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Household Survey on Medicine Use in Oman. Ahmed Abdo-Rabbo, Manal Al- Ansari, Brian Gunn, Batool Suleiman & Hawraa Al-Lawati Directorate of Rational Use of Medicine Ministry of Health, Sultanate of Oman. Introduction. Irrational use & storage of medicines in the community:
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Household Survey on Medicine Use in Oman Ahmed Abdo-Rabbo, Manal Al- Ansari, Brian Gunn,Batool Suleiman & Hawraa Al-Lawati Directorate of Rational Use of Medicine Ministry of Health, Sultanate of Oman
Introduction • Irrational use & storage of medicines in the community: Problem faced worldwide Often forgotten & the most neglected target Leads to medicine wastages & health risks Needs much attention from all • At public health facilities in Oman: High availability & accessibility of medicines Prescriptions dispensed free of charge • It is the first household survey on medicine use in Oman
Aims • To investigate the chronic diseases of households • To identify the type & use of traditional remedy used by households • To know the available medicines at homes & their uses • To know the channels of treatment & obtaining medicines • To investigate the storage of medicines at homes • To determine the left-over & expired medicines • To evaluate the adequacy of labelling & patients’ knowledge of correct dosage
Methods • A cross-sectional survey was conducted in 2009 • Ethical clearance & authority permission were obtained • A written pre-tested interview questionnaire was used along with direct observation • The questionnaire covered the following aspects: Characters & chronic diseases of households Traditional remedy & modern medicines available & used in households Channels of treatment & obtaining medicines Storage conditions, left-over & expired medicines Adequacy of labelling & patients’ knowledge of correct dosage
Methods (cont.) 2 districts 4 villages 2 urban (150) 2 rural (150) Stratified sampling via aggregates • ●1050 households were interviewed • from 12 villages • in 6 willayat (districts) • located in 4 regions • (11 health regions in Oman) • Inventory of the found medicines & answers were recorded & coded individually Data were processed & analyzed by SPSS / Excel The overall results reported as mean % or number 2 districts 4 villages 2 urban (200) 2 rural (150) 1 district 2 villages 1 urban (100) 1 rural (100) 1 district 2 villages 1 urban (100) 1 rural (100)
Results 1. Characters & chronic diseases of households
Conclusion Medicine use problems in households • Unsafe use of traditional remedy • Polypharmacy & therapeutic duplication • Overuse / misuse of antibiotics • Informal sources of treatment and channels of obtaining medication • Self-medication with prescription medicines
Conclusion (cont.) Medicine use problems in households (cont.) • Inappropriate storage of medicines • Abundance of unused, deteriorated or expired medicines • Inadequate labeling • Poor knowledge of correct dosage • Lack of patient’s adherence to treatment
Recommendations • Medicine use assessment & a comprehensive evaluation are needed • Realistic policies should be implemented & enforced • Health providers & public education to increase their sensitization & awareness