Perception and Barriers of Adverse Drug Reactions Reporting and Monitoring among Doctors in Public Hospitals Quetta, Pakistan (Preprint)
BACKGROUND Adverse Drug Reactions will continue to pose threat to public health globally. Prompt ADR reporting is crucial in ensuring drug safety. However, underreporting is a prime problem among Doctors. OBJECTIVE The aim of the current study was to evaluate perception and barriers of adverse drug reactions reporting and monitoring among doctors in public hospitals of Quetta. METHODS This cross sectional study was carried out at Bolan Medical Complex and Sandeman Provincial Hospital Quetta. A self-developed reliable and validated questionnaire was used to collect the data. Statistical Package for Social Sciences (SPSS version 20) was used for analyzing data. RESULTS A total of 150 doctors were included with mean age of the study participants35.78±11.082 years. Majority of the doctors belonged to the age group 24-35 years (53.3%), were males (62%)and were ethically Pakhtoon, with qualification of Post-graduation(52%),practice duration of > 2 years (25.3%)and had graduated from a medical college located in Baluchistan province(74%).A notable proportion of doctors(32.7%)were not aware of the presence of National Pharmacovigilance Centre. A vast majority of doctors (88%)had not reported any ADR ever. Majority of the study participants (76.7%)mentioned that time limitation is not a hindrance in reporting ADR but concern about a wrong report is (30%).Majority of the evaluated participant (62%) did not know where, when and how to report an ADR. A noteworthy proportion of the doctors (28.7%) thought that existing ADR reporting and monitoring system would not benefit the patient or improve the patient care.Majority of the doctors(64%) thought that pharmacist’s management of adverse drug reaction is useful. CONCLUSIONS The present study strongly suggests that awareness regarding ADRs reporting and monitoring is very poor among physicians which will improve pharmacovigilance process in future.