Study of good pharmacy practice in community pharmacy of three districts of Kathmandu valley, Nepal

Authors

  • Rajeev Shrestha Department of Pharmacy, Bharatpur Hospital, Chitwan
  • Anish Ghale Department of Pharmacy, Kanti Hospital, Kathmandu

DOI:

https://doi.org/10.18203/issn.2454-2156.IntJSciRep20184191

Keywords:

Community pharmacy, Good pharmacy practice, Kathmandu valley

Abstract

Background: Medicines are an essential component of health-care services. The community pharmacies have great value in terms of providing medicinal services in developing countries. Good Pharmacy Practice (GPP) assesses whether the medicines are safe, effective, available, and accessible and are used correctly. The objective of the study is to assess the good pharmacy practice among community pharmacy of Kathmandu, Bhaktapur and Lalitpur districts.

Methods: This was a cross-sectional prospective study. A quota sampling approach was adopted to sample 94 community pharmacies. Data on the premises, storage, prescription handling and dispensing, pharmacy services and rational use of drug were collected using pre-tested questionnaire.  

Results: The overall compliance with GPP indicators for Kathmandu, Bhaktapur and Lalitpur districts were found to be 12.81 (55.69%), 11.13 (48.39%) and 12.99 (56.48%). On structure wise study, the GPP compliance was higher in others category (Metropolitan city, Sub-metropolitan city and Municipality) i.e. 13.49 (58.65%) and 11.9 (51.74%) in VDC. The studies showed the declining involvement of pharmacists or pharmacy assistants in community pharmacy for more than eight hours a working day i.e. Lalitpur (65%), Bhaktapur (56%) and Kathmandu (59%). Antibiotic dispensing without prescription was highly practiced in Lalitpur 50% compared to Bhaktapur (44%), Kathmandu (34%).

Conclusions: It was found that all districts miserably failed to comply with the standards set by GPP particularly Bhaktapur. Pharmacies seemed to have established their place in the society more as a business entity rather than healthcare establishment.

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References

Organization WH. Joint FIP/WHO Guidelines on Good Pharmacy Practice: Standards for quality of pharmacy services. Geneva 2011. Report.

Aslam N, Bushra R, Khan MU. Community pharmacy practice in Pakistan. Archives of pharmacy practice. 2012;3(4):297.

Ansari M, Alam K. Pharmacy practice in Nepal. Pharmacy Practice in Developing Countries: Elsevier; 2016: 147-168.

Miller R, Goodman C. Performance of retail pharmacies in low-and middle-income Asian settings: a systematic review. Health policy and planning. 2016;31(7):940-53.

Trap B, Hansen EH, Trap R, Kahsay A, Simoyi T, Oteba MO, et al. A new indicator based tool for assessing and reporting on good pharmacy practice. Southern Med Review. 2010;3(2).

Tiyyagura SR, Purnanand A, Rathinavelu MR. Assessment of Good Pharmacy Practice (GPP) in Pharmacies of Community Settings in India. IOSR J Pharmacy. 2014;4(12):27-33.

Poudel BK, Ishii I. Assessment of physical premises of selected pharmacies of Nepal. SAGE open medicine. 2016;4:2050312116654590.

Nepal Go. National population and housing census. In: Statistics CBo, editor. 2011.

Trap B, Hansen EH, Trap R, Kahsay A, Remedios V, Everard M. A new indicator based tool for assessing and reporting on good pharmacy practice. Southern Med Rev. 2010;III(2).

Wijesinghe P, Jayakody R, Seneviratne RDA. An assessment of the compliance with good pharmacy practice in an urban and rural district in Sri Lanka. Pharmacoepidemiol Drug Safety. 2007;16(2):197-206.

Gyawali S, Rathore DS, Adhikari K, Shankar PR, KC VK, Basnet S. Pharmacy practice and injection use in community pharmacies in Pokhara city, Western Nepal. BMC Health Services Res. 2014;14(1):190.

Ansari M. Evaluation of community pharmacies regarding dispensing practices of antibiotics in two districts of central Nepal. PloS one. 2017;12(9):e0183907.

Ranjit E. Pharmacy practice in Nepal. The Canadian J Hospital Pharmacy. 2016;69(6):493.

Government of Nepal, Drug Act, (1978). Available at: http://apps.who.int/medicinedocs/documents/ s18829en/s18829en.pdf. Accessed on 3 June 2018.

Wachter DA, Joshi MP, Rimal B. Antibiotic dispensing by drug retailers in Kathmandu, Nepal. Trop Med Int Health. 1999;4(11):782-8.

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Published

2018-09-29

How to Cite

Shrestha, R., & Ghale, A. (2018). Study of good pharmacy practice in community pharmacy of three districts of Kathmandu valley, Nepal. International Journal of Scientific Reports, 4(10), 240–245. https://doi.org/10.18203/issn.2454-2156.IntJSciRep20184191

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Original Research Articles