Greener Journal of Epidemiology and Public Health

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Greener Journal of Epidemiology and Public Health Vol. 3 (2), pp. 022-027, November 2015.

 ISSN: 2354-2381 © 2015 Authors

Research Paper

Manuscript Number: 112315162



Knowledge, attitudes and use of generic medicines: a cross sectional study among patients in Marcory-Treichville Health District Cote d’Ivoire


Sagou Patrick Olivier Yayo1,2,  Kadidiatou Raissa Kourouma2*,   Johanna Francisca Attissou1,  Orphée Kouakou1,  

Salimata  Dagnoko1 and Eulalie Oga1


1 Programme National de Développement de l’Activité Pharmaceutique (PNDAP), Address 18 BP 2665 Abidjan 18 Cote d’Ivoire

Institut National de Santé Publique INSP, Address BPV 47 Abidjan Cote d’Ivoire


Background: The regulation of generic medicines is a policy adopted in order to reduce pharmaceutical cost in many countries and Cote d’Ivoire is no exception. However, the acceptance of generics depend on people’s beliefs that is why we conducted a study notably in order to assess the level of knowledge, attitude and usage profile for generic medicine among patients in Cote d’Ivoire.


Methods: A cross-sectional study was conducted with 320 patients (210 women and 110 men, aged 35.1±11.3 years) selected at random in four health facilities of Marcory-Treichville Health District. A questionnaire was drawn up with questions on their knowledge, attitude and use, perceptions and knowledge of generic medicines. All the collected data were entered into PASW®18.0 for descriptive analysis.


Results: Half of the participants (55.6%) knew that generic medicines exist, but only 56.2% were able to define them correctly. These information sources were mainly through television (28.1%), followed by doctors (21.4%), word of mouth (20.2%). Regarding generic medicines characteristics, 88.2% declared that they were confident about their efficacy and quality, 75.3% believed that generic medicines have the same effect as branded medicines, 72.5% said that generics were priced lower than branded medicines, and 65.2% stated that if their doctor prescribed a branded medicine and the pharmacist proposed them a cheaper generic, they would agree to switch. With regard to medicines prescribed by medical practitioners, 80.4% said that their doctors often prescribed generics; 12.5% confirmed that their doctors always prescribed generics and 7.1% that they "never".


Conclusion: These findings suggest that more awareness should be created among health professionals to boost generic medicine prescriptions and substitution, and also among patients by education program.                                 


Key words: Reference medicine; Generic medicine; Health policy; pharmaceutical policy; Patient education. 

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