A1258149801hVvwK - PowerPoint PPT Presentation
1 / 11
Title:
A1258149801hVvwK
Description:
Intervention experience in neighborhood stores and community drugstores in ... Bernardo, Dexter T Estrada, Cristina O Quiroga, Aldrin C Santiago, Julie Valerio ... – PowerPoint PPT presentation
Number of Views:58
Avg rating:3.0/5.0
Title: A1258149801hVvwK
1
(No Transcript)
2
Intervention experience in neighborhood stores
and community drugstores in the
Philippines Isidro C Sia, Rainier M Galang,
Ophelia M Mendoza, Judith A Reyes, Anna Margarita
A Bernardo, Dexter T Estrada, Cristina O Quiroga,
Aldrin C Santiago, Julie Valerio Drug Use Study
Group, University of the Philippines Manila
and National Drug Information Center
3
Setting characteristics
- gt Major sources of drugs
- Neighborhood stores 42
- Community drugstores 35
4
Problems
- Sellers have no training in dispensing
- Practices of neighborhood store sellers
- Sell antibiotic or other drugs on request
- Recommend and sell more expensive popular branded
drugs for fever - Practices of community drugstore sellers
- Dispense antibiotics without prescription
- Recommend antibiotic when none is needed
- Fill erroneous prescriptions
5
Intervention approach
- Neighborhood store sellers
- Informal group discussion
- in situ
- with store seller and by-standers
- focus on key messages
6
Intervention approach
- Community drugstore sellers
- Moderated interactive group discussion
- 2 hour discussion with sellers and mothers
- Leaflets
- Focus on key messages
- Drugstore visit
- 5 to 10 minute visit
- Leaflets
- Focus on key messages
7
Behavior change
- Neighborhood store sellers
- Informal group discussion
- Decrease in selling amoxicillin or cotrimoxazole
for children - No change in recommending and selling more
expensive popular branded paracetamol
8
Behavior change
- Community drugstore sellers
- Interactive group discussion
- No change in filling erroneous prescription
- Decrease in dispensing of amoxicillin for a child
with ARI - Decrease in recommending antibiotic for flu
symptoms - Drugstore visit
- No behavior change
9
- Behavior influenced by
- Consumer expectations
- Economic interest of neighborhood store owner and
community drugstore owner - Perception of infallibility of the prescriber
- Concern for safety of use of antibiotic in
children
10
Key elements for sustainability
- Comprehensive approach to address stakeholders
- Education of consumers
- Education of drug sellers and pharmacists
- Incentives for drugstore owners
- Education of prescribers
- Setting and enforcement of standards of practice
- Harmonized educational messages for
- Prescribers
- Drugstore sellers, pharmacists and drugstore
owners - Neighborhood store sellers
- Consumers
11
Policy and research
- Policy
- Legal regulatory framework vs realities and
intervention needs - Minimum standards of dispensing practices in
drugstores - Research
- Combination of interventions educational and
regulatory - Interventions involving different stakeholders in
the community setting prescriber, drugstore
owner, drugstore seller, consumer
Recommended
CrystalGraphics Presentations
