International Journal of Scientific Reports | August 2021 | Vol 7 | Issue 8 Page 382
International Journal of Scientific Reports
Alam K et al. Int J Sci Rep. 2021 Aug;7(8):382-387
http://www.sci-rep.com
pISSN 2454-2156 | eISSN 2454-2164
Original Research Article
Assessment of knowledge, attitude and practice of pharmacovigilance
and adverse drug reactions reporting among
the community pharmacies in Dharan
Kadir Alam
1
*, Badri Karki
2
, Amit Kumar Gupta
2
,
Deependra Prasad Sarraf
1
, Subash Wagle
2
INTRODUCTION
The WHO defines ADR as a response to a drug that is
noxious and unintended and that occurs at doses normally
used in man for prophylaxis, diagnosis or therapy of
disease or for the modification of physiologic function.
1
ADRs are considered a major cause of patients’
morbidity, mortality, hospital admissions as well as
increasing length of hospitalization and cost of
treatment.
2
It affects irrespective of the age group of
patients worldwide with varying magnitude of causing
morbidity and mortality.
3
ADRs are reported to be the 4-
6th leading cause of death in the United States of
America.
4
A study from South India revealed that 0.7%
of hospital admissions were due to ADRs and a total of
3.7% hospitalized patients experienced ADRs of which
death accounts for 1.3%.
5
ABSTRACT
Background: Community pharmacist’s (CPs) knowledge, attitude and practice (KAP) of pharmacovigilance and
adverse drug reactions (ADR) play a vital role in preventing harmful effects of medicine. The objective was to assess
the KAP of pharmacovigilance and ADR reporting among CP.
Methods: A cross-sectional study was carried out among 132 CP in Dharan between February-March 2019 by using
a self-administered 25-item semi-structured questionnaire. The KAP score was categorized as good (score 13-25) and
poor (score 0-12). The descriptive statistics were calculated using Microsoft excel 2010.
Results: Out of 132 pharmacies, only 77 responded giving a response rate of 58.3%. There were 45 (58.4%) male.
Majority of the participants (45, 58.4%) had completed diploma in pharmacy course. Only 23 (29.9%) respondents
gave the correct responses regarding the definition of pharmacovigilance and 23.4% were aware of the national
pharmacovigilance centre. 50.9% agreed that reporting of ADRs is a part of pharmacist duty and it was important to
report ADRs and was leading cause of hospitalization. Sixty three (81.8%) participants had never ever been trained on
how to report ADR. Seventy (90.9%) participants were willing to report ADR, however, 51 (66.2%) had never seen
the ADR reporting form. Only 3 (3.9%) participants had good KAP score (23.33±1.54).
Conclusions: Despite of relatively better attitude towards pharmacovigilance and ADR reporting, they had a limited
knowledge and practice with regard to ADR reporting and pharmacovigilance. The study findings highlights the need
to strengthen the community pharmacovigilance program for safer medication use at the community level.
Keywords: Adverse drug reaction, Attitude, Knowledge, Practice, Pharmacovigilance
1
Department of Clinical Pharmacology and Therapeutics, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
2
Department of Pharmacy, Sunsari Technical College, Dharan, Nepal
Received: 03 May 2021
Accepted: 02 June 2021
*Correspondence:
Dr. Kadir Alam,
E-mail: alamkad2050@gmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: https://dx.doi.org/10.18203/issn.2454-2156.IntJSciRep20212833