Evaluation of Acute Diarrhea Treatment in Under-Five Children in Community Pharmacies in a State in Southeast Nigeria: A Simulated Client Approach

Authors

  • Brian Ogbonna Department of Clinical Pharmacy and Pharmacy Management, Faculty of Pharmaceutical Sciences, Nnamdi Azikiwe University, Awka, Nigeria
  • Nwanneka Maduekwe Nnamdi Azikiwe University
  • Charles Ezenduka Department of Health Policy and Administeration, Faculty of Medicine, University, of Nigeria, Enugu Campus
  • Augustina Ezigbo Department of Clinical Pharmacy and Pharmacy Management, Faculty of Pharmaceutical Sciences, Nnamdi Azikiwe University, Awka, Nigeria
  • Uchenna IH Eze Department of Clinical Pharmacy and Bio-Pharmacy, Onabisi Onabanjo University Shagamu
  • Nneoma N Okpalanma Department of Clinical Pharmacy and Pharmacy Management, Faculty of Pharmaceutical Sciences, Nnamdi Azikiwe University, Awka, Nigeria
  • Anthony Okeke Department of Clinical Pharmacy and Pharmacy Management, Faculty of Pharmaceutical Sciences, Nnamdi Azikiwe University, Awka, Nigeria
  • Maureen Anetoh Department of Clinical Pharmacy and Pharmacy Management, Faculty of Pharmaceutical Sciences, Nnamdi Azikiwe University, Awka, Nigeria
  • Ugochi A Adenola Department of Clinical Pharmacy and Pharmacy Management, Faculty of Pharmaceutical Sciences, Nnamdi Azikiwe University, Awka, Nigeria
  • Ifeoma B Umeh Department of Clinical Pharmacy and Pharmacy Management, Faculty of Pharmaceutical Sciences, Nnamdi Azikiwe University, Awka, Nigeria
  • Loveth I Ejieh

Keywords:

acute diarrhoea, under-five, community pharmacies, simulation

Abstract

Acute diarrhoea causes avoidable death in children worldwide. Community pharmacists are stakeholders in the treatment of self limiting conditions and are readily accessible for consultations to the patients in communities and neighbourhoods. This study was designed to evaluate the treatment of acute diarrhoea by community pharmacists through patient simulated approach. The study was carried out in three largest urban settlements, namely Awka, Onitsha and Nnewi in Anambra state, Nigeria using 84 registered community pharmacies. Six adequately trained data collectors who worked in pairs were dispatched to designated community pharmacies to collect the data. The data collectors mimicked clients with under five children showing signs and symptoms of acute diarrhoea and recorded their interactions without the knowledge of the pharmacists. The recorded interactions was transcribed and data was summarised with descriptive statistics and Chi-square. Majority of community Pharmacies’ practices in Anambra state 44(52.4%) was not compliant with the standard treatment guideline (STG). Out of the 45 community pharmacies in Onitsha, only 2(22.2%) was complaint with STG. Better compliance with STG was seen in Awka community Pharmacies 7(77.8%). No compliance was recorded in Nnewi. Chi-square test revealed a statistically significant association among the compliance of community Pharmacies in the three locations (? 2= 11.439; p = 0.022). Based on World Health Organization’s standard for treatment of acute diarrhea, the treatment of acute diarrhoea by the community pharmacists was inadequate. However, they were knowledgeable in some of the protocols.

 

 

 

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Published

2021-12-22

How to Cite

Ogbonna, B., Maduekwe, N., Ezenduka , C. ., Ezigbo, . A., Eze, . U. I., Okpalanma , N. N., Okeke, . A., Anetoh , M., Adenola, . U. A., Umeh, . I. B., & Ejieh, . L. I. (2021). Evaluation of Acute Diarrhea Treatment in Under-Five Children in Community Pharmacies in a State in Southeast Nigeria: A Simulated Client Approach. Journal of Current Biomedical Research, 1(3), 14–26. Retrieved from https://journals.unizik.edu.ng/index.php/jcbr/article/view/858

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