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Online Abortion Drug Sales in Indonesia: A Quality of Care Assessment
Studies in Family Planning ( IF 1.9 ) Pub Date : 2020-10-20 , DOI: 10.1111/sifp.12138
Ann M Moore 1 , Jesse Philbin 1 , Iwan Ariawan 2 , Meiwita Budiharsana 3 , Rachel Murro 1 , Riznawaty Imma Aryanty 4 , Akinrinola Bankole 1
Affiliation  

This study sought to understand the experience of buying misoprostol online for pregnancy termination in Indonesia. We conducted a mystery client study August through October, 2019. Interactions were analyzed quantitatively and qualitatively, along with the contents of the packages. One hundred ten sellers were contacted, from whom mystery clients made 76 purchases and received 64 drug packages. Almost all sellers sold “packets” containing multiple drugs; 73 percent of packets contained misoprostol, and 47 percent contained at least 800 mcg of misoprostol. Thirty‐four packets contained insufficient drugs to complete an abortion. When compared to WHO standards, 87 percent of sellers imparted incomplete information about potential physical effects; no seller provided information about possible complications. Women buying misoprostol from informal online drugs sellers will be underprepared for understanding potential side effects and complications. Educational activities are needed to increase women's access to information about safe use of misoprostol as a harm reduction strategy.

中文翻译:

印度尼西亚的在线堕胎药物销售:护理质量评估

本研究旨在了解在印度尼西亚在线购买米索前列醇以终止妊娠的体验。我们于 2019 年 8 月至 10 月进行了一项神秘客户研究。对互动以及包裹的内容进行了定量和定性分析。联系了 110 个卖家,神秘客户从他们那里购买了 76 件商品,收到了 64 个药包。几乎所有卖家都出售含有多种药物的“小包”;73% 的包裹含有米索前列醇,47% 的包裹至少含有 800 微克米索前列醇。34 包包含不足以完成流产的药物。与 WHO 标准相比,87% 的卖家提供的有关潜在物理影响的信息不完整;没有卖家提供有关可能出现的并发症的信息。从非正式的在线药物销售商那里购买米索前列醇的女性,对于了解潜在的副作用和并发症准备不足。需要开展教育活动以增加妇女获取有关安全使用米索前列醇作为减少危害策略的信息的机会。
更新日期:2020-10-20
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