American Journal of Pharmacological Sciences
ISSN (Print): 2327-6711 ISSN (Online): 2327-672X Website: https://www.sciepub.com/journal/ajps Editor-in-chief: Srinivas NAMMI
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American Journal of Pharmacological Sciences. 2018, 6(1), 7-12
DOI: 10.12691/ajps-6-1-2
Open AccessArticle

Drug Utilization for Acute Illness at Household Level in Rural Community of Vadu, Pune: A Cross-sectional Study

Md. Hanif Shaikh1, Anil Pardeshi1, , Parveen Shaikh1, Shriram Sadafal1, Aman Upaganlawar2 and Anand Kawade1

1Vadu Rural Health Program (VRHP), KEM Hospital Research Centre, Pune, India

2Shriman Sureshdada Jain College of Pharmacy, Chandwad, Nasik, India

Pub. Date: August 03, 2018

Cite this paper:
Md. Hanif Shaikh, Anil Pardeshi, Parveen Shaikh, Shriram Sadafal, Aman Upaganlawar and Anand Kawade. Drug Utilization for Acute Illness at Household Level in Rural Community of Vadu, Pune: A Cross-sectional Study. American Journal of Pharmacological Sciences. 2018; 6(1):7-12. doi: 10.12691/ajps-6-1-2

Abstract

Drug utilization research is an essential part of pharmacoepidemiology as it describes the extent, nature and determinants of drug exposure. The principal aim of drug utilization research is to facilitate the rational use of drugs in populations. Nowadays Drug utilization studies (DUS) are used as potential tool in the evaluation of healthcare system and also to ascertain the role of drugs in society. It evaluates drug use at a population level, according to age, sex, education, social class, residence area and morbidity.This study was aimed to explore the utilization pattern of medicines available at home with special attention to the types of medicine (with or without prescription) and their appropriate utilization (dosage compliance) and intended self-medication & to determine the use of drugs for the health problems in rural community of Vadu. Community drug-use habits were studied in 200 household units in rural community of Vadu. Descriptive statistics was used for analysis of data. 91.5% (n=183/200) of the investigated families had at least one drug product stored at home. The study revealed the incompliance after relief with repeated use of unfinished stored drugs (55.0%) while 59.3% (n=149/250) of drug exchange among families. The heads of households with education level >10th standard showed more drug-hoarding than those with education level below it (ORa=1.48, 95%CI=1.29-2.43). The healthcare seeking behaviour towards healthcare professional was found 82.00% (82/100) among children less than 10 years by their parents than the other age groups. Conclusion: Drug hoarding, sharing with modern drugs are commonly practiced in the community, so they should be avoided through educating general public on drug use so as to minimize the risk of using expired drugs, adverse events, accidental poisoning; under dose, inappropriate use; and combat antimicrobial resistance.

Keywords:
Drug Utilization Study (DUS) drug hoarding rural community Drug Utilization Evaluation (DUE)

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References:

[1]  WHO. Introduction to Drug Utilization Research; 2003.
 
[2]  Gama H. Drug utilization studies. 2015: 69-74.
 
[3]  Sjöqvist F, Birkett D. Drug Utilization. Introd to Drug Util Res. 2003; 1: 76-84.
 
[4]  Nehru M, Kohli K, Kapoor B, Sadhotra P, Chopra V, Sharma R. Drug utilization study in outpatient ophthalmology department of Government Medical College Jammu. JK Sci. 2005; 7(3): 149-151.
 
[5]  Shalini S, Ravichandran V, Bk M, Sk D, Saraswathi R. Drug Utilization Studies – An Overview. Int J Pharm Sci Nanotechnol. 2010; 3(1): 803-810.
 
[6]  Hawkey CJ, Hodgson S, Norman A, Daneshmend TK, Garner ST. Effect of reactive pharmacy intervention on quality of hospital prescribing. BMJ. 1990; 300(6730): 986-990.
 
[7]  Truter I. A review of drug utilization studies and methodologies. Jordan J Pharm Sci. 2008; 1(2): 91-104.
 
[8]  Hardon A, Hodgkin C, Fresle D. How to investigate the use of medicines by consumers. World Heal Organ Univ Amsterdam. 2004: 1-98.
 
[9]  Homedes N, Ugalde A. Patients’ compliance with medical treatments in the third world. what do we know? Health Policy Plan. 1993; 8(4): 291-314.
 
[10]  Phalke V, Phalke D, Durgawale P. Self-medication practices in rural Maharashtra. Indian J Community Med. 2006; 31(1): 34.
 
[11]  Suleman S, Ketsela A, Mekonnen Z. Assessment of self-medication practices in Assendabo town, Jimma zone, southwestern Ethiopia. Res Soc Adm Pharm. 2009; 5(1): 76-81.
 
[12]  Tsiligianni IG, Delgatty C, Alegakis A, Lionis C. A household survey on the extent of home medication storage. A cross-sectional study from rural Crete, Greece. Eur J Gen Pract. 2012; 18(1): 3-8.
 
[13]  Abdul Rasool BK, Fahmy SA, Abu-Gharbieh EF, Ali HS. Professional practices and perception towards rational use of medicines according to WHO methodology in United Arab Emirates. Pharm Pract (Granada). 2010; 8(1): 70-76.
 
[14]  Bhartiy SS, Shinde M, Nandeshwar S, Tiwari SC. Pattern of prescribing practices in the Madhya Pradesh, India. Kathmandu Univ Med J (KUMJ). 2008; 6(1): 55-59.
 
[15]  Amare G, Gedif T, Alemayehu T, Tesfahun B. Pattern of drug use in Addis Ababa community. East Afr Med J. 1997; 74(6): 362-367.
 
[16]  Shankar PR, Kumar P, Theodore AM, Partha P, Shenoy N. A survey of drug use patterns in western Nepal. Singapore Med J. 2003; 44(7): 352-356.
 
[17]  Worku S, Mariam A. Practice of Self-medication in Jimma Town. Ethiop J Heal Dev. 2004; 17(2): 111-116.
 
[18]  Sado E, Gedif T. Drug Utilization at Household Level in Nekemte Town and Surrounding Rural Areas, Western Ethiopia: A Cross-Sectional Study. Open Access Libr J. 2014; 1(3): 1-9.
 
[19]  Ketersediaan G, Obat J. Pattern of Household Drug Storage. J Kesehat Masy Nas V. 2014; 9(1): 27-31.
 
[20]  Mirza N, Ganguly B. Utilization of medicines available at home by general population of rural and urban set up of Western India. J Clin Diagnostic Res. 2016; 10(8): FC05-FC09.
 
[21]  Bhatnagar T, Mishra CP, Mishra RN. Drug Prescription Practices: A household study in rural Varanasi. Indian J Prev Soc Med. 2003;34(January 2003): 33-39.
 
[22]  Yeneneh H, Gyorkos TW, Joseph L, Pickering J, Tedla S. Antimalarial drug utilization by women in Ethiopia: A knowledge-attitudes-practice study. Bull World Health Organ. 1993; 71(6): 763-772.
 
[23]  Wolf-Gould CS, Taylor N, Horwitz SMC, Barry M. Misinformation about medications in rural Ghana. Soc Sci Med. 1991; 33(1): 83-89.
 
[24]  Dua V, Kunin CM, White L V. The use of antimicrobial drugs in Nagpur, India. A window on medical care in a developing country. Soc Sci Med. 1994: 717-724.
 
[25]  Krishnaswamy K, Kumar BD. Drug Consumption Pattern in Urban and Rural Areas of India and Their Health Implications. CGSD Work Pap no, 29. 2005: 140-148.
 
[26]  Patel P, Solanki D, Patel N. a Qualitative Study on Self-Medication Practices in Urban Settings of Jamnagar , Gujarat. Int J Res Med. 2013; 2(3): 38-41.
 
[27]  Wondimu A, Molla F, Demeke B, et al. Household storage of medicines and associated factors in Tigray Region, Northern Ethiopia. PLoS One. 2015; 10(8).
 
[28]  Sweileh WM, Sawalhaa F, Zyoud SH, Al-Jabi SW, Bani Shamseh FF, Khalaf HS. Storage, utilization and cost of drug products in Palestinian households. Int J Clin Pharmacol Ther. 2010; 48: 59-67.
 
[29]  Ocan M, Bbosa GS, Waako P, Ogwal-Okeng J, Obua C. Factors predicting home storage of medicines in Northern Uganda. BMC Public Health. 2014; 14(1).