Abstract
Background Malaria is one of the main causes of death in Sudan with high prevalence among males, children under five-year and pregnant women. In 2016 near 13% of hospital admissions in Sudan were due to malaria. Community pharmacist dispensing of antimalarial drugs without prescription and malaria self-treatment may lead to the development of drugs resistance and delay disease control. Objective To assess the knowledge and practice of community pharmacists regarding malaria and its treatment. Setting Community pharmacies in Khartoum State, Sudan. Method A cross-sectional survey was carried using a structured pre-tested self-administered questionnaire for the pharmacists in charge of 320 randomly selected community pharmacies. Main outcome measures The community pharmacists’knowledge and practices regarding malaria and antimalarials dispensing. Results A total of 293 pharmacists participated in the study giving a response rate of 91.5%. About 92.2% of the respondents were from the age of 20–39 years and 63.8% had less than 5 years of experience. Community pharmacists showed inadequate knowledge regarding malaria and its treatment. In addition to that, they were dispensing antimalarials without prescriptions. The community pharmacists reported many barriers to their effective contribution in malaria prevention and treatment such as lack of knowledge, lack of time and lack of training. Conclusion Inadequate knowledge and irrational antimalarials dispensing practices were reported among the community pharmacists in Khartoum State. Although training was a significant predictor of pharmacists’ knowledge regarding malaria and its treatment, health authorities were not providing regular training for the practicing pharmacists.
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References
World Health Organization, World malaria report 2016: summary. 2017.
World Health Organization, Sudan,country profile. 2016 https://www.who.int/countries/sdn/en/ Accessed June 2018, Sept 2020.
Abdalla SI, Malik EM, Ali KM. The burden of malaria in Sudan: incidence, mortality and disability–adjusted life–years. Malaria journal. 2007;6(1):97.
Federal Ministry of Health, S., Sudan Malaria Indicator Survey 2016. 2017.
Aal RA, Elshayeb AA. The effects of climate changes on the distribution and spread of malaria in sudan. American Journal of Environmental Engineering. 2011;1(1):15–20.
Musa MI, Shohaimi S, Hashim NR, Isthrinayagy K. A climate distribution model of malaria transmission in Sudan. Geospatial health. 2012;7(1):27–36.
Mohamed S. Current state of pharmacy education in the Sudan. Am J pharm edu. 2011;75(4):65a–.
Khin HSS, Chen I, White C, Sudhinaraset M, Mcfarland W, Littrell M, Montagu D, Aung T. Availability and quality of anti-malarials among private sector outlets in Myanmar in 2012: results from a large, community-based, cross-sectional survey before a large-scale intervention. Malaria J. 2015;14(1):269.
Davis B, Audureau E, Ladner J, Saba J. Treatment-seeking patterns for malaria in pharmacies in five sub-Saharan African countries. Malaria J. 2017;16(1):353.
Awad AI, Eltayeb IB. Self-medication practices with antibiotics and antimalarials among Sudanese undergraduate university students. Ann Pharm. 2007;41(7–8):1249–55.
Awad AI, Eltayeb IB, Capps PA. Self-medication practices in Khartoum state, Sudan. Eur J Clin Pharmacol. 2006;62(4):317.
Elgizoli B, Salim AMA. Describing malaria management practices at community pharmacies in Khartoum Sudan. World Journal of Pharmacy and Pharmaceutical Sciences. 2017. https://doi.org/10.20959/wjpps201710-10253.
Raosoft, https://www.raosoft.com/samplesize.html ( Acsessed March 2016). 2004.
Ibrahim A, Scott J. Community pharmacists in Khartoum State, Sudan: their current roles and perspectives on pharmaceutical care implementation. Int J clin pharm. 2013;35(2):236–43.
Mohamed SS, Mahmoud AA, Ali AA. The role of Sudanese community pharmacists in patients’ self-care. Int J clin pharm. 2014;36(2):412–9.
Mohamed SS, Mahmoud AA, Ali AA. Involvement of Sudanese community pharmacists in public health activities. Int J clin pharm. 2013;35(3):393–400.
Jimam NS, David S, Kaben BJ. Comparative assessment of private and public health care providers' Knowledge on malaria treatment in bassa local government area of plateau state. Curr Med Issues. 2017;15(1):45.
Ganfon H, Ekanmian G, Amoussou L, Daniel-Garcia E, Allabi AC. Evaluation of the knowledge and attitude of pharmacists about the national malaria control policy in southern Benin. Malaria J. 2017;16(1):231.
Minyaliwa C, Bandawe C, Mwale RJ. How much do Blantyre dispensers in hospital and community pharmacies know about the new Malaria treatment guidelines? Malawi M J. 2012;24(1):1–4.
Ghouth ASB. Availability and prescription practice of anti-malaria drugs in the private health sector in Yemen. J Infect Dev Ctries. 2013;7(05):404–12.
Awad A, Eltayeb I, Matowe L, Thalib L. Self-medication with antibiotics and antimalarials in the community of Khartoum State Sudan. J Pharm Pharm Sci. 2005;8(2):326–31.
Federal Ministry of Health, S., Sudan Malaria Treatment Protocol 2015. 2015.
Federal Ministry of Health, S., Sudan Malaria Treatment Protocol 2017. https://reliefweb.int/report/sudan/sudan-malaria-diagnosis-and-treatment-protocol-2017. Accessed June 2018, Sept 2020.
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Elhag, E.A.A., Sulaiman, S.A.S. Community pharmacists’ knowledge and practice regarding malaria and its treatment in Sudan: a cross-sectional survey. Int J Clin Pharm 43, 502–508 (2021). https://doi.org/10.1007/s11096-020-01149-3
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DOI: https://doi.org/10.1007/s11096-020-01149-3