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Knowledge, attitude and perception/practices (KAP) of medical practitioners in India towards adverse drug reaction
Mala Kharkar1, Suresh Bowalekar
1Vice Principal, Patkar and Varde College, B2-12, Mahindra Gardens, S.V.Road, Goregaon(west) Mumbai, India.
Objective:
The objective was to assess knowledge, attitude and perceptions/practices (KAP) of medical practitioners (MPs) in India towards Adverse Drug Reaction (ADR) reporting.
Materials And Methods:
A questionnaire was designed for assessment of KAP of medical practitioners in India toward ADR reporting. This questionnaire was administered to 2-3 medical practitioners from each zone prior to administering final questionnaire which was approved by Disha Independent Ethics Committee, Mumbai. 1200 medical practitioners (about 300 from each zone) from India were selected randomly.
Results:
1000 medical practitioners out of 1200 (90%), selected at random were approached. A total of 870 provided responses to the questionnaire, giving a response rate of 73% of 1200 selected randomly. A total of 47.5% respondents reported that they were aware of Government ADR centers. A total of 59.2% reported that they are familiar with the procedure of reporting ADRs to Government centers. However, only 18.5% of MPs have reported the observed ADRs to Government ADR centers. As against this relatively large number of MPs (87.9%) have reported ADRs observed during their routine practice to medical representatives of pharmaceutical company and NGOs (non-Govt. Organizations). A total of 80.5% of respondents agreed that safety plays an important role and 96% reported that ADR centers are useful. However, only 55.6% of respondents have reported that there is a need for ADR centers.
Conclusion:
The study reveals that practitioners are aware of ADR reporting; their perception toward ADR reporting is right but it is not reflected when it comes to the act of reporting of ADRs. In our sample of 870 respondents only 18.5 % reported ADRs to some organizations. Only 5% of respondents recorded the details of ADR and reported to the manufacturer and 1% of respondents to government health ministry. Thus, medical practitioners in India appear to have a good knowledge about ADR reporting, the right perception toward ADR reporting. However, as far as practice of ADR reporting is concerned it is discouraging.
Insights
Medical practitioners in India show good knowledge and perception of Adverse Drug Reaction (ADR) reporting, but actual reporting practices are low. Despite awareness, only 18.5% reported ADRs to government centers, indicating a gap between knowledge and practice.
Area of Science:
- Pharmacovigilance
- Clinical Research
- Public Health
Background:
- Adverse Drug Reactions (ADRs) pose a significant risk to patient safety.
- Effective pharmacovigilance relies on timely and accurate ADR reporting by healthcare professionals.
- Understanding the knowledge, attitude, and practices (KAP) of medical practitioners is crucial for improving ADR reporting systems in India.
Purpose of the Study:
- To assess the knowledge, attitude, and practices (KAP) of medical practitioners (MPs) in India regarding Adverse Drug Reaction (ADR) reporting.
- To identify barriers and facilitators influencing ADR reporting among Indian physicians.
- To provide insights for enhancing pharmacovigilance activities in the Indian healthcare system.
Main Methods:
- A cross-sectional study was conducted using a questionnaire-based survey.
- The study involved 1200 randomly selected medical practitioners across different zones in India.
- Data analysis focused on assessing awareness, familiarity with reporting procedures, and actual reporting behaviors.
Main Results:
- A response rate of 73% (870 out of 1200) was achieved.
- While 47.5% were aware of government ADR centers and 59.2% knew the reporting procedure, only 18.5% had reported ADRs to these centers.
- Conversely, 87.9% reported ADRs to pharmaceutical company representatives or NGOs, and 80.5% agreed on the importance of safety, with 96% finding ADR centers useful.
Conclusions:
- Indian medical practitioners possess adequate knowledge and positive perceptions regarding ADR reporting.
- A significant discrepancy exists between the perceived importance of ADR reporting and the actual practice, with low reporting rates to official government channels.
- Interventions are needed to bridge the gap between knowledge/attitude and practice to improve pharmacovigilance in India.
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