Changes in Availability, Utilization, and Prices of Medicines and Protection Equipment for COVID-19 in an Urban Population of Northern Nigeria.

COVID-19 Community pharmacists Nigeria medicines price rises

Journal

Journal of research in pharmacy practice
ISSN: 2319-9644
Titre abrégé: J Res Pharm Pract
Pays: India
ID NLM: 101614023

Informations de publication

Date de publication:
Historique:
received: 23 07 2020
accepted: 24 11 2020
entrez: 23 7 2021
pubmed: 24 7 2021
medline: 24 7 2021
Statut: epublish

Résumé

Measures are ongoing to prevent the spread of COVID-19 and treat it with medicines and personal protective equipment (PPE). However, there has been considerable controversy surrounding treatments such as hydroxychloroquine with misinformation fuelling prices hikes and suicides. Shortages have also appreciably increased costs of PPE, potentially catastrophic among lower- and middle-income countries such as Nigeria with high copayment levels. Consequently, a need to investigate changes in availability, utilization, and prices of relevant medicines and PPE during the pandemic in Nigeria. Exploratory study among community pharmacists with a survey tool comprising four sections including questions on changes in consumption, prices, and shortages of medicines and PPE from the beginning of March 2020 to the end of June 2020. In addition, suggestions from community pharmacists and co-authors on ways to reduce misinformation. 30 out of 34 pharmacists participated giving a response rate of 88.2%. Significant increases were seen (3-fold or more increase) in the consumption of hydroxychloroquine (100%), vitamins/immune boosters (96.7%) and antibiotics (46.7%) as well as PPE (100%). Considerable price increases (50% increase or greater) also seen for antimalarials (96.7%), antibiotics (93.3%), vitamins/immune boosters (66.7%), and PPE (100%). Shortages are also seen for hydroxychloroquine and vitamins/immune boosters but most severe for PPE (80% of pharmacies). Encouraging to see increases in the utilization of vitamins/immune boosters and PPE. However, a considerable increase in the utilization and prices of antimicrobials is a concern that needs addressing including misinformation. Community pharmacists have a key role in providing evidence-based advice and helping moderate prices.

Identifiants

pubmed: 34295848
doi: 10.4103/jrpp.JRPP_20_92
pii: JRPP-10-17
pmc: PMC8259594
doi:

Types de publication

Journal Article

Langues

eng

Pagination

17-22

Informations de copyright

Copyright: © 2021 Journal of Research in Pharmacy Practice.

Déclaration de conflit d'intérêts

There are no conflicts of interest.

Références

Front Pharmacol. 2021 Jan 14;11:582154
pubmed: 33628172
MMWR Morb Mortal Wkly Rep. 2020 Mar 20;69(11):307-311
pubmed: 32191691
BMJ. 2020 Oct 19;371:m4057
pubmed: 33077424
Am J Trop Med Hyg. 2020 Jun;102(6):1184-1188
pubmed: 32323646
Lancet Infect Dis. 2020 Oct;20(10):1119-1120
pubmed: 32450054
Front Public Health. 2020 Dec 14;8:585832
pubmed: 33381485
Res Social Adm Pharm. 2021 Jan;17(1):2032-2035
pubmed: 32245691
Front Pharmacol. 2020 Mar 20;11:108
pubmed: 32265688
Front Pharmacol. 2020 Sep 11;11:1205
pubmed: 33071775
Lancet. 2020 May 30;395(10238):1678-1680
pubmed: 32401713
N Engl J Med. 2021 Feb 25;384(8):693-704
pubmed: 32678530
PLoS One. 2017 Dec 28;12(12):e0190147
pubmed: 29284064
Curr Med Res Opin. 2020 Feb;36(2):301-327
pubmed: 31794332
Int J Health Policy Manag. 2018 Mar 10;7(9):798-806
pubmed: 30316228
Expert Rev Anti Infect Ther. 2015 Feb;13(2):279-89
pubmed: 25495147
EClinicalMedicine. 2020 Jun 03;23:100404
pubmed: 32632416
Niger J Clin Pract. 2015 Jul-Aug;18(4):437-44
pubmed: 25966712
Expert Rev Pharmacoecon Outcomes Res. 2016 Oct;16(5):639-650
pubmed: 26567041
Lancet. 2009 Jan 17;373(9659):240-9
pubmed: 19042012

Auteurs

Mainul Haque (M)

Unit of Pharmacology, Universiti Pertahanan Nasional Malaysia (National Defence University of Malaysia), Kuala Lumpur, Malaysia.

Abdullahi Rabiu Abubakar (AR)

Department of Pharmacology and Therapeutics, Bayero University, Kano, Nigeria.

Olayinka O Ogunleye (OO)

Department of Pharmacology, Therapeutics and Toxicology, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria.
Department of Medicine, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.

Ibrahim Haruna Sani (IH)

Unit of Pharmacology, Yusuf Maitama Sule University, Kano, Nigeria.

Israel Sefah (I)

Department of Pharmacy, Ghana Health Service, Keta Municipal Hospital, Keta-Dzelukope, Ghana.
Department Pharmacy Practice, University of Health and Allied Sciences, Volta Region, Ghana.

Amanj Kurdi (A)

Department of Pharmacoepidemiology, University of Strathclyde, Glasgow, UK.
Department of Pharmacology, Hawler Medical University, Erbil, Iraq.

Salequl Islam (S)

Department of Microbiology, Jahangirnagar University, Savar, Dhaka, Bangladesh.

Brian Godman (B)

Department of Pharmacoepidemiology, University of Strathclyde, Glasgow, UK.
Division of Clinical Pharmacology, Karolinska University Hospital Huddinge, Solna, Stockholm, Sweden.
School of Pharmacy, Sefako Makgatho Health Sciences University, Ga-Rankuwa, Pretoria, South Africa.
School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia.

Classifications MeSH