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A discursive presentation of community pharmacies: Premises, storage, staff, documentation and legal compliance.


ABSTRACT:

Objectives

This study aimed to assess compliance with legal requirements, safe medication storage and staffing standards in community pharmacies in Punjab, Pakistan.

Method

We conducted a three-step cross-sectional study using observations, questionnaires and face-to-face interviews in 544 systematically-selected community pharmacies. We used descriptive statistic and one-way ANOVA to assess the data.

Results

Only 23 (4.2 %) pharmacies had accurate area and only 3.9 % had appropriate walls. In total, 23.3 % had glass-fronted shelves and 38.2 % had a glass door. More than half (53.8 %) had separate narcotics shelves and 43.0 % a separate shelf of expired medicines. Less than half (47.5 %) of the pharmacies were able to maintain hygiene. About 36.2 % of the pharmacies segregated different types of product. Drugs were protected from direct sunlight in most (61.3 %) pharmacies, but the refrigerator was working properly in less than half (43.4 %) and only a very small number (2.4 %) had an alternative power supply for the refrigerator. Only 37 (6.8 %) were able to maintain an appropriate room temperature. The vast majority (93.0 %) displayed a valid drug sale license, but a qualified person/pharmacist was only present in 4.8 %. The average number of employees was 4.2, and more than 71.0 % of staff had 10-12 years of formal education. Only 0.2 % of employees could explain term "PRN", although 57.3 % explained "IV" correctly. About 22.8 % replied correctly about the room temperature but the vast majority (97.6 %) did not know about cold chain temperature. The location of the pharmacy (p-value = 0.045) affected its performance.

Conclusions

Noncompliance with legal requirements, unsafe drug storage and limited human resources reflect the poor enforcement of drug laws in Pakistan. The findings suggest that there is a need to strengthen inspection and management of community pharmacies.

SUBMITTER: Aziz MM 

PROVIDER: S-EPMC10746473 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature

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Publications

A discursive presentation of community pharmacies: Premises, storage, staff, documentation and legal compliance.

Aziz Muhammad Majid MM   Alboghdadly Amany A   Rasool Muhammad Fawad MF   Shaalan Marwa S MS   Goresh Hind Khalid HK   Najjar Muath Fahmi MF   Alshawwa Samar Zuhair SZ  

Heliyon 20231130 12


<h4>Objectives</h4>This study aimed to assess compliance with legal requirements, safe medication storage and staffing standards in community pharmacies in Punjab, Pakistan.<h4>Method</h4>We conducted a three-step cross-sectional study using observations, questionnaires and face-to-face interviews in 544 systematically-selected community pharmacies. We used descriptive statistic and one-way ANOVA to assess the data.<h4>Results</h4>Only 23 (4.2 %) pharmacies had accurate area and only 3.9 % had a  ...[more]

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