ABSTRACT
The consequences of drug related problems from Primary Healthcare facilities in Kano are so huge that there is need to address these issues. The aim of this study was to evaluate the types and frequency of drug therapy problems (DTPs), identify patient risk factors to DTPs as well as assess the impact of pharmacists‘ intervention on the observed DTPs. A prospective study was carried out in two primary health care centers using outpatient prescriptions to identify the DTPs and self-assessment questionnaires to assess risk factors to DTPs on the clients. Out of the total number of prescriptions sampled (400) from each of the two PHCs, about 75% of the prescriptions had DTPs before pharmacist‘s intervention, and after the intervention, the DTPs reduced to about 7%. Potential drug interaction was found to be the most prevalent DTP, followed by contraindication for drugs, then inappropriate duplication of therapeutic group. Other DTPs found present were insufficient awareness of health and diseases. These DTPs identified could be attributed to inadequate knowledge on drugs, disease processes and drug interaction. The self-assessment questionnaire indicated a high risk to drug related problems. The Pharmacists intervention had an impact on the DTPs identified and risk factors assessed. Findings suggest significant incidence of DTPs in PHC facilities indicating the need for comprehensive medication management approach by pharmacists.
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