Knowledge and attitude towards pharmacovigilance among healthcare students at a medical college in Nepal

Authors

  • Bindu Malla Deparment of Pharmacy, Gandaki Medical College, Pokhara, Nepal
  • Komal Prasad Malla School of Health and Allied Sciences, Pokhara University, Pokhara, Nepal
  • Niranjan Shrestha School of Health and Allied Sciences, Pokhara University, Pokhara, Nepal
  • Ganesh Dhakal School of Health and Allied Sciences, Pokhara University, Pokhara, Nepal
  • Deependra Man Shrestha Simangainda Department of Medicine, Gandaki Medical College, Pokhara, Nepal
  • Sushil Nepal Technical Advisor, Management Sciences for Health USAID Medicines, Technologies and Pharmaceutical Services, Nepal
  • Madan Dhakal Deparment of Pharmacy, Gandaki Medical College, Pokhara, Nepal

DOI:

https://doi.org/10.18203/2319-2003.ijbcp20233188

Keywords:

Pharmacovigilance, Adverse drug reaction, Knowledge, Attitude, Healthcare students

Abstract

Background: Pharmacovigilance is the science and activities relating to the detection, assessment, understanding, and prevention of adverse drug reactions (ADRs) and any other possible drug-related problems. Under reporting of adverse drugs reactions are the global health problem. The adequate knowledge and skills towards pharmacovigilance and adverse drugs reactions reporting are crucial for the health care students to ensure patients’ medication safety. This study aims to assess the knowledge and attitude of the health care students towards pharmacovigilance and ADRs.

Methods: A closed ended, structured, self-administered questionnaire was administered to 204 undergraduate health care students to collect the data. Data were analyzed using SPSS version 21. Non-parametric tests (Mann Whitney U test and Kruskal Wallis test) were used for analysis.

Results: Among 204 respondents, the majority of them had a poor knowledge (91.18%) and positive attitude (87.25%) towards Pharmacovigilance. The inter quartile range (median) score of the respondents’ knowledge was 5.0±2.211 and attitude was 27.0±2.88 towards Pharmacovigilance and ADRs reporting. The main reason for under reporting of ADRs was difficulty to decide whether ADR has occurred or not (32.4%) due to the lack of appropriate knowledge and training. There is a poor knowledge and positive attitude towards Pharmacovigilance.

Conclusions: Adequate coverage of Pharmacovigilance and ADRs reporting issues should be covered in the curriculum as well as hand on training and workshop should be conducted to increase the knowledge and confidence in detecting, monitoring and reporting ADR in their clinical posting.

References

Panneerselvam N, Kathirvelu P, Manoharan R. Impact of educational intervention on the knowledge, attitude, and practice of pharmacovigilance among postgraduates of a tertiary care center, Kanchipuram, Tamil Nadu, India. Perspect Clin Res. 2022;13(4):199.

Shamna M, Dilip C, Ajmal M, Mohan PL, Shinu C, Jafer CP, Mohammed Y. A prospective study on adverse drug reactions of antibiotics in a tertiary care hospital. Saudi Pharm J.2014;22(4):303-8.

Mohapatra S, Begum M. A, Srikanth S, Rani RJ. Knowledge, attitude and the practice (KAP) of pharmacovigilance among health care professionals of a tertiary care teaching hospital of South India. Asian J Pharm Pharmacol. 2019;5(4):669-72.

Shrestha S, Sharma S, Bhasima R, Kunwor P, Adhikari B, Sapkota B. Impact of an educational intervention on pharmacovigilance knowledge and attitudes among health professionals in a Nepal cancer hospital. BMC Med Educ. 2020;20(1):1-10.

Sivadasan S, Sellappan M. A study on the awareness and attitude towards pharmacovigilance and adverse drug reaction reporting among nursing students in a private university, Malaysia. Int J Curr Pharm Res. 2015;7(1):84-9.

Palaian S, Ibrahim MI, Mishra P. Health professionals’ knowledge, attitude and practices towards pharmacovigilance in Nepal. Pharm Pract. 2011;9(4): 228-35.

Deo SK, Anuja Dahal A, Gautam N, Yadav S, Gupta S. Assessment of knowledge, attitude and practice of pharmacovigilance in a medical college of Nepal. Med. Res. Chronicles. 2020;7(3):119-25.

Dharini B, Nagarjuna Reddy V, Deepalakshmi M, Pramod Kumar A. Knowledge, attitude, and practice toward pharmacovigilance and adverse drug reaction reporting among nursing staff and students. Asian J Pharm Clin Res. 2018;11(3):62-7.

Shrestha S, Danekhu K, KC B, Palaian S, Ibrahim MIM. Bibliometric analysis of adverse drug reactions and pharmacovigilance research activities in Nepal. Ther Adv Drug Saf. 2020;11:1-17.

Danekhu K, Shrestha S, Aryal S, Shankar PR. Health-care Professionals’ Knowledge and perception of adverse drug reaction reporting and pharmacovigilance in a tertiary care teaching hospital of Nepal. Hosp Pharm. 2021;56(3):178-86.

Singh S, Sarraf DP, Singh P, Poudyel P. Knowledge, attitude and practices of pharmacovigilance among doctors at a tertiary care teaching hospital Birgunj, Nepal. Medphoenix. 2021;6(1):14-8

Ranabhat CL, Subedi R, Karn S. Status and determinants of enrollment and dropout of health insurance in Nepal: An explorative study. Cost Eff Resour Alloc. 2020;18(1):1-13.

Thakuria N, Deka D, Choudhury D, Ahmed N. A cross sectional study to evaluate the knowledge, attitude and practices of healthcare professionals on pharmacovigilance at Silchar medical college and hospital, Assam, India. Int J Basic Clin Pharmacol. 2016;5(4):1481-9.

Dhananjay K, Himasri E. A study of assessing knowledge, attitude and practice of pharmacovigilance among medical students of a South Indian teaching hospital. Int J Basic Clin Pharmacol. 2017;6(1):43-7.

Meher B, Joshua N, Asha B, Mukherji D. A questionnaire based study to assess knowledge, attitude and practice of pharmacovigilance among undergraduate medical students in a tertiary care teaching hospital of South India. Perspect Clin Res. 2015;6(4):217.

Tekel MT, Bekalu AF, Sema FD. Knowledge, attitude, and practice of medical, pharmacy, and nursing students towards pharmacovigilance and adverse drug reaction reporting at university of gondar college of medicine and health sciences, northwest Ethiopia: A cross-sectional study. Adv Med Educ Pract. 2021;12: 1129-39.

Habila Jamal AR. Assessment of Knowledge, attitudes and practice among the medical and pharmacy students towards pharmacovigilance and adverse drug reactions in Abbottabad, Pakistan. J Pharmacovigil. 2015;3:173.

Chhabra KG, Sharma A, Chhabra C, Reddy JJ, Deolia SG, Mittal Y. Knowledge, attitude, and practices regarding pharmacovigilance and adverse drug reaction reporting among dental students in a teaching hospital, Jodhpur, India: A cross-sectional study. J Contemp Dent Pract. 2017;18(10):964-9.

Othman GQ, Ibrahim MIM, Alshakka M, Ansari M, Al-Qadasi F, Halboup AM. Knowledge and perception about pharmacovigilance among pharmacy students of universities in Sana’a Yemen. J Clin Diagnostic Res. 2017;11(6):9-13.

Rajiah K, Maharajan MK, Nair S. Pharmacy students’ knowledge and perceptions about adverse drug reactions reporting and pharmacovigilance. Saudi Pharm J. 2016;24(5):600-4.

Alwhaibi M, Alhindi G, Alshamrani M, Essa M Bin, A. Al Aloola N, Alhawassi TM. Pharmacovigilance in healthcare education: Students’ knowledge, attitude and perception: A cross-sectional study in Saudi Arabia. BMC Med Educ. 2020;20(1):1-7.

Ninan B, Wertheimer AI. Withdrawing Drugs in the U.S. Versus Other Countries. Inov Pharm. 2012;3(3): 1-12.

Khan TM. Challenges to pharmacy and pharmacy practice in Pakistan. Australas Med J. 2011;4(4):230-5.

Hindoliya M, Chitapure F. A study on the knowledge, attitude and practice on adverse drug reactions and pharmacovigilance among post graduate residents in Gandhi Medical College, Bhopal. Int J Basic Clin Pharmacol. 2019;8(9):2108.

Reumerman M, Tichelaar J, Piersma B, Richir MC, van Agtmael MA. Urgent need to modernize pharmacovigilance education in healthcare curricula: review of the literature. Eur J Clin Pharmacol. 2018; 74(10):1235-48.

Tiwari A, Mishra PS, More S, Sharma A, Hetawal P, Patel S. Assessment of knowledge, attitude, and practices toward pharmacovigilance among under graduate medical students of a tertiary care teaching hospital of central India. Natl J Physiol Pharm Pharmacol 2023;13:10.

Elkalmi RM, Hassali A, Izham M, Ibrahim M, Widodo RT, Efan QMA, et al. Pharmacy Students ’ Knowledge and Perceptions About Pharmacovigilance in Malaysian Public Universities. Inov Pharm. 2011; 75(5):23-8.

Era N, Mukherjee S, Bordoloi S. Assessment of knowledge, attitude, and practice of pharmacovigilance among undergraduate medical students in a tertiary care teaching hospital of Eastern India: A questionnaire-based study. Natl J Physiol Pharm Pharmacol. 2020;10(0):1.

Pokhrel G, Ansari GJ, Napit R, Kafle S,Yadav DK. Assessment of knowledge and attitude in adverse drug reaction (ADR) reporting of final year undergraduate pharmacy students. J Pharm Pharmacol. 2022;10(8): 221-5.

Sivadasan S, Yuong NY, Chyi NW, Lau A, Ching S, Ali AN, et al. Knowledge and perception towards pharmacovigilance and adverse drug reaction reporting among medicine and pharmacy students. World J Pharm Pharm Sci. 2014;3(3):1652-76.

Downloads

Published

2023-10-25

How to Cite

Malla, B., Malla, K. P., Shrestha, N., Dhakal, G., Simangainda, D. M. S., Nepal, S., & Dhakal, M. (2023). Knowledge and attitude towards pharmacovigilance among healthcare students at a medical college in Nepal. International Journal of Basic & Clinical Pharmacology, 12(6), 781–787. https://doi.org/10.18203/2319-2003.ijbcp20233188

Issue

Section

Original Research Articles