Gueralbaye Levy Ouribe, Zongo Luc, Zongo Ragomzingba Frank Edgard, Mahamat Haroun Badawi, Ouédraogo Arsène, Avocksouma Djona Atchenemou
Université de N'Djaména, Faculté des Sciences de la Santé Humaine, N'Djaména, Tchad.
Université Saint Dominique d'Afrique de l'Ouest, Doulougou, Burkina Faso.
Pan Afr Med J. 2023 Jan 9;44:16. doi: 10.11604/pamj.2023.44.16.37835. eCollection 2023.
the purpose of this study was to evaluate drug dispensing practices in private pharmacies in the city of N'Djamena and, specifically, (I) to describe the characteristics of dispensaries, (ii) describe dispensing practices and (iii) assess regulatory compliance when dispensing on the basis of a prescription and an advice.
we conducted a cross-sectional survey from June to December 2020. Data were collected in two stages, through interviews with pharmacists and participant observation in drug delivery practices in pharmacies.
in total, 26 pharmacies, or 50% of pharmacies in N'Djamena, were surveyed. The main survey findings were: private pharmacies in the city of N'Djamena employed two categories of staff, namely pharmacists and auxiliary staff (pharmacy technicians, nurses and salespeople or staff with "no health qualifications". These had not been trained in a health school recognised by the Ministry of Health) to dispense medicines. Very few pharmacies (8%) had a customer confidentiality area and a order book. The three modes of delivery were observed in more or less equal proportions (30 to 40% of dispensations). Dispensing at the patient's request was slightly predominant (40%) and the majority of medicines dispensed at the patient's request and based on dispenser's advice belonged to the different tables of toxic substances (over 70%). The noted absence of the pharmacist from the pharmacy justified why 84% of patients' requests were addressed to the pharmacy assistants.
this study shows low compliance of pharmacies with pharmaceutical regulations for proper dispensing of medicines in the city of N'Djamena. Factors related to pharmaceutical sector governance and human resources management as well as therapeutic patient education could explain this gap.
本研究的目的是评估恩贾梅纳市私立药店的药品调配情况，具体而言，（一）描述药房的特点，（二）描述调配做法，以及（三）评估依据处方和建议进行调配时的法规遵守情况。
我们于2020年6月至12月进行了一项横断面调查。数据分两个阶段收集，通过与药剂师访谈以及对药店药品交付实践的参与观察。
总共调查了恩贾梅纳市26家药店，占该市药店总数的50%。主要调查结果如下：恩贾梅纳市的私立药店雇佣两类员工，即药剂师和辅助人员（药房技术员、护士以及销售人员或“无健康资质”的员工。这些人员未在卫生部认可的卫生学校接受过培训）来调配药品。极少药店（8%）设有客户保密区域和订单簿。观察到三种交付方式的比例大致相等（调配量的30%至40%）。应患者要求进行的调配略占主导（40%），并且应患者要求并基于调配人员建议调配的大多数药品属于不同类别的有毒物质清单（超过70%）。药店药剂师不在场这一情况解释了为何84%的患者请求是向药房助理提出的。
本研究表明，恩贾梅纳市药店在正确调配药品方面对药品法规的遵守程度较低。与制药行业治理、人力资源管理以及患者治疗教育相关的因素可以解释这一差距。
