Abstract

BackgroundHealthcare professional’s knowledge and attitudes to adverse drug reaction (ADR) and ADR reporting play vital role to report any cases of ADR. Positive attitudes may favour ADR reporting by healthcare professionals. This study was aimed to investigate the attitudes towards and ways to improve adverse drug reaction (ADR) reporting among healthcare professionals working at four Regional Pharmacovigilance Centres (RPCs) of Nepal.MethodsA cross sectional study was done by survey using a self-administered structured questionnaire. The questionnaire was distributed to 450 healthcare professionals working at four RPCs.ResultsThe overall response rate was 74.0%. There were 74.8% of healthcare professionals who had seen patient experiencing an ADR; however, only 20.1% had reported. Reporting form not available (48.1%) and other colleagues not reporting ADR cases (46.9%) would significantly discourage the ADR reporting among healthcare professionals working at four RPCs. Healthcare professionals perceived that seriousness of the reaction (75.6%); unusual reaction (64.6%); reaction to new product (71.2%); new reaction to existing product (70.2%); and confidence in diagnosis of ADR (60.8%) were important factors on the decision to report ADR. Awareness among healthcare professionals (85.9%), training (76.0%), collaboration (67.0%), and involve pharmacist for ADR reporting (63.1%) were mostly recognized ways to improve reporting. Regular newsletter on current awareness in drug safety (71.2%), information on new ADR (65.8%), and international drug safety information (64.0%) were the identified feedbacks they would like to receive from the Nepal pharmacovigilance programme.ConclusionHealthcare professionals working at four RPCs of Nepal have positive attitudes towards ADR reporting. Awareness among healthcare professionals, training and collaboration would likely improve reporting provided they would receive appropriate feedback from the national pharamcovigilance programme.

Highlights

  • Healthcare professional’s knowledge and attitudes to adverse drug reaction (ADR) and ADR reporting play vital role to report any cases of ADR

  • The purpose of this study is to investigate the knowledge and attitudes of healthcare professionals to report ADR working at four Regional Pharmacovigilance Centre (RPC) of Nepal and to suggest possible ways to improve the ADR reporting based on the findings

  • This study identified the attitudes towards ADR and ADR reporting among healthcare professionals working at four RPCs of Nepal

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Summary

Introduction

Healthcare professional’s knowledge and attitudes to adverse drug reaction (ADR) and ADR reporting play vital role to report any cases of ADR. This study was aimed to investigate the attitudes towards and ways to improve adverse drug reaction (ADR) reporting among healthcare professionals working at four Regional Pharmacovigilance Centres (RPCs) of Nepal. In 2004, DDA was designated as a National Pharmacovigilance Centre (NPC) Two years later, it became full member of World Health Organization (WHO) collaborating Centre for International Drug Monitoring. After its establishment, NPC facilitated the operation of Regional Pharmacovigilance Centre (RPC) in different part of the country. The purpose of this study is to investigate the knowledge and attitudes of healthcare professionals to report ADR working at four RPCs of Nepal and to suggest possible ways to improve the ADR reporting based on the findings. The findings of knowledge about ADR and ADR reporting among healthcare professionals will be presented elsewhere

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