Southern Yemeni Pharmacy Dispensers ' Understanding, Attitudes and Perceived Barriers Related to Pharmaceutical Care

  • Shuhd Alawi Department of Pharmacology and Toxicology, Faculty of Pharmacy, Aden University Aden, Yemen
  • Nazeh Al-Abd Department of Para Clinics, Faculty of Medicine and Health Sciences, Aden University, Aden, Yemen
  • Ali Rageh Section of Clinical Pharmacy, Faculty of Pharmacy, Aden University, Aden, Yemen
  • Wafa F.S. Badulla Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Aden University, Aden, Yemen
  • Mohammed Alshakka Section of Clinical Pharmacy, Faculty of Pharmacy, Aden University, Aden, Yemen

Abstract

Background: Pharmaceutical care (PC) is the value of a practice that includes recognizing and solving medication therapy issues to improve patient outcomes. Studies regarding this issue in Yemen are very limited.


Objectives: The study aims to assess the perception of community pharmacists to the concept of Pharmaceutical care and the obstacles that limit the provision of pharmaceutical care.


Method: A descriptive cross-sectional study of community pharmacy dispensers (CPDs) was conducted among pharmacists and pharmacy technicians working in community pharmacies in different areas of South Yemen from September 2019 until December 2019. The structured self-administered questionnaires consist of four sections dealing with the demographics of participants and their understanding of the concept of pharmaceutical care and their attitudes and obstacles to the implementation of pharmaceutical care in Yemen. The collected data was analyzed using Statistical Package for Social Sciences (SPSS) version 25.0


Results: A total of Two-hundred pharmacists were included in this study. The result revealed that there were a reasonable number of experts (over 5 years' experience) and educated pharmacists( Diploma and bachelor’s degree) available for counseling patients about specific issues in the community pharmacies. Interestingly, all the respondents had good knowledge of pharmaceutical care and the majority of the pharmacists (87.5%) had a favorable attitude toward pharmaceutical care and their role in the health care system. The overall results relating to the perceived frequency of community pharmacy services provision was lower than (50%) in most statements. The result indicated a gap in the community pharmacists' communication with the patients. There are several barriers impedes the active and effective involvement of community pharmacists such as; insufficient communication with physicians, lack of physical space for pharmaceutical care, the slow introduction of pharmacists’ law, and others.


Conclusion: The results revealed that pharmacists' understanding of the pharmaceutical care concept is good despite that there was no real implementation of pharmaceutical care. Even though they had positive attitudes towards the concept but there were many barriers to the effective application.


Keywords: Pharmaceutical Care Concept; Community Pharmacists; South Yemen

Keywords: Pharmaceutical Care Concept, Community Pharmacists, South Yemen

Downloads

Download data is not yet available.

Author Biographies

Shuhd Alawi, Department of Pharmacology and Toxicology, Faculty of Pharmacy, Aden University Aden, Yemen

Department of Pharmacology and Toxicology, Faculty of Pharmacy, Aden University Aden, Yemen

Nazeh Al-Abd, Department of Para Clinics, Faculty of Medicine and Health Sciences, Aden University, Aden, Yemen

Department of Para Clinics, Faculty of Medicine and Health Sciences, Aden University, Aden, Yemen

Ali Rageh, Section of Clinical Pharmacy, Faculty of Pharmacy, Aden University, Aden, Yemen

Section of Clinical Pharmacy, Faculty of Pharmacy, Aden University, Aden, Yemen

Wafa F.S. Badulla, Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Aden University, Aden, Yemen

Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Aden University, Aden, Yemen

Mohammed Alshakka, Section of Clinical Pharmacy, Faculty of Pharmacy, Aden University, Aden, Yemen

Section of Clinical Pharmacy, Faculty of Pharmacy, Aden University, Aden, Yemen

References

1- Azhar S, Hassali MA, Ibrahim MIM, Ahmad M, Masood I, & Shafie AA,” The role of pharmacists in developing countries the current scenario in Pakistan” Hum. Resour. Health, 2009; 7(1): 54. https://doi.org/10.1186/1478-4491-7-54
2- International Rescue Committee. IRC report: Failed public health system ‘quiet killer’ in Yemen. 2018. https://www.rescue.org/press-release/irc-report-failed-public-health-system-quiet-killer-yemen. Accessed 18 March, 2020.
3- International Committee of the Red Cross. Health crisis in Yemen. 2017. https://www.icrc.org/en/where-we-work/middle-east/yemen/health-crisis-yemen. Accessed 18 March, 2020.
4- Al-Tamimi SK, Hassali MA, & Alrasheedy AA,” Challenges to generic medicines utilization in Yemeni healthcare system” GaBI J, 2013; 2(2):63-64. https://doi.org/10.5639/gabij.2013.0202.017
5- Al-Worafi YM,” Pharmacy practice and its challenges in Yemen” Australas Med J. 2014;7:17–23. https://dx.doi.org/10.4066%2FAMJ.2014.1890
6- Al-Tamimi SK, Hassali MAA, Shafie A, Alrasheedy A, “Substandard medications in Yemen” Australas Med J, 2015; 8:100–2.
7- Alshakka M, Saeed GMA, Ali H, Prajapati SK, Ibrahim MI,” Adverse drug reactions and medication errors in tertiary care hospitals: a quantitative insight in Aden, Yemen” J Young Pharm., 2019; 11(1):82–7.
8- Subramaniam V, Calis KA, Dombrowski RC, Ives TJ, Martin LG, McIntyre, C., ... & Ranelli, P L,” ASHP statement on the role of health-system pharmacists in public health” Am. J. Health-Syst. Pharm., 2008; 65(5):462-467.
9- Yousuf SA, AlshakkaM, Badulla WFS, Ali HS, Shankar PR and Ibrahim MIM,” Attitudes and practices of community pharmacists and barriers to their participation in public health activities in Yemen: mind the gap “ BMC Health Services Research , 2019; 19:304 https://doi.org/10.1186/s12913-019-4133-y
10- Hepler CD, Strand LM, “Opportunities and responsibilities in pharmaceutical care” Am J hosp pharm., 1990; 47(3):533-543. https://doi.org/10.1093/ajhp/47.3.533
11- Kheir N, Al Saad D, Al Naimi S,”Pharmaceutical care in the Arabic-speaking Middle East: literature review and country informant feedback” Avicenna, 2013; 2. https://doi.org/10.5339/avi.2013.2
12- Jose J,. Al Shukili MN, Jimmy B,” Public’s perception and satisfaction on the roles and services provided by pharmacists– Cross sectional survey in Sultanate of Oman” Saudi Pharm J. 2015; 23(6):635-641. https://doi.org/10.1016/j.jsps.2015.02.003
13. Rayes IK, Hassali MA, Abduelkarem AR,” The role of pharmacists in developing countries: the current scenario in the United Arab Emirates” Saudi Pharm J. 2015; 23(5):470-474. https://doi.org/10.1016/j.jsps.2014.02.004
14- Dunlop JA, Shaw JP,” Community pharmacists’ perspectives on pharmaceutical care implementation in New Zealand” Pharm World Sci, 2002; 24:224–230. https://doi.org/10.1023/A:1021526425458
15- Ngorsuraches S, Li SC,” Thai pharmacists’ understanding, attitudes, and perceived barriers related to providing pharmaceutical care” Am J Health Syst Pharm, 2006; 63: 2144–2150. https://doi.org/10.2146/ajhp060054
16- Fang Y, Yang S, Feng B, Ni Y and Zhang K,” Pharmacists’ perception of pharmaceutical care in community pharmacy: a questionnaire survey in Northwest China” Health and Social Care in the Community, 2011; 19(2):189–197. https://doi.org/10.1111/j.1365-2524.2010.00959.x
17- AbuRuz S, Al-Ghazawi M and Snyder A,” Pharmaceutical care in a community-based practice setting in Jordan: where are we now with our attitudes and perceived barriers?” Int J Pharm Pract, 2012; 20:71–79. https://doi.org/10.1111/j.2042-7174.2011.00164.x
18- BeneyJ, Bero L, Bond C,” Expanding the roles of outpatient pharmacists: effects on health services utilization, costs, and patient outcomes” Cochrane Database Syst Rev., 2000; Issue 2. Art. No.: CD000336. https://doi.org/10.1002/14651858.CD000336
19- Roughead EE, Semple SJ, Vitry AI,” Pharmaceutical care services: a systematic review of published studies, 1990–2003, examining effectiveness to improve patient outcomes” Int J Pharm Pract., 2005; 13:53–70. https://doi.org/10.1211/0022357055551
20- El Hajj MS, AL-Saeed HS, Khaja M,” Qatar pharmacists’ understanding, attitudes, practice and perceived barriers related to providing pharmaceutical care” Int J Clin Pharm, 2016; 38(2), 330-343. https://doi.org/10.1007/s11096-016-0246-0
21- Alshakka M, Abdorabbo A, Basaleem H, Jha N, Alshammari T, Shankar PR,” Knowledge, attitude beliefs and practices of community pharmacy dispensers in Aden, Yemen towards adverse drug reaction reporting” World J Pharm Sci., 2015; 3(10):2111–8.
22- Rakib A, Sarwar MS, Zannah S, Khanum S, Rashid M,” A survey of the role of community pharmacists in Dhaka city, Bangladesh” Bangladesh Pharm J., 2015;18(2):137–41. https://doi.org/10.3329/bpj.v18i2 24312.
23- Brown CM, Barner JC, & Shepherd MD,” Barriers related to the provision of pharmaceutical care in community health centers and migrant health centers” J Am Pharm Assoc, 2003; 43:75–77. https://doi.org/10.1331/10865800360467088
24- Rossing C, Hansen EH, & Krass I,” Barriers and facilitators in pharmaceutical care: perceptions and experiences among Danish community pharmacists” J Soc Adm Pharm, 2001; 19:55–64.
25- Bell HM, McElnay JC, Hughes CM, & Woods A. A.” qualitative investigation of the attitudes and opinion of community pharmacists to pharmaceutical care” J Soc Adm Pharm, 1998; 15:284–295.
Statistics
249 Views | 127 Downloads
How to Cite
1.
Alawi S, Al-Abd N, Rageh A, Badulla WF, Alshakka M. Southern Yemeni Pharmacy Dispensers ’ Understanding, Attitudes and Perceived Barriers Related to Pharmaceutical Care. JDDT [Internet]. 15Aug.2020 [cited 23Apr.2021];10(4-s):6-2. Available from: http://jddtonline.info/index.php/jddt/article/view/4197