wow-inequalities/02-data/intermediate/wos_sample/4005e81a92f46129b96ee298128d9b9a-nizame-fosiul-alam/info.yaml

143 lines
4.8 KiB
YAML
Raw Normal View History

2023-09-28 14:46:10 +00:00
abstract: 'Background The National Drug Policy in Bangladesh prohibits the sale and
distribution of antibiotics without prescription from a registered
physician. Compliance with this policy is poor; prescribing antibiotics
by unqualified practitioners is common and over-the-counter dispensing
widespread. In Bangladesh, unqualified practitioners such as drug shop
operators are a major source of healthcare for the poor and
disadvantaged. This paper reports on policy awareness among drug shop
operators and their customers and identifies current dispensing
practices, barriers and facilitators to policy adherence. Methods We
conducted a qualitative study in rural and urban Bangladesh from June
2019 to August 2020. This included co-design workshops (n = 4) and
in-depth interviews (n = 24) with drug shop operators and
customers/household members, key informant interviews (n = 12) with key
personnel involved in aspects of the antibiotic supply chain including
pharmaceutical company representatives, and model drug shop operators;
and a group discussion with stakeholders representing key actors in
informal market systems namely: representatives from the government,
private sector, not-for-profit sector and membership organizations.
Results Barriers to policy compliance among drug shop operators included
limited knowledge of government drug policies, or the government-led
Bangladesh Pharmacy Model Initiative (BPMI), a national guideline
piloted to regulate drug sales. Drug shop operators had no clear
knowledge of different antibiotic generations, how and for what diseases
antibiotics work contributing to inappropriate antibiotic dispensing.
Nonetheless, drug shop operators wanted the right to prescribe
antibiotics based on having completed related training. Drug shop
customers cited poor healthcare facilities and inadequate numbers of
attending physician as a barrier to obtaining prescriptions and they
described difficulties differentiating between qualified and unqualified
providers. Conclusion Awareness of the National Drug Policy and the BPMI
was limited among urban and rural drug shop operators. Poor antibiotic
prescribing practice is additionally hampered by a shortage of qualified
physicians; cultural and economic barriers to accessing qualified
physicians, and poor implementation of regulations. Increasing qualified
physician access and increasing training and certification of drug shop
operators could improve the alignment of practices with national policy.'
affiliation: 'Nizame, FA (Corresponding Author), Int Ctr Diarrhoea Dis Res Bangladesh
Icddr B, Environm Intervent Unit, Infect Dis Div, Dhaka 1212, Bangladesh.
Nizame, Fosiul Alam; Shoaib, Dewan Muhammad; Akter, Salma; Islam, Mohammad Aminul;
Rahman, Mahbubur; Unicomb, Leanne, Int Ctr Diarrhoea Dis Res Bangladesh Icddr B,
Environm Intervent Unit, Infect Dis Div, Dhaka 1212, Bangladesh.
Rousham, Emily K., Loughborough Univ, Sch Sport Exercise \& Hlth Sci, Ctr Global
Hlth \& Human Dev, Loughborough, Leics, England.
Islam, Mohammad Aminul, Washington State Univ, Paul G Allen Sch Global Anim Hlth,
Pullman, WA 99164 USA.
Khan, Afsana Alamgir, Directorate Gen Hlth Serv DGHS, Dhaka, Bangladesh.'
article-number: '85'
author: Nizame, Fosiul Alam and Shoaib, Dewan Muhammad and Rousham, Emily K. and Akter,
Salma and Islam, Mohammad Aminul and Khan, Afsana Alamgir and Rahman, Mahbubur and
Unicomb, Leanne
author-email: fosiul@icddrb.org
author_list:
- family: Nizame
given: Fosiul Alam
- family: Shoaib
given: Dewan Muhammad
- family: Rousham
given: Emily K.
- family: Akter
given: Salma
- family: Islam
given: Mohammad Aminul
- family: Khan
given: Afsana Alamgir
- family: Rahman
given: Mahbubur
- family: Unicomb
given: Leanne
da: '2023-09-28'
doi: 10.1186/s40545-021-00342-7
eissn: 2052-3211
files: []
journal: JOURNAL OF PHARMACEUTICAL POLICY AND PRACTICE
keywords: 'Antimicrobial resistance (AMR); Irrational antibiotic use; Drug policy;
Qualified physicians; Quack; village doctor; Low- and middle-income
countries (LMICs)'
keywords-plus: HEALTH-CARE; SECTOR
language: English
month: NOV 16
number: SUPPL 1, 1, SI
number-of-cited-references: '30'
orcid-numbers: 'Rahman, Mahbubur/0000-0003-0520-2683
Shoaib, Dewan Muhammad/0000-0002-0168-0031
Islam, Mohammad Aminul/0000-0001-5107-5289'
papis_id: 0c07d0fbc8f4429a0b161ae61cb347a3
ref: Nizame2021barriersfacilitators
researcherid-numbers: 'Rahman, Mahbubur/HKM-9754-2023
'
times-cited: '3'
title: Barriers and facilitators to adherence to national drug policies on antibiotic
prescribing and dispensing in Bangladesh
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000719320700008
usage-count-last-180-days: '1'
usage-count-since-2013: '6'
volume: '14'
web-of-science-categories: Health Policy \& Services; Pharmacology \& Pharmacy
year: '2021'