Browsing by Author "Gedif, Teferi"

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    Assessment of Health Promotion Services in Community Pharmacies of Addis Ababa, ETHIOPIA
    (Addis Ababa Universty, 2019-01) Moges, Hiwot; Gedif, Teferi
    Pharmacist‘s role is changing globally from drug compounding and dispensing to health promotion and patient care. Despite the fact that Ethiopia is facing a double burden from non-communicable and communicable diseases, community pharmacists in the country are rarely involved in health promotion services. This study aimed to identify level of involvement, barriers for pharmacists to provide health promotion functions in community pharmacies and assess community pharmacists‘ beliefs, willingness and perceived ability in providing health promotion services in community pharmacies. Qualitative and quantitative methods of data collection were used to answer the study objectives. For the quantitative part, self-administered questionnaires were distributed to 315 community pharmacists who were working in Addis Ababa. Simple descriptive statistics and multiple regression were used to analyze the data. For the qualitative part, in-depth interviews were held with stakeholders from Ministry of Health, Ethiopian Food, Medicine, Healthcare Administration and Control Authority and Ethiopian Pharmaceutical Association. The study revealed that 58% of pharmacists interviewed were not rendering health promotion services in community pharmacies. Age and work experiences found to be associated with provision of health promotion services. In such a way that pharmacists between 22-27 years old and with work experience 3 years and less are more involved on providing health promotional services. Furthermore, majority of community pharmacists 283(95.3%) felt that provision of health promotion services in community pharmacies have favorable impact on preventing disease and promoting health. They are also willing 263(88.6%) to perform health promotional functions. Moreover, they felt they are good at promoting physical activity 223(75%), screening diabetes 219(73.7%), promoting healthy eating 217(73%), on the other hand community pharmacists perceived unable on utilizing the test kits for screening cholesterol 149(50%) and explaining physiologic harms of khat chewing 121(41%). Absence of guideline on pharmacists‘ health promotion role , lack of space to maintain privacy, knowledge and skill gaps were claimed to be barriers for rendering health promotion services in community pharmacies. Thus, community pharmacists‘ involvement in health promotion is low. It is recommended to develop guideline on health promotion role of pharmacists in the scope of practice, strengthen pre-service and in service training on health promotion and implementation of MoHlatest directives towards health promotion role of community pharmacists.
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    Self-Medication and its Determinants in Butajira , Southern Ethiopia
    (Addis Ababa University, 1995-05) Gedif, Teferi; Kassaye, Mesfin(PhD)
    In developing countries including Ethiopia studies on drug utilization pattern at community level particularly on the issue of self-medication and drug hoarding are rare. study that was This community based cross-sectional supplimented by FGD (Focus Group Discussion) was carried out in Butajira, Southern Ethiopia, between September 1994- December 1994 to determine the extent and determinants of self-medication, the extent of drug hoarding at household level and to describe the community's criteria for therapy choice among modern drugs. The survey results showed that 1207 (6%) persons reported to have been ill in the past two weeks preceding the interview date; out of which 501 (42%) didn't take any drug or herbal medicine for their illness. Among 706 (58%) respondents who took drugs, 201 (28.5%) self medicated themselves and the majority 115 (57%) of selfmedications were carried out by using modern drugs. Determinants of self-medication with pharmaceuticals among adults were assessed using bivariate and mul ti variate analysis; being from meskan sub-ethnic group came out as a significant determinant { adjusted OR, 3.5 with 95 % CI (1.39, 8.83)}. Six hundred and eighty eight (14 %) of the studied households found storing drugs and 97% of these households were found storing traditional herbs. Colour, shape and dosage form are the criteria for therapy choice. In addition, injections are chosen as the most important remedy by most participants of the FGD. In conclusion, this study highlights medication is one of the maj or form of opt i ons in the studied community and it that selfhealth care is largely carried out with modern pharmaceuticals. Finally, the study recommended that health education on rational use of drugs using local native language and local meanings to pharmaceuticals is essential to avoid inappropriate use of drugs in self-medication. Studies to evaluate the effectiveness of drug information media¥ is also recommended.