Older adolescents and young adults between the ages of 15–24 years (collectively termed ‘youth’) face a variety of barriers when trying to access sexual and reproductive health (SRH) services – particularly contraceptive services – from health facilities.1 Policy restrictions and community norms which deem youth access ‘inappropriate’ can dissuade young people from going to a facility. Those who do go often encounter ‘unfriendly’ staff, and facilities with inconvenient opening hours or a lack of confidentiality and privacy.1 In recent years, evidence on the safety and efficacy of contraceptives, coupled with global commitments by countries and donors to address health systems barriers and expand access to contraception (eg, Family Planning 20202), have resulted in key services and products being made available outside of health facilities.3 As a result, certain contraceptive products, including emergency contraception and daily contraceptive pills, are now available through retail pharmacies and drug shops (lower-tier establishments which do not employ a trained pharmacist, and are limited in the drugs they can dispense4).5 Additionally, the recent advance of self-administered injectable contraception reflects a trend towards broader ‘self-care’ (individuals addressing their own health needs, with or without the support of a healthcare provider) and user autonomy in accessing and using modern contraceptive methods.6 7 Pharmacies and drug shops, therefore, could be considered an important alternate contraception source for young people, especially in low- and middle-income countries (LMICs).4 Yet they …

中文翻译：

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在低收入和中等收入国家中，将药房纳入青年友好型避孕药具的潜力和陷阱。

尝试从医疗机构获得性健康和生殖健康（SRH）服务（尤其是避孕服务）时，年龄在15至24岁之间的老年人和年轻人（统称为“青年”）面临着各种障碍。1政策限制和认为青年人“不当使用”的社区规范可以劝阻年轻人去医疗机构。那些去的人经常会遇到“不友好”的工作人员，以及开放时间不便或缺乏保密性和隐私性的设施。1近年来，关于避孕药具安全性和有效性的证据，加上各国和捐助者对解决健康问题的全球承诺系统障碍和扩大获得避孕措施的机会（例如，计划生育20202），导致在医疗机构之外提供了关键服务和产品。