Sokar-Todd, Hanan Benjamin Mansour; (2000) The contribution of community pharmacists to primary healthcare in Alexandria. Doctoral thesis (Ph.D), UCL (University College London).

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Abstract

The thesis describes the contribution of community pharmacists to primary healthcare in Alexandria: current roles (Part I) and potential roles that could develop towards good pharmaceutical care (Part II). Concerning how such contributions could be more effective, Part in explores pharmacists' views about particular aspects of their practice, pharmacy under and post-graduate education. Part IV produced a booklet (discussing anti-diarrhoeals and diarrhoea management) as a distance learning resource. In Part I, data was collected using a questionnaire addressed to 20% of all pharmacies in Alexandria and two 3 hour observation-studies at each of 25 pharmacies. In Part II interviews were conducted with 204 clients visiting 50 pharmacies and purchasing medicines without any prescription or recommendation from a pharmacist. This aimed to identify a role for pharmacists relevant to the needs of their clients. In Part III, interview study targeted the pharmacists working at each of 75 pharmacies. In Part IV, questionnaires and interviews were addressed to 60 pharmacists to investigate their opinions about the booklet while their management of diarrhoea was compared before and after booklet distribution. The results illustrated the current role of community pharmacists in Alexandria and the potential for an enhanced role. Investigation indicated also the wide range of drugs supplied from pharmacies without a prescription or a recommendation from a pharmacist and for which the latter could have a crucial role to promote appropriate use. The findings raised that particular attention should be given by course organisers to the knowledge and skills pharmacists need to meet their role and duties. In this study, participant pharmacists identified strengths and weaknesses in pharmacy under-graduate education and suggested areas and changes that can contribute to meet their practice needs. Their support for continuing education was extensive. Pharmacists identified various areas which they wished to read about, which should be considered in future continuing education. The experience with the first booklet developed was satisfactory and its use as a model is recommended.

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