Vending machines and the self-care concept.
For the past 3 years (1980-83), students at the University of Rochester in Rochester, New York, have had 24-hour access to a vending machine which dispenses over the counter medicines and contraceptives. The machine is located in a small health facility near the undergraduate residence halls. The health facility is staffed by a registered nurse who provides treatment for minor illnesses, health education information, and referrals to the university's medical center. The facility stresses self-care, and a bulletin board located near the vending machine provides numerous health education brochures. The vending machine program represents a continuation of the emphasis on self-care. Instead of fostering dependency on the nursing staff the vending machine helps the students become self-reliant in reference to assessing their own health needs. Items dispensed by the machine include condoms, condoms and foam, aspirin, Sudafed, Robitussin, Acetaminiphen, Chlortrimeton, Cepacol, bandages, and thermometers. The items are sold to the students at cost. Condoms are the most popular item, and in 1982-83, 404 condom packages, priced at US$.50, were sold. Students who know what kind of medicine or health aid they want no longer are required to obtain these items by visiting the nursing staff. The image of the nurses at the facility is no longer that of a dispenser of over the counter drugs but that of someone who provides counseling, health education, and referrals. A survey conducted in 1983 revealed that the majority of the student body knew about the vending machine. This awareness reached 100% among senior class males. The purpose of the vending machine project is to make nonprescription medicines readily available to students, to make contraceptives available on a 24-hour basis, and to emphasize that the primary role of the facility's nursing staff is to provide education, counseling, and referral services.
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