{"id":3684,"date":"2022-12-12T09:11:02","date_gmt":"2022-12-12T09:11:02","guid":{"rendered":"https:\/\/dragonsheart.org\/spread-and-scale-stories-enabling-access-to-bridging-contraception-in-community-pharmacy\/"},"modified":"2025-06-03T15:25:51","modified_gmt":"2025-06-03T15:25:51","slug":"spread-and-scale-stories-enabling-access-to-bridging-contraception-in-community-pharmacy","status":"publish","type":"post","link":"https:\/\/dragonsheart.org\/cy\/spread-and-scale-stories-enabling-access-to-bridging-contraception-in-community-pharmacy\/","title":{"rendered":"Dulliau atal cenhedlu pontio mewn fferylliaeth gymunedol<\/strong>"},"content":{"rendered":"\n

Pan ddaeth Louise Allen, Pennaeth Fferylliaeth Gymunedol Bwrdd Iechyd Prifysgol Caerdydd a’r Fro, a’i th\u00eem i’r Academi Lledaeniad a Graddfa ym mis Mawrth 2022, roedd eu rhaglen waith a oedd yn cynnwys cynnig dulliau atal cenhedlu pontio mewn fferylliaeth gymunedol yn cael ei threialu mewn chwe fferyllfa yng Nghaerdydd. Erbyn Ebrill 2023, bwriedir i\u2019r gwasanaeth hwn gael ei gynnig mewn 700 o fferyllfeydd cymunedol ledled Cymru.<\/p>\n\n\n\n

Mae’r gwasanaeth dulliau atal cenhedlu pontio hefyd wedi’i hyrwyddo gan Lywodraeth Cymru, a dylanwadodd ar bolisi a wnaeth sicrhau bod y gwasanaeth yn dod yn rhan o’r gwasanaeth fferylliaeth gymunedol glinigol (CCPS) o fis Rhagfyr 2022 ymlaen, a’i fandadu ar gyfer holl fferyllfeydd rhestredig CCPS i’w gynnig o fis Ebrill 2023<\/p>\n\n\n\n

Mae datblygu\u2019r gwasanaeth hwn o gynllun peilot i bolisi cenedlaethol, a’i weithredu mewn fferylliaeth gymunedol wedi bod yn ffocws i Louise a’i th\u00eem dros y 12 mis diwethaf gyda’r nod o gynnig dulliau atal cenhedlu pontio i o leiaf 1,000 o bobl sy\u2019n wynebu risg o feichiogi erbyn diwedd 2023.<\/p>\n\n\n\n

Mae Louise o\u2019r farn bod presenoldeb ei th\u00eem yn yr Academi Lledaeniad a Graddfa wedi rhoi\u2019r hunangred iddynt eu bod yn gallu cyrraedd y targed uchelgeisiol hwn a’r offer a’r sgiliau i’w cefnogi i wneud hynny.<\/p>\n\n\n

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\"\"
Louise Allen, Head of Community Pharmacy in Cardiff and Vale University Health Board<\/em><\/figcaption><\/figure>\n<\/div>\n\n\n

Beth yw dulliau atal cenhedlu pontio?<\/strong><\/p>\n\n\n\n

Ym mis Chwefror 2018, cynhaliodd Iechyd Cyhoeddus Cymru adolygiad o iechyd rhywiol yng Nghymru, a ganfu y dylai “dulliau atal cenhedlu rheolaidd drwy\u2019r geg fod ar gael drwy wasanaeth gwell o fewn pob fferyllfa gymunedol.” Mae’n amlwg bod fferyllfeydd cymunedol \u00e2 rhan hanfodol i\u2019w chwarae o ran cynnig gwasanaethau iechyd rhywiol.<\/p>\n\n\n\n

Pan fydd rhywun yn mynychu fferyllfa i gael y bilsen atal cenhedlu brys (a elwir yn aml yn “bilsen bore wedyn”), bydd y gwasanaeth ychwanegol hwn nawr yn galluogi fferyllwyr i gynnig cyflenwad 3 mis o bilsen atal cenhedlu i bontio’r bwlch a allai fod rhwng y dulliau atal cenhedlu brys a dulliau atal cenhedlu tymor hwy, gan ganiat\u00e1u i’r claf ofyn am gyngor ar eu hopsiynau gyda gweithwyr meddygol proffesiynol a phenderfynu ar ddewis ar gyfer dull hirdymor. Mae hyn yn cael ei alw’n ddulliau atal cenhedlu pontio.<\/p>\n\n\n\n

Mae’r cyflenwad 3 mis hwn ar gael yn uniongyrchol gan fferyllwyr (yn yr un modd \u00e2’r bilsen atal cenhedlu brys). A’r gobaith yw y bydd hyn yn rhyddhau capasiti ac amser meddygon teulu heb fod angen apwyntiad meddyg teulu ar unwaith gan fod modd darparu’r gwasanaeth hwn gan fferyllfeydd cymunedol lleol<\/p>\n\n\n\n

Y stori hyd yn hyn…<\/strong><\/p>\n\n\n\n

Roedd dadreoleiddio Desogetral yn 2020 yn golygu bod y cyffur atal cenhedlu hwn ar gael i’w werthu mewn fferyllfeydd ond am gost sylweddol a oedd yn afresymol i lawer. Fodd bynnag, yn unol ag adroddiad Iechyd Cyhoeddus Cymru yn 2018, awgrymodd Louise wrth Brif Swyddog Fferyllol Llywodraeth Cymru y gallai gwasanaeth sy’n darparu cyflenwad cychwynnol fod yn rhan o\u2019r hyn a gynigir gan fferyllfeydd cymunedol y GIG a thrwy hynny ei wneud yn rhad ac am ddim i gleifion o\u2019r cychwyn.<\/p>\n\n\n\n

Erbyn diwedd 2021, gwnaeth Llywodraeth Cymru gymeradwyo’r syniad a gosod nod o weithredu’r gwasanaeth mewn 700 o fferyllfeydd ledled Cymru erbyn Ebrill 2023, gan adael Louise a’i th\u00eem \u00e2\u2019r dasg o’i roi ar waith ar raddfa helaeth.<\/p>\n\n\n\n

Ym mis Mawrth 2022, dechreuwyd peilot o’r gwasanaeth mewn chwe safle yng Nghaerdydd a Bro Morgannwg. Yn yr un mis gwnaeth Louise, Reem El-Sharkawi, cymrawd arweinyddiaeth glinigol Llywodraeth Cymru a Hayley Jones, Presgripsiynydd Annibynnol Fferyllol ar gyfer dulliau atal cenhedlu o Fferyllfa Cyncoed yn BIPCAF fynychu\u2019r Academi Lledaeniad a Graddfa yng Nghaerdydd.<\/p>\n\n\n\n

Roedd y gwersi a ddysgwyd o’r peilot, ynghyd \u00e2\u2019r hyn a ddysgwyd o\u2019r academi yn amhrisiadwy i d\u00eem Louise, a gwnaeth y Model for Unleashing<\/em> (y model ar gyfer newid ar raddfa fawr a gyflwynwyd yn yr Academi Lledaeniad a Graddfa) roi\u2019r offer iddynt nodi elfennau allweddol y gwasanaeth, nad ydynt yn agored i drafodaeth, a’r fethodoleg i’w lledaenu ar raddfa eang drwy godi ymwybyddiaeth, meithrin ewyllys a throsglwyddo sgiliau, a thrwy hynny sicrhau bod popeth yn ei le er mwyn i’r gwasanaeth cenedlaethol hwn gael ei ddatblygu a’i gytuno gyda thempled cenedlaethol er mwyn ei alluogi i gael ei gynnig ym mhob ardal Bwrdd Iechyd.<\/em><\/p>\n\n\n\n

Un o’r gwersi allweddol o’r Academi Lledaeniad a Graddfa yw sut i adnabod elfennau mwyaf hanfodol, anghydffurfiol yr ymyrraeth neu’r ateb rydych chi’n ceisio eu lledaenu, a’r elfennau y gellid eu haddasu gan y rhai sy’n edrych i’w gweithredu yn dibynnu ar eu cyd-destun. I ddysgu hyn, mae’r academi’n defnyddio trosiad brechdan twrci; y syniad yw mai’r unig gydrannau sy’n angenrheidiol i wneud un yw twrci a bara, mae unrhyw beth arall y byddech chi’n ei ychwanegu ato yn cynrychioli’r addasiadau sy’n cael eu gwneud i\u2019r atebion er mwyn eu gwneud yn dderbyniol ac yn briodol i eraill.<\/p>\n\n\n\n

Yn ystod eu peilot, dysgodd Louise a’i th\u00eem, ar wah\u00e2n i ddarparu\u2019r feddyginiaeth ei hun, mai\u2019r peth pwysicaf oedd ei angen er mwyn i\u2019w hymyrraeth lwyddo, oedd dim ond sgwrs rhwng y claf a\u2019r fferyllydd, lle mae’r dulliau atal cenhedlu pontio yn cael eu hesbonio a’u cynnig fel opsiwn. Gwnaethant ganfod, hyd yn oed os na fyddai’r claf yn derbyn y dulliau atal cenhedlu pontio ar unwaith, y gallai\u2019r sgwrs ysgogi newid mewn ymddygiad yn ddiweddarach mewn ffordd debyg i fethodoleg Gwneud i Bob Cyswllt Gyfri<\/em>f Iechyd Cyhoeddus Cymru. <\/p>\n\n\n\n

I hwyluso hyn, gweithiodd t\u00eem Louise gyda sefydliadau partner cenedlaethol fel Addysg a Gwella Iechyd Cymru (AaGIC) ac Iechyd a Gofal Digidol Cymru (DHCW), y bu eu mewnbwn yn amhrisiadwy o ran sbarduno lledaeniad yr ymyrraeth yn ogystal \u00e2’i gwneud yn hyfyw.<\/p>\n\n\n\n

Gan weithio gydag AaGIC, fe ddatblygon nhw fodiwl hyfforddi cenedlaethol ar gyfer fferyllwyr cymunedol er mwyn cefnogi’r gwasanaeth a ddarparwyd ac i sicrhau eu bod yn cael eu grymuso i gynnal y sgyrsiau hyn, ac yn deall pam eu bod mor bwysig. Yn yr un modd, sicrhaodd eu gwaith gyda DHCW fod modiwl newydd ar y system cofnodion cleifion, Dewis Fferyllfa<\/em>,  yn cael ei ddatblygu ac ar gael i fferyllwyr i gofnodi canlyniad eu sgwrs gyda chleifion.<\/p>\n\n\n\n

Gwers allweddol arall o’r Academi Lledaeniad a Graddfa yw gwerth uchel meithrin cysylltiadau a chydberthnasau un-i-un yn hytrach na chydberthnasau trafodaethol wrth ddarparu newid ar raddfa fawr. Fel methodoleg i feithrin ewyllys, gall hyn fod yn llawer mwy effeithiol na gweithredu newid a thargedau o’r brig i lawr. Felly, er mwyn helpu i godi ymwybyddiaeth o’r cynllun newydd ac adeiladu’r cysylltiadau hyn ar lefel genedlaethol, cynhaliodd Louise a’i th\u00eem gyfres o sesiynau sioe deithiol gyda fferyllwyr cymunedol ledled Cymru ym mis Hydref 2022.<\/p>\n\n\n\n

Fodd bynnag, mae Louise yn credu mai rhai o’r gwersi pwysicaf a ddysgodd ei th\u00eem gan yr Academi Lledaeniad a Graddfa oedd y gwersi y gwnaethon nhw ddysgu amdanynt eu hunain. Roedd y cyfle i gydweithio fel t\u00eem am dridiau yn amhrisiadwy ac yn un na fydden nhw wedi ei gael fel arall. Ynghyd \u00e2’u cynllun gweithredu 90 diwrnod (rhywbeth y mae pob t\u00eem yn gadael yr academi gydag ef), sicrhaodd y cydlyniant t\u00eem hwn eu bod yn parhau i gyfarfod ac yn parhau i fuddsoddi yn y prosiect ymhell ar \u00f4l i’r Academi ddod i ben.<\/p>\n\n\n\n

Gwnaeth yr Academi Lledaenu a Graddfa hefyd helpu Louise a’r t\u00eem i ddeall eu cryfderau a’u gwendidau unigol yn well, a sut y gallant weithio gyda’i gilydd i wella eu perfformiad. Ymhellach, cawsant ddealltwriaeth ddyfnach o sut maen nhw’n ymwneud \u00e2’i gilydd a’u gwaith, yn enwedig mewn cyfnodau o straen. Yn yr academi, caiff hyn ei addysgu gan ddefnyddio’r syniad o berson\u00e2u megis dihiryn, dioddefwr neu arwr rydych chi’n eu mabwysiadu mewn ymateb i sefyllfa sy’n achosi straen. Caiff ei addysgu mewn ffordd ddoniol ac ysgafngalon yn ystod y rhaglen, ond er hynny gall y wers wneud gwahaniaeth enfawr i’r ffordd y mae cynrychiolwyr yn mynd at eu gwaith.<\/p>\n\n\n\n

Dywed Louise ei bod hi a’i chydweithwyr wedi cael cymaint o hwyl yn adnabod ac yn dehongli eu person\u00e2u yn yr academi ac y bydd persona \u2018arwr\u2019 ei chydweithiwr, y gwnaethant ei henwi\u2019n \u201cPolly Positif” bob amser yn glynu wrthi a bydd yn gallu helpu i weithio yn erbyn ei phersona dioddefwr\/dihiryn ei hun mewn gwirionedd.<\/p>\n\n\n\n

I Louise, y gwaith mewnol hwn oedd y peth pwysicaf a enillodd o’r Academi Lledaeniad a Graddfa; dywed “Rhoddodd yr Academi Lledaeniad a Graddfa y gallu i mi a’m t\u00eem feddwl ar raddfa fawr ac, yn hollbwysig, yr uchelgais a’r hunan-gred y gallem gwrdd \u00e2’r nodau y gwnaethom ei gosod i ni’n hunain. Pan ddaethom i’r academi, roeddem yn wynebu her enfawr o ledaenu ein hymyrraeth i fferyllfeydd ledled Cymru, ac mae wedi ein galluogi a’n hysbrydoli i wneud hyn ar garlam. Rydym yn hynod ymwybodol o’r effaith y bydd ein gwaith yn ei chael ar fywydau pobl a pham ei bod mor bwysig ein bod yn cyrraedd ein nod. Byddwn yn ei argymell yn ddiffuant i unrhyw un.”<\/p>\n","protected":false},"excerpt":{"rendered":"

Pan ddaeth Louise Allen, Pennaeth Fferylliaeth Gymunedol Bwrdd Iechyd Prifysgol Caerdydd a’r Fro, a’i th\u00eem i’r Academi Lledaeniad a Graddfa ym mis Mawrth 2022, roedd eu rhaglen waith a oedd…<\/p>\n","protected":false},"author":4,"featured_media":3696,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[138,63,16],"tags":[],"class_list":["post-3684","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lledaeniad-a-graddfa-effaith","category-news-cy","category-uncategorized-cy"],"yoast_head":"\nDulliau atal cenhedlu pontio mewn fferylliaeth gymunedol - Dragon Heart Institute<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dragonsheart.org\/cy\/spread-and-scale-stories-enabling-access-to-bridging-contraception-in-community-pharmacy\/\" \/>\n<meta property=\"og:locale\" content=\"cy_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dulliau atal cenhedlu pontio mewn fferylliaeth gymunedol - 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