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Table 1 Ways in which health personnel misuse their access to pharmaceuticals for personal gain. Frequency with which each type of misuse was reported by 27 Mozambican (M) and 26 Cape Verdean (CV) respondents.

From: Pilfering for survival: how health workers use access to drugs as a coping strategy

 

By doctors

By pharmacists

By nurses

By orderlies

Stealing

5 M 6CV

24 M 1CV

19 M 8CV

16 M 4CV

Prescription of unnecessary drugs

20 M 15 CV

25 M 6 CV (during over the counter consultations)

20 M, 8 CV

17 M, 4 CV (during over-the-counter consultations)

Unnecessary prescription of injectables

21 M 15 CV

3 M 11 CV

4 M, 0CV

0M, 1 CV

Prescription of expensive brand names in lieu of generic drugs, particularly in private practice

24 M 15 CV

24 M 11 CV

1 M, 0CV

0M, 0CV

Substituting prescribed brand-name drugs with generics

4 M 16 CV

23 M 1CV

0M, 6 CV

0M, 0CV

Under-the-table payments for supplying supposedly free drugs

24 M 16 CV

0M, 0CV

0M, 0CV

0M, 0CV

Overcharging

4 M 2 CV

24 M 8 CV

0M, 4CV

0M, 2 CV