PriMera Scientific Medicine and Public Health (ISSN: 2833-5627)

Case Study

Volume 3 Issue 3

Pharmacists' Perception and Practices on Sexual and Reproductive Health and Family Planning: A Quantitative Study in Bangladesh

Abu Sayeed Md Abdullah*, Md Azmal Hossain, Jahra Asia Hossain, Farjana Haq, Sobuz Kumar, ABM Nahiyan Hassan, Fazlur Rahman, Abdul Halim

August 18, 2023

DOI : 10.56831/PSMPH-03-084


Background: In Bangladesh, Pharmacists have an advantage over other healthcare professionals as they have easier and more frequent access to the public.

Objective: This study aims to address this knowledge gap and provide valuable insights to guide future interventions.

Methods: The study was conducted through cross-sectional quantitative methods in purposively selected eight districts from October 2020 to December 2020. A structured questionnaire was distributed among a sample of pharmacists, and the collected data was analysed using statistical methods. The ethical clearance of the study was taken before data collection. Sixteen trained data collectors collected 627 data through face-to-face interviews with the Pharmacists using a pretested structured questionnaire. Descriptive analysis was performed, and quality control and risk management were performed strictly for maintaining the accuracy of the data.

Results: The study found that about 70% (n=438) pharmacies were found registered, and above 77% (n=483) pharmacies were owned by Pharmacists themselves. About 85.5% (n=536) had knowledge on counselling of patients in pharmacy but only 62% (n=389) had knowledge on SRH-related counselling. The highest duration of counselling of patients by Pharmacists was 1-5 minutes, 66.2% (n=355). Only 48.5% (n=304) had knowledge on complications and 69.7% (n=437) had knowledge on the side effect of SRH medicines. About 64.6% (n=405) of Pharmacists reported hearing the SRH-related issues from patients before selling medicine. About 80% (n=501) of Pharmacists reported having knowledge on menstrual hygiene, 49.4% (n=310) had knowledge of post-abortion care, and 56.8% (n=356) had knowledge of Postpartum family planning. About 76.6% (n=480) Pharmacists had knowledge of maternal complications, where 75.8% (n=475) mentioned haemorrhage and 71.1% (n=446) mentioned eclampsia as maternal complications. About 90.6% (n=568) of pharmacists mentioned that they required training on dispensing SRH-related medicine.

Conclusions: Though A grade (Graduate Pharmacist) and B grade (Diploma Pharmacist) Pharmacists had little knowledge of SRH medicine dispensing but C grade (Pharmacy Technician) had no proper knowledge and practices regarding SRH-related medicine dispensing. Most of the Pharmacists were in C grade, so their training on SRH-related medicine dispensing is very much essential. The findings contribute to evidence-based strategies for enhancing pharmacists’ involvement in promoting SRH and FP services in Bangladesh.

Keywords: Pharmacists; Sexual and Reproductive Health; Family Planning; Bangladesh


  1. Miller R and Goodman C. “Performance of retail pharmacies in low- and middle-income Asian settings: a systematic review”. Health Policy Plan 31.7 (2016): 940-953.
  2. Brieger WR., et al. “Interactions between patent medicine vendors and customers in urban and rural Nigeria”. Health policy and planning 19.3 (2004): 177-182.
  3. Kitutu FE., et al. “Health system effects of implementing integrated community case management intervention in private retail medicine shops in Southwestern Uganda: a qualitative study”. BMJ global health 2.3 (2017): e000334.
  4. Ahmed SM., et al. “The health workforce crisis in Bangladesh: shortage, inappropriate skill-mix, and inequitable distribution”. Human Resources for Health 9 (2011): 3.
  5. Habib MHR., et al. “Present Scenario and Prospect of Model Pharmacy in Dhaka City, Bangladesh”. Bangladesh Pharmaceutical Journal 23.2 (2020): 172-180
  6. Zalkin P. “Stronger health systems for greater health impact”. MSH (2011).
  7. Marlow HM., et al. “Women’s experiences with medication for menstrual regulation in Bangladesh”. Cult Health Sex 18.3 (2016): 349-360.
  8. Sharma N., et al. “A cross sectional study of knowledge, attitude, and practices of menstrual hygiene among medical students in North India”. The Journal of Phytopharmacology 2.5 (2013): 28-37
  9. Reiss K., et al. “Pharmacist Provision Practices and Knowledge of Misoprostol in Bangladesh”. International perspectives on sexual and reproductive health 45 (2019): 45-54.
  10. SIAPS. “Baseline Study of Private Medicine Shops in Bangladesh: Findings and Recommendations”. MSH (2015).
  11. Sidel JL, Bleibaum RN and Clara Tao KW. “Quantitative Descriptive Analysis”. Descriptive Analysis in Sensory Evaluation (2018): 287-318.
  12. MSH. Drug Seller Initiatives. The Launch of Bangladesh’s Accredited Pharmacy and Medicine Shop Initiative— Working with Country Stakeholders to Improve the Quality of Pharmaceuticals and Services in the Private Sector (2015).
  13. GoB. Laws of Bangladesh. The Drugs (Control) Ordinance (1982).
  14. Ahmed SM., et al. “Exploring the status of retail private medicine shops in Bangladesh and action points for developing an accredited medicine shop model: a facility based cross-sectional study”. J Pharm Policy Pract 10 (2017): 21.
  15. Rashid SF, Akram O and Standing H. “The sexual and reproductive health care market in Bangladesh: where do poor women go?”. Reproductive Health Matters 19.37 (2011): 21-31.
  16. Rutta E., et al. “Accrediting retail medicine shops to strengthen Tanzania’s public health system: an ADDO case study”. Journal of pharmaceutical policy and practice 8.1 (2015): 23.
  17. Wafula FN, Miriti EM and Goodman CA. “Examining characteristics, knowledge and regulatory practices of specialized medicine shops in SubSaharan Africa: a systematic review of the literature”. BMC health services research 12.1 (2012): 223.