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Private pharmacies in tuberculosis control--a neglected link.

R Rajeswari1, R Balasubramanian, M S C Bose

  • 1Tuberculosis Research Centre, Indian Council of Medical Research, Chetput, Chennai. res_dismn_wkshp@yahoo.com

The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease
|April 5, 2002
PubMed
Summary

Private pharmacies in India dispense tuberculosis drugs, but patient self-administration of single doses may promote drug resistance. Pharmacists show willingness to aid tuberculosis control efforts despite limited program awareness.

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Area of Science:

  • Public Health
  • Pharmaceutical Sciences
  • Infectious Disease Epidemiology

Background:

  • Private pharmacies are key dispensers of anti-tuberculosis medications in India.
  • Understanding their dispensing practices and knowledge of national programs is crucial for tuberculosis control.

Purpose of the Study:

  • To assess dispensing practices for tuberculosis (TB) drugs by private pharmacies in India.
  • To evaluate pharmacists' knowledge of the national tuberculosis programme.
  • To identify the potential role of private pharmacies in TB control.

Main Methods:

  • A cross-sectional study involving 300 private pharmacies.
  • Assessment of dispensing practices for tuberculosis medications.
  • Evaluation of pharmacists' awareness of the national tuberculosis programme.

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Main Results:

  • Pharmacies dispensed approximately 2800 prescriptions monthly.
  • Half of patients purchased TB drugs one dose at a time, potentially promoting drug resistance.
  • 95% of pharmacists were unaware of the national tuberculosis programme, but 97% expressed willingness to participate in TB control.

Conclusions:

  • Dispensing practices in private pharmacies may contribute to tuberculosis drug resistance.
  • Private pharmacies represent an underutilized resource with significant potential for tuberculosis control.
  • Enhanced pharmacist engagement with the national tuberculosis programme is needed.