Preliminary Study on Evaluation of Knowledge, Attitudes and Practices (KAP) of Pharmacy Workers on Generic Vs. Branded Medicine in Colombo District, Sri Lanka

Abstract

Pharmacists, apprentice pharmacists and non-pharmacists belong to the same umbrella of pharmacy workers as they all work in a pharmacy. They perform a wide range of tasks within the pharmacy. In addition to ensuring that the medications patients are prescribed are appropriate, speciality pharmacists also help patients with concerns and provide advice on how to take their medications and potential side effects. Therefore, pharmacy employees must have the right knowledge, attitudes, and behaviours for a pharmacy to run well and to provide the right medication along with the right guidance. This study aimed to investigate pharmacy workers' knowledge, attitudes and practices (KAP) in the Colombo district. A descriptive cross-sectional study was performed among pharmacy workers in the Colombo district, including pharmacists and non-pharmacists, using a structured questionnaire. The ethical clearance was obtained from the Ethics Review Committee, CINEC Campus. Out of 100 participants, 15% were pharmacists, 37% were assistant pharmacists and 48% were pharmacy-supporting workers. Among the participants, 60% agreed with substituting generics for branded medicines in all cases where a generic is available. While 14% disagreed with that, 26% were neutral. However, 61% believed some medicine brands are more effective, and 6% disagreed. Among participants, 33% mentioned that sometimes they believe some brands are more effective. Further, 5% of participants always dispense other brands in addition to the brand which the doctor has prescribed. While 89 % are only dispensed to other brands when the prescribed brand is unavailable, 6% have never done so. Out of the 5 % of participants who always dispense other brands 20% are pharmacists and 80% are non-pharmacists. Also, 93% of participants usually inform the patients when they change the brand, and 7% are not informed. According to the results, some workers still needed to have adequate KAP regarding generic and brand of drugs. Hence, it is concluded that some healthcare workers at pharmacies require further improvement based on KAP.