Pharmacy professionals’ awareness and attitudes towards counterfeit medicines in Harar town, Eastern Ethiopia: a cross-sectional study
Background: Awareness and opinion of health care providers, particularly pharmacy professionals, play a pivotal role in avoiding circulation of counterfeit drugs. Therefore, the aim of present study was to assess pharmacy professionals’ awareness and attitudes towards counterfeit medicines in Harar town, Eastern Ethiopia. Methods: A cross-sectional study was conducted among pharmacy professionals working in community drug retail outlets found in Harar town, Eastern Ethiopia. A total of 92 pharmacy professionals participated in the study, and data were collected through self-administered structured questionnaires developed after reviewing similar surveys. The collected data were coded, entered and analyzed using Statistical Package for Social Sciences (SPSS, version 21). Descriptive statistical analysis was performed, and variables with p value < 0.05 were considered as statistically significant. Results: Among pharmacy professionals participated in the study, 65.2 % of them were males. About 75 % of the study respondents were also druggists. Nearly 83 % of participated pharmacy professionals had information on the circulation of counterfeit medicines in the pharmaceutical market. Half of the study respondents described counterfeit medicine as a medicine without active ingredient or with reduced amount of active ingredient. 45.7 % of the pharmacy professionals reported that antibiotics are at high risk for counterfeiting, and only 28.3 % of them aware of the efficacy associated problems of counterfeit medicines. In addition, 51.1 % of the study respondents said that counterfeit medicines can be identified by visual inspection and laboratory analysis. In connection to the attitudes of the participants, 93.5 % of them agreed on the item dispensing and prescribing counterfeit medicines are illegal. 55.4 % of the study participants believed that counterfeit medicines are cost effective, and 65.2 % of them believed that pharmacy professionals deliberately dispense counterfeit medicines to obtain a big profit. 77.2 % of the participants responded that the law against counterfeit medicines and its implementation should be strengthened. Furthermore, all attitude items were not significantly associated with demographic variables (P value > 0.05). Conclusion: Drug regulatory bodies and concerning bodies must play an active role appropriate strategies should be instilled to enhance pharmacy professionals’ awareness and attitude towards CFM.