巴基斯坦旁遮普省家庭药品储存情况调查

A Survey On Household Storage Of Medicines In Punjab, Pakistan.

作者信息

Hussain Rizwana, Rashidian Arash, Hafeez Assad

机构信息

Health Policy Department, Tehran University of Medical Sciences, School of Public Health-Iran, WHO, EMRO, Director, Information, Evidence and Research, Cairo, Egypt.

Research & Development Department, Health Services Academy, Islamabad, Pakistan.

出版信息

J Ayub Med Coll Abbottabad. 2019 Jan-Mar;31(1):90-97.

PMID:30868792

Abstract

BACKGROUND

Household storage of medicines is a world-wide practice that triggers the irrational use of medicines and consequent threats. The purpose of this research is to explore sources of medicines availability, utilization and reasons of medicines storage in household..

METHODS

A community-based survey was performed on 900 households in five districts of Punjab, Pakistan from 1st February to 2nd March, 2016. Data was collected through employing a pretested questionnaire, the World Health Organization (WHO) operational package (for assessing, monitoring and evaluating country pharmaceutical situations Level IIb), and analysed by SPSS-23.

RESULTS

A mean of 2.94 medicines per household were observed in 900 households visited with 2,648 of total medicines found. Significant number of medicines was analgesics (58.6%) and antibiotics (12.97%). Out of total, 20.4% of household medicines were for current treatments. Left over medicines from past treatments were 8.7%, and 70.9% were anticipated for future use. Household medicines existed in the form of oral tablets, were 89%. Household medicines of 91.2%, were satisfactorily labelled in acute cases and majority were obtained from private pharmacies. Household medicines of 80% were acquired by respondents with post-graduation qualification and 61.2% of the medicines were obtained by respondents with no formal education and in both cases source of medicines was private pharmacies. While overall, 61.5% of respondents took medicines from the private pharmacy. In general, patients got 3.4% of medicines from the primary healthcare facilities. Adherence to medical treatment was very poor. In chronic cases 35.7% of patients left treatment when symptoms improved, while in acute cases 41.1% of the patients showed non-adherence to the treatment. Patients who knew about use of medicines were 92.32%.

CONCLUSIONS

Maximum medicines stored were for the future use. The main source of medicines found in households was private pharmacies. Antibiotics and analgesic were in common in use. Patient's nonadherence to the treatment was one of the reasons of presence of medicines at home.

摘要

背景

家庭储存药品是一种全球普遍存在的做法，会引发药品的不合理使用及随之而来的威胁。本研究的目的是探究家庭中药品的可得来源、使用情况以及储存原因。

方法

2016年2月1日至3月2日，在巴基斯坦旁遮普省五个地区的900户家庭中开展了一项基于社区的调查。通过使用经过预测试的问卷、世界卫生组织（WHO）业务包（用于评估、监测和评价国家药品状况二级b级）收集数据，并采用SPSS - 23进行分析。

结果

在走访的900户家庭中，每户平均储存2.94种药品，共发现2648种药品。大量药品为镇痛药（58.6%）和抗生素（12.97%）。其中，20.4%的家庭药品用于当前治疗。过去治疗剩余的药品占8.7%，70.9%的药品预计用于未来。89%的家庭药品为口服片剂形式。9憨.2%的家庭药品在急症情况下标签标注令人满意，且大多数药品来自私人药店。80%的家庭药品由具有研究生学历的受访者获取，61.2%的药品由未接受正规教育的受访者获取，两种情况下药品来源均为私人药店。总体而言，61.5%的受访者从私人药店购药。一般来说，患者从初级医疗保健机构获得3.4%的药品。患者对治疗的依从性非常差。在慢性病患者中，35.7%的患者在症状改善后停止治疗，而在急症患者中，41.1%的患者对治疗不依从。了解药品使用方法的患者占92.32%。