title: Assessment of knowledge and practice of community pharmacy personnel on diabetes mellitus management in Kathmandu district: a cross sectional descriptive study.
abstract: BACKGROUND
  Pharmacists are the most reachable healthcare professionals to many chronically ill patients. It has been found that pharmacists see patients with diabetes up to five times more often than any other healthcare provider. Therefore, to provide quality health care to patients it is important that they have appropriate knowledge and practice on diabetes mellitus management. Thus, this study was conducted to assess the knowledge and practice of diabetes mellitus management among community pharmacy personnel involved in retail community pharmacies of Kathmandu.
  
  
  METHODS
  Three hundred and fifteen community pharmacies, selected by systematic random sampling were surveyed by using pre-validated self-administered questionnaires. The first set of questionnaire evaluated the community pharmacy personnel's diabetes knowledge based on a pre-validated 20-item questionnaire. The second set of questionnaire documented about the practice of community pharmacy personnel on diabetes mellitus management which contained 22 questions. Data was entered in EPI Data and analyzed by using SPSS version 20.
  
  
  RESULTS
  This survey demonstrated that 76.5 % respondents had poor knowledge and 86.4 % had negative practice on diabetes mellitus (DM) management. Only 26.2 % respondents had good knowledge as well as good practice. 31.4 % of respondents had poor knowledge as well as poor practice on DM management.
  
  
  CONCLUSIONS
  Laws and regulations regarding community pharmacy personnel need to be implemented. There should be more advanced and experiment based training. Additionally, the provision for further education curriculum in pharmacy education should be implemented which should intensively include disease and proper management. Guidelines covering diabetes care should be distributed and implemented throughout community pharmacies.
authors.affiliation: Department of Pharmacy, Valley College of Technical Sciences, Kathmandu, Nepal.
authors.forename: M
authors.initials: M
authors.lastname: Shrestha
authors.affiliation: Department of Pharmacy, Valley College of Technical Sciences, Kathmandu, Nepal.
authors.forename: R
authors.initials: R
authors.lastname: Maharjan
authors.affiliation: Department of Pharmacy, Valley College of Technical Sciences, Kathmandu, Nepal.
authors.forename: A
authors.initials: A
authors.lastname: Prajapati
authors.affiliation: Department of Public Health, Valley College of Technical Sciences, Kathmandu, Nepal.
authors.forename: S
authors.initials: S
authors.lastname: Ghimire
authors.affiliation: Department of Public Health, Valley College of Technical Sciences, Kathmandu, Nepal.
authors.forename: N
authors.initials: N
authors.lastname: Shrestha
authors.affiliation: Department of Pharmacy, Valley College of Technical Sciences, Kathmandu, Nepal.
authors.forename: A
authors.initials: A
authors.lastname: Banstola
keywords: Community pharmacy in Nepal; Diabetes mellitus; Pharmacy practice