Methods of pharmaceutical waste management disposal practiced in sanitation value chain by community pharmacies and households in Nkubu Town

Kenneth Gitobu, Maryjoy Kaimuri, C. Karani
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Abstract

Introduction: Pharmaceutical Waste Management (PWM) has emerged as a challenging issue, with both health and environmental negative impacts. The study assessed the common methods of pharmaceutical waste management disposal in Nkubu town among community pharmacies and households in the sanitation service chain. Problem statement: Increasing disease incidence and prevalence necessitate healthcare practitioners to prescribe and dispense different medications. According to World Health Organization (WHO2010), more than half of all medications are inappropriately prescribed and sold, which causes unnecessary storage in community pharmacies (CPs) and households creating environmental threats that jeopardize efficiency of sanitation service chain. Methods: The study area was Nkubu town, where data was collected by use of structured questionnaires.  size was 19 community pharmacies and 380 households. Descriptive statistics were used for data analysis. Results are presented in tables. Results: The study showed that 23.9% (n=91) of the households use pit latrines while 73.5% (n=14) of the community pharmacies use burning as the common methods of pharmaceutical waste disposal. Conclusion: The common method of pharmaceutical waste disposal being practiced in community pharmacies was burning while for households was emptying in the pit latrine. Disposal of unwanted pharmaceutical products through unsafe methods along the sanitation chain was prevalent among the respondents. Recommendation: There is need to create public awareness and establish educational programs regarding management and handling of unwanted pharmaceutical wastes among community pharmacies and households in Nkubu town.  
恩库布镇社区药房和家庭在卫生价值链中实践的药品废物管理处置方法
药品废物管理(PWM)已成为一个具有挑战性的问题,对健康和环境都有负面影响。该研究评估了Nkubu镇社区药房和卫生服务链上的家庭中药物废物管理处置的常用方法。问题陈述:不断增加的疾病发病率和流行率要求医疗保健从业人员开出和分配不同的药物。根据世界卫生组织(世卫组织2010年)的数据,超过一半的药物处方和销售不当,导致社区药房和家庭不必要的储存,造成环境威胁,危及卫生服务链的效率。方法:研究区为恩库布镇,采用结构化问卷调查法收集数据。规模为19家社区药房和380户家庭。采用描述性统计进行数据分析。结果以表格形式呈现。结果:研究表明,23.9% (n=91)的家庭使用坑式厕所,73.5% (n=14)的社区药房采用焚烧方式处理药品废弃物。结论:社区药房对药品废弃物的处理多采用焚烧处理,家庭在坑式厕所排便。在答复者中,通过卫生链上不安全的方法处置不需要的药品的现象很普遍。建议:有必要在Nkubu镇的社区药房和家庭中提高公众意识,并制定关于管理和处理不想要的药品废物的教育方案。
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