Factors Influencing Provision of Antibiotics without a Prescription at Pharmacies in Inner City of Hanoi, Vietnam 2024

Tran Thị Thu Trang

doi:10.59653/jhsmt.v3i02.1475

Authors

Tran Thị Thu Trang Hanoi University of Pharmacy, Vietnam

DOI:

https://doi.org/10.59653/jhsmt.v3i02.1475

Keywords:

sale of antibiotics without a prescription, Antimicrobial Resistance Crisis, influencing factors, pharmacy staff, Vietnam

Abstract

The sale of antibiotics without a prescription is a serious issue in Vietnam, particularly in the inner city of Hanoi, where this practice remains prevalent despite strict regulations. This has significant negative impacts on public health, including the issue of antimicrobial resistance. This study aims to evaluate the factors influencing the sale of antibiotics without a prescription at retail pharmacies in the inner city of Hanoi, focusing on the districts of Bac Tu Liem and Nam Tu Liem. A cross-sectional study was conducted from July to December 2024, targeting pharmacy staff at pharmacies meeting GPP (Good Pharmacy Practice) standards. Data were collected through questionnaires and analyzed using exploratory factor analysis (EFA) and linear regression. Three main factors influencing the sale of antibiotics without a prescription were identified: (1) Belief in benefits (β = 0.273), (2) Ability to perform and control behavior (β = 0.480), and (3) External influencing factors (β = 0.473). The regression model explained 52.9% of the variance in the willingness to sell antibiotics without a prescription. The findings suggest the need to strengthen training and raise awareness among pharmacy staff about the harms of selling antibiotics without a prescription while also improving policies for controlling and monitoring the sale of antibiotics to reduce this issue.

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References

Bordier, M., Binot, A., Pauchard, Q. et al. Antibiotic resistance in Vietnam: moving towards a One Health surveillance system. BMC Public Health 18, 1136 (2018). https://doi.org/10.1186/s12889-018-6022-4

Chandran, D. S., & Manickavasagam, P. P. (2022). Sale of antibiotics without prescription in stand-alone pharmacies in Tamil Nadu. Journal of Family Medicine and Primary Care, 11(9), 5516-5520.

Chen, J., Wang, Y., Chen, X., & Hesketh, T. (2020). Widespread illegal sales of antibiotics in Chinese pharmacies–a nationwide cross-sectional study. Antimicrobial Resistance & Infection Control, 9, 1-8.

Elong Ekambi, G.-A., Okalla Ebongue, C., Penda, I. C., Nnanga Nga, E., Mpondo Mpondo, E., & Eboumbou Moukoko, C. E. (2019). Knowledge, practices and attitudes on antibiotics use in Cameroon: Self-medication and prescription survey among children, adolescents and adults in private pharmacies. PloS one, 14(2), e0212875.

Erku, D. A., & Aberra, S. Y. (2018). Non-prescribed sale of antibiotics for acute childhood diarrhea and upper respiratory tract infection in community pharmacies: a 2 phase mixed-methods study. Antimicrobial Resistance & Infection Control, 7, 1-7.

Guinovart, M. C., Figueras, A., Llop, J. C., & Llor, C. (2015). Obtaining antibiotics without prescription in Spain in 2014: even easier now than 6 years ago. Journal of Antimicrobial Chemotherapy, 70(4), 1270-1271.

Hoàng Trọng Chu, N. M. N. (2008). Data analysis in research with SPSS (Phân tích dữ liệu nghiên cứu với SPSS). Hong Duc Publishing House.

Kotwani, A., Joshi, J., & Lamkang, A. S. (2021). Over-the-counter sale of antibiotics in India: A qualitative study of providers’ perspectives across two states. Antibiotics, 10(9), 1123.

Kotwani, A., Joshi, P. C., Jhamb, U., & Holloway, K. (2017). Prescriber and dispenser perceptions about antibiotic use in acute uncomplicated childhood diarrhea and upper respiratory tract infection in New Delhi: Qualitative study. Indian journal of pharmacology, 49(6), 419-431.

Laxminarayan, R., Duse, A., Wattal, C., Zaidi, A. K. M., Wertheim, H. F. L., Sumpradit, N., Vlieghe, E., Hara, G. L., Gould, I. M., & Goossens, H. (2013). Antibiotic resistance—the need for global solutions. The Lancet infectious diseases, 13(12), 1057-1098.

McKinn, S., Trinh, D. H., Drabarek, D., Trieu, T. T., Nguyen, P. T. L., Cao, T. H., Dang, A. D., Nguyen, T. A., Fox, G. J., & Bernays, S. (2021). Drivers of antibiotic use in Vietnam: implications for designing community interventions. BMJ global health, 6(7), e005875.

Nam, C. p. n. c. h. x. h. c. n. V. (2020). Nghị định số 117/2020/NĐ-CP của Chính phủ: Quy định xử phạt vi phạm hành chính trong lĩnh vực y tế. Retrieved from https://vanban.chinhphu.vn/?pageid=27160&docid=201105

Nguyễn Thị Phương Thúy, L. T. T., Nguyễn Thị Thu Hà, Nguyễn Hoàng Anh, Nguyễn Thanh Bình, Đỗ Xuân Thắng (2020). Lý do bán kháng sinh không có đơn tại cơ sở bán lẻ thuốc thông qua quan điểm của người bán lẻ thuốc tại một số tỉnh, thành phố ở Việt Nam. Tạp chí Dược học (7), 8-12.

Torumkuney, D., Kundu, S., Vu, G. V., Nguyen, H. A., Pham, H. V., Kamble, P., Truong Ha Lan, N., & Keles, N. (2022). Country data on AMR in Vietnam in the context of community-acquired respiratory tract infections: links between antibiotic susceptibility, local and international antibiotic prescribing guidelines, access to medicines and clinical outcome. Journal of Antimicrobial Chemotherapy, 77(Supplement_1), i26-i34.

Vân, N. T. H., & Hà, Đ. H. (2024). Đánh giá bước đầu một số yếu tố ảnh hưởng tới hoạt động bán kháng sinh không đơn tại cơ sở bán lẻ thuốc ở khu vực nội thành Hà Nội năm 2023. Journal of 108-Clinical Medicine and Phamarcy.