Self-medication and non-doctor prescription practices in Pokhara valley, Western Nepal: a questionnaire-based study
Self-medication and non-doctor prescribing of drugs is common in developing countries. Complementary and alternative medications, especially herbs, are also commonly used. There are few studies on the use of these medications in Pokhara Valley, Western Nepal.
Previously briefed seventh semester medical students, using a semi-structured questionnaire, carried out the study on 142 respondents. Demographic information and information on drugs used for self-medication or prescribed by a non-allopathic doctor were collected.
Seventy-six respondents (54%) were aged between 20 to 39 years. The majority of the respondents (72 %) stayed within 30 minutes walking distance of a health post/medical store. 59% of these respondents had taken some form of self-medication in the 6-month period preceding the study. The common reasons given for self-medication were mild illness, previous experience of treating a similar illness, and non-availability of health personnel. 70% of respondents were prescribed allopathic drugs by a non-allopathic doctor. The compounder and health assistant were common sources of medicines. Paracetamol and antimicrobials were the drugs most commonly prescribed. A significantly higher proportion of young (<40 years) male respondents had used self-medication than other groups.
Self-medication and non-doctor prescribing are common in the Pokhara valley. In addition to allopathic drugs, herbal remedies were also commonly used for self-medication. Drugs, especially antimicrobials, were not taken for the proper duration. Education to help patients decide on the appropriateness of self-medication is required.
- Sclafer J, Slamet LS, de Visscher G: Appropriateness of self-medication: method development and testing in urban Indonesia. J Clin Pharm Ther 1997,22(4):261–272. CrossRef
- Geissler PW, Nokes K, Prince RJ, Achieng RO, Aagaard-Hansen J, Ouma JH: Children and medicines: self-treatment of common illnesses among Luo schoolchildren in western Kenya. Soc Sci Med 2000, 50:1771–1783. CrossRef
- Kafle KK, Madden JM, Shrestha AD, Karkee SB, Das PL, Pradhan YM, Quick JD: Can licensed drug sellers contribute to safe motherhood? A survey of the treatment of pregnancy related anemia in Nepal. Soc Sci Med 1996,42(11):1577–1588. CrossRef
- Gartoulla RP: Ethnomedicine and other alternative medication practices, a study in medical anthropology in Nepal. PhD thesis, North Bengal university, Darjeeling, India, 1992.
- Kamat VR, Nichter M: Pharmacies, self-medication and pharmaceutical marketing in Bombay, India. Soc Sci Med 1998,47(6):779–794. CrossRef
- Greenhalgh T: Drug prescription and self-medication in India: an exploratory survey. Soc Sci Med 1987,25(3):307–318. CrossRef
- Drug utilization research group, Latin America: Multicenter study on self-medication and self-prescription in six Latin American countries. Clin Pharm Ther 1997,61(4):488–493. CrossRef
- Osaka R, Nanakorn S: Health care of villagers in northeast Thailand – a health diary study. Kurume Med J 1996,43(1):49–54.
- Curtale F, Siwakoti B, Lagrosa C, LaRaja M, Guerra R: Improving skills and utilization of community health volunteers in Nepal. Soc Sci Med 1995,40(8):1117–1125. CrossRef
- Dhungel B: Accessibility to social services in rural Nepal: A case study of Kavre district. MA thesis, Asian institute of technology, Bangkok, 1983.
- Montastruc JL, Bagheri H, Geraud T, Lapeyre Mestre M: Pharmacovigilance of self-medication. Therapie 1997,52(2):105–110.
- Sharma HB, Gautam RP, Vaidya S, Eds.: District development profile of Nepal. Kathmandu, Informal sector research and study center 2001.
- Kasilo OJ, Nhachi CF, Mutangadura EF: Epidemiology of household medications in urban Gweru and Harare. Cent Afr J Med 1991,37(6):167–171.
- Figueiras A, Caamano F, Gestal OJJ: Sociodemographic factors related to self-medication in Spain. Eur J Epidemiol 2000,16(1):19–26. CrossRef
- Arrais PS, Coelho HL, Batista MC, Carvalho ML, Righi RE, Arnau JM: Profile of self-medication in Brazil. Rev Saude Publica 1997,31(1):71–77. CrossRef
- Calva J, Bojalil R: Antibiotic use in a periurban community in Mexico: a household and drugstore survey. Soc Sci Med 1996,42(8):1121–1128. CrossRef
- Hebeeb GE, Gearhart JG: Common patient symptoms: patterns of self-treatment and prevention. J Miss State Med Assoc 1993,34(6):179–181.
- Ernst E: Harmless herbs? A review of the recent literature. Am J Med 1998,104(2):170–178. CrossRef
- The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2296/3/17/prepub
- Self-medication and non-doctor prescription practices in Pokhara valley, Western Nepal: a questionnaire-based study
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BMC Family Practice
- Online Date
- September 2002
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- BioMed Central
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