Drug use in sub-Saharan Africa: quality in processes--safety in use

Smith, Felicity

doi:10.1136/qhc.12.3.164

Cited by 5 publications

(5 citation statements)

References 10 publications

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“…8 In this study, out of 640 drugs prescribed, the number of drugs actually dispensed was 544 (85%). This value is greater than the drugs dispensed in Black Lion and Saint Paulo's specialized Hospital in Ethiopia (83.13%).…”

Section: Discussionmentioning

confidence: 99%

“…Labeling that both is correct and includes the relevant dosage information is also believed to be important. 8 Dispensing practice plays a central role in the provision of rational drug therapy. It is the process of preparing and handing out medication to a named person on the basis of a prescription; it requires the correct interpretation of the wish of the prescriber and accurate preparation and labeling of medication for use by the patient as advised.…”

Section: Introductionmentioning

confidence: 99%

“…Labeling that both is correct and includes the relevant dosage information is also believed to be important. 8…”

Section: Introductionmentioning

confidence: 99%

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Dispensed Medications: Labeling Patterns and Patient Knowledge at a Tertiary Care University Hospital in Southwest Ethiopia

2012

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The label on dispensed medicines should provide the patient with clear and complete instructions on how to take the drugs. Without sufficient knowledge about risks and benefits of using medicines, people will often not receive the expected clinical outcomes and may suffer adverse effects. The aim of this study was to assess the quality of labeling and patient knowledge of dispensed drugs in Jimma University Specialized Hospital. A cross-sectional prospective study was conducted from January 19 to February 24, 2009. Quality of labeling was assessed by calculating the mean labeling scores. The patient knowledge scores were obtained from patient recall of knowledge indicators. Mean dispensing and dispensing counseling was calculated. A total of 640 drugs were prescribed for 384 patients, and 544 (85.0%) were actually dispensed. The mean labeling score of the dispensed drugs was found to be 3.3 out of 7 essential dispensing quality attributes. All of the dispensed drugs were labeled with their generic name, while no drug was labeled with the patient's name. The remaining labeling attributes such as strength (91.9%), duration of treatment (57.4%), frequency (47.4%), dose (38.6%), and amount of the drugs (15.8%) were written on dispensed drugs. The mean patient knowledge score was 3.7 out of 7. Routes of administration (100.0%), dose (96.1%), frequency (95.5%), reason for prescribing (89.3%), duration of treatment (49.6%), and name of medicine (15.1%) were recalled among the dispensed drugs. The mean dispensing and dispensing counseling times were found to be 130.2 and 29.2 seconds, respectively. Patients' knowledge was satisfactory. However, labeling of dispensed drugs was the main problem identified. Dispensing counseling time was also too short to allow for optimal information to be given on drugs and answering questions from patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Dispensed Medications: Labeling Patterns and Patient Knowledge at a Tertiary Care University Hospital in Southwest Ethiopia

2012

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“…Many researchers have described medication use in developing countries, including Nigeria, as "irrational", and often there are documented cases of ineffective, unsuitable, suboptimal or unsafe prescribing, supply and/or consumption of pharmaceutical products. As in other developing countries, the use of medicines in Nigeria is influenced by several factors which include (1) health and drugs policy, (2) organisation and processes of healthcare provision, (3) immense differences in the availability of drugs and services between regions (notably urban and rural areas), (4) financial constraints on the part of governments and individuals, (5) problems of access to objective product information, (6) role of the pharmaceutical industry in production and marketing, (7) prevalence of fake and counterfeit medicinal products, (8) difficulties of regulating professional practice by the Pharmacists Council of Nigeria and ensuring that only quality medicines are available to the public for use, and (9) the use of medicines in the context of local health beliefs, cultural traditions, and individuals' perspectives and preferences regarding the appropriateness of different courses of action and medication use 5 .…”

Section: Medication Use In Developing Countriesmentioning

confidence: 99%

Medication Management, Use and Safety in Non- Communicable Diseases: Any Hope for the Nigerian Patients?

Erah¹,

Suleiman²

2011

Int J Health Res

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and full-text of published articles. The journal is devoted to the promotion of health sciences and related disciplines (including medicine, pharmacy, nursing, biotechnology, cell and molecular biology, and related engineering fields). It seeks particularly (but not exclusively) to encourage multidisciplinary research and collaboration among scientists, the industry and the healthcare professionals. It will also provide an international forum for the communication and evaluation of data, methods and findings in health sciences and related disciplines. The journal welcomes original research papers, reviews and case reports on current topics of special interest and relevance. All manuscripts will be subject to rapid peer review. Those of high quality (not previously published and not under consideration for publication) will be published without delay. The maximum length of manuscripts should normally be 10,000 words (20 single-spaced typewritten pages) for review, 6,000 words for research articles, 3,000 for technical notes, case reports, commentaries and short communications.

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“…The label gives patients the relevant information which they need for proper use of the dispensed drug. In addition to proper labelling, patients' knowledge about the prescribed drug is an essential prerequisite for patient compliance [5,6]. Any error or failure in the dispensing process can jeopardize the care of the patient [7].…”

Section: Introductionmentioning

confidence: 99%

Importance of labelling and patient knowledge to ensure proper care during drug dispensing: A case study from a tertiary hospital in Ethiopia

Mekonen¹,

Samuel²,

Ambelu³

2014

OJPM

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Correct drug labelling is central for ensuring proper drug dispensing and thus for patient safety. Labelling errors may result in adverse health outcomes. The objective of this study was, therefore, to assess the effect of labelling on the quality of drug dispensing and patient knowledge about dispensed drugs in Jimma University model and specialized hospital outpatient Pharmacies. Individual packages with prescribed drugs were examined using pretested questionnaire and observational check lists during the dispensing process. Patients' knowledge about drugs dispensed to them was assessed at the exit interview using a pretested questionnaire. Out of 743 prescribed drugs, 682 (91.8%) were dispensed to 426 patients. The average labelling score (range from 0 to 6) of dispensed drugs in Model and Outpatient pharmacy was 2.00 (95% CI 1.97 to 2.04) and 1.73 (95% CI 1.6 to 1.8) respectively, with overall average labelling score of 1.90 (95% CI 1.84 to 1.91). The average patient knowledge score (range from 0 t0 5) was 3.45 (95% CI 3.31 to 3.59) and 3.5 (95% CI 3.35 to 3.64) for model and outpatient pharmacy, respectively, while the overall average knowledge score was 3.46 (95% CI 3.37 to 3.57). Major labelling problems were absence of patient's name and dose followed by frequency of administration, duration of treatment, and the reason for prescription. Literacy status of patients had a significant effect on their knowledge (p < 0.005) but age had not (p > 0.05). We recommend that corrective measures targeting both, labelling and patients' knowledge should be implemented to improve the patients' safety and drug therapy adherence.

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Drug use in sub-Saharan Africa: quality in processes--safety in use

Cited by 5 publications

References 10 publications

Dispensed Medications: Labeling Patterns and Patient Knowledge at a Tertiary Care University Hospital in Southwest Ethiopia

Dispensed Medications: Labeling Patterns and Patient Knowledge at a Tertiary Care University Hospital in Southwest Ethiopia

Medication Management, Use and Safety in Non- Communicable Diseases: Any Hope for the Nigerian Patients?

Importance of labelling and patient knowledge to ensure proper care during drug dispensing: A case study from a tertiary hospital in Ethiopia

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