Engaging Pharmacies for Self-Management of Abortion Care During COVID-19 in DRC
"Engaging pharmacies and clients in the Democratic Republic of the Congo for self-management of abortion care during the COVID-19 pandemic. Insights on involving pharmacies, data on self-managed abortions, lessons learned, and challenges faced during crises like EVD and COVID-19."
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Engaging pharmacies and clients for self-management of abortion care during COVID-19 in the DRC Dr Cyprien MASAKA, DRHC
Contents Content Overview 1 How and why to engage pharmacies 2 Data on self-management of abortion care in the DRC 3 Lessons Learned 4 Challenges 2
How & why pharamcies were involved in IRCs self-management of abortion strategy According MICS 2018/ normal situation: Less than 20% of people go to health facilities when they are sick 30-40% go to pharmacies More than 40-50% lack access to a health facility or pharmacy Health facility users: - - - Pharmacy users: + + + Don t go anywhere: + + + Crisis situation / EVD, COVID-19 IRC Actions: Registers to count cases and drugs management Training about drugs/ Miso: correct dosage/posology, VCAT trainings for pharmacists to improuve quality and client satisfaction Supplies: drugs/ Miso Mobilization/ contact: person-to-person, CHW/ YACSRH Pharmacies: No administration: confidentiality Less time Less expensive Lower quality of services 3
Data for self-managed abortion via pharmacies Users self-management abortion 100 74 67 90 80 70 40 60 50 40 30 24 23 21 20 10 0 Mars Avril Mai 2019 2020 4
Lessons Learned & Challenges Lessons from crises such as EVD and COVID-19: Challenges: Sensitization during pandemic: mass media helpful but self-management of abortion requires interpersonal sensitization which is more challenging with mobility restrictions/social distancing Maintaining supply chain and avoiding disruption with borders closer Acute SRH needs in crisis: EVD/ COVID- 19 with GBV and unwanted pregnancy, unsafe abortion Decrease in visits to health facilities Challenges accessing safe abortion: pharmacies supported to offer quality services outside of health centers 5
