scholarly journals A questionnaire based cross sectional study of the knowledge, attitude and practice of pharmacovigilance among the health care professionals in a tertiary care teaching hospital in upper Assam, India

Author(s):  
Swapnanil Gohain ◽  
Sahid Aziz ◽  
Meghali Chaliha

Background: Adverse drug reactions (ADR) are one of the major reason of morbidity, mortality and increase in health-care costs. The pharmacovigilance programme of India (PvPI) encourages the active participation of all health care professionals (HCP) in reporting suspected ADR to ensure enhanced patient safety. But present statistics shows under reporting of suspected ADR. So, this study was undertaken with the objectives of assessing knowledge, attitude and practice (KAP) of pharmacovigilance among the HCP and to evaluate various reasons of under reporting of suspected ADR.Methods: This is a cross-sectional observational study of knowledge, attitude and practice (KAP) of HCP including faculties, resident doctors and postgraduate trainee (PGT), internship doctors and nurses on pharmacovigilance; conducted at department of Pharmacology, Jorhat Medical College and Hospital(JMCH). The pretested and peer reviewed questionnaire was distributed among 150 HCP and the responses were collected after one day. Data were analyzed using MS-excel software and was expressed in percentage.Results: Out of 150 questionnaires, 118 responses were received (32 faculties, 27 PGT, 38 internship doctors and 21 nurses). Good knowledge (78.4%) and fair attitude was found among the HCP but there was lack of practice of pharmacovigilance due to reasons mainly non availability of suspected ADR reporting form (27.1%), didn’t think reporting was necessary (34%), fear of consequences (16.1%) and lack of awareness (16.1%) among others.Conclusions: Good attitude was observed among HCP. With proper measures like sensitization and educational intervention ADR, reporting may be improved in the future.

2019 ◽  
Vol 2019 ◽  
pp. 1-11 ◽  
Author(s):  
Belete Kassa Alemu ◽  
Tessema Tsehay Biru

Background. The role of health care professionals among other stakeholders in early detection, assessment, documentation, and reporting as well as preventing suspected adverse reactions is very crucial to mitigate drug-related problems in health facilities. Previous reports from literatures have indicated that adverse drug reaction reporting is highly linked to the knowledge and attitude of the health care professionals. Objective. To assess knowledge, attitude, and practice of health care professionals about adverse drug reactions and the associated factors at selected public hospitals in Northeast Ethiopia. Methods. A hospital-based quantitative cross-sectional study design was employed. A structured self-administered questionnaire was used to collect data on KAP of selected health care providers by the convenience sampling method. Data were entered into Epi info version 3.5.3 and analyzed using SPSS Version 20. Association between dependent and independent variables was found by using bivariate and multivariate logistic regression analysis where p<0.05 was considered to be statistically significant. Results. Out of 120 questionnaires distributed, 114 respondents filled and returned, giving a 95% response rate. From total, 49 (43%) were nurses, 26 (22.8%) physicians, 17 (14.9%) pharmacy professionals, 12 (10.5%) health officers, and 10 (8.8%) midwives. About 86 (75.44%) study participants had an inadequate knowledge towards ADR reporting, and half of participants failed to report the adverse drug reactions they encountered. But the majority of participants (84, 73.68%) had a favorable attitude towards ADR reporting. Nurses [AOR = 0.069, 95% CI (0.018–0.275)], health officers [AOR = 0.10, 95% CI (0.015–0.647)], and physicians [AOR = 0.14, 95% CI (0.03–0.64)] were found to be less likely to have adequate knowledge on ADR reporting compared to pharmacy professionals. Conclusion. Even though the majority of health care professionals had a positive attitude, they had inadequate knowledge and poor practice towards ADR reporting.


Author(s):  
Ambika Sharma ◽  
Mali Ram Aswal ◽  
Rahul Gupta

Introduction: Health care professionals are at greater risk of acquiring and subsequently transmitting Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) infection to their patients, families and colleagues. It is of utmost importance for them to have a knowledge about this Coronavirus Disease (COVID-19) and hence be in a position to practice infection prevention and control. Aim: To assess the Knowledge, Attitude and Practice (KAP) among health care professionals regarding the COVID-19 pandemic. Materials and Methods: This is a descriptive, cross-sectional study and was conducted in the month of April, 2020, among doctors and nurses. Total 164 health care professionals from the medical college hospital were included in the study. A 53-item survey questionnaire was developed to assess KAP among the health care professionals. Data analysis was done by using Epi info 7.2.1.0 version. Chi-square test was used to analyse variables as appropriate. A p-value of <0.05 was taken to be statistically significant. Results: A total of 164 responses were collected and analysed. Doctors comprised 43.9% of the total study subjects while remaining 56.1% were nurses. Male to female ratio of the study subjects was 2:1. Fifty-eight percent informed that they had received training about infection control. In the present study, common source of information about COVID-19 was the internet, social media and television followed by newspaper, government sources and radio. Most of the Health Care Workers (HCWs) were aware of the mode of transmission of infection and common preventive measures. Incubation period was known to 95% of respondents. Only 48.9% of nurses thought that the mild form of disease was most common. Almost all believed that washing hands and wearing mask were important preventive measures. Around 60% of HCWs assumed that they knew the steps for wearing and removing Personal Protective Equipment (PPE), but very few could remember the exact sequence. Most of them felt that the disease was dangerous, however only 31% were scared to do hospital work. Both nurses and doctors practiced high levels of hand hygiene, cough hygiene and wearing face masks at the workplace. Conclusion: This study highlights the level of existing KAP of COVID-19 among health care professionals. There is an urgent need to focus on training for correct use of PPE which can safeguard HCWs from contracting COVID-19.


Author(s):  
Perveena Fareed ◽  
Farhana Siraj ◽  
Neha Mahajan

Background: To estimate the knowledge, attitude and practice of contraception among women attending postpartum OPD.Methods: This cross-sectional study was conducted in Obstetrics and Gynecology outpatient department Government medical college Srinagar. Sample size of 200 patients attending post-partum OPD were taken and questioned using a questionnaire. Questions were asked regarding age, educational status, parity, knowledge, practice of contraceptives and reasons for non-use of contraceptives.Results: 63% of patients were aware of any contraceptive. Among contraceptives most common known contraceptive was OCP’s (62%) followed by female sterilization (52%) and Intrauterine devices (51%). Only 21% were aware of male sterilization. Implants were known to only 5% of patients. Awareness of emergency contraceptives was seen in only 18.5% of patients. Among patients having awareness of contraceptives most common used method was OCP’s (73%) followed by barrier, IUD’s (48%) and injectable (44%).Conclusions: The study highlights that awareness does not always lead to the use of contraceptives. A lot of educational and motivational activities and improvement in family planning services are needed to promote the use of contraceptives and reduce the high fertility rate.


Author(s):  
Raja Sundaramurthy ◽  
Sasikala Kathiresan ◽  
Sriandaal Venkateshvaran ◽  
Surya Kannan

Background: Stressful puerperal period and its complications can be prevented by adequate care, proper diet and exercises. Though studies have indicated post-natal exercises (PNE) is helpful in reducing the effect of perineal muscle weakness, many women are unaware of its full benefits. This study is planned to know the knowledge, attitude and practice of PNE in post-natal mothers.Methods: Descriptive cross-sectional study was conducted in department of obstetrics and gynecology for 3 months (November 2019 to January 2020). 160 post-natal women were enrolled with convenient sampling. Structured questionnaire was used to collect socio-demographic and obstetric details, source of information, knowledge, attitude and practice of PNE.Results: A total 58.8% of this study participants revealed health care professions were the commonest source of information. More than half of them had adequate knowledge but still many were not aware of full benefits of PNE as only 3-5% aware of other benefits like prevention of urinary incontinence. 98.8% of the women’s felt PNE is essential and 62.5% felt household work hinder them doing. 92.5% said they will emphasize the importance of PNE to others. No significant correlation found between socio-demographic characters and knowledge, attitude and practice of PNE.Conclusions: Though most of the study population had adequate knowledge and positive attitude, household activities were the commonest barrier in doing PNE. Educating and creating awareness among family members is essential to improve the adherence. Continuing influence by health care workers during antenatal and postnatal period will be the key for improving adherence.


Author(s):  
Vanishree M. K. ◽  
Ganesh Shenoy Panchmal ◽  
Umashankar G. K.

Background: The purpose of informed consent is to assure that the patient has a full understanding of proposed treatment and can make a relevant health-care decision based on the information provided by the health-care professional. Many health-care professionals see the process as burdensome and time-consuming. It is also one of the common allegations in many professional liabilities claims against health professionals. Informed consent focuses on patients’ absolute right to understand their status and the practitioner’s proposed treatment plan. Informed consent is the educational process by which the patient is made aware of the dentist’s diagnosis and treatment plan. Studies have shown that 40% of the written consent obtained from the parents was not valid. Making an informed decision is the right of every patient, but it is the responsibility of dentists to ensure patients have the comprehensive information needed to exercise that right.Methods: A cross-sectional study was done to assess the knowledge, attitude and practice of informed consent among 865 dental professionals practicing in Karnataka. The study used the validated structured questionnaire.Results: The results showed 94.8% of the participants agreed that the key step to prevent one’s practice from legal action is valid informed consent.  The mean scores were used for analysis the total knowledge, attitude and practice scores for the participants were 19.01±2.61, 7.07±1.45 and 1.49±0.50 respectively. Only 37.3% of dental professionals took written informed consent and majority i.e., 54.5% took consent only for special cases.Conclusions: Though the dentist believed in taking informed consent. Consent in practice is not taken routinely.  


Author(s):  
Rajaat Vohra ◽  
Anusha Vohra ◽  
Meghna Verma

ABSTRACT Background As the number of drugs available in the market are increasing, there arises a need to detect their adverse drug reactions and report them on time so that further harm can be avoided. The level of underreporting of adverse drug reactions is very high. Therefore, present study aimed to assess the knowledge, attitude and practice (KAP) of pharmacovigilance among the various health care professionals and suggest ways to improve them. Materials and methods A cross-sectional survey was done on 215 health care personnels working in a medical college in Jaipur. They were subjected to KAP questionnaire consisted of knowledge, attitude and practice based questions, designed specifically to assess the awareness about pharmacovigilance. Results and conclusion The mean KAP scores of physicians were found to be 5.75, 4.44 and 1.75 respectively. The KAP score of postgraduate students was 5.5, 4.25 and 1.5 respectively. The KAP score of final year MBBS students was 5, 3.4, and 1.4 respectively, and that of interns was 4, 4.2 and 1.4 respectively. The KAP score of pharmacists was 3.5, 2 and 1 respectively, and that of nurses was 2.75, 2.25 and 0.8 respectively. It was found that mean score of physicians and postgraduate students was higher than interns and final year MBBS and much higher than nurses and pharmacists. Still they all fall under the poor score range to unsatisfactory score range which suggest that there is an urgent need for ongoing educational programs to train health care professionals about pharmacovigilance. How to cite this article Vohra A, Vohra R, Verma M. Poor Knowledge, Attitude and Practices of Pharmacovigilance among Health Care Professionals: A Cross-sectional Study. J Mahatma Gandhi Univ Med Sci Tech 2016;1(2):42-46.


Med Phoenix ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 14-18
Author(s):  
Smita Singh ◽  
Deependra Prasad Sarraf ◽  
Prabin Singh ◽  
Pragati Poudyel

Introduction: Pharmacovigilance helps in the detection and prevention of adverse effects of drugs. For the effectiveness of this program, health care professionals should report adverse drug reactions (ADRs) considering it as their moral and professional obligation. The objective of the study was to assess the knowledge, attitude, and practices (KAP) of the doctors towards ADRs and pharmacovigilance in  National Medical College Teaching Hospital (NMCTH), a tertiary care teaching hospital situated in the Narayani zone. Materials and Methods: A cross-sectional study was carried out using a self-administered questionnaire consisting of four parts; first part included a demographic profile of participants, the second part consisted of ten questions for the assessment of the knowledge about pharmacovigilance, third part comprised of six questions on attitude and fourth part consisted of five questions on practice. The results were depicted in the form of percentages for each KAPs questionnaire.   Results: The response rate of participants was 85.16%. Pharmacovigilance was correctly defined by 52%. Department of drug administration was responsible for monitoring ADRs in Nepal was correctly given by 80%. Only 8% had reported ADRs, although 62% had encountered an ADR in their clinical practice. Conclusion: The doctors at NMCTH had a poor KAP towards pharmacovigilance and educational intervention is needed for the proper functioning of this program.


Author(s):  
Toshan L. Todar ◽  
Manju Agrawal ◽  
Rajesh Hishikar ◽  
Anuja Jha ◽  
Basant Maheshwari ◽  
...  

Background: Pharmacovigilance has evolved as an important tool for dealing with Adverse Drug Reactions (ADRs) both in pre-marketing and post-marketing scenario. Underreporting of ADRs at our Adverse drug reaction Monitoring Centre (AMC) led us to conduct this study to assess Knowledge, Attitude and Practice (KAP) of the practicing clinicians at our tertiary care Pt. J.N.M. Medical College associated Dr. B.R.A.M. Hospital, Raipur, Chhattisgarh, India, towards ADRs reporting.Methods: This was a cross-sectional study using pretested questionnaires consisting of 29 questions related to KAP of the practicing clinicians at Pt. J.N.M. Medical College associated Dr. B.R.A.M.  Hospital, Raipur towards ADRs reporting. The percentage of responders for each question was calculated. All statistical analysis was performed in Microsoft Office Excel 2007.Results: Out of 135 questionnaires distributed only 100 were considered for analysis, so the overall response rate was 74.07%. We calculated the result from the 100 responders. Overall 77% responders were aware of existence of ADR monitoring system in India, while only 40% were aware of its existence at their hospital. Only 8% responders had reported ADRs to the National Pharmacovigilance Centre and 10% to the Adverse drug reaction Monitoring Centre (AMC) at their hospital. Lack of knowledge about where, how and whom to report ADRs, lack of time, inability to decide what to report (known or unknown ADRs) and unavailability of ADR reporting form were the important factors discouraging them reporting ADRs.Conclusions: Creating awareness regarding ADR reporting through CMEs among practicing clinicians and early sensitization at medical undergraduate level for medical students may improve the current ADR reporting rate.  


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