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A Literature Review: Pharmaceutical Care an Evolving Role at Community Pharmacies in Pakistan

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DOI: 10.4236/pp.2013.45060    6,807 Downloads   11,830 Views   Citations

ABSTRACT

The aim of this paper is to highlight the role of pharmaceutical care at community pharmacies in Pakistan. The paper draws on the literature related to current dispensing practices at community pharmacies in developing countries as well as in Pakistan. There are approximately 63,000 community pharmacies in Pakistan, and according to an estimate, 80% of the medicines are being distributed through this channel to majority of the population. They often lack adequate facilities, staffing and equipments. Absence of pharmacists and their roles being performed by the non-qualified personnel working at community pharmacies are a common practice. There are 8102 pharmacists who are categorized as a category, 31,000 pharmacy technicians categorized in B & C category in the country. There is a shortage of pharmacists who could be engaged for ensuring good pharmacy practices. There are only ten percent of the total pharmacists who work at community pharmacies in the country according to the Pharmacy Council of Pakistan. All kind of medicines are freely available irrespective of their status as prescription or over the counter drugs. The paper highlights that the professional role of pharmacist in hospitals and community pharmacies is switching from dispensing and sale of drugs, to patient counselling. But, the concept of pharmaceutical care at community pharmacies has not been acknowledged yet in Pakistan. The process of prescription handling is poor and patients are often treated without a proper prescription. Prescription validation, drug labeling and patient counseling are the missing components in effective patient management at the community pharmacies. The paper concludes that although laws exist, but due to lack of accountability and weak regulatory framework their proper implementation is not witnessed. Moreover, due to lack of research and evidence related to problems in dispensing practices in healthcare system of Pakistan, the counteractive actions for resolving these problems are limited.


Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

A. Hussain, M. Malik and H. Toklu, "A Literature Review: Pharmaceutical Care an Evolving Role at Community Pharmacies in Pakistan," Pharmacology & Pharmacy, Vol. 4 No. 5, 2013, pp. 425-430. doi: 10.4236/pp.2013.45060.

References

[1] A. Hafeez, et al., “Prescription and Dispensing Practices in Public Sector Health Facilities in Pakistan: Survey Report,” Journal of Pakistan Medical Association, Vol. 54, No. 4, 2004, pp. 187-191.
[2] A. Hussian and M. I. M. Ibrahim, “Compliance with Legal Requirements by Community Pharmacies in Pakistan: A cross Sectional Survey,” International Journal of Pharmacy Practice, Vol. 20, No. 3, 2011, pp. 183-190.
[3] F. Rabbani, et al., “Behind the Counter: Pharmacies and Dispensing Patterns of Pharmacy Attendants in Karachi,” Journal of Pakistan Medical Association, Vol. 51, No. 4, 2001, pp. 149-154.
[4] W. Qadwai, et al., “Private Drug Sellers Education in Improving Prescribing Practices,” Journal of the College of Physicians and Surgeons Pakistan, Vol. 16, No. 12, 2006, pp. 743-746.
[5] Z. Butt, et al., “Quality of Pharmacies in Pakistan: A Cross-Sectional Survey,” International Journal for Quality in Health Care, Vol. 17, No. 4, 2005, pp. 307-313. doi:10.1093/intqhc/mzi049
[6] I. F. Caamano, et al., “Do Pharmacists’ Opinions Affect Their Decision to Dispense or Recommend a Visit to a Doctor?” Pharmacoepidemiology and Drug Safety, Vol. 14, No. 9, 2005, pp. 659-664. doi:10.1002/pds.1106
[7] S. Azhar, et al., “The Role of Pharmacists in Developing Countries: The Current Scenario in Pakistan,” Human Resources for Health, Vol. 7, No. 54, 2009, pp. 7-8.
[8] T. Westerlund and T. Bjork, “Pharmaceutical Care in Community Pharmacies: Practice and Research in Sweden,” The Annals of Pharmacotherapy, Vol. 40, No. 6, 2006, pp. 1162-1169.
[9] K. K. Van and W. L. Hellerstedt, “Emergency Contraceptive Pills: Dispensing Practices, Knowledge and Attitudes of South Dakota Pharmacists,” Perspectives on Sexual and Reproductive Health, Vol. 37, No. 1, 2005, pp. 19-24. doi:10.1363/371905
[10] L. J. Bryant, et al., “General Practitioners’ and Pharmacists’ Perceptions of the Role of Community Pharmacists in Delivering Clinical Services,” Research in Social and Administrative Pharmacy, Vol. 5, No. 4, 2009, pp. 347-362. doi:10.1016/j.sapharm.2009.01.002
[11] T. M. Mysak, et al., “Prescribing by Pharmacists: Information Paper (2009) Pharmacist Prescribing Task Force,” The Canadian Journal of Hospital Pharmacy, Vol. 63, No. 3, 2010, pp. 267-274.
[12] S. Kwon, “Pharmaceutical Reforms and Physician Strikes in Korea: Separation of Drug Prescribing and Dispensing,” Social Science and Medicine, Vol. 57, No. 3, 2003, pp. 529-538. doi:10.1016/S0277-9536(02)00378-7
[13] L. Stone, “Good Pharmacy Practice (GPP) in Developing Countries,” 1997, Available from: http://www.fip.org/files/fip/Statements/latest/Dossier%20003%20total.PDF
[14] M. M. Ameyaw and A. O. David, “The Impact of Three Forms of Educational Interventions on Dispensing Practices,” In International Conferences on Improving Use of Medicine (ICIUM), Chang Mai, 1-4 September 1997, pp. 1-9.
[15] K. Memon, “Use of Drugs in Primary Health Care Province of Sindh Pakistan in School of Public Health,” Boston University, Boston, 1999.
[16] S. A. Sallam, et al., “Pharmacoepidemiological Study of Self-Medication in Adults Attending Pharmacies in Alexandria, Egypt,” Eastern Mediterranean Health Journal, Vol. 15, No. 3, 2009, pp. 683-691.
[17] S. M. Jankoviae, et al., “Service Quality in Public and Private Pharmacies in the City of Kragujevac, FR Yugoslavia,” Croatian Medical Journal, Vol. 42, No. 1, 2001, pp. 88-91.
[18] B. Stenson, et al., “Real World Pharmacy: Assessing the Quality of Private Pharmacy Practice in the Lao People’s Democratic Republic,” Social Science & Medicine, Vol. 52, No. 3, 2001, pp. 393-404. doi:10.1016/S0277-9536(00)00142-8
[19] L. Syhakhang, et al., “Knowledge and Perceptions of Drug Quality Among Drug Sellers and Consumers in Lao PDR,” Health Policy and Planning, Vol. 19, No. 6, 2004, pp. 391-401. doi:10.1093/heapol/czh054
[20] J. Chalker, et al., “Effectiveness of a Multi-Component Intervention on Dispensing Practices at Private Pharmacies in Vietnam and Thailand—A Randomized Controlled Trial,” Social Science & Medicine, Vol. 60, No. 1, 2005, pp. 131-141. doi:10.1016/j.socscimed.2004.04.019
[21] M. Wazaifya, et al., “Societal Perspectives on Over-the-Counter (OTC) Medicines,” Family Practice, Vol. 22, No. 2, 2005, pp. 170-176. doi:10.1093/fampra/cmh723
[22] B. Keohavong, et al., “Rational Use of Drugs: Prescribing and Dispensing Practices at Public Health Facilities in Lao PDR,” Pharmacoepidemiology and Drug Safety, Vol. 15, No. 5, 2006, pp. 344-347. doi:10.1002/pds.1169
[23] I. Wolffers, “Drug Information and Sale Practices in Some Pharmacies of Colombo, Sri Lanka,” Social Science & Medicine, Vol. 25, No. 3, 1987, pp. 319-321. doi:10.1016/0277-9536(87)90234-6
[24] M. A. Lansang, et al., “Purchase of Antibiotics without Prescription in Manila, The Philippines. Inappropriate Choices and Doses,” Journal of Clinical Epidemiology, Vol. 43, No. 1, 1990, pp. 61-67. doi:10.1016/0895-4356(90)90057-V
[25] R. Hogan, “Educating Private Drug Sellers,” Dialogue on Diarrhoea, Vol. 55, 1994, p. 1.
[26] H. Benjamin, F. Smith and M. A. Motawi, “Drugs Dispensed with and without a Prescription from Community Pharmacies in a Conurbation in Egypt,” Eastern Mediterranean Health Journal, Vol. 2, No. 3, 1996, pp. 506-514.
[27] J. S. Pollock and M. P. Pradhan, “Chemists Serving Their Communities to Prevent Sexually Transmitted Infection Transmission in Nepal,” Nepal, AIDS Control and Prevention Project and Nepal Chemists and Druggists Association, Kathmandu, 1996.
[28] S. C. Basak, et al., “An Attempt to Develop Community Pharmacy Practice: Results of Two Surveys and Two Workshops Conducted in Tamilnadu,” Indian Journal of Pharmaceutical Sciences, Vol. 67, No. 3, 2005, pp. 362-367.
[29] V. M. Marsh, et al., “Changing Home Treatment of Childhood Fevers by Training Shop Keepers in Rural Kenya,” Tropical Medicine and International Health, Vol. 4, No. 5, 1999, pp. 383-389. doi:10.1046/j.1365-3156.1999.00403.x
[30] A. Hussian and M. I. M. Ibrahim, “Knowledge Level of Patrons Attending Community Pharmacies in Pakistan: Is It a Threat to Rational Use of Drugs,” Health Med, Vol. 5, No. 4, 2011, pp. 819-825.
[31] N. Viberg, et al., “STI Management in Tanzanian Private Drugstores: Practices and Roles of Drug Sellers,” Sexually Transmitted Infections, Vol. 85, No. 4, 2009, pp. 300-307. doi:10.1136/sti.2008.032888
[32] C. A. Goodman, et al., “The Cost-Effectiveness of Improving Malaria Home Management: Shopkeeper Training in Rural Kenya,” Health Policy and Planning, Vol. 21, No. 4, 2006, pp. 275-288. doi:10.1093/heapol/czl011
[33] A. Apisarnthanarak, et al., “Nonjudicious Dispensing of Antibiotics by Drug Stores in Pratumthani, Thailand,” Infection Control Hospital Epidemiology, Vol. 29, No. 6, 2008, pp. 572-575.
[34] A. H. Zargarzadeh, M. Minaeiyan and A. Torabi, “Prescription and Nonprescription Drug Use in Isfahan, Iran: An Observational, Cross-Sectional Study,” Current Therapeutic Research, Vol. 69, No. 1, 2008, pp. 76-87. doi:10.1016/j.curtheres.2008.02.002
[35] J. Quick, R. Laing and R. Degnan, “Intervention Research to Promote Clinically Effective and Economically Efficient Use of Pharmaceuticals,” Journal of Clinical Epidemiology, Vol. 44, No. 2, 1991, pp. 57-65. doi:10.1016/0895-4356(91)90114-O
[36] P. Tavrow, J. Shabahang and S. Makama, “Vendor-to-Vendor Education to Improve Malaria Treatment by Drug Outlets in Kenya,” Center for Human Services, Bethesda, 2002.
[37] J. C. Chalker, “Interventions for Improved Prescribing and Dispensing of Medicines in Nepal, Thailand and Vietnam, in Public Health,” Karolinska Institutet, Stockholm, 2003.
[38] S. Oun, et al., “Assessing the Quality of Health Services Provided by Informal Drug Sellers in Rural Cambodia,” In American Public Health Association 133rd Annual Meeting & Exposition, Philadelphia, 10-14 December 2005.
[39] M. Larsson, et al., “Private Pharmacy Staff in Hanoi Dispensing Steroids-Theory and Practice,” Pharmacy Practice, Vol. 4, No. 2, 2006, pp. 60-67.
[40] S. E. D. Nsimba, “Assessing the Performance, Practices and Roles of Drug Sellers/Dispensers and Mothers’/Guardians’ Behaviour for Common Childhood Conditions in Kibaha District, Tanzania,” Tropical Doctor, Vol. 37, No. 4, 2007, pp. 197-201. doi:10.1258/004947507782333099
[41] I. Sia, et al., “The Effect of Two Educational Activities on the Practices of Drugstore Sellers in the Philippines,” In Second International Conference on Improving Use of Medicines, Chiang Mai, 2004.
[42] M. W. Hetzel, et al., “Malaria Treatment in the Retail Sector: Knowledge and Practices of Drug Sellers in Rural Tanzania,” BMC Public Health, Vol. 8, No. 157, 2008, p. 157.
[43] W. A. Tumwikirize, et al., “Management of Acute Respiratory Infections in Drug Shops and Private Pharmacies in Uganda a Study of Counter Attendants’ Knowledge and Reported Behaviour,” East African Medical Journal, Vol. 81, No. 33-40, 2004, pp. 33-40.
[44] A. M. Tekobo and F. Tayo, “Knowledge and Practice of Drug Retailers in Malaria Management in Lagos Nigeria: A Preliminary Survey,” Nigerian Quarterly Journal of Hospital Medicine, Vol. 14, No. 1, 2004, pp. 84-87.
[45] W. R. Brieger, K. K. Salami and F. O. Oshiname, “Perceptions of Drug Color Among Drug Sellers and Consumers in Rural Southwestern Nigeria,” Research in Social and Administrative Pharmacy, Vol. 3, No. 3, 2007, pp. 303-319. doi:10.1016/j.sapharm.2006.10.004
[46] N. T. K. Chuc, et al., “Management of Childhood Acute Respiratory Infections at Private Pharmacies in Vietnam,” The Annals of Pharmacotherapy, Vol. 35, No. 10, 2001, pp. 1283-1288.
[47] J. Chalker, et al., “Private Pharmacies in Hanoi, Vietnam: A Randomized Trial of a 2-Year Multi-Component Intervention on Knowledge and Stated Practice Regarding ARI, STD and Antibiotic/Steroid Requests,” Tropical Medicine and International Health, Vol. 7, No. 9, 2002, pp. 803-810. doi:10.1046/j.1365-3156.2002.00934.x
[48] M. Larsson, “Assessing and Improving Utilization and Provision of Antibiotics and Other Drugs in Vietnam, in Public Health Sciences,” Karolinska Institute, Stockholm, 2003.
[49] R. S. Rajakaruna, et al., “The Role of Private Drug Vendors as Malaria Treatment Providers in Selected Malaria Endemic Areas of Sri Lanka,” Journal of Vector Borne Disease, Vol. 43, No. 2, 2006, pp. 58-65.
[50] A. A. Berih, L. McIntyre and A. D. Lynk, “Pharmacy Dispensing Practices for Sudanese Children with Diarrhoea,” Public Health, Vol. 103, No. 6, 1989, pp. 455-458. doi:10.1016/S0033-3506(89)80056-3
[51] R. Degnan, et al., “The Impact of Face-to-Face Educational Outreach on Diarrhoea Treatment in Pharmacies,” Health Policy and Planning, Vol. 11, No. 3, 1996, pp. 308-318. doi:10.1093/heapol/11.3.308
[52] Y. Tawfik, R. Northrup and S. P. Jones, “Utilizing the Potential of Formal and Informal Private Practitioners in Child Survival,” USAID, Bureau for Africa, Office of Sustainable Development, 2002.
[53] B. P. Das, et al., “Knowledge, Attitudes and Practices (KAP) Regarding the Management of Diarrhea by Pharmacists and Licensed Drug Sellers in Eastern Nepal,” Southeast Asian Journal of Tropical Medicine and Public Health, Vol. 36, No. 6, 2005, pp. 1562-1567.
[54] U. A. Igun, “Why We Seek Treatment Here: Retail Pharmacy and Clinical Practice in Maiduguri, Nigeria,” Social Science & Medicine, Vol. 24, No. 8, 1987, pp. 689-695. doi:10.1016/0277-9536(87)90312-1
[55] A. Hussian and M. I. M. Ibrahim, “Management of Diarrhea Cases by Community Pharmacies in 3 Cities of Pakistan,” East Mediterranean Health Journal, Vol. 18, No. 6, 2012, pp. 635-640.
[56] J. Chalker, et al., “STD Management by Private Pharmacies in Hanoi: Practice and Knowledge of Drug Sellers,” Sexually Transmitted Infection, Vol. 76, No. 4, 2000, pp. 299-302. doi:10.1136/sti.76.4.299
[57] T. Greenhalgh, “Drug Prescription and Self-Medication in India: An Exploratory Survey,” Social Science & Medicine, Vol. 25, No. 3, 1987, pp. 307-318. doi:10.1016/0277-9536(87)90233-4
[58] S. Amidi, et al., “Dispensing Drugs without Prescription and Treating Patients by Pharmacy Attendants in Shiraz, Iran,” American Journal of Public Health, Vol. 68, No. 5, 1978, pp. 495-496. doi:10.2105/AJPH.68.5.495
[59] O. E. Patrick, “The Changing Roles of Pharmacists in Hospital and Community Pharmacy Practice in Nigeria,” Tropical Journal of Pharmaceutical Research, Vol. 2, No. 2, 2003, pp. 195-196.
[60] S. C. Basak, J. W. F. V. Mil and D. Sathyanarayana, “The Changing Roles of Pharmacists in Community Pharmacies: Perception of Reality in India,” Pharmacy World & Science, Vol. 31, No. , 2009, pp. 612-618. doi:10.1007/s11096-009-9307-y
[61] A. Hussain, M. I. M. Ibrahim and Z. Babaer, “Using the Potentials of Community Pharmacies to Promote Rational Drug Use in Pakistan: An Opportunity Exists or Lost?” Journal of Pakistan Medical Association, Vol. 62, No. 11, 2012, pp. 1217-1222.
[62] T. S. Babar and J. Hatcher, “Health Seeking Behaviour and Health Services Utilization Trends in National Health Survey of Pakistan: What Needs to be Done?” Journal of Pakistan Medical Association, Vol. 57, No. 8, 2007, pp. 411-413.
[63] N. Ahsan, “Pharmacy Education and Pharmacy Council of Pakistan,” Pakistan Drug Updates, Vol. 7, No. 8, 2005, pp. 4-5.
[64] D. R. A. Khan, “Pharmacy Education and Healthcare. 2007,” [cited 2007 23 sep]; Available from: http://www.gcu.edu.pk/Library/NI_Feb07.htm
[65] N. Jaradat and W. Sweileh, “A Descriptive Study of Community Pharmacy Practice in Palestine: Analysis and Future Look,” An-Najah University Journal for Research, Vol. 17, No. 2, 2003, pp. 191-199.
[66] L. Syhakhang, et al., “The Quality of Drugs in Private Pharmacies in Lao PDR: A Repeat Study in 1997 and 1999,” Pharmacy World & Science, Vol. 26, No. 6, 2004, pp. 333-338. doi:10.1007/s11096-004-0558-3

  
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