Knowledge, Attitudes, And Practices (KAP) of Community Pharmacists Towards Proper Disposal of Expired Medications in Koronadal City, South Cotabato
Authors
Department of Pharmacy, St. Alexius College, Koronadal City, South Cotabato, Philippines (Philippines)
Department of Pharmacy, St. Alexius College, Koronadal City, South Cotabato, Philippines (Philippines)
Department of Pharmacy, St. Alexius College, Koronadal City, South Cotabato, Philippines (Philippines)
Department of Pharmacy, St. Alexius College, Koronadal City, South Cotabato, Philippines (Philippines)
Department of Pharmacy, St. Alexius College, Koronadal City, South Cotabato, Philippines (Philippines)
Department of Pharmacy, St. Alexius College, Koronadal City, South Cotabato, Philippines (Philippines)
Article Information
DOI: 10.51244/IJRSI.2026.1306000088
Subject Category: Education
Volume/Issue: 13/6 | Page No: 1232-1250
Publication Timeline
Submitted: 2026-05-25
Accepted: 2026-05-30
Published: 2026-06-24
Abstract
This study evaluated the knowledge, attitudes, and practices (KAP) of community pharmacists regarding the proper disposal of expired medications in Koronadal City, South Cotabato. Specifically, it aimed to determine the level of knowledge, attitudes, and practices of community pharmacists and identify significant relationships among these variables. The study utilized a descriptive-correlational research design involving thirty community pharmacists as respondents. Data were collected using a validated survey questionnaire and analyzed using descriptive statistics and correlation analysis. Findings revealed that community pharmacists demonstrated a high level of knowledge regarding disposal methods, environmental risks, and regulatory guidelines related to pharmaceutical waste management. Respondents also exhibited highly positive attitudes toward proper disposal, emphasizing public safety, environmental protection, and professional responsibility. In terms of practices, pharmacists consistently complied with proper disposal procedures, including segregation, labeling, inventory monitoring, and coordination with authorized disposal providers. However, minor gaps were observed in awareness of penalties, reporting procedures, documentation practices, disposal scheduling, and the use of official manuals. The study further found that pharmacists experienced moderate challenges related to resource limitations and awareness barriers, particularly insufficient disposal facilities, budget constraints, and limited dissemination of regulatory information. Correlation analysis revealed significant positive relationships among knowledge, attitudes, and practices, indicating that higher knowledge levels are associated with more favorable attitudes and better disposal practices. Consequently, the null hypothesis was rejected in favor of the alternative hypothesis. The study concludes that community pharmacists in Koronadal City possess adequate competence and positive professional behavior regarding the proper disposal of expired medications, highlighting the importance of continuous education, strengthened regulatory support, and improved pharmaceutical waste management practices.
Keywords
Knowledge, Attitudes, Practices, Community Pharmacists, Expired Medications, Proper Disposal, Pharmaceutical Waste Management
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References
1. Abbas, M. O., Beshir, S., AlKhalidi, D. K., Al Gailani Ali, E. S., Lozon, Y., Assadi, R. A., Ghdaiba, H., & AL-Zeer, R. A. (2025). UAE pharmacists’ perceptions of the causes of unwanted or unused medications, their practices, and barriers to promoting safe medication disposal by the public. BMC Public Health, 25, 236. https://doi.org/10.1186/s12889-025-21332-3 [Google Scholar] [Crossref]
2. Abinaya, V., Kalpana, D. V., Sivaranjani, P., & Ananthi, B. (2024). Knowledge and awareness about biomedical waste segregation and disposal among medical and paramedical students at a tertiary care hospital in Chennai. Indian Journal of Community and Family Medicine, 10(1), 26–30. https://doi.org/10.4103/ijcfm.ijcfm_76_23 [Google Scholar] [Crossref]
3. Akkajit, P., Romin, H., & Assawadithalerd, M. (2020). Assessment of knowledge, attitude, and practice in respect of medical waste management among healthcare workers in clinics. Journal of Environmental and Public Health, 2020, Article 8745472. https://doi.org/10.1155/2020/8745472 [Google Scholar] [Crossref]
4. Akande-Sholabi, W., Abdul-Azeez, I. A., Adebisi, Y. A., Odukoya, T. O., & Ilori, T. (2025). Disposal practices of unused and expired medications among healthcare practitioners in Ibadan, Nigeria: Results from a cross-sectional survey. BMC Health Services Research, 25, 1262. https://doi.org/10.1186/s12913-025-13492-0 [Google Scholar] [Crossref]
5. Alfian, S. D., Khoiry, Q. A., Pratama, M. A. A., Wahyudin, W., Puspitasari, I. M., Pradipta, I. S., & Abdulah, R. (2023). Awareness and beliefs of community pharmacists on disposal of unused and expired household medications in Indonesia: A cross-sectional study. Journal of Pharmaceutical Health Services Research, 14(4), 401–406. https://doi.org/10.1093/jphsr/rmad043 [Google Scholar] [Crossref]
6. Alenezi, S., Alanazi, M., Aljazaeri, R., Almuzaini, M., Alrasheidi, S., Bin Shamlan, W., Aljohani, R., Alhawiti, G., Alqarni, M., … Kanan, M. (2023). Community pharmacies in the Asian countries of developing health system: Formation, regulation, and implication. Pharmacy, 11(4), 127. https://doi.org/10.3390/pharmacy11040127 [Google Scholar] [Crossref]
7. Alnahas, F., Yeboah, P., Fliedel, L., Abdin, A. Y., & Alhareth, K. (2020). Expired medication: Societal, regulatory and ethical aspects of a wasted opportunity. International Journal of Environmental Research and Public Health, 17(3), 787. https://doi.org/10.3390/ijerph17030787 [Google Scholar] [Crossref]
8. Apostol, G. L. C., Acolola, A. G. A., Edillon, M. A., & Valenzuela, S. (2022). How comprehensive and effective are waste management policies during the COVID-19 pandemic? Perspectives from the Philippines. Frontiers in Public Health, 10, 958241. https://doi.org/10.3389/fpubh.2022.958241 [Google Scholar] [Crossref]
9. Banaga, D. K. (2020). Assessment of knowledge, attitude and practice of household disposal of unused and expired medications in Dodoma City (Master’s thesis). The Open University of Tanzania. http://repository.out.ac.tz/id/eprint/2812 [Google Scholar] [Crossref]
10. Banguis, R., Magaloma, S., Castillano, J., Taruc, G., Doro, M., & Amparado, B. (2025). Understanding sociocultural beliefs and practices on antimicrobial resistance among the health workers of Lakewood, Zamboanga del Sur, Philippines. International Journal of Culture and Human Research, 7(SI3). https://doi.org/10.63931/ijchr.v7iSI3.309 [Google Scholar] [Crossref]
11. Banluta, S. K. F., Demegillo, L. A. R., Escalona, Y. F., Florida, R. J. A., Mamak, A. A. S., Sultan, T. R., Villanueva, A. J. G., & Faller, E. M. (2025). MEDispose: A program improving the attitude and knowledge of community pharmacists on proper disposal of expired pharmaceuticals in Davao City. International Journal of Research Publication and Reviews, 6(5), 15137–15152. http://www.ijrpr.com [Google Scholar] [Crossref]
12. Bekele, D. W., Dadebo, E., Tilahun, G., & Gebremariam, Z. (2023). Awareness and disposal practices of medicines among the community in Hawassa City, Ethiopia. Journal of Environmental and Public Health, 2023, 4603993. https://doi.org/10.1155/2023,4603993 [Google Scholar] [Crossref]
13. Bou-Saba, A. W., Kassak, K. M., & Salameh, P. R. (2022). The current trends and challenges towards good community pharmacy practice and the way forward. Exploratory Research in Clinical and Social Pharmacy, 6, 100152. https://doi.org/10.1016/j.rcsop.2022.100152 [Google Scholar] [Crossref]
14. Cabañas, A. L. S., & Rañosa-Madrunio, M. (2020). “What’s in my medicine?”: Evaluating the readability and comprehensibility of patient information leaflets of selected Philippine nonprescription drugs. Asian Journal of English Language Studies, 8, 191. https://doi.org/10.59960/8.a8 [Google Scholar] [Crossref]
15. Cabuhat, K. S. P., Ong, C. J. N., Lee, M. Y. S., Mallari, R. L., Balilla, J., & Espiritu, L. M. (2024). Assessment of knowledge, attitude, and behavior (KAB) associated with the use of antibiotics and presence of antibiotic resistance among STEM students in the Philippines: A cross-sectional study. Iranian Journal of Medical Microbiology, 18(6), 398–410. https://doi.org/10.30699/ijmm.18.6.398 [Google Scholar] [Crossref]
16. Chandrasena, P. G., Gunawardena, S., & Karunanayaka, S. V. (2024). Storage, disposal, and misuse of unused and expired pharmaceuticals in households amongst staff working at Dakshinapaya Ministry Complex, Labuduwa, Galle Region: A qualitative phenomenological study. Pharmacoepidemiology, 3(4), 314–335. https://doi.org/10.3390/pharma3040022 [Google Scholar] [Crossref]
17. Chong, K. M., Rajiah, K., Chong, D., & Maharajan, M. K. (2022). Management of medicines wastage, returned medicines and safe disposal in Malaysian community pharmacies: A qualitative study. Frontiers in Medicine, 9. https://doi.org/10.3389/fmed.2022.884482 [Google Scholar] [Crossref]
18. Enopia, R. I., Valmores, D. S., Tabor, R. G., Caňete, R. A., Tumana, S. H. A., Soralta, w. A., Tecson, C. P., & Moreno, S. R. L. (2024). Service quality among selected pharmacy in Valencia City, Bukidnon. Journal of Academic Research and Writing, 6(5). https://www.ijarw.com [Google Scholar] [Crossref]
19. Fernandes, M. R., de Figueiredo, R. C., da Silva, L. G. R., Rocha, R. S., & Baldoni, A. O. (2020). Storage and disposal of expired medicines in home pharmacies: Emerging public health problems. Einstein (São Paulo), 18, eAO5066. https://doi.org/10.31744/einstein_journal/2020AO5066 [Google Scholar] [Crossref]
20. Flotildes, M. J., Garcia, G., Piol, A. M., Simeon, E. N. J., Miranda, K. J., & Carandang, R. R. (2023). Lived experiences and resilience of hospital pharmacists during the COVID-19 pandemic: An interpretative phenomenological analysis. Exploratory Research in Clinical and Social Pharmacy, 11, 100299. https://doi.org/10.1016/j.rcsop.2023.100299 [Google Scholar] [Crossref]
21. Gamboa, D. M., Cunanan, A. N. R., Dychauco, C. A. C., Espiña, R. N. B., Gonzales, J. G. C., Lomboy, J. E. C. I., & Concepcion, C. S. M. (2021). Association of health literacy and self-medication of over-the-counter drugs among Filipino parents aged 18–50 in Metro Manila, Philippines. Asian Intellect, 21(1). https://www.asianintellect.org [Google Scholar] [Crossref]
22. Garcia, R. C., & Tugna, C. M. (2024). Prevalence of consumers purchasing antibiotic medicine without prescription among community pharmacies. Journal of International Pharmacy, 2(8). https://doi.org/10.69569/jip.2024.0264 [Google Scholar] [Crossref]
23. Gatmaitan, T. M. B., Bigay, T. K. G., Bravo, F. M. F., Brillon, A. M. S., Calaycay, A. C., Casiber, M. K. R. B., Cruz, M. J. C., Go, K. D. K., Milallos, C. A. F., Posada, I. W. P., Ecalne, J. K. T., & Santiago, C. D. (2022). Assessment of the knowledge, attitude, and practice of proper medication disposal of pharmacy students in Centro Escolar University - Manila. GSC Biological and Pharmaceutical Sciences, 19(3), 270–278. https://doi.org/10.30574/gscbps.2022.19.3.0253 [Google Scholar] [Crossref]
24. Geraldino, C. G. O., Bonifacio, V. F. M., Gravidez, C. A. D., Guinto, C. C. F., & Faller, E. M. (2024). Development and evaluation of medication Braille font aid slate adaptation (BASA) in the community pharmacy among visually impaired (VI) in General Santos City and Koronadal, South Cotabato. Global Scientific Journals, 12(2). https://www.globalscientificjournal.com [Google Scholar] [Crossref]
25. Hajj, A., Domiati, S., Haddad, C., Sacre, H., Akl, M., & Akel, M. (2023). Assessment of knowledge, attitude, and practice regarding the disposal of expired and unused medications among the Lebanese population. Journal of Pharmaceutical Policy and Practice, 16, 107. https://doi.org/10.1186/s40545-022-00506-z [Google Scholar] [Crossref]
26. Hiew, S. Y., & Low, B. Y. (2024). The knowledge, attitude, and practice of the public regarding household pharmaceutical waste disposal: A systematic review (2013–2023). International Journal of Pharmacy Practice, 32(2), 120–132. https://doi.org/10.1093/ijpp/riae001 [Google Scholar] [Crossref]
27. Jankie, S., Villarroel Stuart, A., Barsatee, N., Dookhan, V., Sookdeo, K., Hernandez, S., & Mohammed, C. (2022). Pharmacists’ knowledge, perception and practice regarding medication disposal. Exploratory Research in Clinical and Social Pharmacy, 8, 100202. https://doi.org/10.1016/j.rcsop.2022.100202 [Google Scholar] [Crossref]
28. Jha, N., Kafle, S., Bhandary, S., & Shankar, P. R. (2022). Assessment of knowledge, attitude, and practice of disposing and storing unused and expired medicines among the communities of Kathmandu, Nepal. PLOS ONE, 17(8), e0272635. https://doi.org/10.1371/journal.pone.0272635 [Google Scholar] [Crossref]
29. Kahsay, H., Ahmedin, M., Kebede, B., Gebrezihar, K., Araya, H., & Tesfay, D. (2020). Assessment of knowledge, attitude, and disposal practice of unused and expired pharmaceuticals in community of Adigrat City, Northern Ethiopia. Journal of Environmental and Public Health, 2020, 6725423. https://doi.org/10.1155/2020/6725423 [Google Scholar] [Crossref]
30. Kanyari, S. S., Senapati, T. R., & Kar, A. (2024). Disposal practices of unused and expired medicines among the general public and pharmacies: A mixed-method study in the Odisha State of Eastern India. Cureus. https://doi.org/10.7759/cureus.52359 [Google Scholar] [Crossref]
31. Khatri, J., Shakya, R., & Shrestha, S. (2025). Disposal of unused and expired medications: A study of knowledge, attitudes, and practices among community pharmacy visitors. SAGE Open Medicine. Advance online publication. https://doi.org/10.1177/20503121251375355 [Google Scholar] [Crossref]
32. Khan, A., Jaffar, N., Razaak, S., Zeeshan, F., Shabbir, A., & Ishaque, S. M. (2020). Knowledge, attitude and practices of pharmaceutical waste disposal in community pharmacies of Karachi. Annals of Jinnah Sindh Medical University, 6(2), 54–59. https://doi.org/10.46663/ajsmu.v6i2.54-59 [Google Scholar] [Crossref]
33. Kharaba, Z., Khasawneh, L. Q., Aloum, L., Ghemrawi, R., Jirjees, F., Al Bataineh, N., Al-Azayzih, A., Buabeid, M. A., Al-Abdin, S. Z., & Alfoteih, Y. (2022). An assessment of the current practice of community pharmacists for the disposal of medication waste in the United Arab Emirates: A deep analysis at a glance. Saudi Pharmaceutical Journal, 30(12), 1773–1780. https://doi.org/10.1016/j.jsps.2022.10.006 [Google Scholar] [Crossref]
34. Lota, M. M. M., Chua, A. Q., Azupardo, K., Lumangaya, C., Reyes, K. A. V., Villanueva, S. Y. A. M., Legido-Quigley, H., & Roxas, E. A. (2022). A qualitative study on the design and implementation of the national action plan on antimicrobial resistance in the Philippines. Antibiotics, 11(6), 820. https://doi.org/10.3390/antibiotics11060820 [Google Scholar] [Crossref]
35. Manupac, T. T., & Cruz, V. G. (2024). Medicine storage practices among selected rural health units (RHUs) in the province of Zamboanga Del Sur, Philippines. Universidad de Zamboanga Research Journal, 10, 26–42. https://uz.edu.ph/wp-content/uploads/2025/01/SAR-Vol10-2024-v2.pdf#page=26 [Google Scholar] [Crossref]
36. Marwa, K. J., Mcharo, G., Mwita, S., Katabalo, D., Ruganuza, D., & Kapesa, A. (2021). Disposal practices of expired and unused medications among households in Mwanza, Tanzania. PLOS ONE, 16(2), e0246418. https://doi.org/10.1371/journal.pone.0246418 [Google Scholar] [Crossref]
37. Michelin, A. F., Bonifácio, N. A., Nagata, W. B., Silva, V. M. S. da, Gobbo, L. E. M., & Bresciani, K. D. S. (2023). Guidance provided by pharmacists to customers regarding the destination of unused household medications: Disposal of household medications. BMC Health Services Research, 23, 1350. https://doi.org/10.1186/s12913-023-10319-8 [Google Scholar] [Crossref]
38. Mohammed, A.-u. M., & Al-Hamadani, F. (2024). Assessment of pharmacists' knowledge, attitude, and practice on drugs disposal in a sample of Iraqi community pharmacists: A cross-sectional study. Iraqi Journal of Pharmaceutical Sciences, 33(4). https://doi.org/10.31351/vol33iss1pp69- [Google Scholar] [Crossref]
39. Nairat, L. L., Abahri, N. A., Hamdan, Y. A., Abdel-khaliq, R. T., Odeh, S. M., Abutaha, S., Al-Jabi, S. W., Koni, A. A., Abushanab, A. S., & Zyoud, S. H. (2023). Assessment of practices and awareness regarding the disposal of unwanted pharmaceutical products among community pharmacies: A cross-sectional study in Palestine. BMC Health Services Research, 23, 1035. https://doi.org/10.1186/s12913-023-09888-5 [Google Scholar] [Crossref]
40. Peña, I. G., Robles, Y. R., Salenga, R. L., Loquias, M. M., Capule, F. R., Bulatao, B. P. I., & Casauay, J. F. C. (2025). Redefining counterfeit medicines and updating the legal framework to address falsified medicines: A qualitative policy review. Acta Medica Philippina, 59(14), 118–131. https://doi.org/10.47895/amp.v59i14.9562 [Google Scholar] [Crossref]
41. Prosen, M. (2022). Nursing students’ perception of gender-defined roles in nursing: A qualitative descriptive study. BMC Nursing, 21, 104. https://doi.org/10.1186/s12912-022-00876-4 [Google Scholar] [Crossref]
42. Raja, S., Mohapatra, S., Ramu, T., & Rani, J. (2022). Knowledge, attitude and practice (KAP) towards disposal of unused and expired medications: An assessment among patients. BPJ – Biomedical and Pharmacology Journal. https://dx.doi.org/10.13005/bpj/2488 [Google Scholar] [Crossref]
43. Rogowska, J., & Zimmermann, A. (2022). Household pharmaceutical waste disposal as a global problem—A review. International Journal of Environmental Research and Public Health, 19(23), 15798. https://doi.org/10.3390/ijerph192315798 [Google Scholar] [Crossref]
44. Sitotaw, B., & Philipos, W. (2023). Knowledge, attitude, and practices (KAP) on antibiotic use and disposal ways in Sidama Region, Ethiopia: A community-based cross-sectional survey. The Scientific World Journal, 2023, Article 8774634. https://doi.org/10.1155/2023/8774634 [Google Scholar] [Crossref]
45. Toe, J., Orok, E., & Erah, P. (2023). Assessment of knowledge and disposal practices of unused and expired household medicines in a community in Liberia. Exploratory Research in Clinical and Social Pharmacy, 12, 100369. https://doi.org/10.1016/j.rcsop.2023.100369 [Google Scholar] [Crossref]
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