Prevalence of using non prescribed medications in economically deprived rural population of Pakistan

Archives of Public Health

Abdul Haseeb¹  Muhammad Bilal¹ 

[1] Dow University of Health Sciences, Karachi, Pakistan

关键词: Outpatient department;    Prevalence;    Rural population;    Economically deprived;    Self medication;   

Others  :  1235680
DOI  :  10.1186/s13690-015-0113-9

 received in 2015-09-02, accepted in 2015-12-31,  发布年份 2016

【 摘 要 】

Background

Self medication is described as an act of procurement and consumption of medical drugs without the advice of medical physician for diagnosis, prescription and surveillance of treatment. There is a paucity of literature with regards to self medication among rural dwellers of Pakistan and no initiatives have been taken to resolve this issue. Therefore, the study aimed to evaluate frequency, practice and prevalence of self medication among economically deprived rural population of Karachi (South Pakistan).

Methods

This was the descriptive, epidemiological cross sectional survey which was conducted at the two largest tertiary care government based teaching hospitals of Karachi, Civil hospital and Jinnah Postgraduate Medical Centre, from January 2015 until March 2015. Seven hundred rural dwellers were recruited; who were the residents of outskirts of Karachi city were enrolled in the above mentioned period through the outpatient department (OPD) of the respective hospitals.

Results

According to the survey, 595 (85 %) subjects practiced self medication. The most common reasons evaluated for self medication were cost of consultation (90.3 %) and availability of transport (81.0 %) from rural area to health care facility. The paracetamol as a painkiller (93.0 %), acetylsalicylic acid as an anti pyretic (69.0 %), anti biotic (52.0 %) and anti allergic (51.0 %) were the commonest drug used without prescription of a health care physician. A significant difference was obtained in carrying out self medication between participants earning less than 50,000 PKR and greater than this amount (p = 0.029; 61 % vs. 24 %) and for the self medicated patients having education less than graduation with the participants having education of graduation or above it (p = 0.03; 63 % vs. 22 %).

Conclusion

The self medication among rural dwellers of Karachi is high . As a result, urgent steps must be taken to initiate the awareness and educational programs regarding potential risks of self medication. Secondly, strict measures must be introduced to stop supply of prescription drugs from pharmacies without prescription. Thirdly, provision of cost effective treatment from public sector hospitals to rural population can help to reduce self medication among rural population of Pakistan.

【 授权许可】

   
2016 Haseeb and Bilal.

【 参考文献 】

• [1]Montastruc JL, Bagheri H, Geraud T, Lapeyre-Mestre M: Pharmacovigilance of self-medication. Therapie 1997, 52:105-10.
• [2]Shankar PR, Partha P, Shenoy N: Self-medication and non-doctor prescription practices in Pokhara valley, Western Nepal: a questionnaire-based study. BMC Fam Pract 2002, 3:17. BioMed Central Full Text
• [3]Abahussain E, Matowe LK, Nicholls PJ: Self-reported medication use among adolescents in Kuwait. Med Princ Pract 2005, 14:161-4.
• [4]Deshpande SG, Tiwari R: Self medication--a growing concern. Indian J Med Sci 1997, 51:93-6.
• [5]Italia S, Brand H, Heinrich J, Berdel D, von Berg A, Wolfenstetter SB. Utilization of self-medication and prescription drugs among 15-year-old children from the German GINIplus birth cohort. Pharmacoepidemiology Drug Saf 2015 [Epub ahead of print] doi:10.1002/pds.3829
• [6]Haider S, Thaver IH: Self medication or self care: implication for primary health care strategies. J Pak Med Assoc 1995, 45:297-8.
• [7]Mumtaz Y, Jahangeer SA, Mujtaba T, Zafar S, Adnan S: Self medication among university students of Karachi. JLUMHS 2011, 10(03):102-5.
• [8]Loyola-Filho AI, Antonio I, Lima-Costa MF, Uchoa E: Bambui Project: a qualitative approach to self-medication. Cad Saude Publica 2004, 20:1661-9.
• [9]Figueiras A, Caamano F, Gestal-Otero JJ: Sociodemographic factors related to self-medication in Spain. Eur J Epidemiol 2000, 16:19-26.
• [10]Vila J, Pal T: Update on antibacterial resistance in low-income countries: Factors favouring the emergence of resistance. Open Infect Dis J 2010, 4:38-54.
• [11]Awad A, Eltayeb I, Matowe L, Thalib L: Self-medication with antibiotics and antimalarials in the community of Khartoum State, Sudan. J Pharm Pharm Sci 2005, 8:326-31.
• [12]Grigoryan L, Burgerhof JG, Degener JE, Deschepper R, Lundborg CS, Monnet DL, et al.: Determinants of self-medication with antibiotics in Europe: the impact of beliefs, country wealth and the healthcare system. J Antimicrob Chemother 2008, 61(5):1172-9.
• [13]Zafar SN, Syed R, Waqar S, Zubairi AJ, Vaqar T, Shaikh M, et al.: Selfmedication amongst university students of Karachi: prevalence, knowledge and attitudes. J Pak Med Assoc 2008, 58(4):214-7.
• [14]Aljinović-Vucić A, Trkulja V, Lackovic Z: Content of home pharmacies and selfmedication practices in households of pharmacy and medical students in Zagreb, Croatia: findings in 2001 with a reference to 1977. Croat Med J 2005, 46:74-80.
• [15]Lau GS, Lee KK, Luk CT: Self-medication among university students in Hong Kong. Asia Pac J Public Health 1995, 8:153-7.
• [16]Nordeng H, Havnen GC: Impact of socio-demographic factors, knowledge and attitude on the use of herbal drugs in pregnancy. Acta Obstet Gynecol Scand 2005, 84:26-33.
• [17]Bauchner H, Wise P: Antibiotics without prescription: “bacterial or medical resistance”? Lancet 2000, 355:1480-84.
• [18]Calabresi P, Cupini LM: Medication-overuse headache: similarities with drug addiction. Trends Pharmacol Sci 2005, 26:62-8.
• [19]French L, Horton J, Matousek M: Abnormal vaginal discharge: what does and does not work in treating underlying causes. J Fam Pract 2004, 53:805-14.
• [20]Ashina S, Zeeberg P, Jensen RH, Ashina M: Medication overuse headache. Ugeskr Laeger 2006, 168:1015-9.
• [21]Assael L: The pill culture, the pill society. J Oral Maxillofac Surg 2006, 64:1331-2.
• [22]Neafsey PJ: Self-medication practices that alter the efficacy of selected cardiac medications. Home Healthc Nurse 2004, 22:88-98.
• [23]Tackett B, Smith M, Nedorost S: Morbidity of over-the-counter topical steroids. J Am Acad Dermatol 2006, 54:182.
• [24]Alzahrani M, Alhindi T, Almutairi A, Aldajani M, Sami W: Frequency of using non-prescribed medication in Majmaah city, Saudi Arabia - A cross sectional study. J Pak Med Assoc 2015, 65(8):825-8.
• [25]Burak LJ, Damico A: College students’ use of widely advertised medications. J Am Coll Health 2000, 49:118-21.
• [26]Vaananen MH, Pietila K, Airaksinen M: Self-medication with antibiotics--does it really happen in Europe? Health Policy 2006, 77:166-71.