Skip to main content

Societal perspectives on the role of community pharmacists and over-the-counter drugs in Jordan

Abstract

Objective The aim of this study is to investigate the Jordanian population’s attitudes towards the role of community pharmacist and their use of and their perceptions of OTC drugs. Setting The interviews were carried out in four urban centers in Jordan with the target sample being 1,000 members of the general public. Method This project used the survey methodology administered by structured interviews to general public in four main urban centers in Jordan. The target sample was 1,000. The questionnaire was divided into four sections that measured the knowledge, attitude and practice of the Jordanian population regarding the use of community pharmacy services and OTC drugs. Main outcome measure Perceptions on the professional role of the community pharmacist and the use of OTC drugs as expressed by a sample of the general public in Jordan. Results A total of 1,085 members of the public were interviewed. Proximity to home was the main reason to visit the same pharmacy (26.2%). More than half of the interviewed sample (56.8%) stated that they would always follow the directions on the packet of the OTC product. Males were more likely to increase the dose of the preparation if it did not work within the recommended period of time, while females were more likely to decrease the dose or stop the product (P < 0.05). More than 60% of participants mentioned that they bought antimicrobials from pharmacies without prescriptions. The majority of participants (62.7%) reported that they would seek advice from a pharmacist when the condition was not serious enough to visit the doctor. Conclusions The public in Jordan think highly of the pharmacy profession despite their confusion and uncontrolled consumption of OTC drugs. The findings of this study indicate that drug authorizing bodies in Jordan must be more proactive in promoting appropriate self-medication use and improving pharmaceutical services.

This is a preview of subscription content, access via your institution.

Fig 1
Fig 2
Fig 3

References

  1. Al-Wazaify M, Albsoul-Younes A. Pharmacy in Jordan. Am J Health Syst Pharm. 2005;62:2548–51.

    PubMed  Article  Google Scholar 

  2. Taylor CA, Lipsky MS. Physicians’ perceptions of the impact of the reclassification of vaginal antifungal agents. J Fam Pract. 1994;38:157–60.

    PubMed  CAS  Google Scholar 

  3. Benrimoj SI, Langford JH, Bowden MG, Trigg EJ. Switching drug availability from prescription only to over-the-counter status: are elderly patients at increased risk? Drugs Aging. 1995;7:255–65.

    PubMed  CAS  Google Scholar 

  4. Hughes C. Monitoring self-medication. Drug Saf. 2003;2:1–5.

    Google Scholar 

  5. Tiller J, Treasure J. Purging with paracetamol: report of four cases. Br Med J. 1992;305:618.

    CAS  Google Scholar 

  6. Gibson P, Henry D, Francis L, Cruickshank D, Dupen F, Higginbotham N, et al. Association between availability of non-prescription β 2 agonist inhalers and under treatment of asthma. Br Med J. 1993;306:1514–8.

    CAS  Google Scholar 

  7. Honig PK, Gillespie BK. Drug interactions between prescribed and over-the-counter medication. Drug Saf. 1995;13:296–303.

    PubMed  CAS  Google Scholar 

  8. Bradley CP, Bond C. Increasing the number of drugs available over the counter: arguments for and against. Br J Gen Pract. 1996;46:121–2.

    Google Scholar 

  9. Wills S. Over-the-counter products. In: Wills S, editors. Drugs of abuse. London: The Pharmaceutical Press; 2003. p. 131–43.

  10. Hughes L, Whittlesea C, Luscomble D. Patients’ knowledge and perceptions of the side-effects of OTC medication. J Clin Pharm Ther. 2002;27:243–8.

    PubMed  Article  CAS  Google Scholar 

  11. Otoom S, Batieha A, Hadidi H. Evaluation of drug use in Jordan using WHO prescribing indicators. East Mediterr Health J. 2002;8:537–43.

    PubMed  CAS  Google Scholar 

  12. Albsoul-Younes AM, Jabateh SK, Abdel-Hafiz SM, et al. Awareness and frequency of potential side effects on nonsteroidal anti-inflammatory drugs among the Jordanian patient population. Saudi Med J. 2004;25:907–11.

    PubMed  Google Scholar 

  13. Abu-Irmaileh BE, Afifi FU. Herbal medicine in Jordan with special emphasis on commonly used herbs. J Ethnopharmacol. 2003;89:193–7.

    PubMed  Article  Google Scholar 

  14. Hamdan II, Afifi FU. Studies on the in vitro and in vivo hypoglycemic activities of some medicinal plants used in treatment of diabetes in Jordanian traditional medicine. J Ethnopharmacol. 2004;93:117–21.

    PubMed  Article  CAS  Google Scholar 

  15. Lev E, Amar Z. Ethnopharmacological survey of traditional drugs sold in the Kingdom of Jordan. J Ethnopharmacol. 2002;82:131–45.

    PubMed  Article  Google Scholar 

  16. Farris KB, Fernandez-Liimos F, Benrimoj SI. Pharmaceutical care in community pharmacies: practice and research from around the world. Ann Pharmacother. 2005;39:1539–41.

    PubMed  Article  Google Scholar 

  17. Awad A, Al_Ebrahim S, Abahussain E. Pharmaceutical care services in hospitals in Kuwait. J Pharm Pharm Sci. 2006;9:149–57.

    PubMed  Google Scholar 

  18. Central Intelligence Agency: World Fact Book 2008: Jordan. Obtained from URL https://www.cia.gov/library/publications/the-world-factbook/geos/jo.html. Accessed 3 May 2008.

  19. The Hashemite Kingdom of Jordan Department of Statistics (DOS): General Census of Population and Housing of Jordan 1994. Obtained from URL http://www.dos.gov.jo/sdb_pop/sdb_pop_e/inde_o.htm. Accessed 3 May 2008.

  20. Wazaify M, Shields E, Hughs CM, McElnay JC. Societal perspectives on over-the-counter (OTC) medicines. Fam Pract. 2005;22:170–6.

    PubMed  Article  Google Scholar 

  21. McElnay JC, Nicholl AJ, Grainger-Rousseau TJ. The role of the community pharmacist-a survey of public opinion in Northern Ireland. Int J Pharm Pract. 1993;2:95–100.

    Google Scholar 

  22. Bell H, McElnay J, Hughes C. Societal perspectives on the role of the community pharmacist and community-based pharmaceutical services. J Soc Adm Pharm. 2000;17:119–28.

    Google Scholar 

  23. Ministry of Health: Jordan Healthcare Utilization and Expenditure Survey 2000: Report. Amman, Ministry of Health; 2000.

  24. Cordina M, McElnay JC, Hughes CM. Social perceptions of community pharmaceutical services in Malta. J Clin Pharm Ther. 1998;23:115–26.

    PubMed  Article  CAS  Google Scholar 

  25. Al-Bakri AG, Bustanji Y, Yousef A. Community consumption of antibacterial drugs within the Jordanian population: sources, patterns and appropriateness. Int J Antimicrob Agents. 2005;26:389–95.

    PubMed  Article  CAS  Google Scholar 

  26. Jousilahti P, Madkour SM, Lambrechts T, Sherwin E. Diarrhoeal disease morbidity and home treatment practices in Egypt. Public Health. 1997;111:5–10.

    PubMed  Article  CAS  Google Scholar 

  27. Shah MA, Shah NM, Al-Rahmani E, Behbehani J, Radovanovic Z. Over-the-counter use of oral contraceptives in Kuwait. Int J Gynaecol Obstet. 2001;73:243–51.

    PubMed  Article  CAS  Google Scholar 

  28. Matowe L, Al-Kandery AA, Bihzad SM. Pharmacy in Kuwait. Am J Health-Syst Pharm. 2003;60:1591–2.

    PubMed  Google Scholar 

  29. Sweileh WM, Arafat RT, Al-Khyat LS, Al-Masri DM, Jaradat NA. A pilot study to investigate over-the-counter drug abuse and misuse in Palestine. Saudi Med J. 2005;26:447–9.

    Google Scholar 

  30. Hughes CM, McElnay JC, Fleming GF. Benefits and risks of self medication. Drug Saf. 2001;24:1027–37.

    PubMed  Article  CAS  Google Scholar 

  31. Honig PK, Cantilena LR. Polypharmacy. Clin Pharmacokinet. 1994;26:85–90.

    PubMed  CAS  Article  Google Scholar 

  32. Westerlund LT, Marklund BR, Handl WH, Thunberg ME, Allebeck P. Nonprescription drug-related problems and pharmacy interventions. Ann Pharmacother. 2001;35:1343–9.

    PubMed  Article  CAS  Google Scholar 

  33. Jordanian Law of Pharmacy Practice: 1972. Obtained from URL http://www.lob.gov.jo/ui/laws/search_no.jsp?no=43&year=1972. Accessed 3 May 2008.

Download references

Acknowledgements

The authors would like to thank the following for their support during the planning and conduction periods of the project: 1. The Dean of Scientific Research at The University of Jordan, Dr. Deya’adein Arafeh for granting us the financial and logistic support. 2. Our research assistants, Manar Al-Ghabeish, Asma’a Al-Khateeb at JU for helping with data entry and analysis.

Funding

This study was funded by the Deanship of Scientific Research (DSR) at the University of Jordan.

Conflicts of interest

None.

Author information

Affiliations

Authors

Corresponding author

Correspondence to Mayyada Wazaify.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Wazaify, M., Al-Bsoul-Younes, A., Abu-Gharbieh, E. et al. Societal perspectives on the role of community pharmacists and over-the-counter drugs in Jordan. Pharm World Sci 30, 884 (2008). https://doi.org/10.1007/s11096-008-9244-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s11096-008-9244-1

Keywords

  • Community pharmacy
  • Jordan
  • Non-prescription medicines
  • Over-the-counter (OTC) drugs
  • Public opinion
  • Survey