Access to pharmacy supplied emergency hormonal contraception vs the conscience clause of pharmacist

Abstract

Introduction: In light of the current state of the law, it is not possible to invoke the conscience clause when providing pharmaceutical services, which includes the procedure for dispensing emergency contraception to a patient. Introduction of emergency contraception available withut prescription is associated with a necessity of creating safe procedures both for patients and pharmacists.

Aim of the study: The purpose of the study was to analyze the Polish and international legal regulation of the conscience clause issue and how to optimize the process of making emergency contraception available without a prescription.

Results: Access to over-the-counter emergency contraception provides patients with the ability to protect themselves from unwanted pregnancy and the negative consequences associated with it. Combining this procedure with the provision of reproductive health counseling brings unquestionable educational value to society, especially among minors. Ongoing analyses have shown that access to emergency contraception does not reduce the use of other regularly used contraceptives, nor is it associated with an increase in sexually transmitted diseases.

Conclusions: The introduction of over-the-counter emergency contraception requires the implementation of an optimized dispensing procedure and adequate preparation of staff as well as the pharmacy itself. If for any reason the pharmacy cannot provide the service, the patient should be directed to another medical facility that can offer the appropriate assistance.

Keywords: Conscience clause; Emergency contraception; Over the counter; Pharmacists’ law.