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Patients’Knowledge, Attitude and Practices on Disposal Methods of expired and Unused medicines: Implication for Creation of Drug Take-Back Program

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Pharmacology & Pharmacy 2024年第4期15卷 113-128页

作者： Martin Kampamba Zebedy Kalambwa Billy Chabalenge Janipher Zulu Steward Mudenda Tadious Chimombe Webrod Mufwambi Audrey Hamachila Mashebe Innocent Ngula Christabel Nang’andu Hikaambo Department of Pharmacy School of Health Sciences University of Zambia Lusaka Zambia Department of medicines Control Zambia Medicines Regulatory Authority Lusaka Zambia Department of Pharmacy School of Health Sciences Levy Mwanawasa Medical University Lusaka Zambia

Background: Handling of medicines is a day-to-day activity by patients and many health care providers. However, multiple studies have brought to light inappropriate disposal methods for expired and unused medication (EUM). Improper disposal of expired and unused medicines is hazardous both to humans and the environment. Objective: This sought to measure patients’ knowledge, attitude, and practices on disposal methods of EUM. Methods: A cross-sectional study was carried out among 384 patients at three outpatient pharmacies at the University Teaching Hospitals (UTHs). The structured questionnaire was used to collect data and STAT version 15.1 was used to analyse the data. Results: 384 respondents participated in this study and, at some point, had EUM. In this study, 356 (92.7%) of the participants reported that they had never heard of a drug take-back system. Most of the participants 285 (74.2%) and 239 (62.2%) kept and donated their unused medicine, respectively. Additionally, 244 (63.5%), 212 (55.2%), and 176 (44.8%) of the participants disposed of expired medicines in the bin or garbage, flushed them in toilets or sinks, or burned them, respectively. Occupation was significantly associated with unsafe disposal of unused medicine [P-value = 0.019]. Conclusion and Relevance: Knowledge of safe disposal methods for EUM was good amongst most participants. However, used unsafe disposal methods. The majority of the participants exhibited positive attitude concerning safe disposal methods. This study highlights the need for drug-take-back program creation in Zambia.

关键词： Attitude Disposal Methods expired medicines Knowledge Practices Unused medicines

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Study of the Management and Disposal Practices of Unused or Out-of-Date medicines by Households in the Municipality of Ouagadougou, Burkina Faso

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Journal of Biosciences and medicines 2024年第3期12卷 291-302页

作者： Daniel Dori Adama Guembré Kampadilemba Ouoba Nicolas Méda Rasmané Semdé Drug Development Laboratory African Center of Excellence for Training Research and Expertise in Pharmaceutical Sciences (CEA-CFOREM) Sciences and Health Doctoral School Training and Research Unit in Health Sciences Joseph KI-ZERBO University Ouagadougou Burkina Faso Charles De Gaulle University Children's Hospital (CHUP-CDG) Ouagadougou Burkina Faso National Agency for Pharmaceutical Regulation (ANRP) Ministry of Health Ouagadougou Burkina Faso Public Health Laboratory Sciences and Health Doctoral School Joseph KI-ZERBO University Ouagadougou Burkina Faso

Introduction: Not all medicines that pass-through consumers’ hands are used, and some often expire in households. These health products can be sources of accidental risks and pollution when they are not properly disposed of. In Burkina Faso, there are as yet no guidelines for the disposal of unused medicines in households. The aim of this study was to estimate the extent of household possession of unused or expired medicines, and to describe attitudes and disposal practices. Methods: This was a descriptive cross-sectional study covering households in the Ouagadougou commune conducted from June to August 2021. Two-stage stratified sampling was used: selection of Enumeration Zones (EZs) and selection of households, with each EZ comprising several households. Data collection was based on direct interviews using a structured questionnaire. Data were processed using Epi Info software version 7.***.4.0. Results: In total, 417 household residents were surveyed out of the planned 423 households, corresponding to a completion rate of 98.58% compared with the initial sample. Among the respondents, 79.62% had unused and/or expired medicines in their household. A total of 2562 drug packaging units were counted, for a total weight of 121.90 kg. Nearly 75% were aware that improper disposal was a danger to the environment. Some respondents kept their unused medicines at home until they expired (43.41%), and disposed of them mainly by throwing them in the household garbage (75.58%). The majority (79%) were in favor of the government setting up a take-back program for these medicines. Conclusion: The introduction of a take-back program for unused or out-of-date medicines will ensure safer disposal of medicines, and better protection for households and the environment.

关键词： Unused medicines expired medicines Disposal Household Risk

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