2 METHODS
This preliminary cross-sectional explorative study applied simulated
patients to gather data on dispensing behavior. Simulated patients were
trained in the accessibility of banned drugs existing in the community
pharmacies (CP). The availability of these two banned drugs was observed
and recorded. The pharmacists were asked about the availability of a PP
laxative for treating constipation called in Yemen a khat laxative
(Sharbat Alkhat ) and KZ for fungal infections in 50 convenient
samples of CPs that were selected based on ease of access by the
simulated patients.
A small simulated patient case study was carried out to recognize and
eradicate the barriers associated with simulated patients and to prepare
a training module. The simulated patient visited two randomly chosen CPs
in Aden. During the visit, the simulated patient requested medications
to treat symptoms of constipation and fungal infection. All details and
observations of the consultation were documented by the simulated
patient. The findings suggested poor professional practices in both
pharmacies and paved the way for the study to compare the dispensing
practices of banned drugs and prohibited medicines in CPs in Aden. These
two pharmacies were not included in the major study.
A literature review, case study, and training session informed a
simulated patient interview method to observe, assess and compare
dispensing practices. Twenty students from the Faculty of Pharmacy Aden
University were trained to present as simulated patients to determine
the availability of banned and prohibited medicines.
For standardization and validation of the study, the 20 simulated
patients were randomly grouped in ten pairs, and each pair was randomly
assigned to visit five pharmacies. Each pair of simulated patients in an
interchangeable manner visited two pharmacies. Two encounters with two
simulated patients resulting in a total of 100 encounters in pharmacies.
The stimulated patient interacted with the staff at the pharmacy and
asked questions about the availability of the 2 prohibited medicines PP
and KZ in the Yemeni market and recorded the answer of the
CPS after each visit to a pharmacy.
Descriptive statistics were used for data analysis.