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

Xehetasun bibliografikoak
Egile Nagusiak:	Mohiuddin, Mahrukh, Faiz Rashid, Sabina, Islam Shuvro, Mofijul, Nahar, Nahitun, Masud Ahmed, Syed
Beste egile batzuk:	James P Grant School of Public Health, BRAC University
Formatua:	Artikulua
Hizkuntza:	English
Argitaratua:	© 2015 BioMed Central Ltd. 2016
Gaiak:	Bangladesh Code of pharmaceutical marketing practices Medical representatives Pharmaceutical marketing Pharmaceutical promotional gifts
Sarrera elektronikoa:	http://hdl.handle.net/10361/7354 http://doi.org/10.1186/s12910-015-0075-z

id	10361-7354
record_format	dspace
spelling	10361-73542018-03-27T05:14:48Z Qualitative insights into promotion of pharmaceutical products in Bangladesh: how ethical are the practices? Mohiuddin, Mahrukh Faiz Rashid, Sabina Islam Shuvro, Mofijul Nahar, Nahitun Masud Ahmed, Syed James P Grant School of Public Health, BRAC University Bangladesh Code of pharmaceutical marketing practices Medical representatives Pharmaceutical marketing Pharmaceutical promotional gifts This article was published in BMC Medical Ethics [© 2015 BioMed Central Ltd.] and the definite version is available at: http://bmcmedethics.biomedcentral.com/articles/10.1186/s12910-015-0075-z 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. Published 2016-12-26T10:49:06Z 2016-12-26T10:49:06Z 2015 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) doi:10.1186/s12910-015-0075-z 14726939 http://hdl.handle.net/10361/7354 http://doi.org/10.1186/s12910-015-0075-z en http://bmcmedethics.biomedcentral.com/articles/10.1186/s12910-015-0075-z © 2015 BioMed Central Ltd.
institution	Brac University
collection	Institutional Repository
language	English
topic	Bangladesh Code of pharmaceutical marketing practices Medical representatives Pharmaceutical marketing Pharmaceutical promotional gifts
spellingShingle	Bangladesh Code of pharmaceutical marketing practices Medical representatives Pharmaceutical marketing Pharmaceutical promotional gifts Mohiuddin, Mahrukh Faiz Rashid, Sabina Islam Shuvro, Mofijul Nahar, Nahitun Masud Ahmed, Syed Qualitative insights into promotion of pharmaceutical products in Bangladesh: how ethical are the practices?
description	This article was published in BMC Medical Ethics [© 2015 BioMed Central Ltd.] and the definite version is available at: http://bmcmedethics.biomedcentral.com/articles/10.1186/s12910-015-0075-z
author2	James P Grant School of Public Health, BRAC University
author_facet	James P Grant School of Public Health, BRAC University Mohiuddin, Mahrukh Faiz Rashid, Sabina Islam Shuvro, Mofijul Nahar, Nahitun Masud Ahmed, Syed
format	Article
author	Mohiuddin, Mahrukh Faiz Rashid, Sabina Islam Shuvro, Mofijul Nahar, Nahitun Masud Ahmed, Syed
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	© 2015 BioMed Central Ltd.
publishDate	2016
url	http://hdl.handle.net/10361/7354 http://doi.org/10.1186/s12910-015-0075-z
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Qualitative insights into promotion of pharmaceutical products in Bangladesh: how ethical are the practices?

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