There is a paucity of evidence-based information regarding healthcare professionals’ awareness and views toward counterfeit medicines in developing countries. Therefore; this is aimed to assess health care providers’ knowledge, attitude, and practice toward counterfeit medicines in Mizan-Tepi University Teaching Hospital, South West Ethiopia. A cross-sectional study was conducted among health care providers working in Mizan-Tepi University Teaching Hospital from December 2020 to January 2021. A total of 171 health care providers participated in the study. Data were collected through self-administered structured questionnaires developed by reviewing similar surveys with some modifications. The data analyzed using a Statistical Package for Social Sciences (SPSS, version 21). Variables with P value <.05 were considered as statistically significant. Large proportions of the study participants (84.2%) have information on counterfeit drugs and 15.8% of them described counterfeit medicine as product with toxic impurities. 50.3% of them were able to distinguish a counterfeit drug from the genuine drug. 8.2% of the participants demonstrated that counterfeit medicine can be identified by physical observation of labeling, color appearance and packaging. 61.4% of the study respondents revealed that strong legal action can prevent circulation of counterfeit medicine. Professional distribution was significantly associated with the attitude of health care providers toward counterfeit medicines ( P < .05). Accordingly, public health officers and midwifery health care providers were more likely to have poor attitude toward counterfeit medicines (AOR = 6.09, CI (1.798-20.69) and (AOR = 3.98(1.54-10.25)) respectively as compared to nurses. This study demonstrated the importance of awareness creation to all health care providers. Drug regulatory bodies and concerning bodies must play an active role in designing appropriate program and policy to enhance health professionals’ knowledge and attitude toward CFM. There is also a need of empowering the practitioners in identifying counterfeit drugs by simple observations.

Background The demand for traditional herbal medicine is increasing and about 85% of the world population use herbal medicines for the prevention and treatment of diseases. More than 62.5% of the forest areas in Ethiopia are found in the southwest region, which have been used as a source of traditional medicine to treat different human and livestock ailments. The aim of this study was the investigation of the ethnobotanical and physicochemical properties of commonly used medicinal plants in Jimma zone, southwest Ethiopia. Materials and Methods A cross-sectional study was conducted in the district of Jimma zone from June 1 to 30, 2017. The ethnobotanical data were collected from traditional healers through semi-structured questionnaires. Specimens collected from various habitats were taken into Jimma University, Herbarium laboratory, dried, and prepared using standard herbarium specimen techniques for identification. Physicochemical analysis was done for selected medicinal plants. Results A total of 72 medicinal plants categorized under 61 genera and 39 families were stated by the respondents for the treatment of different human and livestock ailments. Herbs constitute the largest category (28 species, 38.89%) followed by shrubs (21 species, 29.17%), trees (20 species, 27.78%) and climbers (3 species, 4.17%). Leaves (39.19%) were the most commonly used plant parts followed by roots (27%) and seeds (10.81%). Traditional healers reported processing remedies mainly through crushing (46.91%), powdering (18.52%), pounding (11.11%), and pressing (9.88%). The water-soluble extractive value of the selected medicinal plants were between 1.825 to 18.507%w/w and the alcohol-soluble extractive value were between 0.143 to 1.107%w/w. The moisture content (%LOD) of Barleria argentea Balf. f. was higher than the recommended standard which consisted of 21.063%w/w and followed by high %LOD of Crateva adansonii D.C. Prodr (8.143%w/w) and Euphorbia abbyssinica J.F. Gmel. (16.347%w/w). The highest total ash value was registered in Dioscorea quartiniana A.Rich. species which consisted of 18.563%w/w and followed by Crateva adansonii D.C. Prodr (16.033%w/w) and Barleria argentea Balf. f. (15.648%w/w). High acid-insoluble ash value (7.227%w/w) and water-soluble ash (6.731%w/w) was recorded in Euphorbia abbyssinica J.F. Gmel. Conclusion The study revealed that the water-soluble extractive value of the selected medicinal plants indicates the presence of water-soluble components such as sugar, acids, and inorganic compounds. In the future, these characters can be used to check the genuine nature of the crude drug; thus, it plays an important role in preventing the possible steps of adulteration.

Objective The objectives of this research were to investigate pharmacy professionals’ counseling practices as well as to evaluate pharmacy professionals’ counseling skills and the content of counseling services provided to patients visiting medicine retail outlets. Methods A facility-based observational cross-sectional study was used to assess medication counseling practice by pharmacy professionals. Data were gathered through an observation and a semi-structured questionnaire. Epi data version 4.0.2 was used to enter data, which was subsequently exported to SPSS version 21.0 for analysis. ANOVA and post hoc statistical analyses were used to investigate the association between independent and dependent variables; and a 0.05 p-value was considered. Results This study has a total of 105 pharmacy professionals that were included in the analysis. The majority of those who responded were between the ages of 25 and 29. The most common drug information offered by pharmacy staff to patients was frequency of administration (90%), length of therapy (90%), and unit dose dispensed, according to the current study (86%). Pharmacy professionals’ age was significant on components of counseling practice as on mentioning the name of drugs during dispensing the medication (p=0.000), the route of administration (p=0.000), a drug dose (p=0.003), frequency of drug administration (p=0.016), proper medicine storage (p=0.024), type of dosage form (p=0.025), and duration of treatment (p=0.012). In comparison with the other age groups, an age greater than 40 years was significant on components of counseling practice (p=0.001) as a factor associated with penurious counseling practice than the other groups. Conclusion This study shows that counseling practice is still quite low in comparison to what is expected. Some of the issues that affect counseling include a high patient load, the lack of a private counseling room, a lack of updated drug knowledge, and a lack of experience were factors that influence counseling.

Pesticides are risk factors in human life causing chronic human health effects. They are commonly used across the globe to enhance human endeavors. In Ethiopia, pesticides are widely used by local farmers and governmental organizations for pest control purpose. Pesticide residues in food items have been a concern to the consumers and environment they live in. Therefore, this study was aimed at determining the amount of organochlorine and organophosphate pesticide residues in cereal crops in Bench-Sheko Zone, Ethiopia. A cross-sectional laboratory-based study design was employed to determine the amount of pesticide residues. The samples were extracted using a Quick, Easy, Cheap, Effective, Rugged and Safe (QuEChERS) extraction and clean up method. Finally, the extracted samples were injected into gas chromatography tandem mass spectrometer and the types and concentrations of pesticide residues were analyzed. The highest concentration of endosulfan sulfate (0.076 mgkg-1) was detected in rice, followed by dimethoate (0.068 mgkg-1) and p,p ′ -DDE (0.087 mgkg-1) in sorghum and common millet, respectively, in the samples obtained from the Gurafarda site.The highest concentration of p,p ′ -DDT (0.133 mgkg-1) was detected in common millet, followed by aldrin (0.082 mgkg-1) and dimethoate (0.077 mgkg-1) in sorghum and common millet, respectively, in the samples obtained from the North Bench site. In addition, aldrin detected in rice, sorghum, and common millet obtained from the three sites was a residue of above the maximum residual limits set by Codex Alimentarius regulations and European Union. The finding shows that an indication of the widespread use of pesticides in cereal crops.

Tea is the most frequently consumed drink in the sphere; next to the water. However, tea can be contaminated by different pesticides particularly those outdated pesticides which have been familiar as one of the main difficulties in Ethiopia and contaminate the food commodities. From a study done in south west of Ethiopia, Dichlorodiphenyltrichloroethane (DDT) and endosulfan were detected in commonly consumed food items. Therefore, the main aim of this study was to analyze the residue of organochlorine pesticides (OCPs) in tea collected from the market and assessing their risks to consumers. 19 different tea samples were randomly collected from supermarkets in Jimma town and Addis Ababa city. In the analytical procedure, QuEChERS (Quick, Easy, Cheap, Rugged, and Safe) method was applied for the extraction of tea samples. The finding of the study revealed that, five OCPs (aldrin, γ-chlordane, DDT, endrin, and dibutylchlorepoxide) were detected at a concentration of 0.1465, 0.167, 0.2044, 0.3067 and 0.4089 mg kg −1 in domestic tea, respectively, while endosulfan sulfate, methoxychlor, and heptachlor epoxide were detected at a concentration of 0.258, 0.458 and 1.427 mg kg-1 in imported tea samples respectively. From the pesticides detected, the mean concentration of DDT (0.292–0.825 mg kg −1 ) is above the Maximum Residue Limits (MRLs) established by China (0.2 mg kg −1 ). The estimated daily intake (EDI) of γ-chlordane and endrin were above the acceptable daily intakes (ADIs), this indicates that there is a health risk for tea consumers. The detection of pesticide residues in tea reveals that there is the widespread use of OCPs in the study area for agricultural purposes or as vector control. Therefore, strict regulation of pesticides during production, importing, sale, and application in the field is important for Ethiopia.