Qualitative insights into promotion of pharmaceutical products in Bangladesh: how ethical are the practices?

Includes bibliographical references (page 9).

Xehetasun bibliografikoak
Egile Nagusiak: Mohiuddin, Mahrukh, Rashid, Sabina Faiz, Shuvro, Mofijul Islam, Nahar, Nahitun, Ahmed, Syed Masud
Beste egile batzuk: James P Grant School of Public Health, BRAC University
Formatua: Artikulua
Hizkuntza:English
Argitaratua: BMC Medical Ethics 2016
Gaiak:
Sarrera elektronikoa:http://hdl.handle.net/10361/5239
id 10361-5239
record_format dspace
spelling 10361-52392019-09-30T03:00:32Z Qualitative insights into promotion of pharmaceutical products in Bangladesh: how ethical are the practices? Mohiuddin, Mahrukh Rashid, Sabina Faiz Shuvro, Mofijul Islam Nahar, Nahitun Ahmed, Syed Masud James P Grant School of Public Health, BRAC University Medical representatives Pharmaceutical marketing Pharmaceutical promotional gifts Code of pharmaceutical marketing practices Bangladesh Includes bibliographical references (page 9). Background: The pharmaceutical market in Bangladesh is highly concentrated (top ten control around 70 % of the market). Due to high competition aggressive marketing strategies are adopted for greater market share, which sometimes cross limit. There is lack of data on this aspect in Bangladesh. This exploratory study aimed to fill this gap by investigating current promotional practices of the pharmaceutical companies including the role of their medical representatives (MR). Methods: This qualitative study was conducted as part of a larger study to explore the status of governance in health sector in 2009. Data were collected from Dhaka, Chittagong and Bogra districts through in-depth interview (healthcare providers and MRs), observation (physician-MR interaction), and round table discussion (chief executives and top management of the pharmaceutical companies). Results: Findings reveal a highly structured system geared to generate prescriptions and ensure market share instituted by the pharmaceuticals. A comprehensive training curriculum for the MRs prepares the newly recruited science graduates for generating enough prescriptions by catering to the identified needs and demands of the physicians expressed or otherwise, and thus grab higher market-share for the companies they represent. Approaches such as inducements, persuasion, emotional blackmail, serving family members, etc. are used. The type, quantity and quality of inducements offered to the physicians depend upon his/her capacity to produce prescriptions. The popular physicians are cultivated meticulously by the MRs to establish brand loyalty and fulfill individual and company targets. The physicians, willingly or unwillingly, become part of the system with few exceptions. Neither the regulatory authority nor the professional or consumer rights bodies has any role to control or ractify the process. Conclusions: The aggressive marketing of the pharmaceutical companies compel their MRs, programmed to maximize market share, to adopt unethical means if and when necessary. When medicines are prescribed and dispensed more for financial interests than for needs of the patients, it reflects system’s failed ability to hold individuals and entities accountable for adhering to basic professional ethics, code of conduct, and statutory laws. Mahrukh Mohiuddin Sabina Faiz Rashid Mofijul Islam Shuvro Nahitun Nahar Syed Masud Ahmed 2016-05-08T09:53:02Z 2016-05-08T09:53:02Z 2015 2015-06 Article Mohiuddin, M., Rashid, S. F., Shuvro, M. I., Nahar, N., & Ahmed, S. M. (2015). Qualitative insights into promotion of pharmaceutical products in Bangladesh: how ethical are the practices? BMC Medical Ethics, 16(1), 80. http://doi.org/10.1186/s12910-015-0075-z http://hdl.handle.net/10361/5239 en BRAC University Journals are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. 9 pages application/pdf BMC Medical Ethics
institution Brac University
collection Institutional Repository
language English
topic Medical representatives
Pharmaceutical marketing
Pharmaceutical promotional gifts
Code of pharmaceutical marketing practices
Bangladesh
spellingShingle Medical representatives
Pharmaceutical marketing
Pharmaceutical promotional gifts
Code of pharmaceutical marketing practices
Bangladesh
Mohiuddin, Mahrukh
Rashid, Sabina Faiz
Shuvro, Mofijul Islam
Nahar, Nahitun
Ahmed, Syed Masud
Qualitative insights into promotion of pharmaceutical products in Bangladesh: how ethical are the practices?
description Includes bibliographical references (page 9).
author2 James P Grant School of Public Health, BRAC University
author_facet James P Grant School of Public Health, BRAC University
Mohiuddin, Mahrukh
Rashid, Sabina Faiz
Shuvro, Mofijul Islam
Nahar, Nahitun
Ahmed, Syed Masud
format Article
author Mohiuddin, Mahrukh
Rashid, Sabina Faiz
Shuvro, Mofijul Islam
Nahar, Nahitun
Ahmed, Syed Masud
author_sort Mohiuddin, Mahrukh
title Qualitative insights into promotion of pharmaceutical products in Bangladesh: how ethical are the practices?
title_short Qualitative insights into promotion of pharmaceutical products in Bangladesh: how ethical are the practices?
title_full Qualitative insights into promotion of pharmaceutical products in Bangladesh: how ethical are the practices?
title_fullStr Qualitative insights into promotion of pharmaceutical products in Bangladesh: how ethical are the practices?
title_full_unstemmed Qualitative insights into promotion of pharmaceutical products in Bangladesh: how ethical are the practices?
title_sort qualitative insights into promotion of pharmaceutical products in bangladesh: how ethical are the practices?
publisher BMC Medical Ethics
publishDate 2016
url http://hdl.handle.net/10361/5239
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AT shuvromofijulislam qualitativeinsightsintopromotionofpharmaceuticalproductsinbangladeshhowethicalarethepractices
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