Healthcare professionals' level of medication knowledge in Africa: a systematic review

Berhe, Derbew Fikadu; Taxis, Katja; Haaijer‐Ruskamp, Flora; Mol, Peter G. M.

doi:10.1111/bcp.13746

Cited by 7 publications

(6 citation statements)

References 85 publications

(112 reference statements)

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“…An MAE can result from factors related to the system, humans, and technology. 1,[13][14][15] System factors are inherent to hospitals and include understaffing, insufficient skill mix, medical undersupply, poor organization of resources, and inadequate administrative support. Human factors originate from patients and care providers.…”

Section: Introductionmentioning

confidence: 99%

Meta-Analysis of Medication Administration Errors in African Hospitals

Alemu¹,

Cimiotti²

2023

J Healthc Qual

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The incidence of medication administration errors (MAEs) and associated patient harm continue to plague hospitals worldwide. Moreover, there is a lack of evidence to address this problem, especially in Africa. This research synthesis was intended to provide current evidence to decrease the incidence of MAEs in Africa. Standardized search criteria were used to identify primary studies that reported the incidence and/or predictors of MAEs in Africa. Included studies met specifications and were validated with a qualityappraisal tool. The pooled incidence of MAEs in African hospitals was estimated to be 0.56 (CI: 0.4324-0.6770) with a 0.13-0.93 prediction interval. The primary estimates were highly heterogeneous. Most MAEs are explained by system failure and patient factors. The contribution of system factors can be minimized through adequate and ongoing training of nurses on the aspects of safe medication administration. In addition, ensuring the availability of drug use guidelines in hospitals, and minimizing disruptions during the medication process can decrease the incidence of MAEs in Africa.

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Section: Introductionmentioning

confidence: 99%

Meta-Analysis of Medication Administration Errors in African Hospitals

Alemu¹,

Cimiotti²

2023

J Healthc Qual

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“…Health workers' knowledge about new treatment policy and recommended use of the new medicines is one of the basic pre-requisites determining the readiness of the health system to implement any drug policy [9][10][11]. Several studies have suggested major knowledge deficiencies about artesunate-based treatment recommendations [12,13], but no study has examined predictors of the health workers' knowledge.…”

Section: Introductionmentioning

confidence: 99%

Predictors of health workers’ knowledge about artesunate-based severe malaria treatment recommendations in government and faith-based hospitals in Kenya

Machini

Zurovac

Amboko

et al. 2020

Malar J

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Background: Health workers' knowledge deficiencies about artesunate-based severe malaria treatment recommendations have been reported. However, predictors of the treatment knowledge have not been examined. In this paper, predictors of artesunate-based treatment knowledge among inpatient health workers in two hospital sectors in Kenya are reported. Methods: Secondary analysis of 367 and 330 inpatient health workers randomly selected and interviewed at 47 government hospitals in 2016 and 43 faith-based hospitals in 2017 respectively, was undertaken. Multilevel ordinal and binary logistic regressions examining the effects of 11 factors on five knowledge outcomes in government and faith-based hospital sectors were performed. Results: Among respective government and faith-based health workers, about a third of health workers had high knowledge of artesunate treatment policies (30.8% vs 32.9%), a third knew all dosing intervals (33.5% vs 33.3%), about half knew preparation solutions (49.9% vs 55.8%), half to two-thirds knew artesunate dose for both weight categories (50.8% vs 66.7%) and over three-quarters knew the preferred route of administration (78.7% vs 82.4%). Eight predictors were significantly associated with at least one of the examined knowledge outcomes. In the government sector, display of artesunate administration posters, paediatric ward allocation and repeated surveys were significantly associated with more than one of the knowledge outcomes. In the faith-based hospitals, availability of artesunate at hospitals and health worker pre-service training were associated with multiple outcomes. Exposure to in-service malaria case-management training and access to malaria guidelines were only associated with higher knowledge about artesunate treatment policy. Conclusion: Programmatic interventions ensuring display of artesunate administration posters in the wards, targeting of health workers managing adult patients in the medical wards, and repeated knowledge assessments are likely to be beneficial for improving the knowledge of government health workers about artesunate-based severe malaria treatment recommendations. The availability of artesunate and focus on improvements of nurses' knowledge should be prioritized at the faith-based hospitals.

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“…To carry out proper dispensation, the professional must have sufficient knowledge to guide the patient on the correct use of the medication, of interaction with other medication and foods, recognition of potential adverse reactions, and conditions of product preservation. Formal education may be important for professionals to appropriate this knowledge [2,[8][9]. In addition, professionals must know the legislation related to the medication dispensing process, which aims to guarantee the quality thereof.…”

Section: Introductionmentioning

confidence: 99%

“…In this sense, a number of studies have evaluated the knowledge of medication dispensing of the professionals involved in this practice [9,8,11,[15][16][17], and studies show that medication dispensing by untrained professionals corroborates the irrational use of the medication [8,[18][19]. Thus, the importance of conducting such studies is highlighted, especially in developing countries where formal training of these professionals is not standardized.…”

Section: Introductionmentioning

confidence: 99%

Development and validation of an instrument to measure the professional’s knowledge of dispensing medication (CDM-51) in community pharmacies

et al. 2020

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Medication dispensing performed without the necessary information on proper use can result in harmful effects to the individual, and therefore providing this service with quality for the users is necessary to promote the rational use of medication; however, in a developing country this activity is performed largely by unqualified people and in an inappropriate way. This study aims to develop and validate a study instrument that measures the knowledge of medication dispensing for the professionals involved in this practice (pharmacist, pharmacy technician in the pharmacy, and clerk/assistant). The study has methodological design and is characterized by the development and validation of an instrument to measure the knowledge of dispensation. A questionnaire denominated CDM-51 was elaborated and divided in two parts: the first collects the socio-demographic characteristics of the participants, and the second has 51 questions to assess the knowledge construct regarding dispensation. The validity of content was realized through the evaluation by seven experts regarding the relevance and clarity of the items. A pretest and main validation study with 30 and 79 pharmacy professionals respectively, from the city of Ribeirão Preto in the Brazilian state of São Paulo were carried out, and questions presented to the respondents were corrected. The analysis of the internal consistency of the KR-20 (Kuder-Richardson) was 0.837, and validity construct evidence was found (p value: 0.001) that participants with formal education have greater knowledge of medication dispensing. This work contributes to increasing the quality of services provided by dispensing pharmacies and points out the importance of training for formal education to perform this service, thus promoting the rational use of medication.

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Healthcare professionals' level of medication knowledge in Africa: a systematic review

Cited by 7 publications

References 85 publications

Meta-Analysis of Medication Administration Errors in African Hospitals

Meta-Analysis of Medication Administration Errors in African Hospitals

Predictors of health workers’ knowledge about artesunate-based severe malaria treatment recommendations in government and faith-based hospitals in Kenya

Development and validation of an instrument to measure the professional’s knowledge of dispensing medication (CDM-51) in community pharmacies

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