Knowledge, attitudes and practices of health care professionals towards adverse drug reaction reporting in public sector primary health care facilities in a South African district

Abstract

Purpose Adverse drug reactions (ADRs) have an appreciable impact on patients' health. Little is known however about ADR reporting in ambulatory care environments especially in low-and middle-income countries. Consequently, our aim was to determine knowledge, attitudes and practices (KAP) among health care professionals (HCPs) towards ADR reporting in primary health care (PHC) facilities in South Africa. The findings will be used to direct future activities. Methods Descriptive, cross-sectional design using quantitative methodology among 8 public sector community health care centres and 40 PHC clinics in the Tshwane Health District, Gauteng Province. A self-administered questionnaire was distributed to 218 HCPs, including all key groups. Results A total of 200 responses were received (91.7%). Although an appropriate attitude towards ADR reporting existed, the actual frequency of ADR reporting was low (16.0%). Of the respondents, 60.5% did not know how to report, where to report or when to report an ADR and 51.5% said the level of their clinical knowledge made it difficult to decide whether or not an ADR had occurred. Over 97.5% stated they should be reporting ADRs with 89% feeling that ADR reporting is a professional obligation and over 70% that ADR reporting should be compulsory. When results were combined, the overall mean score in terms of positive or preferred practices for ADR reporting was 24.6% with pharmacists having the highest scores. Conclusion Under-reporting of ADRs with gaps in KAP was evident. There is a serious and urgent need for education and training of HCPs on ADR reporting in South Africa.

Knowledge, attitudes, and practices related to adverse drug reaction reporting by healthcare professionals in a tertiary hospital in Malaysia

“…We observed that, compared to medical and surgical specialists, others were more likely to report ADRs, which may perhaps be attributed to greater familiarity of some specialists such as anesthesiologists with ADRs, which constituted the majority of the "others" category in the current study. Similar observations have been reported by some researchers (Bäckström et al, 2000;Dorji et al, 2016;Haines et al, 2020) but not by others (Aziz et al, 2007;Herdeiro et al, 2005). We also observed that female respondents were more likely to have desirable practices compared to male respondents.…”

Evaluation of Adverse Drug Reactions in Paediatric Patients: A Retrospective Study in Turkish Hospital

“…All Health care professionals (HCPs; doctors, nurses, pharmacists, etc. ), patients and caregivers are the primary source of voluntary ADRs reporting ( Ergün et al, 2019 ; Khan et al, 2020b ; Haines et al, 2020 ). Under-reporting of ADRs continues to be a widespread issue ( Ergün et al, 2019 ; Güner and Ekmekci, 2019 ; Khan et al, 2020a ).…”

Attitude and Perception of Physicians towards Adverse Drug Reaction Reporting in Saudi Arabia

“…In the study, the results of the first part of the high acuity of critical of ADR reporting system stating from the high score in predictions factors lead to ADR incidences or compare different manufacturing of medications, all rudiments essential were more eighty percepts of responders imitate the excellent of belief of critical of ADR and reporting system and look like the earlier studies. [2,3,6,8,[11][12][13][14][16][17][18][19]21,[38][39][40][41][42] The male gender had more contract than females in some important insights related to the made; maybe the male had more involved in the pharmacy committee than female, which uncovered reasons. The age level factor or level experience will not mark the ADR reporting system's importance.…”