scholarly journals ASSESSMENT OF THE ROLE OF COMMUNITY PHARMACISTS IN MANAGEMENT OF HIV-POSITIVE INDIVIDUALS IN THE SOUTHERN REGION OF NIGERIA

Author(s):  
Mgbahurike A. Amaka ◽  
Amadi Nwadiuto Cecilia

Background: The long- recognized challenges to HIV care remained relevant as newer challenges emerge. Pharmacists’ role has evolved and expanded to help patients and other healthcare providers to achieve the core goals of HIV management. Objectives: this study assessed the role/services community pharmacists play/offer in the management of HIV patients in Rivers State, Southern region of Nigeria, and evaluated the perception of community pharmacists towards management of HIV infected patients. Method: A cross-sectional study was carried out among three hundred and seventy- four community pharmacist- owned pharmacies spread across Rivers State. Data were collected using pre-tested structured questionnaire. The structure comprises (1) demographic information (2) services offered to HIV infected patients (3) perception towards community pharmacists’ involvement in management of HIV. Data were analyzed with SPSS version 16 and statistical significance taken at p<0.05. Results: Out of 374 (100%) community pharmacist-owned pharmacies only 30 (8%) were involved in the management of HIV patients. 22(73.3%) were male and 8(26.7%) were female. While 23(76.7%) had B.Pharm degree; 2(6.7%) had Pharm D. 18(70%) had 11 – 20yrs practice experience as 7(23%) had over 20 yrs experience. 23(76.6%) had special HIV training program while 3(10%) self-acquired information on HIV. The Likert scale to measure perception is biased towards agreement, Likert scale 3.89, that community pharmacists are knowledgeable and well positioned to play role in the management of HIV infected patients. Conclusion: Very few 30(8%) of registered community pharmacists are involved in the management of HIV patients. Although the services offered cut across the guidelines for management of HIV infected patients, there is still need for improvement and regular update on HIV training for community pharmacists. These steps would help to involve more community pharmacists, decongest hospitals and reduce workload on hospital pharmacists.                     Peer Review History: Received 23 January 2021; Revised 5 February; Accepted 26 February, Available online 15 March 2021 UJPR follows the most transparent and toughest ‘Advanced OPEN peer review’ system. The identity of the authors and, reviewers will be known to each other. This transparent process will help to eradicate any possible malicious/purposeful interference by any person (publishing staff, reviewer, editor, author, etc) during peer review. As a result of this unique system, all reviewers will get their due recognition and respect, once their names are published in the papers. We expect that, by publishing peer review reports with published papers, will be helpful to many authors for drafting their article according to the specifications. Auhors will remove any error of their article and they will improve their article(s) according to the previous reports displayed with published article(s). The main purpose of it is ‘to improve the quality of a candidate manuscript’. Our reviewers check the ‘strength and weakness of a manuscript honestly’. There will increase in the perfection, and transparency.  Received file:                Reviewer's Comments: Average Peer review marks at initial stage: 5.0/10 Average Peer review marks at publication stage: 7.0/10 Reviewer(s) detail: Prof. Dr. Hassan A.H. Al-Shamahy,  Sana'a University, Yemen, [email protected] Dr. Bilge Ahsen KARA,  Ankara Gazi Mustafa Kemal Hospital, Turkey, [email protected] Similar Articles: AWARENESS OF PHARMACISTS TOWARDS ASPARTAME SIDE EFFECTS IN KHARTOUM CITY, SUDAN SUDANESE PHARMACY STUDENTS: CAREER INTENTIONS, EXPECTATIONS AND FACTORS AFFECTING THEIR CHOICES

Author(s):  
Ali Awadallah Saeed ◽  
Osman Umballi ◽  
Namareg Ahmed ◽  
Shaza Ali ◽  
Azza Alfaki

Introduction: Adverse drug reactions resulting from the use of a medicinal product and were harmful or unpleasant reaction. Pharmacovigilance is related pharmaceuticals product after marketing and associated with collection, detection, assessment, monitoring and prevention of adverse effects. The aim of study is to recognize the awareness of pharmacists regarding pharmacovigilance and adverse drug reactions reporting. Methodology: Descriptive cross-sectional study conducted to 237 pharmacists working in Khartoum’s locality pharmacies from August 2019 to March 2020 selected by simple randomization. The data were collected by face to face interview using self-administrated Questionnaire and analyzed by SPSS version 23. Results: 57.4% from the total sample size never seen adverse drug reactions reporting form, 76.4% never receive training on how to report it and only 10.5% from the pharmacists in the study report it to pharmacovigilance center. 79% from pharmacists in the study were not aware about existence of pharmacovigilance program in Sudan. 51.5 % from pharmacists have good attitude about adverse drug reactions and pharmacovigilance in Sudan while 48.5% had poor attitude. Difficulty in communicating with pharmacovigilance centre in Sudan and how to write the report were the factors discourage pharmacists from reporting of adverse drug reactions. Conclusion: Community pharmacists have insufficient knowledge about the concept of pharmacovigilance and spontaneous ADRs reporting while they had positive attitudes toward pharmacovigilance, despite their little experience with ADRs reporting, this can be strengthened by educational trainings and workshops.                   Peer Review History: Received: 4 September 2021; Revised: 9 October; Accepted: 29 October, Available online: 15 November 2021 Academic Editor:  Dr. Jennifer Audu-Peter, University of Jos, Nigeria, [email protected] UJPR follows the most transparent and toughest ‘Advanced OPEN peer review’ system. The identity of the authors and, reviewers will be known to each other. This transparent process will help to eradicate any possible malicious/purposeful interference by any person (publishing staff, reviewer, editor, author, etc) during peer review. As a result of this unique system, all reviewers will get their due recognition and respect, once their names are published in the papers. We expect that, by publishing peer review reports with published papers, will be helpful to many authors for drafting their article according to the specifications. Auhors will remove any error of their article and they will improve their article(s) according to the previous reports displayed with published article(s). The main purpose of it is ‘to improve the quality of a candidate manuscript’. Our reviewers check the ‘strength and weakness of a manuscript honestly’. There will increase in the perfection, and transparency.  Received file:                Reviewer's Comments: Average Peer review marks at initial stage: 5.5/10 Average Peer review marks at publication stage: 7.0/10 Reviewers: Dr. Neelam H. Zaidi, Fiji National University, Fiji, [email protected] Dr. U. S. Mahadeva Rao, Universiti Sultan Zainal Abidin, Terengganu Malaysia, [email protected] Dr. Hayriye Eda Şatana Kara, Gazi University, Turkey, [email protected] Dr. Andrzej Szymański, Poznan University of Technology, Poland, [email protected] Similar Articles: AWARENESS OF PHARMACISTS TOWARDS ASPARTAME SIDE EFFECTS IN KHARTOUM CITY, SUDAN ASSESSMENT OF THE ROLE OF COMMUNITY PHARMACISTS IN MANAGEMENT OF HIV-POSITIVE INDIVIDUALS IN THE SOUTHERN REGION OF NIGERIA


Sexual Health ◽  
2016 ◽  
Vol 13 (3) ◽  
pp. 292
Author(s):  
Anthony J. Santella ◽  
Timothy E. Schlub ◽  
Damien Fagan ◽  
Richard J. Hillman ◽  
Ines Krass

Community pharmacists are expanding their roles in health care, especially as they are distributed over wide geographical areas and are often open long hours. New rapid HIV testing technologies may offer further opportunities to expand their roles. A cross-sectional, online survey of Australian community pharmacists found most prepared to provide treatment to HIV patients, with the majority willing to become involved in rapid HIV testing.


Author(s):  
Fadhil Ilham Mustafa ◽  
◽  
Nurfitri Bustamam ◽  
Andri Pramesyanti ◽  
◽  
...  

Background: People living with HIV / AIDS (PLWHA) have weak immune systems and are prone to infection. Therefore, PLWHA must take antiretroviral (ARV) to maintain their immunity. This study aimed to determine the relationship between the level of adherence to taking ARV fixed-dose combination (FDC) drugs and CD4 levels of HIV patients. Subjects and Method: This was a cross-sectional study conducted at Pengayoman Cipinang Hospital, Indonesia, in 2018. Total of 91 HIV patient over 17 years of age, had or had received FDC ARV therapy for at least 1 year, and did not experience drug-induced hepatitis were enrolled in this study. The dependent variable was CD4 level. The independent variable was level of adherence to taking ARV fixed-dose combination (FDC). The data were taken from the Voluntary Counseling and Testing Poli Pengayoman Cipinang Hospital. This study used secondary data from the Overview of HIV Care and ARV Therapy. The data were analyzed using Chi-square. Results: A total of 65.93% HIV patients had a good level of medication adherence and 79.12% had an increase of CD4 levels. There was a significant relationship between adherence to taking FDC ARV drugs and CD4 levels (OR = 6.50; 95% CI = 2.15 to 19.62; p<0.001), and it was statistically significant. Conclusion: There is a significant relationship between the level of adherence to taking FDC ARV drugs and CD4 levels. Therefore, patients must receive education and support to improve adherence to taking ARV drugs. Keywords: antiretroviral, CD4, fixed-dose combination, adherence to taking medication, people with HIV / AIDS Correspondence: Fadhil Ilham Mustafa. Faculty of Medicine, Universitas Pembangunan Nasional Veteran, Jakarta. Jl. RS Fatmawati, Pondok Labu, South Jakarta. Email: [email protected]. Mobile: 081283681755. DOI: https://doi.org/10.26911/the7thicph.02.03


Author(s):  
M. L. P. Dapar ◽  
B. N. Joseph ◽  
P. A. Damun ◽  
C. R. Okunlola ◽  
P. N. Alphonsus ◽  
...  

Background: Knowledge and competence of community pharmacists in HIV care, are essential for translating the goals of differentiated care into improved outcomes. Aims: To assess the knowledge and competence of community pharmacists in Jos, for differentiated HIV care and services. Study Design: Cross-sectional questionnaire survey. Place and Duration of Study: Community pharmacies in Jos North and Jos South local government areas of Plateau state, North-Central Nigeria, between September to November, 2018. Methodology: We included community pharmacists who responded to six items on knowledge of HIV therapeutics with each correct answer recording a score of 1 and zero for wrong answers. Respondents with a correct score of 5 or 6 represent good knowledge. We examined competence on a 36 item scale graded 1 for weak competence and 5 for strong competence. Factor analysis; reduce the 36 scale items down to competency domains. Frequencies and percentages for reported competencies were presented. In addition, aggregated scores for each of the competency domains were used to compare respondents based on years of experience, educational level and employment status in community pharmacy. All levels of significance were set at p≤ 0.05. Results: 73 out of 110 community pharmacists responded to the questionnaire. Of these, only 25% reported good level of knowledge in HIV therapeutics. 69% reported strong competency in identifying drug therapy problems, 31% inter-professional and patient communication. There was statistically significant difference in competency domains based on years of practice experience and employment status p<0.05. Respondents with 10 years or less of practice experience recorded higher mean ranked scores compared to those with 11 or more years. Similarly, employed pharmacists recorded higher mean ranked scores than those who owned their business. Conclusion: Overall, respondents reported low knowledge and weak competency in HIV care emphasizing the need for specialized training before implementation of differentiated care model.


Author(s):  
Clement Kevin Edet ◽  
Anthony Ike Wegbom ◽  
Victor Alangibi Kiri

Introduction: The primary healthcare workers (PHCWs) may be faced with a higher risk of infection of COVID-19, due to inadequate personal protective equipment (PPE) and lack of training on the disease control and prevention. This study was designated to evaluate the knowledge, attitude and practices (KAP) of PHCWs about COVID-19 in Rivers State, Nigeria. Methods: A facility cross-sectional survey was conducted involving the primary healthcare workers in Rivers State, Nigeria. The association between the KAP and demographic characteristics were tested with the Chi-square test, while the association existing among KAP were evaluated with Pearson correlation coefficient. Statistical significance was evaluated at P<0.05. Results: The proportion of respondents with good scores in knowledge, attitude, and COVID-19 related practices are 86.4% (10.66 ± 2.40), 85.0% (8.28 ± 1.94), and 97.3% (8.34 ± 1.39) respectively. Gender, occupation, and years of experience are associated with knowledge, whilst years of experience and marital status are associated with the attitude and level preventive practices; knowledge score also has significant positive linear associations with both attitude  and practices (  scores towards COVID-19. Conclusion: Based on these findings, we suggest that public health education programs should be sustained, and staff should be expose to more training and workshop regarding COVID-19 preventive practices. Furthermore, adequate personnel preventive equipment should be deployed at the primary healthcare facilities, as this will instill the right attitude and confidence in carrying out their duties without the fear of contracting the disease.


Author(s):  
Chinwe F. Anyanwu ◽  
Wolie A. Obianime ◽  
Iyeopu M. Siminialayi ◽  
Eric O. Aigbogun

Background: The administration of tenofovir (TDF) based (tenofovir/ lamivudine/efavirenz) antiretroviral regimen for the management of HIV has remained a concern to both clinicians and patients, thus necessitating the need for suitable supplement for the management of ART induced metabolic abnormalities. The study evaluated the effects of Moringa supplementation on the atherogenic lipoprotein indices of HIV patients on TDF-based regimen at the University of Port Harcourt Teaching Hospital, Rivers State, Nigeria.Methods: The study was designed as a time dependent investigation structured into 3 visits, visit 1 (cross sectional, baseline), visit 2 (4 weeks after administration) and visit 3 (12 weeks post administration). Subjects recruited (140) into this study comprised of two groups, TDF-M (n=56, administered Moringa Supplement) and TDF-NM (n=84, no supplement).Results: At baseline, more than 50% of the patients had at least one abnormal atherogenic lipoprotein indices (Log (TC/HDL-C) = 85.7%, TC/HDL-C=58.5% and LDL-C/HDL-C=51.4%), although at lower limits. At the end of 12 weeks of Moringa supplement administration, the results showed subjects in the TDF-M group who were at risk of CVD had fallen to 20%, indicating a dramatic (40.4%) decrease, while the prevalence of TDF-NM subject at risk of CVD rose to 53.6% (χ2=26.67, P <0.001). HIV patients on TDF-based regime, who were at risk of CVD had elevated triglycerides and low-density lipoprotein cholesterols which inversely affected the levels of high-density lipoprotein and negatively impacting the atherogenic indices.Conclusions: Moringa oleifera supplementation may be helpful in ameliorating the metabolic abnormalities associated with HIV patients on TDF-based regimen.


Author(s):  
Rajesh Hadia ◽  
Rushabh Shah ◽  
Jahnvi Parikh ◽  
Jisa Johnson ◽  
Anchu Marry Thomas ◽  
...  

Background: Drug information centre (DIC) is a facility specially developed to provide relevant, accurate and unbiased drug information (DI) to consumer and health care professionals regarding the proper use of the drugs, drug safety and all the critical problems regarding the drug information of their usage and side effects. Objective: The present study was about to access the knowledge of the primary care physicians and community pharmacists about the DIC and its facilities and to spread awareness regarding the same. Methodology: A cross-sectional, questionnaire-based study was conducted among the 88 participants of Vadodara city, Halol-Kalol town for 6 months of period. 68 pharmacist and 20 physicians took part in the study from these cities. The data was further Analysed by comparing the available data and resource to find out the awareness regarding the DIC. Result: During the study duration, a total of 88 participants took part in the study from various out of them 68 (77%) were community Pharmacist, and 20 (23%) were primary care physicians. In the end of the study, 48 (70.2%) pharmacist and 10 (50%) physicians know about the following data of DI, DIC, DIQ (Drug Information Query), resources and the role of pharmacist in DIC and it was clearly evaluated that the knowledge about the DIC, DI, DIQ was not thoroughly available for the pharmacist and physicians. Conclusion: The present study concludes that the awareness about Drug Information Centre (DIC), Drug Information, and its value and importance is not as much as it should be in Vadodara city, Halol-Kalol. Several awareness programme should be carried to bring the importance and value of DIC in limelight and to make it accessible easily for all to decrease several drug related problems.


2013 ◽  
Vol 4 (2) ◽  
Author(s):  
Inas R. Ibrahim ◽  
Haydar F. Al Tukmagi ◽  
Abdulrasoul Wayyes

Objectives: The main aims of this study were to assess society's use of community pharmacies; evaluate attitudes towards the role of the community pharmacist; and describe required pharmacist characteristics and future services. Study design: A cross-sectional survey with a stratified sampling technique. Methods: A self-administered, validated, questionnaire was distributed to 500 consumers in attendance at 50 community pharmacies in Baghdad, Iraq. Data were gathered from January to April 2012. Mann-Whitney and Kruskal-Wallis tests were performed to test for statistical differences among the study variables. Further analysis through the Chi-square test and logistic regression was completed to assess the predictors of society's attitudes. Results: Twenty-six percent of respondents visited their community pharmacies at least once per week and an additional 65% reported visiting their pharmacy at least once per month. Fifty-five percent of respondents listed the community pharmacist as the first person they would contact in case of any drug-related problem. However, the pharmacist's role was under-appreciated by the majority of respondents (79.8%). These attitudes varied significantly with regard to the demographic characteristics of respondents. Logistic regression analysis showed that gender and age were the influential predictors of favourable versus non-favourable attitudes towards the role of pharmacist. Conclusions: The use of community pharmacies in Iraq was characterized by frequent visits to purchase medicines. Selection of the pharmacy primarily depended on its location. Overall, an under-appreciation of the professional performance of pharmacists was predominant. Raising public awareness towards the important role of community pharmacists in providing public health is warranted.   Type: Original Research


Author(s):  
Clement Kevin Edet ◽  
Anthony Ike Wegbom ◽  
Victor Alangibi Kiri

Introduction: In spite of all the measures introduced to fight the spread of the coronavirus (COVID-19) in Nigeria by relevant authorities, it is still ravaging the country. This calls for the commitment and responsibility of the citizens in their adherence to all the control measures and guidelines, whose effectiveness is dependent on their knowledge, attitudes, and practices (KAP). This study investigated the KAP of clients who attended primary healthcare facilities (PHFs) in Rivers State, Nigeria over the period 16th to 20th June 2020.  Methods: A cross-sectional survey was conducted involving the clients seeking care at the           public primary healthcare facilities in the 23 local government areas (LGAs) of Rivers State,         Nigeria as respondents. Using descriptive analysis, the results for each of the quantitative variables were presented as mean ± standard deviation, whilst those for the categorical variables were reported as frequency and percentage.  The association between the responses on KAP and demographic characteristics were tested using the Chi-square test. Binary logistic regression was performed to identify factors associated with KAP and statistical significance was assessed at P<0.05. Results: Out of 460 questionnaires distributed, 434 respondents participated in the survey, revealing a 94.3% response rate. The proportion of respondents with moderate and above scores in knowledge, attitude, and COVID-19 related practices are 86.6% (62.9+23.7), 80.6% (57.6+23.0), and 58.0% (30.8+27.2) respectively. Occupation, educational level, and senatorial districts are associated with knowledge and attitude, whilst age and senatorial districts are associated with the level of adherence to preventive practices; knowledge level also has associations with both attitude and practices towards COVID-19. Conclusion: On the basis of these findings, we suggest public health education programs on COVID-19 should target individuals with low knowledge levels, lower educational attainment, and those residing in the Rivers South-East senatorial zone in the promotion of their messages on COVID-19.


2021 ◽  
Vol 62 (2) ◽  
pp. 118-130
Author(s):  
Khaled Mohammed Alakhali ◽  
M Zakour Khadari ◽  
Mogana Rajagopal ◽  
Ahsan Baig ◽  
Osama Helweh

Objectives: This study was directed to evaluate community pharmacists’ attitudes towards professional practice and determine their observed competence in various pharmaceutical activities. Methods: A cross-sectional study conducted in the city of Kuala Lumpur. The questionnaire contained 40 questions splitted into six sections that addressed several aspects of practice and demographic information. The study was involved in 223 licensed pharmacists who work in community pharmacies. Data were analyzed by using SPSS. Chi-square and Pearson’s correlation tests were used for statistical significance for dichotomous data. Key findings: Among the 233 respondents in managerial activities, 194 (87%) achieved the score good, and 5 (2.2%) had the score poor. In dispensing activities, 199 (89.2%) achieved the score good, and 5 (2.2%) had the score poor. In pharmaceutical care activities, 209 (93.7%) got the score good, and 4 (1.8%) got the score poor. In inter/intra professional activities, 108 (48.4%) got the score good, and 10 (4.5%) got the score poor. In public health activities, 153 (68.6%) got the score good, and 6 (2.7%) got the score poor whereas in the maintenance of competency activities, 160 (71.7%) got the score good, and 3 (1.3%) got the score poor. Conclusions: The highest of participants got a good attitude was 93.7% for pharmaceutical care activities while the highest of participants got poor attitude was 4.5% for inter/intra professional activities. The majority of the participants are accepting the activities to maintain competence.


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