DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20191841

Knowledge, attitude and practices regarding generic medicines and its usage: a community-based study

Kirthinath Ballala, Chythra R. Rao, Aparna S. Chaudhary, Ashwini S. Bidnurmath, Akhilesh K. Pandey

Abstract


Background: India is the largest provider of generic medications globally. Despite this, several essential medicines remain inaccessible to majority of the general population, due to poor awareness, unavailability of drugs, distrust about the quality of the medicines, poor policy implementation and inadequate recommendation by doctors.

Methods: A community-based cross-sectional study was carried out among 1151 adults in rural and urban areas attached to the community outreach area of a University Medical College. Written informed consent was taken from the participants. Data was collected using a pre-tested semi-structured online questionnaire and analysed using SPSS 15.0.

Results: Knowledge regarding generic medicines was found to be low among the surveyed population (666, 57.9%), irrespective of their socio-economic status, education, occupation, place of residence or presence of chronic illnesses. As the knowledge was poor, participants were briefed about the generic medicines and their benefits. Thereafter, the attitude was assessed and found to be favourable among more than half (633, 55.0%) of the surveyed population. The usage of Generic medicines was found to be poor among the respondents. Only 53 (4.6%) of the total study population had switched from branded to generic medicines in the past six months as generic medicines were less expensive compared to their branded counterparts.

Conclusions: The awareness about generic drugs and its usage was poor in the surveyed population. A favourable attitude towards generic drugs was achieved by educating the people about their similarity to branded medications. Therefore, there is a need to educate people not only about the quality, safety and efficacy of the generic medicines but also about the government initiatives like the Jan Aushadhi scheme. 


Keywords


Generic drugs, Jan Aushadhi, Awareness, Usage, Cross-sectional

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References


Basak SC, Sathyanarayana D. Exploring knowledge and perceptions of generic medicines among drug retailers and community pharmacists. Indian J Pharm Sci. 2012;74(6):571-5.

Jack A. “World’s pharmacy” faces new challenges from Western drug companies. BMJ. 2012;345:6207.

Annual report 2014-15. New Delhi:Ministry of chemicals and fertilizers;2015. Available at http://chemicals.nic.in/sites/default/files/Annual%20report2014-15.pdf. Accessed on 29 April 2018.

Maiti R, Bhatia V, Padhy BM, Hota D. Essential medicines: An Indian perspective. Indian J Community Med. 2015;40(4):223-32.

Bhargava A, Kalantri SP. The crisis in access to essential medicines in India: key issues which call for action. Indian J Med Ethics. 2013;10:86–95.

Galani V. Choice of better medicine in India:Branded vs Generic Medicine. Pharma Pharmacol Int J. 2017;5(3):00125.

Introduction to Jan Aushadhi. Available at http://www.janaushadhi.gov.in/ about_jan_aushadhi.html. Accessed 29 April 2018.

Ahire K, Shukla M, Gattani M, Singh V, Singh M. A survey-based study in current scenario of Generic and Branded Medicine. 2013;5(3):705-11.

Janodia M. Differences in price of medicines available from pharmaceutical companies and “Jan Aushadhi” stores. Value Health. 2015;18:850.

Patel A, Gauld R, Norris P, Rades T. Quality of generic medicines in South Africa:perceptions versus reality—a qualitative study. BMC Health Serv Res. 2012;12:297.

Aivalli PK, Elias MA, Pati MK, Bhanuprakash S, Munegowda C, Shroff ZC et al. Perceptions of the quality of generic medicines:implications for trust in public services within the local health system in Tumkur, India. BMJ Global Health. 2018;2:644.

Singh B, Nanda A, Budhwar V, Marwaha RK. A comparative evaluation of the quality & price of generic medicine with their branded counterparts. Pharma Tutor. 2016;4:43-9.

Singal GL, Nanda A, Kotwani A.A comparative evaluation of price and quality of some branded versus branded–generic medicines of the same manufacturer in India. Indian J Pharmacol. 2011;43(2):131–6.

Indian Brand Equity Foundation; 2017. Available at https://www.ibef.org/industry/pharmaceutical-india.aspx. Accessed on 5 May 2018.

Accessibility, Acceptability, Affordability: A National Perspective Pradhan Mantri Bhartiya Janaushadhi Pariyojana 2015. Available at http://janaushadhi.gov.in/ pmjy.aspx. Accessed on 27 January 2019

Das M, Choudhury S, Maity S, Hazra A, Pradhan T, Pal A, et al. Generic versus Branded Medicine: An observational study among patients with chronic diseases attending a public hospital outpatient department. J Natural Sci Biol Med. 2017;8(1):26-31.

Toverud EL, Hartmann K, Håkonsen H. A systematic review of physicians’ and pharmacists’ perspectives on generic drug use:what are the global challenges? Applied Health Economics Health Policy. 2015;13(1):35-45.

Shraim NY, Al Taha TA, Qawasmeh RF, Jarrar HN, Shtaya MAN, Shayeb LA, et al. Knowledge, attitudes and practices of community pharmacists on generic medicines in Palestine:a cross-sectional study. BMC Health Serv Res. 2017;17(1):847.

Rashmilata R, Shivputrayya GM, Geetanjali S. Knowledge and Self-Practice of Pharmacists and Prescribers Towards the Uses of Generic Drugs In Community Settings in Belagavi, Karnataka, INDIA. Indian J Pharm Pract. 2016;9(4):219.

Dunne SS, Dunne CP. What do people really think of generic medicines? A systematic review and critical appraisal of literature on stakeholder perceptions of generic drugs. BMC Med. 2015;13:173.

Colgan S, Faasse K, Martin LR, Stephens MH, Grey A, Petrieet KJ. Perceptions of generic medication in the general population, doctors and pharmacists: a systematic review. BMJ Open 2015;5:008915.

Lira CA, Oliveira JN, Andrade MS, Vancini-Campanharo CR, Vancini RL. Knowledge, perceptions and use of generic drugs: a cross sectional study. Einstein (Sao Paulo). 2014;12(3):267-73.

Wong ZY, Hassali MA, Alrasheedy AA, Saleem F, Yahaya AH, Aljadhey H. Patients’ beliefs about generic medicines in Malaysia. Pharma Pract. 2014;12(4):474.

Hebbar SK, GK Nalini, P Deepak, Sahana GN, Nagaral JV. Assessment of awareness of generic drugs among healthcare professionals and laypersons. Int J Basic Clin Pharmacol. 2017;6(3):680-3.