Exploring Community Pharmacists' Knowledge, Attitudes, And Perceptions Towards Pharmacovigilance: A Cross-Sectional Study

Authors

  • Ahmed Abdalla Hamid Ahmed
  • Musab Ahmed Adem
  • Abutalib Merghani
  • Tarig Mohmd Algurshi
  • Ahmed Awad Abduelhadi Osman
  • Uppara Veerendra
  • Sravani Jollireddy

Keywords:

Pharmacovigilance, Community Pharmacists, Knowledge, Attitudes, Perceptions, Adverse Drug Reactions, India

Abstract

Background: Adverse Drug Reactions (ADRs) pose a significant public health concern, and effective pharmacovigilance is crucial for ensuring drug safety. Community pharmacists are vital in detecting and reporting ADRs as frontline healthcare professionals. However, their knowledge, attitudes, and practices (KAP) regarding pharmacovigilance in India need thorough evaluation, especially given the low ADR reporting rates despite the presence of the Pharmacovigilance Programme of India (PvPI). Objectives: This study aimed to assess the knowledge, explore the attitudes, and identify factors influencing the knowledge and attitudes of community pharmacists towards pharmacovigilance concepts, regulations, and reporting procedures in Anantapur, Andhra Pradesh, India. Methodology: A cross-sectional survey was conducted using a self-administered, validated questionnaire among 119 community pharmacists selected via convenient sampling. The questionnaire assessed knowledge (7 questions), attitudes (6 questions), and perceptions (7 questions) related to pharmacovigilance, along with demographic information. Data were analysed using descriptive statistics and chi-square tests with GraphPad Prism 7.0. Ethical approval was obtained. Results: The majority of participants were male (74.8%) and aged 21–35 years (63.0%), with diploma holders forming the largest educational group (54.6%). The mean knowledge (4.2/7) and attitude (3.8/6) scores indicated moderate competency, while perception scores were higher (5.1/7). Higher education levels significantly correlated with better knowledge (p=0.002*), and training positively influenced attitudes (p<0.01). An inverted U-curve relationship was observed between work experience and knowledge (p=0.03*). Qualification level and training were strong positive predictors of overall KAP scores in multivariate analysis. Conclusion: Community pharmacists in this South Indian region possess moderate knowledge and attitudes towards pharmacovigilance, with a more positive perception. Educational attainment and training are key determinants of their competency. Targeted educational interventions, simplified reporting mechanisms, and a supportive work environment are crucial to enhance their active participation in the national pharmacovigilance system and improve patient safety.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Suke SG, Kosta P, Negi H. Role of pharmacovigilance in India: An overview. Online J Public Health Inform [Internet]. 2015;7(2):e223. Available from: http://dx.doi.org/10.5210/ojphi.v7i2.5595

Bisht N. History of pharmacovigilance: Evolution, key events & future in India [Internet]. CareerInPharma. 2024 [cited 2025 May 13]. Available from: https://careerinpharma.com/pharmacovigilance-history-future-in-india/

Doshi N, Prajapati B, Selvaraj L. A pharmacovigilance study on adverse drug reaction profile at a tertiary care teaching hospital from western part of India. Int J Pharm Investig [Internet]. 2025;15(2):562–72. Available from: http://dx.doi.org/10.5530/ijpi.20250144

Sharma M, Baghel R, Thakur S, Adwal S. Surveillance of adverse drug reactions at an adverse drug reaction monitoring centre in Central India: a 7-year surveillance study. BMJ Open [Internet]. 2021;11(10):e052737. Available from: http://dx.doi.org/10.1136/bmjopen-2021-05273

Six common pharmacist challenges that can be solved by a single drug information resource [Internet]. Wolterskluwer.com. 2022 [cited 2025 May 13]. Available from: https://www.wolterskluwer.com/en/expert-insights/six-common-pharmacist-challenges-that-can-be-solved-by-a-single-drug-information-resource

Bhagavathula AS, Elnour AA, Jamshed SQ, Shehab A. Health professionals’ knowledge, attitudes and practices about Pharmacovigilance in India: A systematic review and meta-analysis. PLoS One [Internet]. 2016;11(3):e0152221. Available from: http://dx.doi.org/10.1371/journal.pone.0152221

Ahmad A, Patel I, Balkrishnan R, Mohanta GP, Manna PK. An evaluation of knowledge, attitude and practice of Indian pharmacists towards adverse drug reaction reporting: A pilot study. Perspect Clin Res [Internet]. 2013;4(4):204–10. Available from: http://dx.doi.org/10.4103/2229-3485.120168

Yadav N. Community pharmacy practice in India: Past, present and future [Internet]. Ignited.in. [cited 2025 May 13]. Available from: https://ignited.in/index.php/jasrae/article/download/10691/21185/52927

Subramaniam N, Osoro I, Rajanandh MG. Lessons pharmacy practice in India should adopt from advanced nations: A review. Cureus [Internet]. 2024;16(8):e67413. Available from: http://dx.doi.org/10.7759/cureus.67413

Choudhary RP, Siddalingegowda SM. Exploring the need and potential of ambulatory pharmacy practice for empowering patient and care delivery in India. Front Health Serv [Internet]. 2024;4:1399621. Available from: http://dx.doi.org/10.3389/frhs.2024.1399621

Suke SG, Kosta P, Negi. H. Role of Pharmacovigilance in India: An overview. Online Journal of Public Health Informatics. 2015;7(2):1–34.

Mehak Chandhok*1 SG. Evaluating the functioning and significance of the Pharmacovigilance Programme of India [Internet]. International Journal of Pharmaceutical Sciences; 2025. Available from: https://www.ijpsjournal.com/article/Evaluating+The+Functioning+and+Significance+of+The+Pharmacovigilance+Programme+of+India

Pharmacovigilance Programme of India, Indian Pharmacopoeia Comission [Internet]. [cited 2025 May 13]. Available from: https://lms.thsti.in/wp-content/uploads/2024/04/Pharmacovigilance-Programme-in-India.pdf

Central Drugs Standard Control Organization: Significance and symbolism [Internet]. Wisdomlib.org. 2024 [cited 2025 May 13]. Available from: https://www.wisdomlib.org/concept/central-drugs-standard-control-organization

IPC releases draft Pharmacovigilance Guidance Document for Pharmaceutical Products [Internet]. Pharmabiz.com. [cited 2025 May 13]. Available from: https://www.pharmabiz.com/NewsDetails.aspx?aid=166543&sid=1

Kalaiselvan V, Thota P, Singh GN. Pharmacovigilance Programme of India: Recent developments and future perspectives. Indian J Pharmacol [Internet]. 2016;48(6):624–8. Available from: http://dx.doi.org/10.4103/0253-7613.194855

Chaudhary A, Pariyar S, Dahal B, Thapa S. Assessment of knowledge, attitude and practice of community pharmacists towards Adverse Drug Reactions reporting in Pokhara. Nep J Health Sci [Internet]. 2024;4(1):39–49. Available from: http://dx.doi.org/10.3126/njhs.v4i1.71091

Abu Assab M, Alhamad H, Albahar F, Abu Dayyih W, Echarif S, Abu Assab H. Pharmacovigilance concept knowledge, perspectives and attitudes: A cross-sectional study among community pharmacists. Inquiry [Internet]. 2024;61:469580241246464. Available from: http://dx.doi.org/10.1177/00469580241246464

Khardali A. Exploring the knowledge, perception, and practice of community pharmacists in Saudi Arabia toward pharmacovigilance and adverse drug reaction reporting. A nationwide survey. Sci Rep [Internet]. 2024;14(1):4819. Available from: http://dx.doi.org/10.1038/s41598-024-55664-8

Alsheikh MY, Alasmari MM. A national survey of community pharmacists’ viewpoints about pharmacovigilance and adverse drug reaction reporting in Saudi Arabia. Front Pharmacol [Internet]. 2022;13:819551. Available from: http://dx.doi.org/10.3389/fphar.2022.819551

Shareef J, Sridhar SB, Bhupathyraaj M, Shariff A, Thomas S. Exploring the community pharmacist’s knowledge, attitude, and practices regarding adverse drug reactions and its reporting in the United Arab Emirates: a survey-based cross-sectional study. Ther Adv Drug Saf [Internet]. 2024;15:20420986241285930. Available from: http://dx.doi.org/10.1177/20420986241285930

Mohammed Tahir R, Hussein M. Knowledge, attitude, and practice of community pharmacists towards pharmacovigilance and adverse drug reactions: A study from Sudan. Journal of Scientific Research in Medical and Biological Sciences [Internet]. 2020;1(2):123–32. Available from: http://dx.doi.org/10.47631/jsrmbs.v1i2.118

Selvam S, Karthik S, Sankaravadivel AR, Durai KS, Rajarathinam N, Raja S, et al. Knowledge attitude and practice of pharmacovigilance among community pharmacy in India: a questionnaire study. Int J Basic Clin Pharmacol [Internet]. 2024;13(5):636–41. Available from: http://dx.doi.org/10.18203/2319-2003.ijbcp20242421

Kaj KH. Exploring the knowledge and practices of adverse drug reaction and falsified medicine reporting amongst the community pharmacists of India. Int J Drug Regul Aff [Internet]. 2023;11(3):22–32. Available from: http://dx.doi.org/10.22270/ijdra.v11i3.612

Sah RK, Chandane RD, . K, Manocha S, Kapur A. Knowledge, attitude and practice of pharmacovigilance among community pharmacists in Delhi, India. Int J Basic Clin Pharmacol [Internet]. 2017;6(3):618. Available from: http://dx.doi.org/10.18203/2319-2003.ijbcp20170824

Prakasam A, Nidamanuri A, Kumar S. Knowledge, perception and practice of pharmacovigilance among community pharmacists in South India. Pharm Pract (Granada) [Internet]. 2012;10(4):222–6. Available from: http://dx.doi.org/10.4321/s1886-36552012000400006

Lokesh Reddy V, Javeed Pasha SK, Rathinavelu M, Padmanabha Reddy Y. Assessment of knowledge, attitude and perception of pharmacovigilance and adverse drug reaction (ADR) reporting among the pharmacy students in south India [Internet]. Iosrjournals.org. [cited 2025 May 14]. Available from: https://iosrjournals.org/iosr-jpbs/papers/Vol9-issue2/Version-3/G09233443.pdf

Alghamdi FR, Almohaisen FA, Almuqbil WM, Aljeaid AM, Alqunfdi MAM, Almalkei WR. Medication Safety Knowledge, Attitudes, And Practices Among Community Pharmacists. Migration Letters [Internet]. 2022 [cited 2025 May 14];19(S8):938–55. Available from: https://migrationletters.com/index.php/ml/article/download/9934/6549/24877

Swathy G, Dhivya PS, Waseem M, Susmitha M, Narayana Reddy R, Prasad. B. AN ASSESSMENT OF COMMUNITY PHARMACIST ATTITUDE TOWARDS PROFESSIONAL PRACTICE AND KNOWLEDGE OF ADR IN SOUTH INDIA. International Journal of Pharmacy & Therapeutics. 2013;4(4):236–41.

Vijaya Bhaskar Erla N, Nikitha Preethi Neeruganti M. Evidence - Based Practice among Community Pharmacists and Pharmacy Students in South India. Biological Forum - An International Journal. 2023;15(2):394–8.

Sruthi MH, Sudheer A, Shill PK, Hossain KM. Assessment of Knowledge, Attitude, and Practices Related to Antibiotic Dispensing and Resistance among Community Pharmacists in South India. Glob J Med Pharm Biomed Update. 2024;19:13. doi: 10.25259/GJMPBU_35_2024

Mahendra Kumar BJ, Sandeep A, Soumya M. A Survey on Assessing the Knowledge, Attitude and Behavior of Community Pharmacists to Adverse Drug Reaction Related Aspects. Indian Journal of Pharmacy Practice [Internet]. 2012 [cited 2025 May 14];5(4):51–5. Available from: https://ijopp.org/files/IndJPharmPract-5-4-51.pdf

Muhas, Sruthi S A, Vishnu, Dev N, Sahnas L, Anshad KP M, et al. Study on knowledge & awareness about pharmacovigilance among pharmacists in south India. Int J Curr Res Rev [Internet]. 2022;14(22):03–9. Available from: http://dx.doi.org/10.31782/ijcrr.2022.142203

Downloads

Published

2025-05-29

How to Cite

1.
Hamid Ahmed AA, Ahmed Adem M, Merghani A, Algurshi TM, Abduelhadi Osman AA, Veerendra U, Jollireddy S. Exploring Community Pharmacists’ Knowledge, Attitudes, And Perceptions Towards Pharmacovigilance: A Cross-Sectional Study. J Neonatal Surg [Internet]. 2025May29 [cited 2025Oct.10];14(8):95-105. Available from: https://www.jneonatalsurg.com/index.php/jns/article/view/6732