Original Article

Assessment of Community Pharmacists’ Knowledge and Perception of Pharmaceutical Care in South Africa: A Cross-sectional Survey

Abstract

Background: Medicines are intended to cure, prevent, or diagnose diseases, alleviate signs, or symptoms, but improper use can cause patient morbidity and even mortality. Pharmacists assume direct responsibility for all the patient’s drug-related needs. Hence, pharmacists’ knowledge and attitudes regarding pharmaceutical care (PC) and their perceived barriers to PC provision are imperative to treatment success. The aim of the study was to explore community pharmacists’ knowledge and perception towards pharmaceutical care and identifying perceived barriers towards its implementation in South Africa.

Methods: A quantitative study was undertaken, using a descriptive cross-sectional design. The data were collected by means of an online questionnaire completed by community pharmacists across South Africa. The data were analyzed using descriptive statistics, through Microsoft Excel and the Statistical Package for the Social Sciences (SPSS).

Results: Out of 250 online questionnaires sent, a total of 181 responded, which delivered an 72.4% response rate.  The vast majority (n=166; 91.7%) of the respondents were knowledgeable about PC though a few (n=15; 8.3%) of the respondents had a poor understanding of PC. A high number of respondents (n=173;95.5%) agreed that providing PC would increase the patients’ confidence in the pharmacy profession (n=173; 95.5%); and about 87.2% responded that all pharmacists should provide PC services. Lack of compensation for PC provision was perceived as the main barrier (83.9%).

Conclusion: South African community pharmacists have good knowledge of PC, but a lack of remuneration and time were perceived as the main barriers to PC provision. Relevant stake holders like policymakers in pharmaceutical service, health care financial managers, and pharmacy managers should intervene to overcome these barriers.

1. Medicines in the health system. Australian Institute of Health and Welfare, 07 July 2022, https://www.aihw.gov.au/reports/medicines/medicines-in-the-health-system
2. Ahmed, K. O., Muddather, H. F. and Yousef, B. A. Pharmaceutical Care Network Europe (PCNE) Drug-Related Problems Classification Version 9.1: First Implementation in Sudan. Journal of Pharmaceutical Research International.2021; 33(59A):699–706.
3. Strand LM, Morley PC, Cipolle RJ, Ramsey R, Lamsam GD. Drug-related problems: their structure and function. DICP. 1990;24(11):1093-7.
4. Hepler CD, Strand LM. Opportunities and responsibilities in pharmaceutical care. Am J Hosp Pharm. 1990;47(3):533-43.
5. Kopciuch D, Paczkowska A, Zaprutko T, Ratajczak P, Nowakowska E, Kus K. A survey of pharmacists' knowledge, attitudes and barriers in pharmaceutical care concept in Poland. BMC Med Educ. 2021;21(1):458.
6. Segun SJ, Damilola LS. Drug therapy-related problem management in Nigeria community pharmacy - process evaluation with simulated patient. BMC Health Serv Res. 2022;22(1):209.
7. Bluml BM, McKenney JM, Cziraky MJ, Elswick RK Jr. Interim report from project ImPACT: hyperlipidemia. J Am Pharm Assoc (Wash). 1998;38(5):529-34.
8. Usman, Muhammad, and Ondeku Suberu Ilyas. Assessment of Knowledge, Attitude and Practice of Community Pharmacists Towards Pharmaceutical Care in Kaduna State, Nigeria. International Journal of Pharmacy Teaching and Practice.2014; 5:1–5.
9. Suleiman Ismail A., Oluwatoyin Onaneye. Pharmaceutical Care Implementation: A Survey of Attitude, Perception and Practice of Pharmacists in Ogun State, South-Western Nigeria. International Journal of Health Research.2011;4(2): 91–97.
10. Stats SA 2019, Mid-year population estimates, Stats SA, accessed on 06/ 03/2022,
11. The South African Pharmacy Council 2022, Pharmacies By Sector 2022, South African Pharmacy Council, accessed on 20/ 03/2022,
12. Ung C, Chao C, Hu Y, et al. Community Pharmacists’ Understanding, Attitudes, Practice and Perceived Barriers Related to Providing Pharmaceutical Care: A Questionnaire-based Survey in Macao. Tropical Journal of Pharmaceutical Research.2016; 15(4): 847.
13. Fang Y, Yang S, Feng B, Ni Y, Zhang K. Pharmacists' perception of pharmaceutical care in community pharmacy: a questionnaire survey in Northwest China. Health Soc Care Community. 2011;19(2):189-97.
14. Usman M, Ilyas O. Assessment of Knowledge, Attitude and Practice of Community Pharmacists Towards Pharmaceutical Care in Kaduna State, Nigeria. IJPTP. 2014;5(2): 972-976.
15. Agaceta Cristan C, Diano Gilberto T, Lintag Patriz Miga P. Loquias Monet M. Current Practices and Perceptions on Pharmaceutical Care of Hospital Pharmacists in Metro Manila. IJPTP. 2013;4(4):821-825.
16. Siddique A, Ahmed E, Al Zoghabi M, Alsaif E, Alhawshani F. Exploring Community Pharmacist's Knowledge, Attitude, and Practice toward the Provision of Pharmaceutical Care. A Prospective Cross-sectional Study from Saudi Arabia. J Pharm Bioallied Sci. 2022;14(1):13-18.
17. El Hajj MS, Al-Saeed HS, Khaja M. Qatar pharmacists' understanding, attitudes, practice and perceived barriers related to providing pharmaceutical care. Int J Clin Pharm. 2016;38(2):330-43.
18. Mishore KM, Mekuria AN, Tola A, Ayele Y. Assessment of Knowledge and Attitude among Pharmacists toward Pharmaceutical Care in Eastern Ethiopia. Biomed Res Int. 2020;2020:7657625.
19. Evans R, Bromfield LE, Brown PL. An investigation of knowledge, attitude, and practice of community pharmacists toward pharmaceutical care in private community pharmacies in Jamaica. Trop J Pharm Res. 2021; 20(12):2587-2595
20. Ngorsuraches S, Li SC. Thai pharmacists' understanding, attitudes, and perceived barriers related to providing pharmaceutical care. Am J Health Syst Pharm. 2006;63(21):2144-50.
21. Dunlop JA, Shaw JP. Community pharmacists' perspectives on pharmaceutical care implementation in New Zealand. Pharm World Sci. 2002;24(6):224-30.
22. Nwaozuzu EE, Okonta JM, Aguwa CN. Attitude of Hospital Pharmacists in Nigeria Towards Pharmaceutical Care. International Journal of Development and Sustainability. 2013.
23. Uema SA, Vega EM, Armando PD, Fontana D. Barriers to pharmaceutical care in Argentina. Pharm World Sci. 2008;30(3):211-5.
24. Bronkhorst E, Schellack N, Gous AGS. contextualising the perceptions of pharmacists practicing clinical pharmacy in South Africa-Do we practice what we preach? Front Pharmacol. 2021;12:734654.
Files
IssueVol 12, No 2 (Spring 2024) QRcode
SectionOriginal Article(s)
Keywords
Knowledge; Attitude; Perception; Pharmaceutical care; South Africa

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Lorato G, Perumal-Pillay VA, Suleman F. Assessment of Community Pharmacists’ Knowledge and Perception of Pharmaceutical Care in South Africa: A Cross-sectional Survey. J Pharm Care. 2024;12(2):66-72.