Assessment of medicines and potential pharmaceutical wastes management among households in Lamongan, Indonesia

Authors

  • Familian Kusuma Universitas Airlangga, Surabaya, Indonesia
  • Misbahul Munir Universitas Airlangga, Surabaya, Indonesia
  • Ana Yuda Universitas Airlangga, Surabaya, Indonesia https://orcid.org/0009-0004-4252-3106
  • Andi Hermansyah Universitas Airlangga, Surabaya, Indonesia

DOI:

https://doi.org/10.46542/pe.2023.234.145148

Keywords:

Community practice, Healthcare, Medicine, Pharmaceutical waste, Pharmacy

Abstract

Background: Storing medicines at home has been linked with irrational use, misuse, and pharmaceutical waste leading to an increased burden on the health system.    

Objective: This study examined the practice of storing and handling medicines at home, calculated the potential economic loss of pharmaceutical wastes, and measured the knowledge, attitude and practice (KAP) of household medicine management.    

Method: A cross-sectional household survey using a pre-validated ReDiUM (Return and Disposal of Unused Medications) questionnaire was conducted in Lamongan, Indonesia. A convenience sampling of 100 families was done and the findings were subsequently analysed.    

Results: A low portion of families (37%) obtained medicines from authorised pharmacies. The majority (68%) mentioned that housewives managed the medicines at home. More than half (57%) stated that they still keep the leftover medicines and only one-third of the respondents (37%) stored them in the medicine basket. As a result, potential economic loss was estimated at around $2 per family. The Spearman rank correlation coefficient test showed a strong positive association between knowledge and attitude (p < 0.05)

Conclusion: Management of medicines at home has been an underrated topic within contemporary pharmacy research despite its potential threat to community health.

Author Biographies

Familian Kusuma, Universitas Airlangga, Surabaya, Indonesia

Department of Pharmacy Practice, Faculty of Pharmacy

Misbahul Munir, Universitas Airlangga, Surabaya, Indonesia

Department of Pharmacy Practice, Faculty of Pharmacy

Ana Yuda, Universitas Airlangga, Surabaya, Indonesia

Department of Pharmacy Practice, Faculty of Pharmacy

Andi Hermansyah, Universitas Airlangga, Surabaya, Indonesia

Department of Pharmacy Practice, Faculty of Pharmacy

References

Arnold K.E., Brown A.R., Ankley G.T. & Sumpter J.P. (2014). Medicating the environment: assessing risks of pharmaceuticals to wildlife and ecosystems. Philos Trans R Soc Lond B Biol Sci. 369(1656):20130569 https://doi.org/10.1098/rstb.2013.0569

Barnett-Itzhaki, Z., Berman, T., Grotto, I. & Schwartzberg, E. (2016). Household medical waste disposal policy in Israel. Israel Journal of Health Policy Research, 5(1):1–8 https://doi.org/10.1186/s13584-016-0108-1

Barrenberg E. & Garbe E. (2015). Use of over-the-counter (OTC) drugs and perceptions of OTC drug safety among German adults. Eur J Clin Pharmacol. 71(11):1389-96 https://doi.org/10.1007/s00228-015-1929-5

CEIC. (2022). Retrieved from Indonesia Monthly Earnings. https://www.ceicdata.com/en/indicator/indonesia/monthly-earnings

Hussain, R., Rashidian, A. & Hafeez, A. (2019). A Survey On Household Storage of Medicines In Punjab, Pakistan. Journal of Ayub Medical College, Abbottabad : JAMC, 31(1):90—97 http://europepmc.org/abstract/MED/30868792

Masturoh, I. &. Anggita, T.N. (2018). Metodologi Penelitian Kesehatan. In Kementrian Kesehatan Republik Indonesia

Prasmawari, S., Hermansyah, A. & Rahem, A. (2021). Identifikasi Pengetahuan, Sikap, Tindakan Masyarakat dalam Memusnahkan Obat Kedaluwarsa dan Tidak Terpakai Di Rumah Tangga. Jurnal Farmasi Dan Ilmu Kefarmasian Indonesia, 7(1SI):31 https://doi.org/10.20473/jfiki.v7i1si2020.31-38

Rogowska J, Zimmermann A, Muszyńska A, Ratajczyk W & Wolska L. (2019). Pharmaceutical Household Waste Practices: Preliminary Findings from a Case Study in Poland. Environmental Management. 64(1):97-106 https://doi.org/10.1007/s00267-019-01174-7

Teni, F.S., Surur, A.S., Belay, A., Wondimsigegn, D., Gelayee, D.A., Shewamene, Z., Legesse, B. & Birru, E.M. (2017). A household survey of medicine storage practices in Gondar town, northwestern Ethiopia. BMC Public Health, 17. https://doi.org/10.1186/s12889-017-4152-8

Wondimu, A., Molla, F., Demeke, B., Eticha, T., Assen, A., Abrha, S. & Melkam, W. (2015). Household storage of medicines and associated factors in Tigray Region, Northern Ethiopia. PLoS ONE, 10(8):1–9 https://doi.org/10.1371/journal.pone.0135650

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Published

10-10-2023

How to Cite

Kusuma, F., Munir, M., Yuda, A., & Hermansyah, A. (2023). Assessment of medicines and potential pharmaceutical wastes management among households in Lamongan, Indonesia . Pharmacy Education, 23(4), p. 145–148. https://doi.org/10.46542/pe.2023.234.145148

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Special Edition