Abstract |
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Purpose: To determine the quality of labeling on dispensed medicines and identify the associated factors among public health facilities in Bahir Dar city.
Methods: A cross sectional study was conducted from August 5 to 20, 2013 at selected health care facilities in Bahir Dar city. Simple random sampling and systematic random sampling techniques was used to select health facilities and dispensing encounters respectively. Data was collected from non participatory observations of the drug dispensing process using check list. Data was entered into EPI Info (version 3.5.2) and analyzed using SPSS version 16. Bivariate and multivariate regression analysis was computed to test the strength of association and level of significance. P-value <0.05 was considered as statistical significant.
Results: A total of 400 dispensing encounters and 636 drugs dispensed were observed in eight (8) outpatient pharmacies. The percentage of drugs adequately labeled was 32.2%. Drugs adequate labeling score was higher in private health facilities (39.3%) compared to government health facilities (25.83%). The name, strength and dosage form of the drugs were labeled in 95.6%, 90% and 85.8% respectively. Differences in dispenser work experiences (AOR = 2.99, CI: 1.67 – 5.37), average dispensing time (AOR = 6.22, CI: 3.08-12.57), average consultation time (AOR=3.42, CI: 1.64-7.13), level of health facility (AOR = 4.31, CI 1.94 – 9.59) and type of health facilities (AOR = 4.29, CI 1.72 – 10.66) were found to be independently associated factors for quality of labeling score.
Conclusion: The quality of labeling on dispensed medicines was not adequate. Dispenser work experiences, average dispensing time, average consultation time, level of health facility and type of health facilities were found to be significant factors for quality of labeling score. Therefore, attention should be given to strong skill development, increasing manpower and implementation of regular monitoring for the application of dispensing ethics. |