Impact of educational intervention on knowledge of dispensers working at community pharmacies in Pakistan

Main Article Content

Azhar Hussain
Mohamed I. Ibrahim
Madeeha Malik


Pharmacists' Aides, Professional Practice, Health Knowledge, Attitudes, Practice, Pharmacies, Pakistan


Objective: To evaluate the impact of training of dispensers on knowledge of dispensers working at community pharmacies in context to storage temperature, prescription terminologies and status of medicines in Islamabad, Pakistan.

Method: A randomized, controlled, blinded intervention study was designed and implemented. Before the implementation of intervention, a baseline study was performed to assess the knowledge of dispensers working at community pharmacies. The study population included all community pharmacy outlets in Islamabad. Pharmacies of Islamabad which were visited in pre intervention phase (n=118) were divided into two geographical regions: A (intervention) and B (control). Thirty pharmacies were randomly selected from each region. Keeping in view the results of the baseline study an educational intervention was designed to improve the knowledge of dispensers working at community pharmacies in Pakistan.

Results: A significant difference in the overall knowledge of dispensers was observed between the pre-post intervention groups. Knowledge of dispensers regarding storage of drugs, prescription terminologies and status of drugs was improved after the training. On the other hand no significant difference was observed between the pre-post control groups

Conclusion: The study has highlighted that improvements in knowledge of dispensers working at community pharmacies are possible through suitable interventions. But, results of interventions can only be sustainable through continuous monitoring and reinforcement of the training.

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1. Chalker J, Chuc NT, Falkenberg T, Do NT, Tomson G. STD management by private pharmacies in Hanoi: practice and knowledge of drug sellers. Sex Transm Infect. 2000;76(4):299-302.

2. Chuc NT, Larsson M, Falkenberg T, Do NT, Binh NT, Tomson GB. Management of childhood acute respiratory infections at private pharmacies in Vietnam. Ann Pharmacother. 2001;35(10):1283-1288.

3. Laing R, Hogerzeil H, Ross-Degnan D. Ten recommendations to improve use of medicines in developing countries. Health Policy Plan. 2001;16(1):13-20.

4. Dieleman M, Gerretsen B, van der Wilt GJ. Human resource management interventions to improve health workers' performance in low and middle income countries: a realist review. Health Res Policy Syst. 2009;7:7. doi: 10.1186/1478-4505-7-7

5. World Health Organization, How to develop and implement a national drug policy. Geneve: WHO, 1988.

6. Rajeswari R, Balasubramanian R, Bose MS, Sekar L, Rahman F. Private pharmacies in tuberculosis control--a neglected link. Int J Tuberc Lung Dis. 2002;6(2):171-173.

7. Oun S, Edward-Raj A, Ojuola O, Bowman G, Long WM. Assessing the quality of health services provided by informal drug sellers in rural Cambodia. in American Public Health Association 133rd Annual Meeting & Exposition. 2005. Philadelphia. .Available at: (Accessed June 28, 2012).

8. Hussain A, Ibrahim MIM. Qualification, knowledge and experience of dispensers working at community pharmacies in Pakistan. Pharma Pract. 2011;9(2):93-100.

9. Marsh VM, Mutemi WM, Muturi J, Haaland A, Watkins WM, Otieno G, Marsh K. Changing home treatment of childhood fevers by training shop keepers in rural Kenya. Trop Med Int Health. 1999;4(5):383-389.

10. Smith F. The quality of private pharmacy services in low and middle-income countries: a systematic review. Pharm World Sci. 2009;31(3):351-361. doi: 10.1007/s11096-009-9294-z

11. Ameyaw MM, Ofori-Adjei D. The impact of three forms of educational interventions on dispensing practices. in International conferences on improving use of medicine. International Conferences on Improving Use of Medicines, Chang Mai, 1997. Available at: (Accessed June 28, 2012).

12. Chuc NT, Larsson M, Do NT, Diwan VK, Tomson GB, Falkenberg T. Improving private pharmacy practice: a multi-intervention experiment in Hanoi, Vietnam. J Clin Epidemiol. 2002;55(11):1148-1155.

13. Ross-Degnan D, Soumerai SB, Goel PK, Bates J, Makhulo J, Dondi N, Sutoto, Adi D, Ferraz-Tabor L, Hogan R. The impact of face-to-face educational outreach on diarrhoea treatment in pharmacies. Health Policy Plan. 1996;11(3):308-318.

14. Wachter DA, Joshi MP, Rimal B. Antibiotic dispensing by drug retailers in Kathmandu, Nepal. Trop Med Int Health. 1999;4(11):782-788.

15. Greer G. Community Based Training of Informal Drug Sellers to Improve Malaria Case Management in Children Under Five Years in Nigeria. SEAM. Dar es Salaam, 2003.

16. Bexell A, Lwando E, von Hofsten B, Tembo S, Eriksson B, Diwan VK. Improving drug use through continuing education: a randomized controlled trial in Zambia. J Clin Epidemiol. 1996;49(3):355-357.

17. Rabbani F, Cheema FH, Talati N, Siddiqui S, Syed S, Bashir S, Zuberi LZ, Shamim A, Mumtaz Q. Behind the counter: pharmacies and dispensing patterns of pharmacy attendants in Karachi. J Pak Med Assoc. 2001;51(4):149-153.

18. Butt ZA, Gilani AH, Nanan D, Sheikh AL, White F. Quality of pharmacies in Pakistan: a cross-sectional survey. Int J Qual Health Care. 2005;17(4):307-313.

19. Brieger W, A. Unwin A, Greer G, Meek S. Interventions to improve the role of medicine sellers in malaria case management for children in Africa. The Sub-group for Communication and Training,The Malaria Case Management Working Group, Roll Back Malaria: 2004, Accra, Ghana.

20. Summers RS, Kruger CH. Impact of training in drug supply management (DSM) on DSM, dispensing practice and patient knowledge and care at primary health care clinics. Second International Conference on Improving Use of Medicines.2004. Chiang Mai, Thailand. Available at: (Accessed June 28, 2012).

21. Nsimba SE. Assessing the impact of educational intervention for improving management of malaria and other childhood illnesses in Kibaha District-Tanzania. East Afr J Public Health. 2007;4(1):5-11.

22. Chalker J, Chuc NT, Falkenberg T, Tomson G. Private pharmacies in Hanoi, Vietnam: a randomized trial of a 2-year multi-component intervention on knowledge and stated practice regarding ARI, STD and antibiotic/steroid requests. Trop Med Int Health. 2002;7(9):803-810.

23. Sia IC, Galang RM, Mendoza OM, Reyes JA, Bernardo AM, Estrada DT, Quiroga CO, Santiago AC. The effect of two educational activities on the practices of drugstore sellers in the Philippines. Second International Conference on Improving Use of Medicines.2004. Chiang Mai, Thailand. Available at: (Accessed June 28, 2012).

24. Qidwai W, Krishanani MK, Hashmi S, Afridi M, Ali RA. Private drug sellers' education in improving prescribing practices. J Coll Physicians Surg Pak. 2006;16(12):743-746.

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