Browsing by Author "Odoi Adome, Richard"
Now showing 1 - 4 of 4
Results Per Page
Sort Options
Item Compliance of private pharmacies in Uganda with controlled prescription drugs regulations: a mixed-methods study(Substance abuse treatment, prevention, and policy, 2020) Kamba, Pakoyo Fadhiru; Mulangwa, John; Kaggwa, Bruhan; Kitutu, Freddy Eric; Kaulukusi Sewankambo, Nelson; Tebasoboke Katabira, Elly; Byakika-Kibwika, Pauline; Odoi Adome, Richard; Bollinger, Robert CyrilControlled prescription drug use disorders are a growing global health challenge in Sub-Saharan Africa. Effective supply chain regulations on dispensing and stock control are important for controlling this epidemic. Since compliance with these regulations in resource-limited countries is poor, there is need to understand its predictors in order to reduce the risk of prescription drug use disorders. Methods: A mixed-methods study utilizing a structured questionnaire and a simulated client guide was undertaken in Kampala and Mbale towns in Uganda. The questionnaire recorded self-reported dispensing and verified stock control practices and their covariates from 101 private pharmacies. The guide recorded actual dispensing practices from 27 pharmacies. Snowball sampling was done to enrich the sample with pharmacies that stock opioids. The mean compliance with good dispensing and stock control practices was calculated. Multivariate logistic regression analyses were applied to identify predictors of compliance.Item Factors associated with occupancy of pharmacist positions in public sector hospitals in Uganda: a cross-sectional study(Human resources for health, 2017) Ocwa Obua, Thomas; Odoi Adome, Richard; Kutyabami, Paul; Kitutu, Freddy Eric; Fadhiru Kamba, PakoyoPharmacists are invaluable resources in health care. Their expertise in pharmacotherapy and medicine management both ensures that medicines of appropriate quality are available in health facilities at the right cost and are used appropriately. Unfortunately, some countries like Uganda have shortage of pharmacists in public health facilities, the dominant providers of care. This study investigated the factors that affect the occupancy of pharmacist positions in Uganda’s public hospitals, including hiring patterns and job attraction and retention. Methods: A cross-sectional survey of 91 registered pharmacists practicing in Uganda and desk review of records from the country’s health care worker (HCW) recruiting agency was done in the months of May, June, and July, 2016. Pharmacist interviews were done using self-administered structured questionnaire and analyzed by descriptive statistics and chi-square test. Results: Slight majority (53%) of the interviewed pharmacists work in two sectors. About 60% of the pharmacists had ever applied for public hospital jobs. Of those who received offers (N=46), 30% had declined them. Among those who accepted the offers (N=41), 41% had already quit. Meanwhile, the pace of hiring pharmacists into Uganda’s public sector is too slow. Low socio-economic status of family in childhood (χ2 =2.77, p=0.10), admission through matriculation and diploma scheme (χ2 =2.37, p=0.12), internship in countryside hospitals (χ2 =2.24, p=0. 13), working experience before pharmacy school (χ2 =2.21, p=0.14), salary expectation (χ2 =1.76, p=0.18), and rural secondary education (χ2 =1.75, p=0.19) favored attraction but in a statistically insignificant manner. Retention was most favored by zero postgraduate qualification (χ2 =4.39, p=0.04), matriculation and diploma admission scheme (χ2 =2.57, p=0.11), and working experience in private sector (χ2 =2.21, p=0.14). Conclusions: The pace of hiring of pharmacists into Uganda’s public health sector is too slow and should be stepped up. Besides work incentives, affirmative action to increase admissions into pharmacy degree training programs through matriculation and diploma schemes and for children with rural childhoods should be considered.Item Predictors of controlled prescription drug non-medical and lifetime use among patients accessing public mental health services in Uganda: a cross-sectional study(BMJ Open, 2021) Kamba, Pakoyo Fadhiru; Mulangwa, John; Kageni, Peter; Balikuna, Sulah; Kengo, Allan; Mutamba, Brian Byamah; Sewankambo, Nelson; Odoi Adome, Richard; Byakika-Kibwika, PaulineWe determined the prevalence of controlled prescription drug (CPD) non-medical and lifetime use and their predictors among patients at three public psychiatric clinics in Uganda to identify missed care opportunities, enhanced screening priorities, and drug control needs. Methods A cross-sectional survey of 1275 patients was performed from November to December 2018. Interviewer administered semi-structured questionnaires, desk review guide and urine drug assays were employed. Questionnaire recorded CPD non-medical and illicit drug use history from patients’ files, CPD lifetime use and risk factors. Desk review guide recorded recently prescribed drugs in patients’ files to corroborate with urine assays. Predictors were analyzed by multivariate logistic regression.Item A strategy to improve skills in pharmaceutical supply management in East Africa: the regional technical resource collaboration for pharmaceutical management(Human resources for health, 2008) Matowe, Lloyd; Waako, Paul; Odoi Adome, Richard; Kibwage, Isaac; Minzi, Omary; Bienvenu, EmileInternational initiatives such as the Global Fund to Fight AIDS, Tuberculosis and Malaria, the President's Emergency Plan for AIDS Relief and the President's Malaria Initiative have significantly increased availability and access to medicines in some parts of the developing world. Despite this, however, skills remain limited on quantifying needs for medications and ordering, receiving and storing medications appropriately; recording medications inventories accurately; distributing medications for use appropriately; and advising patients on how to use medications appropriately. The Regional Technical Resource Collaboration for Pharmaceutical Management (RTRC) has been established to help address the problem of skills shortage in pharmaceutical management in East Africa.