Journal Article

Adverse drug reaction reporting practice and associated factors among medical doctors in government hospitals in Addis Ababa, Ethiopia

Nadew, Solomon Shiferaw, Beyene, Kidanemariam G/Michael, Beza, Solomon Worku

2020

Overview

Adverse drug reactions (ADRs) are global public health problems. In its severe form it may cause hospital admission, morbidity and mortality. Early reporting of suspected ADRs to regulatory authorities is known to be appropriate measure toinsure health and safety of public form such adverse drug reaction of drugs. In Addis Ababa, there is limited information on ADR reporting practices among medical doctors. Hence, this study aimed to assess ADR reporting practices and associated factors among doctors in government hospitals in Addis Ababa. An institution based cross-sectional mixed-methods study design was used. Data werecollected from 407 doctors using self-administered questionnaire and five key informants using semi-structured questionnaire from October 01 to December 31, 2017. Binary logistic regression and thematic analysis methods for quantitative and qualitative data analysis were used respectively. Only 94(27.4%) of doctors had ever reported ADRs to national pharmacovigilance center. The study showed that sex (AOR = 3.51, 95% CI: 1.76-7.03), level ofeducation (AOR = 5.01, 95% CI: 2.23-11.28), work experience (AOR = 4.59, 95% CI: 1.21-17.40), existence of ADR reporting form (AOR = 3.96, 95% CI: 1.07-14.61) and reporting to respective marketing authorization holders (AOR = 21.41, 95% CI: 5.89-77.88) were significantly associated with ADR reporting practices. Poor awareness and training on risk of under-reporting, feeling that reporting is minor, absence of appropriate reporting tools, delay and/or absence of feedback on reported ADRs, overly burdened doctors, negligence, fear of legal liabilityand communication gap were cited by key informants as barriers for reporting practice. Adverse drug reaction reporting practice among doctors wasfound to be low. Sex, level of education, work experience, existence of reporting form and reporting to marketing authorization holderswere significantly associated with ADR reporting practice. In addition, there are gaps in availabilities of guidelines, reporting systems and structure, pre-service and in-service training, and awareness of doctors on impact of reporting. Hence, improving access to ADR reporting form, decentralize safety monitoring system, and conducting awareness training on ADR reporting are essential to improve the ADR reporting practice.

• Publisher: Public Library of Science,Public Library of Science (PLoS)
• Subject: Adult / Adverse Drug Reaction Reporting Systems - standards / Adverse Drug Reaction Reporting Systems - statistics & numerical data / Analysis / Attitude of Health Personnel / Clinical Competence - statistics & numerical data / Complications and side effects / Cross-Sectional Studies / Data analysis / Drugs / Educational Status / Ethiopia / Female / Global health / Health care / Health problems / Hospital admission and discharge / Hospitals / Hospitals, Public - standards / Hospitals, Public - statistics & numerical data / Humans / India / Information management / Informers / Male / Marketing / Medical malpractice / Medical personnel / Medical practice / Medicine / Medicine and Health Sciences / Morbidity / Mortality / Negligence / Patient safety / People and Places / Pharmacovigilance / Physicians / Physicians - psychology / Physicians - standards / Physicians - statistics & numerical data / Population / Practice Guidelines as Topic / Practice Patterns, Physicians' - standards / Practice Patterns, Physicians' - statistics & numerical data / Product safety / Public health / Public health movements / Public hospitals / Qualitative analysis / Questionnaires / Regression analysis / Research and Analysis Methods / Safety / Sex / Sex Factors / Side effects / Studies / Sub-Saharan Africa / Surveys / Surveys and Questionnaires - statistics & numerical data / Training / Work experience / Young Adult