Prescription Pattern of Cardiovascular and/or Antidiabetic Drugs in Abuja District Hospitals

Osuafor, Nkeiruka Grace; Ukwe, Chinwe Veronica; Okonta, Mattew Jegbefume

doi:10.22159/ijpps.2019v11i9.34525

Cited by 1 publication

(6 citation statements)

References 32 publications

(65 reference statements)

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“…This is in stark contrast to the recent report of 100% availability of captopril in Sri Lankan public hospitals [ 31 ]. The decline of captopril’s availability is likely due to the preference of lisinopril by prescribers in the FCT [ 13 ]. Insulin generally had low availability.…”

Section: Discussionmentioning

confidence: 99%

“…Our finding represents an improvement in medicine availability in the Nigerian healthcare sector. This improvement is likely due to the increased prescription of those drugs [ 13 , 39 ], awareness, increased demand, and acceptance.…”

Section: Discussionmentioning

confidence: 99%

“…The OB of the anti-diabetic drug, glimepiride, showed the highest MPR, which differed from the findings on glibenclamide in Sudan [ 30 ]. Glimepiride is a newer (2nd generation) sulphonylurea that is largely preferred by prescribers in Nigeria [ 13 ]. Besides, glimepiride was not included in the Sudan survey.…”

Section: Discussionmentioning

confidence: 99%

“…Twenty-five (25) cardiovascular drugs and ten (10) anti-diabetics constituted the supplementary list. The researchers’ choice of supplementary medicines was informed by the drug use study that identified the most prescribed CVDs and anti-diabetic drugs in Abuja, and those that constituted up to 3% of the 1008 prescriptions were selected [ 13 ]. Atorvastatin was added because simvastatin, which appears on the global list, was seldom used by healthcare providers in Abuja.…”

Section: Methodsmentioning

confidence: 99%

“…In Nigeria, the total healthcare expenditure as a percentage of gross domestic product (GDP) in 2013 was 3.7% [ 11 ], and the majority of the drugs used in the country are imported [ 12 ]. A recent study on cardiovascular and diabetes drug use in Abuja reported 92.8% out-of-pocket payment from the 1008 prescriptions studied [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of availability, price, and affordability of cardiovascular, diabetes, and global medicines in Abuja, Nigeria

2021

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Objective To assess the availability, price, and affordability of cardiovascular, diabetes, and global medicines in Abuja, Nigeria. Methods A cross-sectional survey involving 27 private pharmacies, 13 public pharmacies, and 25 private hospital pharmacies in Abuja was conducted using the standardized World Health Organization/Health Action International methodology. The availability percentage for each pharmacy sector and each medicine was analyzed. The median price ratio (MPR) (ratio of the median price to the international reference prices) of the medicines were evaluated accordingly. Affordability was assessed by calculating the number of days’ wages the lowest-paid unskilled government worker required to purchase a month worth of the standard treatment for a chronic condition. Results The availability of cardiovascular (CV) medicines ranged from 28.4% (in private hospital pharmacies) to 59.9% (in private pharmacies). There was mixed variability in the mean availability of Originator Brands (OBs) and Lowest Priced Generics (LPGs) anti-diabetic drugs with the highest availability being OBs 36% and LPGs 40.2%, in private pharmacies and public pharmacies, respectively. The availability of global drugs ranged from 49.7% in private hospitals to 68.8% in private pharmacies. Two cardiovascular and four global medicines had greater than 80% availability across the pharmaceutical sectors. The median price ratio for OBs and LPGs was 9.60 and 1.72 for procurement, it was 8.08 and 2.60 in private pharmacies, 13.56 and 2.66 in public hospitals, and 16.38 and 7.89 in private hospitals. The percentage markup on LPG was 49.4% in public hospitals, 51.4% in private pharmacies, and 323% in private hospitals. Only nine medicines in both public hospitals and private pharmacies and two in the private hospital pharmacies required less than the daily wage of the lowest-paid government worker. Conclusion The availability of cardiovascular, diabetes, and global medicines was below 80% across the different pharmaceutical sectors in Abuja and the medicines were unaffordable. Although the prices were generally exorbitant, private pharmacies offered the best options in terms of availability, pricing, and affordability of medicines. Therefore, the results of this study emphasize the pertinence of enforcing policies that facilitate the availability, pricing, and affordability of cardiovascular, diabetes, and global medicines.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%