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BMC Health Services Research
Published in: BMC Health Services Research 1/2017

Open Access 01-12-2017 | Research article

Evaluation of medicines dispensing pattern of private pharmacies in Rajshahi, Bangladesh

Authors: Shuvashis Saha, Md. Tawhid Hossain

Published in: BMC Health Services Research | Issue 1/2017

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Abstract

Background

In developing country like BANGLADESH, people depend more on pharmacies due to expediency, shorter waiting time, cost reduction, availability of credit and flexible opening hours. The aim of this study was to investigate medicines dispensing patterns of the pharmacies in RAJSHAHI, BANGLADESH and to identify and analyze contribution of drugsellers and quacks in irrational drug use.

Methods

This cross-sectional study was conducted during January 2016 - April, 2016 in 75 randomly selected private pharmacies including both licensed and unlicensed pharmacies of covering LAKSHMIPUR area.

Result

During the whole study process, total 7944 clients visited the pharmacies under observation and 24,717 medicines were dispensed. 22.70% of all these drugs were sold without a prescription. Out of the 5610 items dispensed without prescription, 66.2% were dispensed on the request of clients themselves and 33.8% on the recommendation of a drug seller. Number of medicine in a prescription was highly variable ranging from 2 to 5 medicines per prescriptions (mean = 3.03). The average number of medicines dispensed from each of the pharmacies during the observation period was 392, varied pharmacy to pharmacy – ranging from 194 to 588. Lowest selling medicines were sedative and hypnotics and highest selling medicines were antimicrobials. The recommendation rate for antibiotics was highest for the quacks (26.48%) though the major amount of the antimicrobials (n = 3039, 65.83%) were dispensed on prescription. Macrolides, quinolones, metronidazoles and cephalosporins are most favourite drug of quacks, clients and pharmacists.

Conclusion

Majority of medicines were dispensed irrationally without any prescription and over the counter dispensing of many low safety profile drugs was common. The results and discussion presented in this paper will be helpful to provide a baseline to redirect further studies in this area.
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Literature
1.
2.
3.
4.
5.
6.
Shankar PR. Medicines use in primary care in developing and transitional countries: fact book summarizing results from studies reported between 1990 and 2006. Bull World Health Organ. 2009;87(10):804–5.CrossRefPubMedCentral
7.
Morgan DJ, Okeke IN, Laxminarayan R, Perencevich EN, Weisenberg S. Non-prescription antimicrobial use worldwide: a systematic review. Lancet Infect Dis. 2011;11(9):692–701.CrossRefPubMedPubMedCentral
8.
Kamat VR, Nichter M. Pharmacies, self-medication and pharmaceutical marketing in Bombay, India. Soc Sci Med. 1998;47(6):779–94.CrossRefPubMed
9.
Streatfield PK, Karar ZA. Population challenges for Bangladesh in the coming decades. J Health Popul Nutr. 2008;26(3):261–72.PubMedPubMedCentral
10.
11.
Kafle KK, Gartoulla RP, Pradhan YM, Shrestha AD, Karkee SB, Quick JD. Drug retailer training: experiences from Nepal. Soc Sci Med. 1992;35(8):1015–25.CrossRefPubMed
12.
Basak S, Sathyanarayana D. Evaluating medicines dispensing patterns at private community pharmacies in Tamilnadu, India. Southern Med Rev. 2010;3(2):27–31.
13.
Rakib A, Sarwar MS, Zannah S, Khanum S, Rashid M. A survey of the role of community pharmacists in Dhaka city, Bangladesh. Bangladesh Pharm J. 2015;18(2):137.CrossRef
14.
Biswas M, Roy MN, Manik MI, Hossain MS, Tapu SM, Moniruzzaman M, et al. Self medicated antibiotics in Bangladesh: a cross-sectional health survey conducted in the Rajshahi city. BMC Public Health. 2014;14:847.CrossRefPubMedPubMedCentral
15.
16.
17.
18.
19.
Directorate of Drug Administration. Bangladesh National Formulary (BDNF): Directorate of Drug Administration. 2006.
20.
21.
Bhuiya A. International Centre for Diarrhoeal Disease Research Bangladesh. Health for the rural masses : insights from Chakaria. Dhaka: ICDDR, B; 2009. p. 125.
22.
23.
Dua V, Kunin CM, White LV. The use of antimicrobial drugs in Nagpur, India. A window on medical care in a developing country. Soc Sci Med. 1994;38(5):717–24.CrossRefPubMed
24.
Chandler CI, Mangham L, Njei AN, Achonduh O, Mbacham WF, Wiseman V. ‘As a clinician, you are not managing lab results, you are managing the patient’: how the enactment of malaria at health facilities in Cameroon compares with new WHO guidelines for the use of malaria tests. Soc Sci Med. 2012;74(10):1528–35.CrossRefPubMed
25.
Radyowijati A, Haak H. Improving antibiotic use in low-income countries: an overview of evidence on determinants. Soc Sci Med. 2003;57(4):733–44.CrossRefPubMed
26.
Bloom G. Transforming health markets in Asia and Africa : improving quality and access for the poor. 1st ed. Abingdon: Routledge; 2013. p. 197. xvii.
27.
Kollef MH. Inadequate antimicrobial treatment: an important determinant of outcome for hospitalized patients. Clin Infect Dis. 2000;31 Suppl 4:S131–8.CrossRefPubMed
28.
Stratchounski LS, Andreeva IV, Ratchina SA, Galkin DV, Petrotchenkova NA, Demin AA, et al. The inventory of antibiotics in Russian home medicine cabinets. Clin Infect Dis. 2003;37(4):498–505.CrossRefPubMed
29.
30.
Peters DH, Bloom G. Developing world: bring order to unregulated health markets. Nature. 2012;487(7406):163–5.CrossRefPubMed
31.
Jayaraman K. Drug policy: playing down main issues. Econ Pol Wkly. 1986;21(25/26):1129–32.
32.
Greenhalgh T. Drug prescription and self-medication in India: an exploratory survey. Soc Sci Med. 1987;25(3):307–18.CrossRefPubMed
33.
Lexchin J. Statistics in drug advertising: what they reveal is suggestive what they hide is vital. Int J Clin Pract. 2010;64(8):1015–8.CrossRefPubMed
34.
Shill MC, Das AK. Medication practices in Bangladesh-roles of pharmacists at current circumstances. Int J Pharm Pharm Sci. 2011;3:5–8.
35.
Metadata
Title
Evaluation of medicines dispensing pattern of private pharmacies in Rajshahi, Bangladesh
Authors
Shuvashis Saha
Md. Tawhid Hossain
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2017
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-017-2072-z

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