Quality of pharmacies in Pakistan: a cross-sectional survey

Butt, Zahid A.; Gilani, Anwarul Hassan; Nanan, Debra; Sheikh, Abdul Latif; White, Frank

doi:10.1093/intqhc/mzi049

Cited by 82 publications

(103 citation statements)

References 25 publications

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“…The demographic characteristics of the current study lends some support to this assertion. It is also buttressed by a previous study by Butt et al [16] in which there were only three female pharmacist respondents.…”

Section: Discussionmentioning

confidence: 85%

“…According to the report of the Health System Review Mission Pakistan [15], there are more than 8000 pharmacists in Pakistan but only 10% of them are engaged in community pharmacy practice. Similarly, a cross-sectional survey of the quality of pharmacies in Pakistan reported nominal presence of professionally qualified pharmacists [16]. This underutilization of professionally qualified pharmacists in community settings in Pakistan may be attributed to their perceived status as 'less respectable healthcare professional' in the eyes of the public when compared to pharmacists employed in hospital, industrial and academic settings [17].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Knowledge, Perception and Attitude of Community Pharmacists towards Generic Medicines in Karachi, Pakistan: A Qualitative Insight

Jamshed¹,

Hassali²,

Ibrahim³

et al. 2010

Trop. J. Pharm Res

134

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Knowledge, Perception and Attitude of Community Pharmacists towards Generic Medicines in Karachi, Pakistan: A Qualitative Insight

Jamshed¹,

Hassali²,

Ibrahim³

et al. 2010

Trop. J. Pharm Res

134

View full text Add to dashboard Cite

“…Furthermore, the miserable part of current scenario is the poor health information system, which does not produce the quality data required for planning. 13 …”

Section: Health Care Systemmentioning

confidence: 99%

“…The outlets are registered with the certificate of registration, but the quality of clinical and/ or pharmaceutical care has been reported to be poor. 3 We are lacking the major components of patient's pharmaceutical care i.e. prescribing, administering, documenting and reviewing the drug usage.…”

mentioning

confidence: 99%

Review of Pharmacy Professionals and Drug Jurisprudence to Achieve the Millennium Development Goals in Punjab Province of Pakistan.

Nazir¹,

Islam²,

Taha³

et al. 2016

IJPER

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The current health practice of Punjab Province of Pakistan needs a serious attention to control the unnecessary drug usage, improve pharmaceutical care and establish excellent public health system. Hence, the health officials of Govt. of Pakistan have established "Drug Regulatory Authority", and Punjab Health Department has chalked out Punjab Drug Rule, 2007 to deployed a revised health structure in Punjab. But, unluckily, the medical physicians, drug store owners and bureaucracy have not put it into actual practice. Punjab Health Department has made amendments in the Drug Rules, 2007; substituted the word "three" by the "ten" and suspended it until 2017 via notification printed in the official weekly gazette dated February 10, 2010. This potential confliction of interest can also be noticed in hospital settings, community clinical practice and other allied health institutions. The most awful part the current scenario is the insufficient aspirations to share the clinical burden to provide the health facilities for patients presented in hospital/ clinical setting. The consultant physicians and medical practitioners are very much reluctant to involve the pharmacy professionals to perform their primary professional role. They want them to stay away from their actual scientific job and keep doing the administrative and clerical work. Therefore, the current health system and drug jurisprudence needs a serious attention to address the health problem. That will help to minimize avoidable mortalities, wrong medication, irrational prescription and development of drug resistance. Moreover, a conclusive prescribing guidelines and appropriate drug jurisprudence will expedite the achievement of MDG of WHO.

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“…[1] For developing country like Pakistan where widespread access to health care is a far-reaching cry, patients often resort to self-medication for most of their ailments, driven by lack of access to health care system, cultural and financial constraints. [2] Number of studies has reported that self-medication may cause un-due delay in seeking health care services leading to, at some instances, irreversible damage due to some life threatening drug interactions. [3] Corticosteroids are among highly abused drugs, freely available at local medical stores without prescription in developing countries like Pakistan.…”

Section: Introductionmentioning

confidence: 99%

Self-Medication of Corticosteroids: A Life Threatening Case Report from Pakistan

Khurshid¹,

Zikria²,

Hamid³

et al. 2016

JPPCM

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A 70 years-old male patient with poor socioeconomic status seeks medical treatment from a quack for a minor injury. The Quack assured him to improve his health while offering him a miracle medicine that went wrong. A registered medical practitioner made a working diagnosis of the mismanaged early stage cellulitis and patient was shifted to a specialized hospital with subsequent deterioration of his health due to septicemia leading to unconsciousness. Pertinent medical history determined patient's self-medication habits for the last 10 years including Prednisolone and Tetracycline for upper respiratory tract disorders-identified as per medicine color and shape. A number of potent antibiotics were tried but in vain. Finally the patient was diagnosed with corticosteroid induced adrenal suppression which shifted a minor injury into life threatening condition. In ICU, physician added injection Dexamethasone which regains patient's consciousness within 3-4 hrs. It is concluded that in a country like Pakistan where provision of prescription medicines are similar to over the counter medicines, self-medication driven disease mismanagement coupled with treatment and procedural qualms for uneducated patients, mightsteer a minor health event to a life-threatening incident.

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Quality of pharmacies in Pakistan: a cross-sectional survey

Cited by 82 publications

References 25 publications

Knowledge, Perception and Attitude of Community Pharmacists towards Generic Medicines in Karachi, Pakistan: A Qualitative Insight

Knowledge, Perception and Attitude of Community Pharmacists towards Generic Medicines in Karachi, Pakistan: A Qualitative Insight

Review of Pharmacy Professionals and Drug Jurisprudence to Achieve the Millennium Development Goals in Punjab Province of Pakistan.

Self-Medication of Corticosteroids: A Life Threatening Case Report from Pakistan

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