Self-Medication Practices and Associated Factors Among Health-Care Professionals in Selected Hospitals of Western Ethiopia

Ginenus Fekadu, Dinka Dugassa, Getandale Zeleke Negera, Tilahun Bakala Woyessa, Ebisa Turi, Tadesse Tolossa, Getahun Fetensa, Lemessa Assefa, Motuma Getachew, Tesfaye Shibiru, Ginenus Fekadu, Dinka Dugassa, Getandale Zeleke Negera, Tilahun Bakala Woyessa, Ebisa Turi, Tadesse Tolossa, Getahun Fetensa, Lemessa Assefa, Motuma Getachew, Tesfaye Shibiru

Abstract

Background: Even though the type, extent and reasons for self-medication practice (SMP) vary, globally self-medication (SM) is rising to relieve burdens on health services. However, inappropriate SMP results in economic wastes, damage of vital organs, incorrect therapy selection, risk of adverse drug reactions and development of antimicrobial-resistant pathogens. These consequences have severe implications including legal, ethical and quality of health-care delivery. Temporal increment and high prevalence of SM among health professionals is also a major bottleneck for Ethiopia. Hence, the study aimed to assess the SM among health-care professionals (HCPs) in selected governmental hospitals of Western Ethiopia.

Methods: An instiution-based cross-sectional study was conducted among 338 HCPs using a pre-tested and self-adminstered questionnaries from March 1 to 25, 2018. Simple random sampling was used to select study participants and SMP (yes or no) was the outcome of the study variable. Data were entered and analyzed using SPSS version 20. Crude and adjusted odds ratios (95% CI) were calculated and all results were deemed to be statistically significant when p < 0.05.

Results: Among the 338 participants, 184 (54.4%) were females and the mean age of the study participants was 25±3.23 years. About 154 (45.6%) of them had work experience of less than 5 years and 49.7% were nurses by profession. The prevalence of SM was 73.4% with 3 months of recall for SM. Familiarity with medicines and ailments (46.8%) and mildness of illness (40.7%) were the most common reasons to self-medicate. The most frequently reported ailments were headache (37.1%) and gastric pain (29.8%). Analgesics (44.4%) and antibiotics (42.7%) were the most commonly used self-medicated categories of drugs. Female sex (Adjusted odds ratio [AOR] =2.13, 95% CI: 1.43-8.66), age 20-29 years (AOR=4.53, 95% CI: 1.01-14.45) and work experience of <5 years (AOR= 3.01, 95% CI: 1.32-11.71) were significantly associated with SMPs.

Conclusion: The study revealed a high prevalence of SMP among HCPs. Sex, age, and work experience were significantly associated with SMPs. Hence, the use of prescription drugs without prescription should be discouraged and appropriate health education should be provided by all concerned bodies on the proper use of drugs.

Keywords: Ethiopia; health care professionals; self-medication; self-medication practice.

Conflict of interest statement

The authors report no conflicts of interest in this work.

© 2020 Fekadu et al.

References

    1. World Health Organization. Guidelines for the Regulatory Assessment of Medicinal Products for Use in Self-Medication. Geneva: World Health Organization; 2000.
    1. Sisay M, Mengistu G, Edessa D. Epidemiology of self-medication in Ethiopia: a systematic review and meta-analysis of observational studies. BMC Pharmacol Toxicol. 2018;19(1):56. doi:10.1186/s40360-018-0248-8
    1. Esan DT, Fasoro AA, Odesanya OE, Esan TO, Ojo EF, Faeji CO. Assessment of self-medication practices and its associated factors among undergraduates of a private University in Nigeria. J Environ Public Health. 2018;2018:1–7. doi:10.1155/2018/5439079
    1. World Health Organization. Role of Pharmacists in Self-Care and Self-Medication.the Fourth Consultative Group Meetings on the Role of the Pharmacist in the Health Care System Organized by WHO in Collaboration with the International Pharmaceutical Federation. The Hague,The Netherlands: World Health Organization; 1998.
    1. Montastruc J, Bagheri H, Geraud T, Lapeyre-Mestre M. Pharmacovigilance of self-medication. Therapie. 1997;52(2):105–110.
    1. Hughes CM, McElnay JC, Fleming GF. Benefits and risks of self medication. Drug Safety. 2001;24(14):1027–1037. doi:10.2165/00002018-200124140-00002
    1. Andualem T, Gebre-Mariam T. Self-medication practices in Addis Ababa: a prospective study. Ethiop J Health Sci. 2004;14(1):1–10.
    1. Ali AN, Kai JTTK, Keat CC, Dhanaraj S. Self-medication practices among health care professionals in a Private University, Malaysia. Int Curr Pharm J. 2012;1(10):302–310. doi:10.3329/icpj.v1i10.11846
    1. Abay S, Amelo W. Assessment of Self-medication practices among medical, pharmacy, health science students in Gondar University, Ethiopia. J Young Pharm. 2010;2(3):306–310. doi:10.4103/0975-1483.66798
    1. Sado E, Kassahun E, Bayisa G, Gebre M, Tadesse A, Mosisa B. Epidemiology of self-medication with modern medicines among health care professionals in Nekemte town, western Ethiopia. BMC Res Notes. 2017;10(1):533. doi:10.1186/s13104-017-2865-5
    1. Ruiz ME. Risks of self-medication practices. Curr Drug Saf. 2010;5(4):315–323.
    1. Kiyingi K, Lauwo J. Drugs in the Home: Danger and Waste. 1993.
    1. Gutema GB, Gadisa DA, Kidanemariam ZA, et al. Self-medication practices among health sciences students: the case of Mekelle University. J Appl Pharm Sci. 2011;1(10):183.
    1. Mohseni M, Azami-Aghdash S, Sheyklo SG, et al. Prevalence and reasons of self-medication in pregnant women: a systematic review and meta-analysis. Int J Community Based Nurs Midwifery. 2018;6(4):272.
    1. Bello FA, Morhason-Bello IO, Olayemi O, Adekunle AO. Patterns and predictors of self-medication amongst antenatal clients in Ibadan, Nigeria. Niger Med J. 2011;52(3):153. doi:10.4103/0300-1652.86124
    1. Haque M, Rahman NAA, McKimm J, et al. Self-medication of antibiotics: investigating practice among university students at the Malaysian National Defence University. Infect Drug Resist. 2019;12:1333–1351. doi:10.2147/IDR.S203364
    1. Shankar P, Partha P, Shenoy N. Self-medication and non-doctor prescription practices in Pokhara valley, Western Nepal: a questionnaire-based study. BMC Fam Pract. 2002;3(1):17. doi:10.1186/1471-2296-3-17
    1. University of Florida. The legality and ethics of self-prescribing. Drugs Ther. 2006;20:7.
    1. Sajith M, Suresh SM, Roy NT, Pawar D. Self-medication practices among health care professional students in a tertiary care hospital, Pune. Open Public Health J. 2017;10:1. doi:10.2174/1874944501710010063
    1. Rosen IM, Christie JD, Bellini LM, Asch DA. Health and health care among housestaff in four US internal medicine residency programs. J Gen Int Med. 2000;15(2):116–121. doi:10.1046/j.1525-1497.2000.11218.x
    1. Montgomery A, Bradley C, Rochfort A, Panagopoulou E. A review of self-medication in physicians and medical students. Occup Med (Chic Ill). 2011;61(7):490–497. doi:10.1093/occmed/kqr098
    1. Boateng DP. Self-Medication Among Doctors and Pharmacists at the Korle Bu Teaching Hospital. Kwame Nkrumah University of Science and Technology; 2009.
    1. Murray MD, Callahan CM. Improving medication use for older adults: an integrated research agenda. Ann Intern Med. 2003;139(5_Part_2):425–429. doi:10.7326/0003-4819-139-5_Part_2-200309021-00009
    1. Medical Council. Guide to Professional Conduct and Ethics for Registered Medical Practitioners. 7th ed. New Delhi: Medical Council Dublin; 2009.
    1. World Self Medication Industry (WSMI). The Story of Self-Care and Self-Medication: 40 Years of Progress, 1970–2010. Ferney-Voltaire, France; 2010.
    1. Sherazi BA, Mahmood KT, Amin F, Zaka M, Riaz M, Javed A. Prevalence and measure of self medication: a review. J Pharm Sci Res. 2012;4(3):1774.
    1. Shafie M, Eyasu M, Muzeyin K, Worku Y, Martin-Aragon S. Prevalence and determinants of self-medication practice among selected households in Addis Ababa community. PLoS One. 2018;13(3):e0194122. doi:10.1371/journal.pone.0194122
    1. Patil SB, Vardhamane S, Patil B, Santoshkumar J, Binjawadgi AS, Kanaki AR. Self-medication practice and perceptions among undergraduate medical students: a cross-sectional study. J Clin Diagn Res. 2014;8(12):HC20. doi:10.7860/JCDR/2014/6788.3956
    1. Bennadi D. Self-medication: a current challenge. J Basic Clin Pharm. 2013;5(1):19. doi:10.4103/0976-0105.128253
    1. Tesfamariam S, Anand IS, Kaleab G, et al. Self-medication with over the counter drugs, prevalence of risky practice and its associated factors in pharmacy outlets of Asmara, Eritrea. BMC Public Health. 2019;19(1):159. doi:10.1186/s12889-019-6470-5
    1. Solomon W, Abede G. Practice of self-medication in Jimma Town. Ethiop J Health Dev. 2003;17(2):111–116.
    1. World Health Organization. The benefits and risks of self-medication. WHO Drug Inf. 2000;14(1):1–2.
    1. McCabe SE, Teter CJ, Boyd CJ. Illicit use of prescription pain medication among college students. Drug Alcohol Depend. 2005;77(1):37–47. doi:10.1016/j.drugalcdep.2004.07.005
    1. Christie JD, Rosen IM, Bellini LM, et al. Prescription drug use and self-prescription among resident physicians. JAMA. 1998;280(14):1253–1255. doi:10.1001/jama.280.14.1253
    1. World Health Organization. Sampling methods and sample size In: Health Research Methodology: A Guide for Training in Research Methods. 2nd ed. Omi S, editor. World Health Organization, Regional Office for the Western Pacific Manila; 2001.
    1. Bekele SA, Argaw MD, Yalew AW. Magnitude and factors associated with self-medication practices among university students: the case of Arsi University, College of Health Science, Asella, Ethiopia: cross-sectional survey based study. Open Access Lib J. 2016;3(06):1.
    1. Allibone A, Oakes D, Shannon H. The health and health care of doctors. JR Coll Gen Pract. 1981;31(233):728–734.
    1. Jaleta A, Tesema S, Yimam B. Self-medication practice in sire town, West Ethiopia: a cross-sectional study. Cukurova Med J. 2016;41(3):447–452. doi:10.17826/cukmedj.237467
    1. Beza SW. Self-medication practice and associated factors among pregnant women in Addis Ababa, Ethiopia. Trop Med Health. 2018;46(1):10. doi:10.1186/s41182-018-0091-z
    1. Suleman S, Ketsela A, Mekonnen Z. Assessment of self-medication practices in Assendabo town, Jimma zone, southwestern Ethiopia. Res Social Adm Pharm. 2009;5(1):76–81. doi:10.1016/j.sapharm.2008.04.002
    1. Sado E, Gedif T. Drug utilization at household level in Nekemte Town and surrounding rural areas, western Ethiopia: a cross-sectional study. Open Access Lib J. 2014;1(03):1.
    1. Worku S. Practice of self-medication in Jimma Town. Ethiop J Health Dev. 2003;17(2):111–116.
    1. Davidson SK, Schattner PL. Doctors’ health‐seeking behaviour: a questionnaire survey. Med J Aust. 2003;179(6):302–305. doi:10.5694/mja2.2003.179.issue-6
    1. Gholap MC, Mohite VR. Assess the self medication practices among staff nurses. Indian J Sci Res. 2013;4(1):81.
    1. Dabney DA, Hollinger RC. Illicit prescription drug use among pharmacists: evidence of a paradox of familiarity. Work Occup. 1999;26(1):77–106. doi:10.1177/0730888499026001005
    1. Balbisi EA, Ambizas EM. Self-prescribing of noncontrolled substances among pharmacists. Am J Health Syst Pharm. 2005;62(23):2508–2511. doi:10.2146/ajhp050007
    1. Nathan C, Cars O. Antibiotic resistance—problems, progress, and prospects. N Engl J Med. 2014;371(19):1761–1763. doi:10.1056/NEJMp1408040
    1. Richman PB, Garra G, Eskin B, Nashed AH, Cody R. Oral antibiotic use without consulting a physician: a survey of ED patients. Am J Emerg Med. 2001;19(1):57–60. doi:10.1053/ajem.2001.20035
    1. Sharif SI, Bugaighis LM, Sharif RS. Self-Medication practice among pharmacists in UAE. Pharmacol Pharm. 2015;6(09):428. doi:10.4236/pp.2015.69044
    1. Kasulkar AA, Gupta M. Self medication practices among medical students of a private institute. Indian J Pharm Sci. 2015;77(2):178. doi:10.4103/0250-474X.156569
    1. Abrha S, Molla F, Melkam W. Self-medication practice: the case of Kolladiba town, north West Ethiopia. Int J Pharma Sci Res. 2014;5(10):670–676.

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