MyMedR

Displaying all 3 publications

Abstract:

Sort:

Fulltext Impact of community pharmacy-based educational intervention on patients with hypertension in Western Nepal

Sharma S, Kc B, Alrasheedy AA, Kaundinnyayana A, Khanal A

Australas Med J, 2014;7(7):304-13.
PMID: 25157270 DOI: 10.4066/AMJ.2014.2133

BACKGROUND: There is a paucity of data regarding the feasibility and impact of community pharmacy-based educational interventions on the management of chronic diseases in developing countries.
AIMS: The aim of this study was to establish the feasibility, and to investigate the impact, of community pharmacy-based educational intervention on knowledge, practice, and disease management of patients with hypertension in Western Nepal.
METHOD: A single-cohort pre-/post-intervention study was conducted from August 2012 to April 2013. The participants included in the study were patients diagnosed with hypertension attending a pharmacist-led hypertension clinic. The educational intervention was conducted by pharmacists, was individualised, and consisted of three counselling sessions over a period of six months. The patients' knowledge of hypertension, their practice of lifestyle modification and non-pharmacological approaches concerning hypertension management, and blood pressure were assessed at baseline and again after nine months by using a pre-validated questionnaire.
RESULTS: Fifty patients met the inclusion criteria and were enrolled in the study. The median (IQR) knowledge score changed from 6 (4) to 13 (0) after the intervention (p<0.01) with the median (IQR) practice score changing from 7 (4) to 16 (2) (p<0.01). The mean (SD) systolic BP changed from 150.1 (7.8) to 137.7 (9.9) (p<0.01) and the mean (SD) diastolic BP from 104 (9.5) to 94.5 (7.8) after the intervention (p< 0.01).
CONCLUSION: A simple, educational intervention by community pharmacists had improved patients' disease knowledge, practice, and management of their hypertension. Evidence suggests Nepalese community pharmacists need could play an important role in the management of chronic diseases like hypertension through simple interventions such as providing educational support for patients.
Fulltext A review of plastic waste circular actions in seven developing countries to achieve sustainable development goals

Ferronato N, Maalouf A, Mertenat A, Saini A, Khanal A, Copertaro B, et al.

Waste Manag Res, 2024 Jun;42(6):436-458.
PMID: 37519292 DOI: 10.1177/0734242X231188664

Plastic waste circularity is a priority at a global level. Sustainable development goals (SDGs) set the ways to go, and the circular economy principles underlined the 'green' strategies to be employed. However, in practice, there is still much to do, especially in developing countries, where open burning and open dumping still represent the common way of plastic waste disposal. This review aims to analyse current plastic waste circular approaches in low-middle income settings. Seven countries were selected based on the economic level and data availability from the authors, and analysed to collect and critically discuss the actions implemented at a city level. Examples of waste minimization and recycling strategies, selective collection systems and public campaigns are reported from Africa, Asia and Latin America. First, a background analysis related to physical and governance aspects of municipal solid waste management systems of the chosen settings was conducted. The assessment was focused on the treatment processes or minimization actions. Then, the applicability of the projects to achieve the SDGs was commented on. The outcomes of the research underline the need to: (1) scale up small-scale and pilot projects, (2) disseminate good practices in more low- to middle-income settings, (3) create synergies among international partners for further replications in cities. Urgent solutions to plastic waste pollution are needed. The review presented practical actions to be implemented now to boost plastic waste circularity in developing cities.
A simplified framework for assessing waste prevention and minimisation in developing countries within the context of CE, SDGs and ESG principles

Maalouf A, Garcia-Tabar A, Castro AMRC, Kaur A, Saini A, Somani M, et al.

Waste Manag Res, 2025 Apr 02.
PMID: 40173265 DOI: 10.1177/0734242X251328911

Waste minimisation and prevention are crucial for the circular economy (CE), sustainable development goals (SDGs) and environmental, social and governance (ESG) principles, focusing on waste elimination and resource efficiency. However, there are significant gaps in implementing effective waste minimisation strategies, mainly due to the lack of standardised waste prevention terminologies and indicators. This article introduces a novel simplified and comprehensive framework for assessing waste prevention and minimisation measures tailored to developing countries. The primary contribution of this study lies in proposing relevant indicators aligned with the SDGs, ESG standards, and CE principles, while addressing data scarcity through proxy indicators to enable effective assessment in resource-limited settings. Six key indicators were proposed: Zero Waste Index, Food Loss Index, Extended producer responsibility, Education and awareness programmes for waste minimisation, Waste prevention and Plastic Bag Reduction Ratio. Eleven countries were selected as case studies to demonstrate the framework's applicability. The findings reveal that while these countries are progressing in enacting legislation and recognising the importance of waste prevention, compliance in practice is lacking, as indicated by poor quantitative results in actual waste reduction and diversion. The framework evaluates the environmental, social and economic implications of waste prevention measures, showing wide variations among countries. Each country faces unique challenges, but strengthening policy frameworks, investing in infrastructure, promoting public awareness and fostering collaboration are key steps towards advancing sustainable waste management practices. The study highlights the necessity for tailored policies addressing specific weaknesses while ensuring economic viability. The integrated framework provides actionable insights and forward-thinking solutions that can be adapted, scaled and replicated to address developing nations' unique challenges.

Filters

Please provide feedback to Administrator (afdal@afpm.org.my)

External Links