Knowledge and Practices on Household Disposal of Unused Antimicrobials in Ho Municipality, Ghana

Thelma Alalbila Aku, Jonathan Jato, Lawrencia Dogbeda Atsu, David Oteng, Inemesit Okon Ben, Samuel Owusu Somuah, Hayford Odoi, Emmanuel Orman, Cornelius Dodoo, Yogini Jani and Araba Ata Hutton-Nyameaye ()
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Thelma Alalbila Aku: Department of Pharmacy Practice, School of Pharmacy, University of Health and Allied Sciences, Ho PMB 31, Ghana
Jonathan Jato: Department of Pharmacognosy and Herbal Medicine, School of Pharmacy, University of Health and Allied Sciences, Ho PMB 31, Ghana
Lawrencia Dogbeda Atsu: Department of Pharmacy Practice, School of Pharmacy, University of Health and Allied Sciences, Ho PMB 31, Ghana
David Oteng: Department of Pharmacy Practice, School of Pharmacy, University of Health and Allied Sciences, Ho PMB 31, Ghana
Inemesit Okon Ben: Department of Pharmacology and Toxicology, School of Pharmacy, University of Health and Allied Sciences, Ho PMB 31, Ghana
Samuel Owusu Somuah: Department of Pharmacy Practice, School of Pharmacy, University of Health and Allied Sciences, Ho PMB 31, Ghana
Hayford Odoi: Department of Pharmaceutical Microbiology, School of Pharmacy, University of Health and Allied Sciences, Ho PMB 31, Ghana
Emmanuel Orman: Department of Pharmaceutical Chemistry, School of Pharmacy, University of Health and Allied Sciences, Ho PMB 31, Ghana
Cornelius Dodoo: Department of Pharmaceutical Microbiology, School of Pharmacy, University of Health and Allied Sciences, Ho PMB 31, Ghana
Yogini Jani: Centre for Medicines Optimisation Research and Education, University College London Hospitals NHS Foundation Trust, London, NW1 2BU, UK
Araba Ata Hutton-Nyameaye: Department of Pharmacy Practice, School of Pharmacy, University of Health and Allied Sciences, Ho PMB 31, Ghana

IJERPH, 2025, vol. 22, issue 10, 1-16

Abstract: Unsafe disposal of unused and expired antimicrobial drugs increases their presence in the environment, thereby contributing to the emergence and spread of antimicrobial resistance. This study addressed the lack of sufficient data on unused and expired antimicrobial disposal practices among peri-urban residents in Ghana. This knowledge–attitude–practice (KAP)-based study offers context-specific insights to inform public health education and antimicrobial disposal policy interventions. A cross-sectional study was conducted among 310 residents in the Ho municipality using a well-structured questionnaire. Data was collected on the knowledge, attitudes, and practices of households on how they dispose of unused and leftover antimicrobials. Origin Pro 2022 software was used to analyze the data. Many respondents were males ( n = 175, 56.5%) and aged between 18 and 30 years ( n = 196, 63.2%). About 87.1% ( n = 270) of the respondents agreed that improper disposal of unused antimicrobials could negatively affect the environment. Most of the respondents (71.9%, n = 223) had not received counseling on recommended antimicrobial disposal; 75.5% ( n = 234) of respondents were not aware of institutions collecting unused or expired medicines; and 73.5% ( n = 228) had never participated in a medicine-return program. Discarding antimicrobials into household trash bins was the most common way of disposal among respondents. The preferred sites to return unused/leftover antimicrobials were community pharmacies and hospitals. Although respondents showed some knowledge and positive attitudes toward safe antimicrobial disposal, further education is needed. Furthermore, most respondents disposed of antimicrobials in household trash, highlighting the need for take-back programs and community pharmacy-based collection. Incorporating disposal guidance into medication counseling and patient information leaflets can enhance awareness and promote appropriate practices.

Keywords: medicine disposal; unused or expired medicines; antimicrobials (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2025
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