Begum Mst Marium, Rivu Sanzana Fareen, Hasan Md Mahmud Al, Nova Tasnova Tasnim, Rahman Md Motiar, Alim Md Abdul, Uddin Md Sahab, Islam Azharul, Tabassum Nuzhat, Moni Md Marufur Rahman, Roselin Rehnuma, Das Munny, Begum Rayhana, Rahman Md Sohanur
Department of Pharmacy, East West University, Dhaka 1212, Bangladesh.
Department of Public Health, North South University, Bashundhara, Dhaka 1229, Bangladesh.
Pharmacy (Basel). 2021 May 20;9(2):103. doi: 10.3390/pharmacy9020103.
This fact-finding study aimed to attain an overall idea and knowledge about medicine disposal practices in Dhaka Metropolitan households. This mixed study (both quantitative and qualitative) was orchestrated to inspect the household leftover medicine disposal pattern's governing status. A cross-sectional survey was conducted following a structured questionnaire and key informant interview with a household person and in-depth interviews with the top pharmaceutical and government officials. Findings disclose that, for most of the key informants, the terms "drug disposal" and "drug pollution" were unknown; more precisely, 67% and 74% of key informants even did not hear these two terms. Almost all (87%) households faced undesired incidents due to the insecure storage of medicines. People disposed of excess and expired medication in regular dustbins (47%), threw out of the window (19%), flushed within commode (4%), burnt in fire (2%), and reused (4%). A good percentage of people (21%) returned unexpired drugs to the pharmacy and bought other medicines on a need basis. A total of 72% wanted a medicine take-back program, and 100% agreed on mass education on this issue. Officials of pharmaceuticals conferred mixed opinion: top-ranked pharmaceuticals will adopt leftover medicine disposal practices; middle and low-ranked pharmaceutical companies are reluctant, merely denied mentioning the less important issue. The absence of mass awareness and standard laws and policies may explain these existing aberrant practices.
这项实情调查研究旨在全面了解达卡都会区家庭的药品处理情况。这项混合研究（包括定量和定性研究）旨在考察家庭剩余药品处理模式的管理现状。通过一份结构化问卷进行了横断面调查，并对一名家庭成员进行了关键信息人访谈，还对顶级制药公司和政府官员进行了深入访谈。研究结果显示，对于大多数关键信息人来说，“药品处理”和“药品污染”这两个术语并不为人所知；更确切地说，分别有67%和74%的关键信息人甚至从未听说过这两个术语。几乎所有（87%）家庭都因药品储存不安全而遭遇不良事件。人们将多余和过期的药品丢弃在普通垃圾桶中（47%）、扔出窗外（19%）、冲进马桶（4%）、焚烧（2%）以及重复使用（4%）。相当一部分人（21%）将未过期的药品退回药房，并按需购买其他药品。共有72%的人希望有一个药品回收计划，100%的人同意就这个问题开展大众教育。制药公司的官员意见不一：顶级制药公司将采用剩余药品处理做法；中低级制药公司则持不情愿态度，只是拒绝提及这个不太重要的问题。大众意识的缺乏以及标准法律法规的缺失或许可以解释这些现有的异常做法。
