Chakma Nantu, Ali Sunjida Binta, Islam Md Saimul, Momtaz Tanisha, Farzana Noshin, Amzad Raian, Khan Sharful Islam, Khan Md Iftakhar Hassan, Azad Abul Kalam, Babar Zaheer-Ud-Din, Naheed Aliya
Nutrition Research Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh.
Health Systems and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh.
Pharmacy (Basel). 2025 Feb 13;13(1):26. doi: 10.3390/pharmacy13010026.
In 2015, the Directorate General of Drug Administration (DGDA) of Bangladesh accredited model pharmacies (MPs) to enhance the quality of pharmacy services across the country. We examined the challenges and opportunities for pharmacists in MPs, and also explored the perspectives of the pharmacy stakeholders for improving good pharmacy practices (GPPs) in Bangladesh.
In-depth interviews (IDIs) were conducted with graduate pharmacists (Grade A) and diploma pharmacists (Grade B) recruited from a few selected MPs that were included in a previous study. Key informant interviews (KIIs) were conducted with the government and non-government stakeholders who were involved in pharmacy regulations and practices. Trained qualitative researchers conducted IDIs and KIIs using interview topic guides under relevant themes developed by the study investigators.
Between February and March 2021, nine Grade A and six Grade B pharmacists and nine government and non-government stakeholders were interviewed. The key challenges, as well as demotivational factors, for Grade A pharmacists were reported to be multiple responsibilities, inadequate salary, poor social status, an unfavorable working environment, long working hours, a lack of recognition, and low respect for their profession. However, Grade B pharmacists expressed job satisfaction, primarily due to working opportunities in reputable pharmacies and learning opportunities. The stakeholders reported a high operation cost of the MPs, a shortage of trained pharmacists, poor salary structures, and a lack of public awareness about the critical roles of the pharmacists in healthcare to be challenges of retaining Grade A pharmacists at the MPs. Addressing the challenges of the pharmacists and revising compensation packages along with strengthening monitoring systems would be important for improving GPPs at the MPs.
This study has demonstrated that specifying the roles of the pharmacists, offering competitive packages, conducive working hours, and professional recognition would be imperative for the retention of trained pharmacists at MPs. Implementing regulatory standards and monitoring performance would enhance good pharmacy practices in Bangladesh.
2015年，孟加拉国药品管理总局（DGDA）认可了示范药房（MPs），以提高全国药房服务质量。我们研究了示范药房中药剂师面临的挑战和机遇，并探讨了药房利益相关者对改善孟加拉国良好药房实践（GPPs）的看法。
对从之前一项研究中纳入的几家选定示范药房招募的研究生药剂师（A级）和文凭药剂师（B级）进行了深入访谈（IDIs）。对参与药房监管和实践的政府和非政府利益相关者进行了关键信息访谈（KIIs）。经过培训的定性研究人员根据研究调查人员制定的相关主题，使用访谈主题指南进行深入访谈和关键信息访谈。
在2021年2月至3月期间，对9名A级药剂师、6名B级药剂师以及9名政府和非政府利益相关者进行了访谈。据报告，A级药剂师面临的主要挑战以及消极因素包括多项职责、薪资不足、社会地位低下、工作环境不利、工作时间长、缺乏认可以及对其职业的尊重度低。然而，B级药剂师表示对工作满意，主要是因为在声誉良好的药房有工作机会和学习机会。利益相关者报告称，示范药房运营成本高、训练有素的药剂师短缺、薪资结构不佳以及公众对药剂师在医疗保健中的关键作用缺乏认识是在示范药房留住A级药剂师的挑战。解决药剂师面临的挑战、修订薪酬方案以及加强监督系统对于改善示范药房的良好药房实践至关重要。
本研究表明，明确药剂师的职责、提供有竞争力的薪酬、适宜的工作时间以及专业认可对于在示范药房留住训练有素的药剂师至关重要。实施监管标准和监测绩效将提高孟加拉国的良好药房实践水平。
