Investigation of Over the Counter Diagnosis and Drug Dispensation in Chemists A Case Study in Thika District, Kenya (An Observational Study)

Abstract

Over-the-counter (OTC) drugs are medicines that may be obtained directly by a consumer without a prescription from a healthcare professional, as compared to drugs sold to consumers possessing a valid prescription. In many countries, Kenya included, these drugs are often located on the shelves of stores like any other packaged product. Some drugs may be legally classified as OTC but may only be dispensed by a pharmacist after an assessment of the patient's needs and/or the provision of patient education. OTC drugs are capable of being misused, abused especially where inappropriate drugs and incorrect dosages are given which may lead to short and long-term negative effects. The major concern surrounds the correct diagnosis and the appropriateness of the dispensed drugs and information provided to the consumers. This study focused on the OTC drugs in chemists. It was important to know why people opt for OTC drugs instead of the prescribed drugs. To meet this objective, an observational study was carried out in Thika District of Kenya to determine why patients prefer the OTC drugs to prescribed drugs. The results showed that the cost of prescription, source of diagnosis information, source of prescription information, amount of income of the respondent and previous experience on the same similar symptoms were determinants of buying OTC drugs. Education levels, age, place of residence, occupation and hospital type near the respondent were the covariates.  The results of this study have enabled the researcher to come up with recommendations to the Ministries of Medical Services and that of Public Health on the best policies to use in dispensing OTC drugs.