Pharmaceutical Waste Management in Pharmacies at the Primary Level of Health Care in Serbia - Situation Analysis

Manojlović, Jelena; Jovanović, Verica; Milošević-Georgiev, Andrijana; Tesink, Jan Gerrit; Arsić, Tanja; Marinković, Valentina

doi:10.5530/ijper.49.2.5

Cited by 12 publications

(8 citation statements)

References 5 publications

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“…A nationwide study by Bungau et al (2018) with a group of 521 pharmacists, showed that 16% of the participants work for pharmacies that do not collect unused or expired drugs from the people; and nearly 33% of those surveyed have refused, at least once, to take unused medicines from people when asked (Bungau et al 2018). However, according to another study carried out in the Republic of Serbia, in March 2013, 76.5% of pharmacies collect expired medicines that people bring to them, in order to get them put away, while 23.5% of the pharmacies surveyed assert that they do not collect pharmaceutical waste from households at all (Manojlović et al 2015)…”

Section: Resultsmentioning

confidence: 99%

Pharmaceutical Household Waste Practices: Preliminary Findings from a Case Study in Poland

Rogowska

Zimmermann

Muszyńska

et al. 2019

Environmental Management

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Pharmaceutical consumption continues to grow constantly. Unused/expired pharmaceuticals are disposed of to the municipal sewage system or waste disposal. Consequently, many countries have implemented a system of collecting pharmaceutical waste, with pharmacies playing an important role. It is important to educate consumers on rational consumption and the appropriate disposal of unused/expired pharmaceuticals and to identify the level of public awareness. Two studies were conducted in Poland to estimate the problem of collection and disposal of expired/unused pharmaceuticals. The purpose of the Survey I was to identify the scale of pharmaceutical consumption and the way pharmaceuticals are disposed of by various social groups. The Survey II was aimed to identify patients’ attitudes regarding expired/unused pharmaceuticals at home. Of the respondents who participated in in Survey I, almost 74% indicated that analgesics were among the over-the-counter drugs they purchased. Group of pharmaceuticals 65% of the respondents purchased were medicines for treating flu symptoms. Almost 68% of the respondents said they usually disposed of expired pharmaceuticals in their household waste or by flushing them down the toilet. In Survey II more than 35% reported that they disposed of pharmaceuticals in the same ways. Of all respondents, ~30% returned their expired pharmaceuticals to pharmacies. Most respondents (over 65%) who participated Survey I indicated that they were aware that pharmaceutical waste can be returned to pharmacies. It should be noted that local governments are currently not obliged by law to work with or compensate pharmacies in the collection and proper disposal of unused pharmaceuticals.

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Section: Resultsmentioning

confidence: 99%

Pharmaceutical Household Waste Practices: Preliminary Findings from a Case Study in Poland

Rogowska

Zimmermann

Muszyńska

et al. 2019

Environmental Management

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“…Therefore, a standardized, 20-items, self-administered questionnaire designed and developed to evaluate pharmacist knowledge when generating pharmaceutical waste in pharmacies. The questionnaire was developed depending on information drawn from the literature, and a number of questions were adapted and modified from other studies regarding pharmacist knowledge on drug disposal and its effect on health and environment [1,12,13,14,15,16,17,18]. Validation was performed to determine whether the study tool measured the intended goal of this study.…”

Section: Methodsmentioning

confidence: 99%

Pharmacists’ Knowledge Regarding Drug Disposal in Karbala

Albaroodi

2019

Pharmacy

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Background: Consumers and caregivers should remove expired, or unwanted, medications to minimize the chance for misuse or accidentally using those medicines. This study investigated pharmacists’ knowledge regarding drug disposal in Karbala, Iraq. Methods: This study was a cross-sectional survey among pharmacists in Karbala. It was performed from December 2018 until January 2019. A standardized, 12-item, self-administered questionnaire was designed, developed and validated to assess pharmacists’ knowledge when generating pharmaceutical waste in pharmacies. Results: One hundred twenty-nine participants enrolled in the study. The mean age of participants was 33 ± 9.3 years—more than two-thirds (65.9%)—agreed that the return of medications to the source would be appropriate drug disposal. A good proportion of participants agreed with disposing of drugs in the trash. Further, 63.6% believe that education is the main barrier opposing the implementation of a medicine–take–back program in Iraq. Conclusion: Pharmacists had relatively poor knowledge regarding drug disposal methods. Health care providers (not only pharmacists) need educational courses and workshops to improve their knowledge regarding medication disposal in Iraq.

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“…Manojlović et al (2015), on the opposite side, focus the potential source of poisoning by drugs, due to improper disposal of unused medicines worldwide. They researched pharmacies to assess the current situation of pharmaceutical WM in the sector and results demonstrate that pharmacies have not started to implement their legal obligation of collecting pharmaceutical waste from the citizens yet, at least not in the full range.…”

Section: Resultsmentioning

confidence: 99%

Reverse logistics for the end-of-life and end-of-use products in the pharmaceutical industry: a systematic literature review

Campos

Paula

Pagani

et al. 2017

SCM

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Purpose The aim of this paper is to develop a systematic literature review (SLR) aiming to identify reverse logistics (RL) concepts and practices applied to the end-of-life (EOL) and end-of-use (EOU) of pharmaceuticals and to identify and synthesize, through bibliometric indicators, research opportunities on RL, considering the analysis of publications in the periodical Supply Chain Management: An International Journal (SCMij). Design/methodology/approach The SLR followed two steps, namely, search for articles on the subject and content analysis of selected material and bibliometric analysis of publications using VOSviewer®. Findings The SLR allowed the compilation of evidences regarding pharmaceutical RL in the groups: environmental risk, the RL evolution and regulatory and stakeholder’s educational perspective. Despite the timid specific literature on pharmaceutical RL, it was also possible to point out research gaps and opportunities. Pharmaceutical RL seems to be influenced by studies from traditional RL including mathematical modeling, managerial strategies and technologies but prescind of a systemic solution. Besides reducing environmental impact, the motivation to implement pharmaceutical RL resides in its potential for revenue. Considering integrated logistics as a trend and an emerging issue, RL for the pharmaceutical industry needs to be addressed more thorough and broadly. Research limitations/implications The limited number of papers returned in this SLR of pharmaceutical RL impaired the bibliometric analysis of them, leading to the inclusion of papers on general RL. Originality/value This study provides an overview of the evolution of RL in the pharmaceutical industry, it also clarifies concepts and EOL/EOU practices, particularly directed to the pharmaceutical industry RL.

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Pharmaceutical Waste Management in Pharmacies at the Primary Level of Health Care in Serbia - Situation Analysis

Cited by 12 publications

References 5 publications

Pharmaceutical Household Waste Practices: Preliminary Findings from a Case Study in Poland

Pharmaceutical Household Waste Practices: Preliminary Findings from a Case Study in Poland

Pharmacists’ Knowledge Regarding Drug Disposal in Karbala

Reverse logistics for the end-of-life and end-of-use products in the pharmaceutical industry: a systematic literature review

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