scholarly journals A survey on the knowledge, perceptions and practices regarding unwanted medicine disposal among pharmacists in Sri Lanka

Author(s):  
Vipula R. Bataduwaarachchi ◽  
Chamari L. Weerarathna ◽  
A. Paherathy ◽  
Dinuka S. Warapitiya ◽  
Mythili Sivapathasundaram ◽  
...  

Background: Unwanted medicines are defined as expired, unused, damaged or contaminated pharmaceutical products. Improper disposal of unwanted medicines leads to many health and environmental hazards. The World Health Organisation recommends that unwanted medicines should always be disposed properly. The main objective of this study was to assess the knowledge, practices and perceptions on the disposal of unwanted medicines among pharmacists in Sri Lanka.Methods: A cross-sectional study was carried out among pharmacists in 40 private retail pharmacies in the Northern, Eastern and the Western provinces within a period of three months. The pharmacies were selected via stratified randomised sampling in each district. The most experienced pharmacist in each pharmacy was recruited for data collection. A pre-tested, self-administered questionnaire was used. The ethics approval was obtained (Ref: EC-12-190). The data was represented using simple descriptive statistics.Results: The data was collected from 40 pharmacies. Among the pharmacists, 65% were males. The majority answered that burning and landfill as the most appropriate methods of disposal for most of the types of medicinal waste. A significant number of pharmacists were not aware about the method of disposal for anti-infective agents and anti-neoplastic agents. The majority perceived the seriousness of environmental damage caused by disposal via trash or sink. A majority was not agreeing to have pharmacies as collecting centers for unwanted medicines. A discrepancy between the pharmacists’ perceptions and the practices was observed.Conclusions: The level of knowledge, practices and perceptions among pharmacists on unwanted medicines disposal was substandard and needs attention.

2021 ◽  
Vol 19 (1) ◽  
pp. 1-18
Author(s):  
NUR FEAZIRA ABDUL KADIR ◽  
NUR SYAMIMI NUR SYAMIMI ◽  
MALA BALAKRISHNAN ◽  
WAN NURSYAHIRAH WAN ZAIDI ◽  
SUI CHEE FAI

According to the World Health Organization (WHO), more than half of dispensed medications were inappropriately prescribed, which causes a build-up of unused medications and increasing medication disposal. The aim of this study is to assess the level of knowledge, attitude and current practice of patients in Hospital Tapah, Perak, Malaysia towards this issue. A cross-sectional study was conducted by using a self- administered questionnaire adapted from Su Lan et al. (2018). Patients aged more than 17 years old who visited outpatient pharmacy and who admitted into medical ward; the caregivers of children who admitted into paediatric ward, Hospital Tapah were enrolled in this study, selected through convenience sampling. Logistic regression analysis was performed to determine significant association between independent and dependent parameters. The significance level was set at p < 0.1. Total of 344 valid questionnaires were returned in which 34.9% (n = 120) men and 65.1% (n = 224) women participated. The majority of the participants has general knowledge of the correct way of disposing medicines. Although 57.3% of the participants have heard about ‘Return Your Medicines Programme’ (RMP) implemented by the Ministry of Health Malaysia, only 38.1% returned their unused or expired medication to the nearby hospital/clinic. Most of them were found to have a positive attitude regarding this issue, nevertheless only 24.7% practiced a proper medication disposal. The utilisation of RMP could be improved by increasing the awareness of safe medication disposal, as significant association has been found between the level of knowledge and attitude with current disposal practice of patients in Hospital Tapah.


Author(s):  
Claire Sunyach ◽  
Barbara Antonelli ◽  
Sophie Tardieu ◽  
Michele Marcot ◽  
Jeanne Perrin ◽  
...  

The exposure of adults of reproductive age as well as pregnant women and children to environmental contaminants is of particular concern, as it can impact fertility, in utero development, pregnancy outcomes and child health. Consequently, the World Health Organisation (WHO) and international societies advocate including Environmental Health (EH) in perinatal care, yet perinatal health professionals (HPs) hardly put these recommendations into practice. In 2017, a cross-sectional study was performed in a large panel of perinatal HPs in south-eastern France with the aim of painting a picture of their current attitudes, representation, knowledge, and training expectations. Quantitative and qualitative information was collected via auto-questionnaire. Questionnaires were completed by 962 participants, mainly midwives (41.1%), physicians (25.6%) and nursery nurses (11%). Indoor/outdoor air quality and endocrine disruptors were the best-mastered topics, whereas electromagnetic fields and diet gave rise to unsure responses. Overall, perinatal HPs were ill-trained and -informed about the reproductive risks linked to daily environmental exposure. HPs reported scarce knowledge, fear of patient reaction and lack of solutions as the main barriers to providing information regarding EH to the public. Our findings highlight the need to set up EH training programmes focused on scientific knowledge and to provide simple messages and tips to help perinatal HPs deliver advice to populations to mitigate exposure to environmental toxicants.


2021 ◽  
Vol 3 (3) ◽  
pp. 13-24
Author(s):  
Sadia Nasarullah ◽  
Muhammad Hussain ◽  
Kousar Perveen ◽  
Muhammad Afzal

Purpose: The purpose of the study was to assess the awareness of nurses regarding hemodialysis complication in Lahore, Pakistan. Methodology: Descriptive research design was used to conduct this study. The study was conducted at the Hemodialysis Unit at tertiary Care Hospital Lahore, Pakistan. The sample of the study consisted of 110 nurses (female) working in the hemodialysis unit, aged between 18 and 55 years has agreed to participate in this study. The self-administered questionnaire sheet was used to collect study-related data with the following sections. Part 1: ''Nurse's socio-demographic characteristics'', Part 2: "Nurses 'Awareness of Hemodialysis Practices", Part 3: "Nurses' Awareness of Hemodialysis Complications" Findings: Most of the nurses had a good level of knowledge about the complications of hemodialysis and very few of them had little knowledge. Most of the nurses were females and were aged 18-27. Unique contribution to theory, practice and policy: Further research should be done on a larger sample of them which focuses on their practice and should make the results of their study regarding their knowledge and its reflection on their practice  


Author(s):  
Bambang Irawan ◽  
Erizal

Badan kesehatan dunia yaitu World Health Organisation (WHO) berupaya agar pelayanan kesehatan di dunia ini dapat memberikan suatu sistem pelayanan yang baik untuk meningkatkan derajat kesehatan masyarakat diberbagai belahan dunia. Penelitian ini bertujuan untuk mengetahui hubungan komunikasi terapeutik perawat dan fasilitas dengan kepuasan pasien rawat inap di Rumah Sakit Umum Cut Meutia Kota Langsa tahun 2019. Penelitian ini bersifat analitik dengan desain penelitian cross sectional study. Sampel dalam penelitian ini sebanyak 84 responden yang merupakan pasien rawat inap. Data dianalisa secara univarat dan bivariat menggunakan uji Chi square. Hasil penelitian diperoleh ada hubungan komunikasi terapeutik perawat dengan kepuasan pasien rawat inap di Rumah Sakit Umum Cut Meutia Kota Langsa tahun 2019 dengan nilai p-value (0,007) dan ada hubungan fasilitas dengan kepuasan pasien rawat inap di Rumah Sakit Umum Cut Meutia Kota Langsa tahun 2019 dengan nilai p-value (0,030).


2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Justine Parnis ◽  
Neville Calleja ◽  
Petra Jones

AbstractThe World Health Organisation (2016) recommends exclusive breastfeeding up to 6 months of age and the introduction of complementary foods at around 6 months. International literature suggests that although knowledge of the guidelines is high, only a minority of parents wait until 6 months to wean and sub-optimal weaning practices are common. The aim of this study was to assess breastfeeding and weaning practices and to evaluate the effect of socio-economic determinants on such behaviours in a Mediterranean setting.A cross-sectional study design was used. One-time short interviews with 250 consenting mothers having 8 month old infants were conducted using a structured questionnaire. Mothers attending all the well baby clinics in the primary health care centres of the Maltese Islands for a period of two months were included in the study. The questionnaire included socio-economic and demographic data, details on the initiation and duration of breastfeeding, weaning practices and a short assessment of the infant's usual diet at 8 months.Mothers between 25–34 years old (26%) and mothers with a high level of education (25%) were more likely to breastfeed only during the first 8 months of life without using any other type of milk, compared to younger (6.5%) or older (21%) mothers, and to mothers with a lower level of education (16%). The level of education was also positively associated with the continuation of breastfeeding, with the mean duration of breastfeeding for higher educated mothers being 4 months compared to 2.6 months in less educated mothers. Mothers with a lower level of education and mothers who are house-wives are more likely to give their infants only ready-made foods however associations were in this case borderline significant. On the other hand, appropriateness of weaning age was not associated with any socio-economic factors.The length of breastfeeding and the introduction of complementary foods varied widely between mothers. Compliance with infant feeding guidelines was poor. The mother's age, level of education and employment status all have an impact on breastfeeding and weaning practices. The provision of professional advice and a supportive environment for mothers, together with interventions for increasing awareness may promote maternal adherence to WHO guideline.


2018 ◽  
Vol 4 (2) ◽  
pp. 30-34
Author(s):  
Kinga Jamphel ◽  
Dorji Gyeltshen ◽  
Sherab Tenzin ◽  
Thinley Dorji

Introduction: The World Health Organisation estimates that only half of all medicines dispensed are used appropriately. The Bhutanese Traditional Medicine (BTM) system is no exception. Objectives: We studied the patients’ knowledge on the usage of traditional medicine regimens prescribed to them, their medication adherence and possible adverse events. Methods: This was a cross-sectional study conducted using an interviewer-administered questionnaire at the National Traditional Medicine Hospital, Thimphu in 2017. A simple random sampling was used. Ethical approval was sought from Research Ethics Board of Health, Thimphu. Results: A sample of 402 patients were studied. The mean age of the respondents was 45 years (±15 years) and 333 (82.8%) were old cases presenting to the hospital. The knowledge on the correct timing of the medicine, how to take the medicine and what to avoid while on those medicines were understood only by 62.7%, 34.6% and 22.9% respectively. Only 351 (87.3%) patients received verbal information on the usage of drugs from the dispensers, of which 119 (29.6%) said the information was not clear or not adequate. Failure to take medicines on time was reported by 224 (67.3%) among old cases. Undesirable events reported while using BTM were giddiness, vomiting, skin irritation, diarrhoea and fainting episodes. Conclusions: The drug information system and monitoring of medication adherence and adverse drug events require adoption of more effective toolsand methods.


2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Sandeep Kumar ◽  
Debashish Basak ◽  
Amit Kumar ◽  
Pralhad Dasar ◽  
Prashant Mishra ◽  
...  

Objective. To determine the level of knowledge, opinions, and preventive practices followed by dental students against Hepatitis B. The study also explored if any correlation existed between knowledge, opinion, and preventive practices score.Materials and Methods. A cross-sectional study was conducted in a dental teaching institution. The subjects comprised 216 dental students. The study was conducted using a pretested, self-administered questionnaire. The questionnaire was prepared to assess knowledge, opinion, and preventive practices against Hepatitis B. Kruskal-Wallis and Kendall Tau test were performed.Results. The study found that only 44.4% of the students were vaccinated with Hepatitis B vaccine. 59.3% of the students reported washing their hands after contact with patient’s body fluids. 63.9% used personal protective measures like facemask, aprons, head cap, eye shields, and so forth, while treating patients. Median knowledge, opinion, and practice scores were found to be 5.00, 3.00, and 3.00, respectively. Significant correlation was obtained between knowledge and preventive practices score (r=0.385,pvalue<0.0001).Conclusion. Effective measures need to be taken to improve preventive practices of the students to prevent them from risk of Hepatitis transmission. Mandatory vaccination against Hepatitis B needs to be implemented.


Author(s):  
George Koshy ◽  
Vandana Gangadharan ◽  
Anullekha Naidu

Background: Cervical cancer is one of the most common cancers in women with an average of 468,000 new cases per year. Out of these 80% occur in developing and underdeveloped countries. World Health Organisation statistics show that Indian carries one fifths of world burden of the disease with 72,600 deaths annually. Key to the success of cervical cancer screening and prevention is the knowledge and awareness possessed by women in general. This requires the honing of knowledge at an impressionable and younger age group.Methods: It is a questionnaire based cross sectional study and was conducted amongst 4 study groups comprising Medical students, engineering students, nursing students and general graduate students between the age group 18 and 25 years.Results: According to present study, 93% of medical, 75% of nursing and only 29% of engineering students and 9 % of other students were actually even aware of the term cervical cancer. Assessment of knowledge regarding the risk factors of cervical cancer revealed that 13 medical, 9 nursing, 75 of engineering and 85 of Other Graduates weren’t aware of any risk factor that causes cervical cancer. As regards to attitude of the students towards cancer, present study revealed 4 medical, 23 nursing, 10 engineering and 9 general public women think that it is incurable and leads to death.Conclusions: This study highlights unawareness of various aspects of cervical cancer among young women and the burning need for continuing educational intervention at institute level to emphasise the importance and increase the awareness regarding cervical cancer.


Author(s):  
Emmanuel K. Bondah ◽  
Daniel O. Agyemang

<p class="abstract"><strong>Background:</strong> With the increasing rate of COVID-19 cases and mortality across the globe, countries and most people have adopted precautionary and preventive measures to avoid been infected with the disease. However, several trending myths and misconceptions also floods the world during this era.</p><p class="abstract"><strong>Methods: </strong>A cross-sectional study was conducted among 587 participants (53% males, 78% aged 18-30 years, and 74% having at least tertiary level education) in Ghana, using a convenience snowballing sampling approach. A self-designed questionnaire based on “World Health Organization (WHO) myth-busters” was used for data collection. A logistic regression model was developed to explore variables predicting misconceptions.</p><p class="abstract"><strong>Results: </strong>With about 75% of respondents believing they knew “a lot” about coronavirus, 41% (confidence interval: 37-45) reported a high level of knowledge on the new coronavirus misconceptions. Social media (87%), and television/radio (57%) were the major sources of knowledge. Masters/Ph.D. degree education, National democratic congress (NDC) political members, other political party members, excellent self-health ratings, social media, respondents that anticipate a remedy in 1-5 years, and the perception that the government is “not doing enough” in fighting the pandemic, were reported factors predicting knowledge in a multiple logistic regression model (p&lt;0.05). Region of residence, political affiliation, self-health ratings, predicted time of remedy, and level of knowledge on covid-19 misconceptions were also associated with the perception of government efforts (p&lt;0.05).</p><p class="abstract"><strong>Conclusion: </strong>Most Ghanaians have much belief in trending misinformation related to the pandemic. Public health education and campaigns should address these misconceptions and encourage the public to seek information from credible sources.</p>


2018 ◽  
Vol 6 (2) ◽  
pp. 59-64
Author(s):  
Puspa Parajuli ◽  
Narayani Paudel ◽  
Santoshi Shrestha

Background: Reproductive health is a crucial feature of healthy human development and of general health. It may be a reflection of a healthy childhood, is crucial during adolescence, and sets the stage for health in adulthood and beyond the reproductive years for both men and women. Awareness of reproductive health among young boys and girls affects their health status, fertility and sets stage for health beyond reproductive years and affects the health of the next generation.Objectives: The objective of this study was to assess the awareness regarding reproductive health among young adults at a Higher Secondary school.Methodology: A descriptive cross-sectional study was conducted in one of the government higher secondary schools located at Karyabinayak municipality Lalitpur, Nepal. A total of one hundred and thirty eight students were selected purposively for the study. Data was collected through self administered questionnaire and data analysis was done by using Statistical Package for Social Sciences (SPSS) version 20.Results: Among 138 respondents, majority of the respondents (66.7%) had given the correct response regarding reproductive health. 76.8% knew that family planning is one of the components of reproductive health and 55.1% were aware of the legal age for marriage. Overall median percentage knowledge was 51.92 with range 17-78. Statistically significant association was found between level of knowledge and religion as well as respondents’ mother’s occupation (P< 0.05).Conclusion: On the basis of the findings of this study, it can be concluded that a majority of respondents were satisfactorily aware about reproductive health in superficial way, but in general, they had poor to average level of awareness regarding reproductive health.


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