Do pharmacists counsel customers on the disposal of unused or expired household medications? A national survey among 1,596 pharmacists in Indonesia

Introduction: Pharmacists play a vital role in counseling customers on proper medication disposal, yet their consistency in providing such information is often lacking. This study aimed to assess pharmacists’ awareness of appropriate disposal practices for unused and expired household medications. A...

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Main Authors: Sofa D. Alfian, Farida Rendrayani, Qisty A. Khoiry, Mochammad A.A. Pratama, Meliana Griselda, Ivan Surya Pradipta, Nursiswati Nursiswati, Rizky Abdulah
Format: Article
Language:English
Published: Elsevier 2024-05-01
Series:Saudi Pharmaceutical Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1319016424000707
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author Sofa D. Alfian
Farida Rendrayani
Qisty A. Khoiry
Mochammad A.A. Pratama
Meliana Griselda
Ivan Surya Pradipta
Nursiswati Nursiswati
Rizky Abdulah
author_facet Sofa D. Alfian
Farida Rendrayani
Qisty A. Khoiry
Mochammad A.A. Pratama
Meliana Griselda
Ivan Surya Pradipta
Nursiswati Nursiswati
Rizky Abdulah
author_sort Sofa D. Alfian
collection DOAJ
description Introduction: Pharmacists play a vital role in counseling customers on proper medication disposal, yet their consistency in providing such information is often lacking. This study aimed to assess pharmacists’ awareness of appropriate disposal practices for unused and expired household medications. Additional objectives included evaluating whether pharmacists offer disposal information during counseling, measuring their willingness to receive medication waste from the public, and identifying associated factors. Methods: A national cross-sectional online survey employing convenience sampling was conducted among pharmacists working in hospitals, pharmacies, clinics, or community health centers (CHCs) in Indonesia, using a validated questionnaire to assess awareness, information provision, and willingness to receive medications for disposal. Binary logistic regression, with 95% confidence intervals (CI) and odds ratios (OR), explored potential associations between factors and outcomes. Results: This study involved 1,596 pharmacists across 37 Indonesian provinces. Most pharmacists were women (80.4 %), aged 31–40 years (49.3 %), with a pharmacist professional background (93.8 %), working in CHCs (41.2 %), and practicing for 1–5 years (51.0 %). More than half were unaware of guidelines for returning medications to health facilities. While 69.9 % never counseled customers on disposal practices, 64.9 % expressed willingness to receive unused and expired medication from the public. Pharmacists practicing for at least six years were more likely to provide disposal information during counseling (OR: 2.54; 95 % CI: 1.44–4.47). Conversely, those in clinics (OR: 2.16; 95 % CI: 1.29–3.62), CHCs (OR: 2.07; 95 % CI: 1.45–2.95), or hospitals (OR: 2.00; 95 % CI: 1.27–3.14) were more likely to be unwilling to receive expired and unused household medication. Conclusions: The study reveals that most pharmacists, particularly those with limited practice duration, lacked awareness regarding the importance of proper medication disposal and did not provide counseling on appropriate medication disposal to patients. To address this issue, there is a pressing need for intensified education intensified education at the undergraduate level, continuous training for pharmacists, and a clear policy and practical guidelines, particularly targeting pharmacists in clinics, CHCs, and hospitals, to facilitate the acceptance of unused and expired household medications.
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spelling doaj.art-f6cbd72e6cc647b1aa70ebbb590c3b2b2024-03-21T05:35:52ZengElsevierSaudi Pharmaceutical Journal1319-01642024-05-01325102020Do pharmacists counsel customers on the disposal of unused or expired household medications? A national survey among 1,596 pharmacists in IndonesiaSofa D. Alfian0Farida Rendrayani1Qisty A. Khoiry2Mochammad A.A. Pratama3Meliana Griselda4Ivan Surya Pradipta5Nursiswati Nursiswati6Rizky Abdulah7Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Jatinangor, Indonesia; Drug Utilization and Pharmacoepidemiology Research Group, Centre of Excellence for Pharmaceutical Care Innovation, Universitas Padjadjaran, Jatinangor, Indonesia; Center for Health Technology Assessment, Universitas Padjadjaran, Jatinangor, Indonesia; Corresponding author at: Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Jl. Ir. Soekarno, KM 21 Jatinangor, Sumedang 45363, Indonesia.Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Jatinangor, IndonesiaDepartment of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Jatinangor, IndonesiaDrug Utilization and Pharmacoepidemiology Research Group, Centre of Excellence for Pharmaceutical Care Innovation, Universitas Padjadjaran, Jatinangor, IndonesiaDrug Utilization and Pharmacoepidemiology Research Group, Centre of Excellence for Pharmaceutical Care Innovation, Universitas Padjadjaran, Jatinangor, IndonesiaDepartment of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Jatinangor, Indonesia; Drug Utilization and Pharmacoepidemiology Research Group, Centre of Excellence for Pharmaceutical Care Innovation, Universitas Padjadjaran, Jatinangor, IndonesiaFaculty of Nursing, Universitas Padjadjaran, Jatinangor, IndonesiaDepartment of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Jatinangor, Indonesia; Drug Utilization and Pharmacoepidemiology Research Group, Centre of Excellence for Pharmaceutical Care Innovation, Universitas Padjadjaran, Jatinangor, IndonesiaIntroduction: Pharmacists play a vital role in counseling customers on proper medication disposal, yet their consistency in providing such information is often lacking. This study aimed to assess pharmacists’ awareness of appropriate disposal practices for unused and expired household medications. Additional objectives included evaluating whether pharmacists offer disposal information during counseling, measuring their willingness to receive medication waste from the public, and identifying associated factors. Methods: A national cross-sectional online survey employing convenience sampling was conducted among pharmacists working in hospitals, pharmacies, clinics, or community health centers (CHCs) in Indonesia, using a validated questionnaire to assess awareness, information provision, and willingness to receive medications for disposal. Binary logistic regression, with 95% confidence intervals (CI) and odds ratios (OR), explored potential associations between factors and outcomes. Results: This study involved 1,596 pharmacists across 37 Indonesian provinces. Most pharmacists were women (80.4 %), aged 31–40 years (49.3 %), with a pharmacist professional background (93.8 %), working in CHCs (41.2 %), and practicing for 1–5 years (51.0 %). More than half were unaware of guidelines for returning medications to health facilities. While 69.9 % never counseled customers on disposal practices, 64.9 % expressed willingness to receive unused and expired medication from the public. Pharmacists practicing for at least six years were more likely to provide disposal information during counseling (OR: 2.54; 95 % CI: 1.44–4.47). Conversely, those in clinics (OR: 2.16; 95 % CI: 1.29–3.62), CHCs (OR: 2.07; 95 % CI: 1.45–2.95), or hospitals (OR: 2.00; 95 % CI: 1.27–3.14) were more likely to be unwilling to receive expired and unused household medication. Conclusions: The study reveals that most pharmacists, particularly those with limited practice duration, lacked awareness regarding the importance of proper medication disposal and did not provide counseling on appropriate medication disposal to patients. To address this issue, there is a pressing need for intensified education intensified education at the undergraduate level, continuous training for pharmacists, and a clear policy and practical guidelines, particularly targeting pharmacists in clinics, CHCs, and hospitals, to facilitate the acceptance of unused and expired household medications.http://www.sciencedirect.com/science/article/pii/S1319016424000707Community pharmacistsHousehold medications disposalUnused medicationsExpired medicationsIndonesia
spellingShingle Sofa D. Alfian
Farida Rendrayani
Qisty A. Khoiry
Mochammad A.A. Pratama
Meliana Griselda
Ivan Surya Pradipta
Nursiswati Nursiswati
Rizky Abdulah
Do pharmacists counsel customers on the disposal of unused or expired household medications? A national survey among 1,596 pharmacists in Indonesia
Saudi Pharmaceutical Journal
Community pharmacists
Household medications disposal
Unused medications
Expired medications
Indonesia
title Do pharmacists counsel customers on the disposal of unused or expired household medications? A national survey among 1,596 pharmacists in Indonesia
title_full Do pharmacists counsel customers on the disposal of unused or expired household medications? A national survey among 1,596 pharmacists in Indonesia
title_fullStr Do pharmacists counsel customers on the disposal of unused or expired household medications? A national survey among 1,596 pharmacists in Indonesia
title_full_unstemmed Do pharmacists counsel customers on the disposal of unused or expired household medications? A national survey among 1,596 pharmacists in Indonesia
title_short Do pharmacists counsel customers on the disposal of unused or expired household medications? A national survey among 1,596 pharmacists in Indonesia
title_sort do pharmacists counsel customers on the disposal of unused or expired household medications a national survey among 1 596 pharmacists in indonesia
topic Community pharmacists
Household medications disposal
Unused medications
Expired medications
Indonesia
url http://www.sciencedirect.com/science/article/pii/S1319016424000707
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