Perceptions of Practice Towards Management of Common Ailments in Indonesian Community Pharmacies: A Cross-Sectional Study

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Vinci Mizranita
Universitas Sebelas Maret, Surakarta, Indonesia
Fauziyyah Sakinatun Nisa
Universitas Sebelas Maret

Managing common ailments is increasingly important in developing countries. It is essential for community pharmacists and pharmacy technicians to manage these ailments effectively to enhance treatment outcomes. While developed countries have successfully implemented such services, Indonesia lacks sufficient documentation of these practices. This disparity is significant since community pharmacies frequently serve as the initial point of contact for the community to seek advice regarding their health problems, particularly for common ailments. Community pharmacies play a significant role in the healthcare system due to their accessibility and trustworthiness in improving public health. This study aimed to evaluate the practice and experiences of pharmacists and pharmacy technicians in managing common ailments and their methods and experiences in providing these services. Surveys were conducted from May to June 2023 at professional seminars intended for pharmacists and pharmacy technicians. Pharmacists’ and pharmacy technicians’ perceptions of managing common ailments were compared using binary logistic regression. One hundred forty pharmacy technicians and 180 pharmacists in all took part. The findings showed that among the 13 common ailments, acute pain, dermatitis, diarrhoea, eczema, indigestion/heartburn, and wounds (P<0.001) were perceived to be under the pharmacist's practice scope. On the other hand, P<0.001 indicated that conditions such as dandruff, constipation, and mild headaches were considered within the pharmacy technician's practice scope. Significant disparities in perceptions of managing diarrhoea, indigestion, and cough and cold symptoms were also found in the study, underscoring the diverse range of practice areas. Both groups were found to be reluctant to charge for consultations for pharmacy services in managing common ailments, with a higher percentage of pharmacy technicians being against the opinion. The overall findings of this study highlight the significance of focused education for pharmacists and pharmacy technicians in improving patient care in Indonesian community pharmacies. Defining clear roles for each professional is essential to enhance training initiatives in creating accessible healthcare facilities for managing common ailments.


Keywords: Common Ailments, Pharmacists, Pharmacy Technicians, Pharmacy Services, Indonesia
Apriansyah, A. (2017). Kajian pelayanan informasi obat di apotek wilayah kota Tangerang Selatan [Drug information services in the community pharmacies at South Tangerang] [Bachelor's thesis, Universitas Islam Negeri (UIN) Syarif Hidayatullah]. Jakarta. https://repository.uinjkt.ac.id/dspace/bitstream/123456789/35944/1/AHMAD%20APRIANSYAH-FKIK.pdf
Athiyah, U., Setiawan, C. D., Nugraheni, G., Zairina, E., Utami, W., & Hermansyah, A. (2019). Assessment of pharmacists' knowledge, attitude and practice in chain community pharmacies towards their current function and performance in Indonesia. Pharmacy Practice (Granada), 17(3), 1518-1518. https://doi.org/10.18549/pharmpract.2019.3.1518
Ayele, A. A., Mekuria, A. B., Tegegn, H. G., Gebresillassie, B. M., Mekonnen, A. B., & Erku, D. A. (2018). Management of minor ailments in a community pharmacy setting: Findings from simulated visits and qualitative study in Gondar town, Ethiopia. PLoS One, 13(1), e0190583. https://doi.org/10.1371/journal.pone.0190583
Babar, Z. U. (2021). Ten recommendations to improve pharmacy practice in low and middle-income countries (LMICs). Journal of Pharmaceutical Policy and Practice, 14(1), 6. https://doi.org/10.1186/s40545-020-00288-2
Belachew, S. A., Hall, L., Erku, D. A., & Selvey, L. A. (2021). No prescription? No problem: Drivers of non-prescribed sale of antibiotics among community drug retail outlets in low and middle income countries: A systematic review of qualitative studies. BMC Public Health, 21(1), 1056. https://doi.org/10.1186/s12889-021-11163-3
Cassie, H., Duncan, E. M., Gibb, E. A., Power, A., Young, L., Newlands, R., & Watson, M. C. (2019). Qualitative study exploring the key determinants of information gathering to inform the management of over-the-counter (OTC) consultations in community pharmacies. BMJ Open, 9(8), e029937. https://doi.org/10.1136/bmjopen-2019-029937
Chamberlain, R., Huyton, J., & James, D. (2020). Pharmacy Technicians’ Roles and Responsibilities in the Community Pharmacy Sector: A Welsh Perspective. Pharmacy, 8(2), 97. https://doi.org/10.3390/pharmacy8020097
Dineen-Griffin, S., Benrimoj, S. I., Rogers, K., Williams, K. A., & Garcia-Cardenas, V. (2020). Cluster randomised controlled trial evaluating the clinical and humanistic impact of a pharmacist-led minor ailment service. BMJ quality & safety, bmjqs-2019-010608. https://doi.org/10.1136/bmjqs-2019-010608
Directorate General of Pharmacy and Medical Devices. (2008). Petunjuk teknis pelaksanaan standar pelayanan kefarmasian di apotek (1027/MENKES/SK/2004) [Technical instructions for implementing pharmaceutical service standards in pharmacies (1027/MENKES/SK/2004)]. Ministry of Health Republic of Indonesia. http://pio.binfar.kemkes.go.id/PIOPdf/JUKNIS_APOTEK.pdf
Jack Charles Collins, J., & Jane Moles, R. (2019). Management of Respiratory Disorders and the Pharmacist's Role: Cough, Colds, and Sore Throats and Allergies (Including Eyes). Encyclopedia of Pharmacy Practice and Clinical Pharmacy, 282-291. https://doi.org/10.1016/B978-0-12-812735-3.00510-0
Kc, B., Khan, T. M., Xuan, W. Y., Alrasheedy, A. A., Mohamed Ibrahim, M. I., & Leggat, P. A. (2020). Travel health-related activities and services provided by community pharmacies in Selangor, Malaysia: A cross-sectional analysis. Travel Med Infect Dis, 33, 101463. https://doi.org/10.1016/j.tmaid.2019.07.019
Kellar, J., Singh, L., Bradley-Ridout, G., Martimianakis, M. A., van der Vleuten, C. P. M., oude Egbrink, M. G. A., & Austin, Z. (2021). How pharmacists perceive their professional identity: A scoping review and discursive analysis. The International Journal of Pharmacy Practice, 29(4), 299-307. https://doi.org/10.1093/ijpp/riab020
Makhlouf, A. M., Mohamed Ibrahim, M. I., Awaisu, A., Vyas, S. K., & Yusuff, K. B. (2021). Determinants of community pharmacists’ information gathering and counseling practices during the management of minor ailments. Saudi Pharm J, 29(9), 992-998. https://doi.org/10.1016/j.jsps.2021.07.016
Mengistu, G., Gietnet, K., Amare, F., Sisay, M., Hagos, B., & Misganaw, D. (2019). Self-reported and actual involvement of community pharmacy professionals in the management of childhood diarrhea: A cross-sectional and simulated patient study at two Towns of Eastern Ethiopia. Clin Med Insights Pediatr, 13. https://doi.org/10.1177/1179556519855380
Mizranita, V., Hughes, J. D., Sunderland, B., & Sim, T. F. (2023). Pharmacists and Pharmacy Technicians’ Perceptions of Scopes of Practice Employing Agency Theory in the Management of Minor Ailments in Central Indonesian Community Pharmacies: A Qualitative Study. Pharmacy, 11(5), 132.
Mizranita, V., & Pratisto, E. H. (2015). Statin-associated ocular disorders: the FDA and ADRAC data. International Journal of Clinical Pharmacy, 37(5), 844-850. https://doi.org/10.1007/s11096-015-0128-x
Mizranita, V., Sim, T. F., Sunderland, B., Parsons, R., & Hughes, J. D. (2021). The Pharmacists’ and pharmacy technicians’ scopes of practice in the management of minor ailments at community pharmacies in Indonesia: a cross-sectional study. Pharmacy Practice (Granada), 19(2), 2295. https://doi.org/10.18549/PharmPract.2021.2.2295
Mizranita, V., Sunderland, B., Hughes, J. D., & Sim, T. F. (2022). The management and status of minor ailments in community pharmacies in Central Indonesia: A mixed methods study [PhD Thesis, Curtin University]. Perth, Western Australia.
Newlands, R. S., Power, A., Young, L., & Watson, M. (2018). Quality improvement of community pharmacy services: A prioritisation exercise. The International Journal of Pharmacy Practice, 26(1), 39-48. https://doi.org/10.1111/ijpp.12354
Perrot, S., Cittée, J., Louis, P., Quentin, B., Robert, C., Milon, J. Y., Bismut, H., & Baumelou, A. (2019). Self-medication in pain management: The state of the art of pharmacists' role for optimal over-the-counter analgesic use. Eur J Pain, 23(10), 1747-1762. https://doi.org/10.1002/ejp.1459
Rosenthal, M., Austin, Z., & Tsuyuki, R. T. (2010). Are Pharmacists the Ultimate Barrier to Pharmacy Practice Change? Can Pharm J, 143(1), 37-42. https://doi.org/10.3821/1913-701X-143.1.37
Shirdel, A., Pourreza, A., Daemi, A., & Ahmadi, B. (2021). Health-promoting services provided in pharmacies: A systematic review. Journal of education and health promotion, 10, 234-234. https://doi.org/10.4103/jehp.jehp_1374_20
Verma, R. K., Paraidathathu, T., Taha, N. A., & Chong, W. W. (2018). Perceptions of the Malaysian general public on community pharmacy-based weight management services. Journal of Pharmaceutical Policy and Practice, 11, 17. https://doi.org/10.1186/s40545-018-0146-x
Yong, F. R., Garcia-Cardenas, V., Williams, K. A., & Benrimoj, S. I. (2020). Factors affecting community pharmacist work: A scoping review and thematic synthesis using role theory. Research in Social and Administrative Pharmacy, 16(2), 123-141. https://doi.org/10.1016/j.sapharm.2019.05.001
Yuan, C., Ding, Y., Zhou, K., Huang, Y., & Xi, X. (2019). Clinical outcomes of community pharmacy services: A systematic review and meta-analysis. Health Soc Care Community, 27(5), e567-e587.
Yusuff, K. B., Makhlouf, A. M., & Ibrahim, M. I. (2021). Community pharmacists’ management of minor ailments in developing countries: A systematic review of types, recommendations, information gathering and counseling practices. The International Journal of Clinical Practice, 75(10), e14424. https://doi.org/10.1111/ijcp.14424
Yuswar, M. A., Untari, E. K., & Robiyanto, R. (2021). Traditional medicine pattern for self-medication in Temajuk Village, a 3T (frontier, outermost, and underdeveloped) region in West Kalimantan. In Proceeding of Mulawarman Pharmaceuticals Conferences (Vol. 13, pp. 269-274). http://prosiding.farmasi.unmul.ac.id/index.php/mpc/article/view/477