ever had sexual intercourse and had used modern contraception at last sexual intercourse, 59% obtained it from a pharmacy. In multivariable analysis, participants who used a condom or emergency contraception as well as those living alone were significantly more likely to get contraception from pharmacies. Pharmacies were valued for their convenience, privacy, non-judgmental and personable staff, service speed, as well as predictable and affordable prices.
conclusionsOur findings indicate a high percentage of young people in Coastal Kenya use pharmacies for contraception. Our inclusion of emergency contraception users partially explains this. Pharmacies were perceived to be everything that health facilities are not: fast, private and non-limiting. Policy-makers should recognise the role of pharmacies as contraception providers and look for opportunities to link pharmacies to the public health system. This would create a network of accessible and appealing contraception services for young people.
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Registered trials
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