Pharmacy professionals’ awareness and attitudes towards counterfeit medicines in Harar town, Eastern Ethiopia: a cross-sectional study

Author(s):  
Eklas Abdunasir ◽  
Firehiwot Amare ◽  
Bisrat Hagos ◽  
Teshome Sosengo ◽  
Mohammed Yimam ◽  
...  

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.

Author(s):  
Nisha Singh ◽  
Seema Patel ◽  
Anshuli Trivedi ◽  
Yogendra Chouhan

Background: Management of Sexually Transmitted Infections (STIs) is important in controlling STIs and to break the chain of infection and transmission.Syndromic case management is a standardized evidence-based approach which utilizes clinical management algorithms and flowcharts that are handy and can be consistently used across health care providers. The objectives of the study were to identify cases of vaginal discharge in Shaheed Nagar, Bhopal and to provide them treatment following syndromic approach.Methods: Prospective cross-sectional study carried out over a period of three months among reproductive age group females (15-45 years) in Shaheed Nagar, Bhopal. Purposive sampling by conducting door- to- door survey until 150 women fulfilling study criteria was interviewed. A pre-designed questionnaire used for data collection. Educational intervention given to all participants. 37 participants identified with vaginal discharge syndrome and were assisted by study team to gynecological OPD for obtaining treatment based on syndromic approach. Data entered in MS Excel 2007 and statistical analysis carried out using epi-info 7.2. Proportions and percentages were calculated. Chi-square was used to find out association between prevalence of vaginal discharge and qualitative variables. P value <0.05 considered statistically significant.Results: Prevalence of vaginal discharge was 24.67%. The most common presenting complaint was general weakness (52%). The most common diagnosis was cervicitis (8.67%) followed by vaginitis (4.67%). Statistically significant correlation was found between presence of disease (STI) and use of intra- uterine device (IUD), non-use of sanitary pads, marital status, occupation and socio- economic class.Conclusions: Abnormal vaginal discharge can both be the cause as well as the effect of pelvic inflammatory disease. 


2018 ◽  
Vol 10 (10) ◽  
pp. 113
Author(s):  
Syamza Madya Jannati ◽  
Agung Endro Nugroho ◽  
Probosuseno Probosuseno ◽  
Susi Ari Kristina

Our study aimed to investigate the influence of socio-demographic, knowledge, attitude, toward the change in driving behavior. This research was conducted with cross-sectional study design, during the period of December 2016 until April 2017. The research instrument used was a questionnaire from Driving Under the Influence of Drugs, Alcohol, and Medicines (DRUID) project with modification. The descriptive statistics and logistic regression analysis was used. Our research revealed that from 100 respondents, about 10% male was available to change to reported behavior in frequency driving than female. About 11% of respondents aged 35&ndash;67 years old decided to change in frequency driving. Approximately 14% of respondents with higher education level were changing in reported behavior of frequency driving. Reported behavior in frequency driving was influenced by information received from health care providers and attitude about the consequences of driving under the influence of impairing medicines factors (p-value 0.006 and 0.028). Changing reported behavior in frequency driving can be predicted by information received from health care providers and attitudes. In the future, we need to build effective communication and ensuring patients receive information about driving-impairing medicines.


2020 ◽  
Author(s):  
Wala W. Wagiealla ◽  
Shaza W. Shantier ◽  
Imad O. Abureid ◽  
Elrasheed A. Gadkariem

AbstractBackgroundCounterfeit medicines (CFMs) are a global problem with significant and well-documented consequences for global health and patient safety. Pharmacists, as healthcare professionals, have a vital role in combating CFMs via ensuring the effectiveness and safety of any imported and dispensed medicines.ObjectivesThe aim of the present study was to assess the extent, awareness and attitude of pharmacists in Sudan towards CFMs.MethodsA cross-sectional study was conducted applying pretested and structured questionnaire and the awareness and attitude were assessed statistically.ResultsA total of 229 participants have enrolled in the study. The majority of the respondents (76%) were found to be aware about the term CFMs during practice. 59% reported their ability to distinguish CFMs from the packaging feature and cost. Unavailability of medicine and inadequate regulatory bodies control were mentioned as the main leading factors for the spread of CFMs. 86% of the respondents reported knowing that there are pharmacists who deal with counterfeit medicines believing that they are unethical (76%). 69% of the respondents mentioned pharmacists to have vital role in combating CFMs spread through increasing knowledge and education. 62% of the participants were found to have a fair awareness about CFMs. Furthermore, 56% of them showed a good attitude toward CFMs.ConclusionCurrent literature includes gaps in knowledge and attitude towards CFMs. Therefore attention and concentrated efforts are required on the part of the government, drug manufacturers and health care providers’ especially pharmaceutical analysts to ensure that only drugs of acceptable quality reach the patient.


2020 ◽  
Author(s):  
Wala Wagiella ◽  
Shaza Shantier ◽  
Elrasheed Gadkariem

Background: Counterfeit medicines (CFMs) are a global problem with significant and well-documented consequences for global health and patient safety, including drug resistance and patient deaths. Reports of counterfeit pharmaceuticals in Africa indicate a wide variety of detrimental effects. Objectives: The aim of the present study was to assess the extent, awareness, and attitude of the public in Sudan towards CFMs. Methods: A cross-sectional study was conducted applying pretested and structured questionnaires. The awareness and attitude were assessed statistically and the association between those and different demographic characteristics was calculated using Fisher exact test and Spearman correlation. Results: A total of 386 participants have enrolled in the study. The majority of the respondents (58%) were found to be aware of the term CFMs with social media mentioned to be the main source. 73% of the respondents considered CFMs of worse quality suggesting getting the medicine from a trustworthy pharmacist in order to avoid buying CFMs. 56% reported their ability to distinguish CFMs from the side effects rather than the package and cost. Education was suggested by 82% of the respondents to have a vital role in combating CFMs spread through workshops and campaigns. 68% of the participants were found to have a fair awareness of CFMs. Furthermore, 80% of them showed a good attitude toward CFMs Conclusion: Current literature includes gaps in knowledge and attitude towards CFMs. Therefore attention and concentrated efforts are required on the part of the government, drug manufacturers, and health care providers especially pharmaceutical analysts to ensure that only drugs of acceptable quality reach the patient.


2020 ◽  
Vol 18 (6) ◽  
pp. 658-661
Author(s):  
Mafalda Lemos Caldas ◽  
Miguel Julião ◽  
Ana João Santos ◽  
Harvey Max Chochinov

AbstractIntroductionThe Patient Dignity Question (PDQ) is a clinical tool developed with the aim of reinforcing the sense of personhood and dignity, enabling health care providers (HCPs) to see patients as people and not solely based on their illness.ObjectiveTo study the acceptability and feasibility of the Portuguese version of the PDQ (PDQ-PT) in a sample of palliative care patients cared for in primary care (PC).MethodA cross-sectional study using 20 palliative patients cared for in a PC unit. A post-PDQ satisfaction questionnaire was developed.ResultsTwenty participants were included, 75% were male; average age was 70 years old. Patients found the summary accurate, precise, and complete; all said that they would recommend the PDQ to others and want a copy of the summary placed on their family physician's medical chart. They felt the summary heightened their sense of dignity, considered it important that HCPs have access to the summary and indicated that this information could affect the way HCPs see and care for them. The PDQ-PT's took 7 min on average to answer, and 10 min to complete the summary.Significance of resultsThe PDQ-PT is well accepted and feasible to use with palliative patients in the context of PC and seems to be a promising tool to be implemented. Future trials are now warranted.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Najmieh Saadati ◽  
Poorandokht Afshari ◽  
Hatam Boostani ◽  
Maryam Beheshtinasab ◽  
Parvin Abedi ◽  
...  

Abstract Background The COVID-19 pandemic has affected many countries around the world and Iran was no exception. The aim of this study was to evaluate health anxiety of Iranian pregnant women during the COVID-19 pandemic. Methods In this cross-sectional study, 300 pregnant women in different trimesters (n = 100 in each trimester) were recruited. A demographic questionnaire and the Health Anxiety Questionnaire were used to collect data. Scores of < 27, 27–34 and more than 35 were defined as low, moderate and high health anxiety, respectively. Due to nationwide restrictions, data were collected through social media groups. Chi-square tests, ANOVA and multiple linear regression were used to analyze the data. Results Mean (SD) total anxiety scores were 22.3 ± 9.5, 24.6 ± 9.3 and 25.4 ± 10.6 in the first, second and third trimesters of pregnancy, respectively. 9, 13 and 21% of women had severe anxiety in the first, second and third trimesters of pregnancy, respectively. Women in the third trimester had significantly higher health anxiety scores than those in the first trimester (p = 0.045). Conclusion At the time of the COVID-19 pandemic, women in the second and third trimesters of pregnancy were more worried about consequences of disease, but total health anxiety scores were significantly higher among women in the third trimester of pregnancy. Health care providers should pay more attention to the mental health of pregnant women in times of crises such as the COVID-19 pandemic.


2012 ◽  
Vol 20 (01) ◽  
pp. 164-170
Author(s):  
SEEMA DAUD ◽  
RABIAH MAHWISH ◽  
HAJRA SHUJA

Background: WHO Guidelines recommends ‘‘My five moments for hand hygiene” for prevention of HCAI. Objective: Toassess the knowledge and practices of medical students about HCAI and hand hygiene. Setting: Lahore Medical & Dental College(LMDC), Lahore. Period: Four weeks, in January and February, 2012. Methods: Descriptive cross-sectional study was conducted usingWHO’s “Hand Hygiene Knowledge Questionnaire”, among MBBS students from 3rd to final years, 2012. Data was entered and cleaned inSPSS 19 and presented in tables and graphs. Descriptive statistics was used in the forms of numbers and percentages. Results: Among227 respondents, 63% were female, 67% were 20 to 22 years old, 38% were from 3rd year, 40% from 4th year and 22% from final year,61% never received hand hygiene training and 67% never used hand rubs. Few students named unclean hands as main route (42%) andsource of HCAI (21%). Hand hygiene was preferred before touching patients (76%) and after body fluid exposure (70%). It was perceivedto be rapid (63%), effective (66%), cause of skin dryness (57%) and it was supposed to be used concomitantly with hand washing (74%),before abdomen palpation (48%), giving injection (31%), after removing gloves (22%) and making patient’s bed (31%). Damaged skin(92%), artificial fingernails (78%) and jewelry (53%) were perceived to increase hand contamination. Conclusions: There were seriousgaps in knowledge of proper hand cleaning techniques and their importance in prevention of health HCAI. Hand hygiene, must be part ofcurriculum and training of all health care providers.


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