Factors Related to the Consumption of Antibiotics, a MIXED Methodology Study from the Post Conflicted Areas of SWAT Khyber-Pakhtunkhwa, Pakistan.
Author(s)
Khan F1, Fang Y2
1Xi’an Jiaotong University, Xian, 61, China, 2Xi'an Jiaotong University, Xi'an, China
Presentation Documents
OBJECTIVES: The present study is aimed to assess the knowledge attitude and practices of consumers related to antibiotics at community pharmacies. METHODS: A mixed-method study design is applied for the data collection via validated questionnaires and semi-structured interviews during June to September 2019. Participants who visited the selected pharmacies to purchase antibiotics were targeted. Along with the descriptive analysis, the Kruskal Wallis and Mann-Whitney statistical tests were used for the median difference in scores, and thematic analysis was used for the qualitative part. RESULTS: Total 399 (Ph-I; n=155 38.8%, Ph-II; n=135 33.8%, and Ph-I; n=109 27.3%) at three sites with male (n=352, 88.2%), age group between 34 to 41(n=138, 34.6%), uneducated (n=128, 32.1%), and higher education (n=76, 19.0%) level of the participants were observed. Poor to moderate knowledge were observed, participants were unaware of antibiotics resistance risk (Median=1, IQR=3) and misuse of antibiotics. A somehow positive attitude was noted but storage of antibiotics at home (Median=2, IQR=2) was preferred to use when needed. Most of the respondents didn’t follow the actual dosage regimen prescribed (n=266, 66.7%, p<0.05). The thematic analysis included (themes=4, subthemes=6, and categories), 2 subthemes of knowledge with eight categories strongly suggested to educate the patient, and attitude with three categories were indicated the antibiotics work fast. Misuse of antibiotics comprised self-medication, nonprescription of antibiotics, without consultation with a doctor, sharing, and storage of antibiotics at home. Suggestions to healthcare professionals and government for rational use of antibiotics included 2 subthemes and 11 categories suggested immediate community-based awareness, and individual strict regulations for antibiotics. CONCLUSIONS: Education level, health facilities in rural areas, pharmacists presence at the pharmacy, open access to antibiotics are the key factors linked with inappropriate use of antibiotics. More studies are needed to curb the issue of antibiotics resistance in Pakistan.
Conference/Value in Health Info
2021-05, ISPOR 2021, Montreal, Canada
Value in Health, Volume 24, Issue 5, S1 (May 2021)
Code
PMU21
Topic
Clinical Outcomes, Economic Evaluation, Epidemiology & Public Health, Health Service Delivery & Process of Care
Topic Subcategory
Clinical Outcomes Assessment, Novel & Social Elements of Value, Prescribing Behavior
Disease
Infectious Disease (non-vaccine), Respiratory-Related Disorders
Explore Related HEOR by Topic