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Olson PS, Ploylearmsang C, Sibounheuang P, Sookaneknun S, Manithip C, Watcharadamrongkun S, Jungnickel PW, Kittiboonyakun P. Development of a patient satisfaction questionnaire (PSQ) for diabetes management in Thailand and Lao PDR. PLoS One 2024; 19:e0300052. [PMID: 38452151 PMCID: PMC10919862 DOI: 10.1371/journal.pone.0300052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Accepted: 02/16/2024] [Indexed: 03/09/2024] Open
Abstract
In a cross-sectional analytical study, a Patient Satisfaction Questionnaire (PSQ) for diabetes management was developed and tested in Thailand and Lao PDR. A systematic review of qualitative studies was conducted to formulate themes of the PSQ. The 20-item PSQ was prepared in Thai and translated to Lao, with subsequent backward translation. Both versions were tested for reliability and construct validity using confirmatory factor analysis and structural equation modeling. The study was performed at a university hospital in Thailand and two central hospitals in Vientiane, Lao PDR. There were 300 diabetic patients from Thailand (n = 150) and Lao PDR (n = 150). The 5-factor Thai version showed 74.52% of total explained variance with good internal consistency and satisfactory goodness-of-fit indices (χ2/df = 1.91, GFI = 0.83, CFI = 0.98, SRMR = 0.063, RMSEA = 0.078). The five factors were 1) Standard of Service, 2) Diabetic Service, 3) Competency of Providers, 4) Competency of Pharmacists, and 5) Communication with Providers. For the Lao version, 20 items showed a 3-factor structure with a total explained variance of 71.09%. Goodness-of-fit indices for the Lao model were satisfactory (χ2/df = 2.45, GFI = 0.78, CFI = 0.95, SRMR = 0.075 and RMSEA = 0.095). The results showed the PSQ Thai and Lao versions were valid and reliable for assessing patient satisfaction with diabetes management, however more testing of the questionnaire is appropriate.
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Affiliation(s)
- Phayom Sookaneknun Olson
- Faculty of Pharmacy, International Primary Care Practice Research Unit, Mahasarakham University, Khamriang Sub-District, Kantarawichai District, Maha Sarakham, Thailand
| | - Chanuttha Ploylearmsang
- Faculty of Pharmacy, International Primary Care Practice Research Unit, Mahasarakham University, Khamriang Sub-District, Kantarawichai District, Maha Sarakham, Thailand
| | - Phoutsathaphone Sibounheuang
- Faculty of Pharmacy, University of Health Sciences, Kao Ngot Villagem, Sisattanak District, Vientiane Capital, Lao PDR
| | - Santiparp Sookaneknun
- Mahasarakham Business School, Mahasarakham University, Khamriang Sub-District, Kantarawichai District, Maha Sarakham, Thailand
| | - Chanthanom Manithip
- Ministry of Health, Ban Thatkhao, Sisattanack District, Rue Simeuang, Lao PDR
| | | | - Paul W. Jungnickel
- Department of Pharmacy Practice, Harrison College of Pharmacy, Auburn University, Auburn, Alabama, United States of America
| | - Pattarin Kittiboonyakun
- Faculty of Pharmacy, Health Service and Pharmacy Practice Research and Innovation Unit, Mahasarakham University, Khamriang Sub-District, Kantarawichai District, Maha Sarakham, Thailand
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Olson P, Sudachan E, Jantamon K, Swangjit R, Chua SS, Patramurti C, Manithip C. Student opinion on the teaching of smoking cessation and non-communicable diseases to pharmacy students in ASEAN countries. Tob Induc Dis 2021. [DOI: 10.18332/tid/140966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Sengxeu N, Dufat H, Boumediene F, Vorachit S, Chivorakoun P, Souvong V, Manithip C, Preux P, Ratsimbazafy V, Jost J. Availability, affordability, and quality of essential antiepileptic drugs in Lao PDR. Epilepsia Open 2020; 5:550-561. [PMID: 33336126 PMCID: PMC7733656 DOI: 10.1002/epi4.12432] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Revised: 08/19/2020] [Accepted: 08/27/2020] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE Epilepsy is a chronic condition treatable by cost-effective antiepileptic drugs (AEDs), but limited access to treatment was documented. The availability and affordability of good quality of AEDs play a significant role in access to good health care. This study aimed to assess the availability, affordability, and quality of long-term AEDs in Lao PDR. METHOD A cross-sectional study was performed in both public and private drug supply chains in urban and rural areas in Lao PDR. Data on AEDs availability and price were obtained through drug suppliers. Affordability was estimated as the number of day wages the lowest-paid government employee must work to purchase a monthly treatment. Samples of AEDs were collected, and the quality of AEDs was assessed through Medicine Quality Assessment Reporting Guidelines. RESULTS Out of 237 outlets visited, only 50 outlets (21.1% [95% CI 16.1-26.8]) had at least one AED available. The availability was significantly different between urban (24.9%) and rural areas (10.0%), P = .017. Phenobarbital 100 mg was the most available (14.3%); followed by sodium valproate 200 mg (9.7%), phenytoin 100 mg (9.7%), and carbamazepine 200 mg (8.9%). In provincial/district hospitals and health centers, AEDs were provided free of charge. In other healthcare facilities, phenytoin 100 mg and phenobarbital 100 mg showed the best affordability (1.0 and 1.2 day wages, respectively) compared to carbamazepine 200 mg (2.3 days) and other AEDs. No sample was identified as counterfeit, but 15.0% [95% CI 7.1-26.6] of samples were classified as of poor quality. SIGNIFICANCE We quantified and qualified the various factors contributing to the high treatment gap in Lao PDR, adding to diagnostic issues (not assessed here). Availability remains very low and phenobarbital which is the most available and affordable AED was the worst in terms of quality. A drug policy addressing epilepsy treatment gap would reduce these barriers.
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Affiliation(s)
- Noudy Sengxeu
- INSERMUniv. Limoges, CHU LimogesIRDU1094 Tropical NeuroepidemiologyInstitute of Epidemiology and Tropical NeurologyGEISTLimogesFrance
- Faculty of pharmacyUniversity of Health sciencesVientianeLao PDR
| | - Hanh Dufat
- Natural Products, Analysis and SynthesisCiTCoM‐UMR 8038 CNRS/Université de Paris, Faculty of Health‐Pharmacy, Université de ParisParisFrance
| | - Farid Boumediene
- INSERMUniv. Limoges, CHU LimogesIRDU1094 Tropical NeuroepidemiologyInstitute of Epidemiology and Tropical NeurologyGEISTLimogesFrance
| | | | | | | | | | - Pierre‐Marie Preux
- INSERMUniv. Limoges, CHU LimogesIRDU1094 Tropical NeuroepidemiologyInstitute of Epidemiology and Tropical NeurologyGEISTLimogesFrance
| | - Voa Ratsimbazafy
- INSERMUniv. Limoges, CHU LimogesIRDU1094 Tropical NeuroepidemiologyInstitute of Epidemiology and Tropical NeurologyGEISTLimogesFrance
| | - Jeremy Jost
- INSERMUniv. Limoges, CHU LimogesIRDU1094 Tropical NeuroepidemiologyInstitute of Epidemiology and Tropical NeurologyGEISTLimogesFrance
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Dubost JM, Lamxay V, Krief S, Falshaw M, Manithip C, Deharo E. From plant selection by elephants to human and veterinary pharmacopeia of mahouts in Laos. J Ethnopharmacol 2019; 244:112157. [PMID: 31415849 DOI: 10.1016/j.jep.2019.112157] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/09/2019] [Revised: 07/25/2019] [Accepted: 08/10/2019] [Indexed: 05/22/2023]
Abstract
ETHNOPHARMACOLOGICAL RELEVANCE To what extent has animal observation contributed to the development of human pharmacopeias? We approach this question here through the study of mahouts' knowledge regarding the responses by elephants to their health problems, and the human medicinal uses of plants and the care of domestic animals that result from their observations. MATERIALS AND METHODS 32 mahouts were interviewed in Thongmyxay district and 28 at the Elephant Conservation Center in the province of Xayabury. Interviews focused on the elephants' diet, health problems, plant items they consume in particular physiological or pathological contexts and the treatments that mahouts provide them. For each plant mentioned, the part of the plant consumed and mode of preparation and administration if used by mahouts were recorded. Species samples were then collected and later identified by specialists. RESULTS 114 species were recorded as being consumed by elephants during interviews with mahouts and forest outings with them to collect samples. Twenty species were identified as used by elephants in particular pathological conditions or physiological states. According to interviewed mahouts, the consumption of certain plants improves the health of the elephant. We observed clear convergences between the observations interpreted by the mahouts as self-medication behaviour from elephants and their own medicinal practices (for human and veterinary purposes). CONCLUSION Beyond a mere reproduction of elephant self-medication behaviours observed, the human or veterinary medicinal cares derived from these observations are the result of complex arrangements integrating all available medicinal and conceptual resources into elaborate preparations. We recommend that mahouts' knowledge about traditional medicinal care given to elephants be further compiled, as it could have a beneficial impact on veterinary health care provided in elephant resorts and elephants' well-being.
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Affiliation(s)
- Jean-Marc Dubost
- UMR 152 Pharmadev, Université de Toulouse, IRD, UPS, France; Museum National d'Histoire Naturelle-UMR 7206, Paris, France
| | - Vichith Lamxay
- Department of Botany, Faculty of Natural Sciences, National University of Laos, Laos
| | - Sabrina Krief
- Museum National d'Histoire Naturelle-UMR 7206, Paris, France
| | - Michael Falshaw
- Elephant Conservation Center, Nam Tien Reservoir, Xayabury District, Laos
| | | | - Eric Deharo
- UMR 152 Pharmadev, Université de Toulouse, IRD, UPS, France.
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Caillet C, Sichanh C, Syhakhang L, Delpierre C, Manithip C, Mayxay M, Lapeyre-Mestre M, Newton PN, Roussin A. Population awareness of risks related to medicinal product use in Vientiane Capital, Lao PDR: a cross-sectional study for public health improvement in low and middle income countries. BMC Public Health 2015; 15:590. [PMID: 26116373 PMCID: PMC4483223 DOI: 10.1186/s12889-015-1948-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2014] [Accepted: 06/18/2015] [Indexed: 11/10/2022] Open
Abstract
Background While essential medicines have been made more available in all but the most remote areas in low and middle income countries (L/MICs) over the past years, inappropriate and incorrect use of good quality medicines remains a key impediment for public health. In addition, as medicines have a potential to cause harm (medicine risks), adequate awareness by medicine users of the risks of adverse reactions is essential, especially as self-medication is common in L/MICs. This study aimed to investigate the awareness of Lao residents regarding medicine risks in Vientiane Capital, Lao People’s Democratic Republic. Methods Face-to-face interviews using structured questionnaires of 144 residents older than 16 years were carried out in 12 randomly selected villages out of the 146 villages of Vientiane Capital with at least one health facility. Results The respondents were mainly (85.0 %) the heads of households or their husband/spouse . The majority of the respondents were unaware (61.8 %) of medicine risks. Compared to residents living in the urban district of Xaysetha, living in peri-urban and even more in rural areas were identified as factors associated with being unaware of medicine risks [adjusted odds ratio (aOR) =3.3, 95 % Confidence Interval (CI) = 1.1–9.4]) and aOR =7.5 (95 % CI = 2.3–24.2), respectively]. In addition, more than half of the respondents had never heard of poor quality medicines, with a higher rate in rural/peri-urban compared to urban districts (55.6 % vs 38.9 %, respectively, p = 0.02). Finally, approximately one third of all respondents thought that traditional medicines could not cause harm. Conclusions Overall, these results suggest a lack of awareness about medicinal product risks. Differences according to the place of residence are apparent and could be partly explained by a lower level of training of healthcare providers in contact with the population in the rural districts in particular. Communication on medicinal product risks to patients through well-trained healthcare providers could probably make a valuable contribution towards the appropriate use of medicines in L/MICs.
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Affiliation(s)
- Céline Caillet
- Faculté de Médecine, Equipe de Pharmacoépidémiologie UMR 1027 INSERM-Université de Toulouse III, Service de Pharmacologie Médicale et Clinique, Centre Hospitalier Universitaire de Toulouse, 37 allées Jules Guesde, 31000, Toulouse, France.
| | - Chanvilay Sichanh
- WorldWide Antimalarial Resistance Network, University of Oxford, Wellington Square, OX1 2JD, Oxford, UK.
| | - Lamphone Syhakhang
- Food and Drug Department, Ministry of Health, Simuang Road, Vientiane Capital, Lao People's Democratic Republic.
| | - Cyrille Delpierre
- Faculté de Médecine, Cancer et maladies chroniques, UMR1027 INSERM- Université de Toulouse III, 37 Allées Jules Gusede, 31000, Toulouse, France.
| | - Chanthanom Manithip
- Faculty of Pharmacy, University of Health Sciences, P.O.Box 7444, Samsenthai Road, Vientiane, Lao People's Democratic Republic.
| | - Mayfong Mayxay
- Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Microbiology Laboratory, Mahosot Hospital, FaNgum Rd, Vientiane, Lao People's Democratic Republic. .,Faculty of Postgraduate Studies, University of Health Sciences, P.O.Box 7444, Samsenthai Road, Vientiane, Lao People's Democratic Republic.
| | - Maryse Lapeyre-Mestre
- Faculté de Médecine, Equipe de Pharmacoépidémiologie UMR 1027 INSERM-Université de Toulouse III, Service de Pharmacologie Médicale et Clinique, Centre Hospitalier Universitaire de Toulouse, 37 allées Jules Guesde, 31000, Toulouse, France.
| | - Paul N Newton
- WorldWide Antimalarial Resistance Network, University of Oxford, Wellington Square, OX1 2JD, Oxford, UK. .,Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Microbiology Laboratory, Mahosot Hospital, FaNgum Rd, Vientiane, Lao People's Democratic Republic. .,Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, Churchill Hospital, University of Oxford, Wellington Square, OX1 2JD, Oxford, UK.
| | - Anne Roussin
- Faculté de Médecine, Equipe de Pharmacoépidémiologie UMR 1027 INSERM-Université de Toulouse III, Service de Pharmacologie Médicale et Clinique, Centre Hospitalier Universitaire de Toulouse, 37 allées Jules Guesde, 31000, Toulouse, France.
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Manithip C, Sihavong A, Edin K, Wahlstrom R, Wessel H. Factors Associated with Antenatal Care Utilization Among Rural Women in Lao People’s Democratic Republic. Matern Child Health J 2010; 15:1356-62. [DOI: 10.1007/s10995-010-0671-y] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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