Qualification, knowledge and experience of dispensers working at community pharmacies in Pakistan
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Abstract
Pharmacies are managed by a variety of dispensers in terms of qualification, knowledge and experience in Pakistan.
Objective: The study aimed to document the state of knowledge, experience and qualification of dispensers working at community pharmacies in Pakistan.
Methods: A comparative cross sectional study was conducted at a randomly selected sample of 371 pharmacies in the three cities of Pakistan. A structured questionnaire for data collection was developed and finalized by focused group discussions and pilot testing. The data was coded, entered and analyzed by using SPSS Version 16. Kruskal-Wallis and Mann-Whitney tests (p≤0.05) were performed to find out differences.
Results: Out of total sample of 371 pharmacies, 31.8 % (118) were in Islamabad, 32.4 % (120) in Peshawar and 35.8 % (133) were in Lahore. Fifty percent of the respondents had correct knowledge of range of room temperature at which medicines should be stored. Only 11.1% (41) of the respondents knew about OTC (over the counter drugs) which can be sold without prescription while 5.9 % (22) of the respondents were aware of POM (prescription only medicines) which can be only sold on a valid prescription. While 87.6% (325), 88.1% (327), 58.7% (318) and 95.7 % (355) of the respondents did not know the meaning of the dispensing abbreviations such as ‘h.s’, ‘q.d’, ‘sos’ and ‘p.r.n’. The respondents did not know correctly the status of Deltacortil® (Prednisolone), Septran® (Sulfamethoxazole) and Fansidar® (Pyrimethamine and Sulfadoxine) either as OTC or POM in 26.7% (99), 64.2% (238), and 44.5 % (165) of the cases, respectively. There was a significant difference (p≤0.05) in knowledge of dispensers regarding storage temperature, prescription terminologies and status of medicines having different level of qualification and experience.
Conclusions: The overall knowledge and training of dispensers working at community pharmacies is inadequate in Pakistan. However, pharmacists had relatively better knowledge regarding storage temperature, prescription terminologies and status of medicines as compared to pharmacy assistants, diploma holders and salesperson.
Keywords: Pharmacists' Aides. Professional Competence. Pharmacies. Pakistan.
References
2. Kafle KK, Gartoulla RP, Pradhan YM, Shrestha AD, Karkee SB, Quick JD. Drug retailer training: Experiences from Nepal. Soc Sci Med. 1992;35(8):1015-1025.
3. Chuc NTK, Tomson G. “Doi moi'' and private pharmacies: a case study on dispensing and financial issues in Hanoi, Vietnam. Eur J Clin Pharmacol. 1999;55(4):325-332.
4. Syhakhang L, Lundborg CS, Lindgren B, Tomson G. The quality of drugs in private pharmacies in Lao PDR: a repeat study in 1997 and 1999. Pharm World Sci. 2004;26(6):333-338.
5. Stenson B, Syhakhang L, Eriksson B, Tomson G. Real world pharmacy: assessing the quality of private pharmacy practice in the Lao People's Democratic Republic. Soc Sci Med. 2001;52:(3):393-404.
6. Mac TL, Le VT, Vu AN, Preux PM, Ratsimbazafy V. AEDs availability and professional practices in delivery outlets in a city center in southern Vietnam. Epilepsia. 2006;47(2):330-334.
7. 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.
8. Butt ZA, Gilani AH, Nanan D, Sheikh AL, White AF. Quality of pharmacies in Pakistan: a cross-sectional survey. Int J Qual Health Care. 2005;17(4):307-313.
9. Chalker J, Chuc NT, Falkenberg T. 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.
10. 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.
11. Rajakaruna RS, Weerasinghe M, Alifrangis M, Amerasinghe PH, Konradsen F. The role of private drug vendors as malaria treatment providers in selected malaria endemic areas of Sri Lanka. J Vector Borne Dis. 2006;43(2):58-65.
12. Das BP, Deo SK, Jha N, Rauniar GP, Naga Rani MA. Knowledge, attitudes and practices (KAP) regarding the management of diarrhea by pharmacists and licensed drug sellers in eastern Nepal. Southeast Asian J Trop Med Public Health. 2005;36(6):1562-1567.
13. Hetzel MW, Dillip A, Lengeler C, Obrist B, Msechu JJ, Makemba AM, Mshana C, Schulze A, Mshinda H. Malaria treatment in the retail sector: knowledge and practices of drug sellers in rural Tanzania.BMC Public Health. 2008;8:157.
14. Syhakhang L, Freudenthal S, Tomson G, Wahlström R. Knowledge and perceptions of drug quality among drug sellers and consumers in Lao PDR. Health Policy Plan. 2004;19(6):391-401.
15. 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. American Public Health Association 133rd Annual Meeting & Exposition. Philadelphia, 10-14 Dec 2005.
16. Wolffers I.. Drug information and sale practices in some pharmacies of Colombo, Sri Lanka. Soc Sci Med. 1987;25(3):319-321.
17. Poudel A, Khanal S, Alam K, Palaian S. Perception of Nepalese community pharmacists towards patient counseling and continuing pharmacy education program: A multicentric study. J Clin Diag Res. 2009;(3):1408-1413.
18. Kamat VR, Nichter M. Pharmacies, self-medication and pharmaceutical marketing in Bombay, India. Soc Sci Med. 1998;47:779-794.
19. Kwena Z, Sharma A, Wamae N, Muga C, Bukusi E. Provider characteristics among staff providing care to sexually transmitted infection self-medicating patients in retail pharmacies in Kibera slum, Nairobi, Kenya. Sex Transm Dis. 2008;35(5):480-483.
20. Rovers JP, Currie JD, Hagel HP, McDonough RP, Sobotka JL: A practical guide to pharmaceutical care Washington, DC: American Pharmaceutical Association; 2003.
21. Abdul RBK, Fahmy SA, Abu-Gharbieh EF, Ali HS. Professional practices and perception towards rational use of medicines according to WHO methodology in United Arab Emirates. Pharmacy Practice (Internet).2010;8(1):70-76.
22. Larsson M, Tomson G, Binh NT, Chuc NTK, Falkenberg T. Private pharmacy staff in Hanoi dispensing steroids -theory and practice. Pharmacy Practice (Internet). 2006; 4(2):60-67.
23. Israel GD. 1992. Determining Sample Size. Program Evaluation and Organizational Development, IFAS, University of Florida. PEOD-6. November.
24. Cordina M, Safta V, Ciobanu A, Sautenkova N. An assessment of community pharmacists attitudes towards professional practice in the Republic of Moldova. Pharmacy Practice (Internet). 2008;6(1):1-8.
25. Hale ZT, Ahmet A, Sule O, Sanda C, Sena FS, Meral KU. The pharmacy practice of community pharmacists in Turkey. Marmara Pharmaceutical J. 2010;14:53-60.
26. Wolf-Gould CS, Taylor N, Horwitz SM, Barry M. Misinformation about medications in rural Ghana. Soc Sci Med. 1991;33(1):83-89.
27. Khan MM, Van den Heuvel W. The impact of political context upon the health policy process in Pakistan. Public Health. 2007;121(4):278-286.
28. Government of Pakistan, Finance Division, Wing EA: Economic survey of Pakistan, 2005–2006. Islamabad. 2006.
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