TY - JOUR T1 - Drug sellers’ knowledge and practices, and client perspectives after an intervention to improve the quality of safe abortion care outside of formal clinics in Nigeria JF - BMJ Sexual & Reproductive Health JO - BMJ Sex Reprod Health SP - e44 LP - e52 DO - 10.1136/bmjsrh-2020-200955 VL - 48 IS - e1 AU - Yinka Abiola Adojutelegan AU - Amy J Coughlin AU - Kristen Shellenberg AU - Ayodeji Babatunde Oginni AU - Bridget Okeke AU - Okechi Ogueji Y1 - 2022/01/01 UR - http://jfprhc.bmj.com/content/48/e1/e44.abstract N2 - Background In Nigeria, where abortion is legally restricted, individuals seek medication abortion drugs, including misoprostol, directly from pharmacies or drug sellers. However, knowledge of drug sellers or patent medicine vendors (PMVs) dispensation practices and women’s experience with self-management is limited and research suggests poor quality of services. This study assesses the knowledge and practices of PMVs and women’s experiences after a harm reduction intervention to improve the provision of medication abortion using misoprostol.Methods We conducted a retrospective descriptive analysis of anonymised logbook data collected from 141 Nigerian PMVs who provided misoprostol for abortion to 4924 clients between February 2015 and July 2018. We conducted a descriptive analysis of self-reported misoprostol dispensation practices with data from a cross-sectional survey of PMVs (n=120) from June 2016 to December 2018. We collected data on women’s experience obtaining misoprostol from 37 PMVs through a cross-sectional survey of women (n=260) from 4–19 June 2018.Results For clients where the misoprostol dose dispensed was recorded (n=3784), 86% of clients were given 800 μg or more misoprostol, pain medication (97%) and a contraceptive method (92%). Most clients with an outcome recorded in the logbook (n=4431) had a complete abortion (86%). Almost all women reported that they would return to the PMV for future services (99%).Conclusions The majority of PMVs dispensed misoprostol in appropriate dosages and provided clients with information on drug administration and methods of contraception. Interventions designed to improve PMVs’ best practices around the provision of abortion care may help ensure the quality of services received by clients.Data are available upon reasonable request. Deidentified client service, client exit interview and sites survey data that underlie the results reported in this article are available upon reasonable request to the corresponding author (abiolaa@ipas.org) by researchers who provide a methodologically sound proposal following publication. ER -