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Factors Affecting Consumers' Purchase Decision of Over-The-Counter (OTC) Medicines: Empirical Evidences From Community Pharmacies in Ethiopia

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Factors Affecting Consumers' Purchase Decision of Over-The-Counter (OTC) Medicines: Empirical Evidences From Community Pharmacies in Ethiopia

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Journal of Medicine, Physiology and Biophysics www.iiste.org


ISSN 2422-8427 An International Peer-reviewed Journal
Vol.65, 2020

Factors Affecting Consumers’ Purchase Decision of


Over-The-Counter (OTC) Medicines: Empirical Evidences from
Community Pharmacies in Ethiopia
Meseret Wube Temechewu
Department of Marketing Management, Addis Ababa University, Addis Ababa, Ethiopia

Mulugeta Gebremedhin (PhD)


Department of Marketing Management, Addis Ababa University, Addis Ababa, Ethiopia

Abstract
Purpose: the aim of this study was to examine factors affecting consumers’ purchase decision of over-the-
counter (OTC) medicines from community pharmacies in Ethiopia.
Design/methodology/approach: A quantitative research design was used to test the effect of various factors on
consumer purchase decision of OTC medicines. Descriptive and explanatory research approaches were used to
describe and investigate the relationship between dependent and independent variables. Both primary and
secondary data were collected using self-administered questionnaire and Statistical Package for the Social
Sciences (SPSS) version 23 was used to analyze the data.
Findings: the researchers found that, pharmacist’s recommendation, price, and country of origin of OTC
medicines have positive and significant effect on consumers’ purchase decision of OTC medicines. Even though,
previous experience and families' and friends' recommendation have positive effect on consumers’ purchase
decision of OTC medicines, is not statistically significant.
Originality/value: Few studies have been conducted on OTC medicines from pharmacy practice perspective and
their result showed that there are significant numbers of consumers using OTC medicines. In the best of authors’
knowledge, however; no research has been conducted on OTC medicines from consumer behavior perspectives,
especially, purchase decision in Ethiopia.
Keywords: Community Pharmacy, OTC Medicine, and Purchase Decision
DOI: 10.7176/JMPB/65-02
Publication date: April 30th 2020

Introduction
The use of non-prescription medicines is the most prevalent form of medical care in the world (Covington, 2002),
and it have seen greater sales growth than that of prescription medicines since 2008 (Tisman, 2015).
OTC medicine market is expected to continue expanding in the near future for several reasons. Firstly, self-
medication is growing and OTC medicines provide a convenient and inexpensive way to treat minor and
ordinary health problems. Secondly, prescription only-to-OTC switching is not likely to abate, making more
medications available without a prescription. Thirdly, health literacy is likely to increase, especially as use of the
internet as a source of self-medication information expands (Denise, et al., 2010).
In addition, Battistoni et al., (2014) suggested that OTC medicine market has two very peculiar
characteristics; which are, very importantly, consumers buy products in response to their specific health needs;
nonetheless, the market is not strictly regulated in the same way that the prescription market, which allows firms
to choose their pricing and communication strategies. On the other hand, consumers are not forced by physicians
to buy one specific drug, so they can choose the one they prefer by themselves.
Recently, the practice of OTC medicine consumption is widely accepted and successfully integrated into
many health care systems throughout the world (WHO, 2000). In most economically deprived countries
including Ethiopia, many drugs are dispensed OTC and majority of health related problems, nearly 60- 80%, are
treated through self-medication as lower cost alternative and if it is used appropriately, use of OTC medicine
could lighten the demand on doctors and make people more health conscious (DACA and MSH/ SPS, 2009).
According to FMoH & WHO (2003), the pharmaceutical industry has always been of interest to marketers
as a large and internationally competitive industry. Therefore, understanding consumers’ behavior before they
made purchase decision will help for product manufacturers and service providers to develop strategies in line
with customers’ actions. Particularly knowing what makes customers to prefer between brands will make the
manufacturer to adapt strategies based on the influential factors (Kotler and Armstrong, 2012).
The private pharmaceutical market is supplied majorly by the products, which are being imported from
different companies from different continents (Andualem, 1995). Though compiled data on most of the
pharmaceutical economics are rare, it can, however, be said that the country doesn’t have a developed
pharmaceutical industry, but only few and small factories which mainly manufacture generic products using a

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Journal of Medicine, Physiology and Biophysics www.iiste.org
ISSN 2422-8427 An International Peer-reviewed Journal
Vol.65, 2020

commissioned master formula developed elsewhere. These factories produce some 25-30% of the essential drugs
that the health sector of the country needs. The remaining 70-75% of the country’s medicines market has been
left vacant for imported products (FMoH & WHO, 2003).
Bond (n.d.) also explained in most of the world, access to and supply of medicines is governed by a
regulatory framework that is based on perceptions of the risks and benefits of the medicine to the population.
Accordingly, there are two broad categories of medicines in Ethiopia: Prescription only medicines (POM);
medicines only available to the public when prescribed by an authorized medical practitioner such as medical
doctors, nurses, health officers, and dental doctors, and Non- prescription or Over- the- counter (OTC) medicines;
medicines that can be sold directly to a consumer without a prescription from pharmacy personnel.
Currently there are more than 24 therapeutic categories of OTC medicines and within these categories; there
are more than 92 types of OTC medicine in national drug list of Ethiopia (FMHACA, 2012).

Research Objectives
The general objective of this study was to investigate factors affecting consumers purchase decision of over-the-
counter (OTC) medicine from community pharmacies in Ethiopia and specific objectives were;
 To examine the effect of pharmacist's recommendation on consumer purchase decision of OTC
medicines.
 To determine the effect of family's and friends' recommendation on consumer purchase decision of
OTC medicines.
 To identify the effect of country of origin on consumer purchase decision of OTC medicines.
 To analyze the effect of previous experience on purchase decision of OTC medicines.
 To identify the effect of price on purchase decision of OTC medicines.

Scope of the Study


This study has three main scopes.
Geographically, this study is limited to Addis Ababa, which is a small portion of the country; this is due to cost
and difficulty to maintain large number of population throughout Ethiopia. Therefore, the findings might not be
the reflection of consumer purchase decision of the whole of the country.
Conceptually, first it is limited to OTC medicines. This is because OTC medicines are representing one of
the main product categories in pharmacies and that are available to the consumers without prescription, and the
consumers have the possibility to make their product choice independent of physicians. On the other hand,
because of limited resources and for a focused result, the researcher decided to consider pharmacist
recommendation, families’ and friends’ recommendation, past experience, country of origin and the price of
OTC medicine only as independent variables, though there are other factors which may affect consumers
purchase decision of OTC medicines. These are; packaging, advertisement, brand name, dosage, symptom, and
medical examination price. This is mainly because; (1) according to Donohue et al., (2007) direct to consumer
advertising (DTCA) of prescription medicines was introduced to USA and other developed countries in
early1990s. However, in Ethiopia, DTCA is not started yet due to the regulation of pharmaceutical promotion,
companies are prohibited from promotional efforts directed to public (FMHACA, 2012). (2) Medical
examination price will be a determinant factor for the consumers to select their treatment option visiting either a
doctor or self-medication (going to pharmacy). Therefore, it is not considered as determinant factor for their
purchase decision of OTC medications.
Methodologically, this study targeted only on community pharmacies as population, and did not include
hospital pharmacies. This is because, community pharmacists are most accessible to the public, an opportunity to
become more than medication dispensers. Unlike community pharmacies, the businesses of the hospital
pharmacies are depending on prescription only medicines from respective hospital where they are in (Melton and
Lai, 2017).

Literature Review
Several studies have been conducted in different countries of Europe and Asia to examine factors affecting
consumers purchase decision of OTC medicines. As the researchers’ noted, few studies have been conducted on
OTC medicines from pharmacy practice perspective (Girma, et al., 2011), (Abdissa & Anbessa, 2015),
(Mohammed, 2017), and (Tewodros, et al., 2015). However, in the best of authors’ knowledge, no research has
been conducted on OTC medicines from consumer behavior perspectives, especially, purchase decision in
Ethiopia.
Therefore, this study will provide an insight to pharmaceuticals marketers on factors which affect consumer
purchase decision of OTC medicines. In addition, based on the finding, pharmaceutical marketers will design
their marketing strategies, in efficient and effective manner to have sustainable competitive advantages.
Moreover, the result will have paramount importance for being as a baseline for further study.

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Journal of Medicine, Physiology and Biophysics www.iiste.org
ISSN 2422-8427 An International Peer-reviewed Journal
Vol.65, 2020

Consumer Purchase Decision Process


Consumers generally go through a five-stage of decision-making process whenever they make a purchase. The
model implies that customers pass through all of the stages in every purchase. However, in more routine
purchases, customers frequently omit or reverse some of the stages (Furaiji et al., 2012) and (Solomon, et al.,
2006).

Figure 1: Purchase Decision Process (Source: Furaiji et.al. 2012, p.80)


Problem Recognition: it occurs when the consumer perceives a need and becomes motivated to solve the
problem. At this stage, the buyer recognizes a problem or need or responds to a marketing stimulus. Next, the
consumer needs to decide how much information (if any) is required to make the decision. (Belch and Belch,
2003).
Information Search: According to Kotler and Armstrong (2012), once consumers perceive a problem or need
that can be satisfied by the purchase of a product or service, they begin to search for information needed to make
a purchase decision.
Alternative Evaluation: the consumer compares the various brands or products and services s/he has identified
as being capable of solving the consumption problem and satisfying the needs or motives that initiated the
decision process. An important determinant of the extent of the evaluation is whether the customer feels
“involved” in the product. (Pride & Ferrell, 2007).
Purchase Decision: At some point in the buying process, the consumer must stop searching for and evaluating
information about alternative brands in the evoked set and makes a purchase decision. As an outcome of the
alternative evaluation stage, the consumer may develop a purchase intention or predisposition to buy a certain
brand. Purchase intentions are generally based on a matching of purchase motives with attributes or
characteristics of brands under consideration (Belch and Belch, 2003).
Post-purchase Evaluation: the consumer decision process does not end with the purchase. After using the
product or service, the consumer compares the level of performance with expectations and is either satisfied or
dissatisfied. Satisfaction occurs when the consumer’s expectations are either met or exceeded; dissatisfaction
results when performance is below expectations. The post-purchase evaluation process is important because the
feedback acquired from actual use of a product will influence the likelihood of future purchases (Solomon, et al.,
2006).
Accordingly, before deciding to buy specific brand of over-the-counter medicine, consumers will go
through several stages such as the introduction of a problem or a symptom of disease, then find the appropriate
information on drug indications, and evaluate alternatives to these drugs on the market, and finally decided that
the right medication that will be used. When consumers search for information about the drug, some consumers
will be interested to find out as much and are very concerned about several types and brands of drugs for the
same indication. For other consumers who demand the same drug the situation was not same. This is related to
the involvement of consumers where the consumers who perceive that a product is said to be more important
personally involved (Kotler and Keller, 2012). After buying the drug, consumers will evaluate whether to
recover unreachable expectations of the drug chosen and realized in the form of feeling satisfied or not satisfied
(Kotler et al., 2005).

Factors Affecting Consumer Purchase Decision of OTC Medicines


Based on related literatures, the researchers identified five factors that mainly affect consumers’ purchase
decision of Over- the-counter medicines. These are; pharmacist’ recommendation, families’ and friends’
recommendation, past experience, country of origin and the price of OTC medicine.
i. Pharmacist’s Recommendation
According to Villako, et al. (2012), the role of the pharmacist in giving advice concerning OTC medicines and
this includes assisting in selecting OTC products’ dosages and forms that are safe and effective for achieving
specific health outcomes (Kotecki, 2002). Major and Vincze (2010) suggested that the pharmacist becomes the
gatekeeper who is responsible for recommending the appropriate health care resources to each patient. Other
scholars, Wieringa, et al., (2015) added on the role of pharmacists with respect to OTC medicines is that many
patients seeking an OTC solution to their health problems may prefer to receive guidance from a health-care
provider (i.e. pharmacist) to reduce their perceived post-purchase risk.
ii. Families’ and Friends' Recommendation
According to Takhire and Joorshari (2015), word-of-mouth (WOM) is described as costumers’ interpersonal

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Journal of Medicine, Physiology and Biophysics www.iiste.org
ISSN 2422-8427 An International Peer-reviewed Journal
Vol.65, 2020

communication about products or services, and it plays a key role in influencing consumer attitudes, tendencies
and behaviors. In addition, they suggested that WOM has major impact on consumer choice and post purchase
perceptions. The information about the brand has been used by the other group members also affect the decision
to skip the existing brand and to move on to the purchase those brand that is using by other group members.
Cîrstea, et al. (2017) also believed that the purchase decision is influenced by two important factors medical or
pharmacist advice and the perceived value of information, which can be from reference groups; primarily people
who have purchased / used that drug, as well as colleagues, friends or family.
iii. Country of Origin
According to Saydan (2013), country-of-origin is one of the most important factors that significantly influence
the purchasing decision of consumers. the country of origin “made in label” has been used as an important
function in meeting with today’s competitive and global environment in order to increase product sales. Laroche
et al., (2005) also revealed that a product’s country of origin influences consumers’ evaluation of it. In addition,
Pappu et al. (2006) in their study suggested that country of origin of a product is an important marketing element
known to influence consumer behavior.
Finally, familiarity with the name or brand has also been reported in pharmacy is an important factor
influencing purchases of OTC medicines. This is because medicine’s country of origin, which was associated
with the manufacturing company’s background, as well as by the manufacturing company have valuated higher
than the product’s advertisement and packaging (Kevrekidis, et al., 2018).
iv. Previous Experience
Because the effect of a drug on health conditions can be learned only through use, prior experience with and
knowledge about the product play significant roles in purchase decisions. Due to the difficulty to obtain such
information about the drug’s quality, patients are quite reluctant to switch once they have found a drug that
works for them (Wieringa, et al., 2015).
Consumers’ purchasing experience involves the internal and external memory which would play an
important role in the purchasing process (Bettman, 1979). Internal memory comes from the actual experience
consumers have with the goods or service while external memory is originated from information related to the
goods or service. The experience of purchasing last longer and will remain in consumers’ mindset. Therefore,
they will immediately start evaluating on the items they purchased and the result of the purchasing experience
toward the items will be kept in their mindset for a very long time (Keller, 2001).
According to Shohel, et al. (2013), direct experience with the product, price range and brand reliance are
important determinants of repetitive purchase behavior on OTC drugs. Dadhich & Dixit (2017) also reflected
that familiarity with the OTC brand is the key factor in determining the repetitive purchase of OTC product.
Lastly, decision-making could originate from consumers’ existing knowledge or experience. The emphasis
on previous experience was supported by the reported tendency of the participants to often pick a specific
product from a certain category of medicines, which implies that they are loyal and long-term user of certain
medicines (Kevrekidis, et al., 2018).
v. Price
Consumers are sensitive to the prices because they want to get maximum benefits of using their money and time.
That means, consumers are very rational to judge what they are getting from buying a product or service in
exchange of their payments for it (Mamun, et al., 2014). Other scholars, Gogoi (2013), and Kevrekidis, et al.
(2018) also described that customers always think that purchase with a low cost, simple packaging and little-
known product is a high risk since the quality of these products is not trustable.
Likewise, Asamoah and Chovancova (2011) suggested that consumers are price takers and accept prices at
face value or as given by the producers. Marketers acknowledge that consumers are vigorously assess price
information, decoding prices in terms of their knowledge from previous purchasing experience, formal
communications (advertising and sales promotions), informal communications (friends, colleagues, or family
members), and point-of-purchase or online resources.

Conceptual Model
Based on the above related literatures and concepts the following conceptual framework was developed.

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Journal of Medicine, Physiology and Biophysics www.iiste.org
ISSN 2422-8427 An International Peer-reviewed Journal
Vol.65, 2020

Figure 2: Conceptual Framework [Source: Cîrstea, et al. (2017), Boström (2011), Major and Vincze (2010),
Yousif (2016), Haramiova, et al. (2017), Shohel, et al. (2013), Dadhich & Dixit (2017), Kevrekidis, et al. (2017),
Talabă & Andrei (2010), and Villako, et al. (2012)]

Research Hypothesis
H1: Pharmacist's recommendation has a positive and significant effect on consumer purchase decision of OTC
medicines.
H2: Family and friends' recommendation have positive and significant effect on consumer purchase decision of
OTC medicines.
H3: Previous experience has positive and significant effect on consumer purchase decision of OTC medicines.
H4: Country of origin has positive and significant effect on consumer purchase decision of OTC medicines.
H5: Price has positive and significant effect on consumer purchase decision of OTC medicines.

Methodology
This study was conducted from March 01, 2018 to April 27, 2018 at Addis Ababa, the capital city of Ethiopia.
Addis Ababa has 10 Sub cities and 116 Woredas and covers an area of 540 square kilometers. Addis Ababa is
the largest city in the country. The total projected population of the city is 3,384,569 with annual growth rate of
3.8%. There are 662,728 households in 628,984 housing units (CSA, 2007). As per the Food, Medicine, health
Care Administration and control Authority (FMHACA) of the city, there are 480 community pharmacies in the
city.
As a capital city, Addis Ababa is the center of the country’s trade activities including the pharmaceutical
market. The main reason why the researcher selected Addis Ababa as study area was that the population comes
from different regions of Ethiopia; they can represent different culture, religion, political, commercial and
economical backgrounds. As a result, the finding of the study can be generalized at country level.
A quantitative research approach was used to test the effect of varies factors on consumer purchase decision
of OTC medicines. To achieve the objective of the study, the researcher used both descriptive and explanatory
research design to investigate those factors affecting consumers purchase decision of OTC medicine, and the
relationship between each independent and dependent variable.
Both primary and secondary data was collected from various sources using data gathering instruments to
make the study complete and achieve its predetermined objectives. All sample respondents are the primary
source of data while available documents such as books, past literature reviews and relevant articles were used as
secondary data.
There are two types of population used in this study. Firstly, this study targeted community pharmacies to
intercept the study participants. It is mainly because, community pharmacists are most accessible to the public,
an opportunity to become more than medication dispensers. They supply medicines in accordance with a
prescription or, when legally permitted, sell them without a prescription. Unlike community pharmacies, the
businesses of hospital pharmacies are depending on prescription only medicines that are from respective hospital
where they are in (Melton and Lai, 2017). According to the data obtained from Addis Ababa Food, Medicine,
and Health Care Administration and Control Authority (AAFMHACA), there are 480 community pharmacies
found in Addis Ababa (Internal document contacted on February 26/2018). Secondly, this study considered all

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Vol.65, 2020

consumers of OTC medicines from community pharmacies as target population.


The source populations for this study were all consumers of OTC medicines from community pharmacies in
Ethiopia.
The target populations for the study were all consumers of over the counter medicines of age >18 years
from community pharmacies. The list of all community pharmacies was used as a frame to select sample
community pharmacies. The list was obtained from Addis Ababa Food, Medicine, and Healthcare
Administration and Control Authority (AAFMHACA). A list of each sample community pharmacy was used as
a frame to intercept the study participants at convenience.
The researcher used a multi stage sampling technique; first, since there is a sampling frame of community
pharmacies in the authorities, simple random sampling technique was used to select a representative sample
population of community pharmacies. Since the number of community pharmacies found in Addis Ababa are
finite (480) and there is a sample frame, using the formula for finite population (Kothari, 2004), 213 community
pharmacies were taken as sample size in the first stage.
In the second stage, a convenience sampling technique was used to have a representative sample population
of the study subjects; i.e. over- the- counter medicine consumers. This is because the total populations of over-
the counter medicines consumers from community pharmacies of Addis Ababa are too large and are considered
infinite and it is difficult to estimate the probability that each respondent in the population has of being included
in the sample. Therefore; considering 95% confidence interval and 5% margin of error, using infinite population
sampling formula (Kothari, 2004), a minimum sample of 384 consumers of OTC medicines was found to be
sufficient as the sample size. However, considering minor adjustment for maintaining uniformity in the field
operation, a final sample size of 426 OTC medicine consumers were decided to be optimum.
Data collection was conducted by a self-administered questionnaire. The questionnaire was carefully
developed in a way that used to measure the impact of the proposed independent variables on the dependent
variable. This self-administered questionnaire was developed with a five point Likert scale. The type of
questions, form, wording and sequences were also considered carefully.
The questionnaire had two sections. The first section covered the demographic profile of the participants
like age, sex, monthly income and educational level. The second section was structured on a Likert scale of 1-5
to show their degree of agreement or disagreement to the sentences about the constructs under study. The
questionnaire was adopted from previous studies about the same construct under study and was modified to the
OTC medicine without modifying the concepts in the construct. Since the study participants were over the
counter medicine consumers of community pharmacies, who are with different educational background, it was
necessary to translate the questionnaire into Amharic language before distributing the questionnaire to help easy
comprehension and accurate response of respondents.
The questionnaire was evenly distributed throughout randomly selected community pharmacies from first
week of March 2018 to second week of April 2018 and consumers were intercepted at the selected community
pharmacies immediately after an actual purchase of OTC medicine. The times 12:00PM to 1:30 PM and 5:00
PM to 8:00PM in the afternoon were chosen since the number of consumers at community pharmacies increases
at these times of the day, which will enable the researcher to obtain responses from variety of customers.

Ethical Consideration
An official letter from Addis Ababa University School of Commerce department of Marketing Management was
written to community pharmacies to get permission. In addition, the entire study participant was informed about
the purpose of the study and finally their oral consent was obtained before giving the questioner. The
information provided by each respondent has been kept confidential and will only be used for research purpose.

Analysis
Out of 426 questionnaires distributed to targeted respondents, only 409 were complete, valid and appropriate for
analysis, which represent 96 % valid response rate.
Reliabilities of the scales were checked after coding and entry of data into SPSS version 23.0. Cronbach’s
alpha coefficients were computed for each scale to determine the internal consistency reliability of the
instruments used in the study. Cronbach’s alpha value of 0.60 is considered as in the lower limit of acceptability
(Malhotra & Birks, 2007), and the overall alpha value is 0.894 which shows the highly acceptability of the
measurement scales used.

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ISSN 2422-8427 An International Peer-reviewed Journal
Vol.65, 2020

Table 1: Summary of Reliability Analysis


Reliability Statistics
Cronbach's Alpha N of Items
Pharmacists recommendation .857 4
Families’ and friends’ recommendation .765 5
Past experience .770 4
Country of origin .885 5
Price .711 5
Purchase decision .770 5
Source: Survey Result (May, 2018)
As the below Table 4.2 shows, out of 409 respondents, 213 (52.1%) of them were females and the
remaining 196 (47.9%) of the respondents were males. Regarding to age, 164 (40.1%) of the respondents were in
the age group of 18- 30 years old while only 16(3.9%) of the respondents were above 60 years old. This implies
that most of OTC medicine consumers were young and adults so that they can be easily addressed by
pharmaceutical marketing promotional activities. With respect to educational level, 126(30.8%) respondents
were Bachelor’s degree holders while there were only 12 (2.9%) of respondents who have no formal educational
background. From the finding, since most of respondents were educated, the researcher concludes that the
pharmaceuticals marketers can easily transfer product information and other promotional activities with different
communication media. According to the finding, 161(39.4%) of the respondents have monthly income more than
5,000 birr/month while only 14(3.4%) of respondents have monthly income less than 1000birr/month.
Table 2: Demographic Characteristics; Sex, Age, Educational Level, and Monthly income
Items Frequency Percent
18-30 164 40.1
31-40 131 32.0
41-50 64 15.6
Age (Year)
51-60 34 8.3
>60 16 3.9
Total 409 100.0
Male 196 47.9
Sex Female 213 52.1
Total 409 100.0
Educational Level No formal education 12 2.9
Primary education 37 9.0
Secondary education 64 15.6
Diploma 104 25.4
Degree 126 30.8
Masters degree & above 66 16.1
Total 409 100.0
Monthly Income (Birr) < 1000 14 3.4
1001- 2000 34 8.3
2001- 3000 41 10.0
3001- 4000 80 19.6
4001- 5000 79 19.3
>5000 161 39.4
Total 409 100.0
Source: Survey Result (May, 2018)
As it can be seen in Table 4.3, all variables have mean score above average and these shows consumers
were considered all independent variables while they decide to purchase OTC medicines. The mean score for
Pharmacists recommendation was higher than others. This indicates that respondents were more agreed that
pharmacists’ recommendation more influenced their purchase decision of OTC medicines.

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Vol.65, 2020

Table 3: Descriptive Statistics of the variables


Descriptive Statistics
N Mean Std. Deviation
Pharmacist recommendation 409 3.93 .819
Family and Friend recommendation
3.12 .828
409
Past Experience 409 3.21 .909
Country of Origin 409 3.15 .894
Price 409 3.30 .661
Purchase Decision 409 3.44 .617
Valid N (listwise) 409
Source: Survey Result (May, 2018)
As a result, Table 4.4 shows the independent variables are significantly and positively correlated with
dependent variable. Price, Country of origin, and Pharmacists’ recommendation have positive and significant
correlation with purchase decision. This indicates that consumers were highly considered price, country of origin,
and pharmacists’ recommendation while they decided to purchase OTC medicines.
Table 4: Correlation between the independent variables and the dependent variable
Correlations
Families' &
Pharmacists Past Country Purchase
friends' Price
recommendation experience of origin decision
recommendation
Pharmacists Pearson
1 .283** .284** .163** .401** .617**
recommendation Correlation
Sig. (2-tailed) .000 .000 .002 .000 .000
N 409 409 409 409 409 409
Families' & friends' Pearson
.283** 1 .480** .173** .411** .345**
recommendation Correlation
Sig. (2-tailed) .000 .000 .001 .000 .000
N 409 409 409 409 409 409
Previous Pearson
.284** .480** 1 .304** .295** .388**
experience Correlation
Sig. (2-tailed) .000 .000 .000 .000 .000
N 409 409 409 409 409 409
Country of origin Pearson
.163** .173** .304** 1 .324** .642**
Correlation
Sig. (2-tailed) .002 .001 .000 .000 .000
N 409 409 409 409 409 409
Pearson
.401** .411** .295** .324** 1 .720**
Price Correlation
Sig. (2-tailed) .000 .000 .000 .000 .000
N 409 409 409 409 409 409
Purchase Decision Pearson
.617** .345** .388** .642** .720** 1
Correlation
Sig. (2-tailed) .000 .000 .000 .000 .000
N 409 409 409 409 409 409
**. Correlation is significant at the 0.01 level (2-tailed).
Source: Survey Result (May, 2018)

Multiple Regression Analysis


As depicted in Table 4.7, when overall purchase decision was regressed on overall the five independent variables,
the independent variables contribute to statistically significant relationship (p< 0.01) between the dependent
variable. 82.3% of the variation accounted for the dependent variable is due to the combined effect of the
independent variables.
Table 5: Model Summary
Model Summary b
Adjusted R Std. Error of the
Model R R Square
Square Estimate
1 .907a .823 .821 .261
a. Predictors: (Constant), price, past experience, country of origin, pharmacists’ opinion and recommendation,
families’ and friends' opinion and recommendation.
b. Dependent Variable: Purchase decision
Source: Survey Result (May, 2018)
Table 4.8 depicted that there is a strong positive and significant relationship between the independent
variables (pharmacists’ recommendation, price, and country of origin) and dependent variable (purchase

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Vol.65, 2020

decision). Since, coefficient of the predictor variables were statistically at <5% level of significance, alternative
hypotheses related with pharmacists’ recommendation, price, and country of origin were accepted.
Though, past experience and families’ and friends’ recommendation have positive effect on purchase
decision of over- the- counter medicine, it is not significant (P- value 0.147, and 0.155 respectively). Therefore;
alternative hypotheses related with past experience and families’ and friends’ opinion and recommendation were
rejected.
Table 6: Regression Analysis of Independent and Dependent Variable
Coefficientsa
Unstandardized Standardized
Coefficients Coefficients
Model
B Std. Error Beta t Sig.
1 (Constant) .055 .088 .622 .534
Pharmacists recommendation .301 .017 .436 18.142 .000
Families' and friends'
.023 .020 .030 1.139 .155
recommendation
Past experience .026 .018 .038 1.454 .147
Country of origin .279 .019 .370 15.035 .000
Price .402 .025 .431 16.233 .000
a. Dependent Variable: Purchase decision
Source: Survey Result (May, 2018)

Analysis of Variance
As it is depicted in table 4.9, ANOVA tests shows that the regression model results in significantly better
prediction of product purchase decision than if we used the mean value of customers’ product purchase decision.
Table 7: ANOVA
ANOVAa
Model Sum of Squares df Mean Square F Sig.
1 Regression 114.985 5 22.997 336.942 .000b
Residual 24.707 403 .068
Total 139.692 408
a. Dependent Variable: Purchase decision
b. Predictors: (Constant), Price, Past experience, Country of origin, Pharmacists opinion and recommendation,
Families' and friends' opinion and recommendation
Source: Survey Result (May, 2018)

Discussion
This study was carried out to answer the researchers’ five main questions which were listed in chapter one.
Namely, how does pharmacist's recommendation affect consumers purchase decision of OTC medicines? To
what extent family's and friends' recommendation affect consumers purchase decision of OTC medicines? How
does country of origin affect consumer purchase decision of OTC medicines? How a past experience does affect
consumer purchase decision of OTC medicines? And to what extent does price affect consumer purchase
decision of OTC medicines?
As a result, the study revealed that pharmacist's recommendation has a positive and significant effect on
consumers’ purchase decision of OTC medicines with a mean value of 3.93.
This is supported by the finding of Kevrekidis, et al. (2017), which was conducted in Greece that has a
mean value 4.31. In addition, the finding is supported by Haramiova, et al. (2017), Talabă and Andreia (2010),
Cîrstea, et al. (2017), and Boström (2011). The finding shows that consumers have a deep trust in the knowledge
and competency of the pharmaceutical staff, and that they are easily influenced by them. For this consumer
segment the pharmaceutical staffs are influencers who shape the consumers’ view on different products and
affect their final purchase decision. The pharmaceutical staff can influence the range of products that the
consumer evaluates as an alternative. If we now consider that many consumers take into consideration and also
place their product choice based on the opinion or recommendation from the pharmaceutical staff, the
pharmaceutical staff is likely to have a great influence on consumers’ purchase decision of products
Even though most of the respondents were relatively high paid, they were highly concerned about the price
of OTC medicines. In other words, price also has a positive and significant effect on purchase decision of OTC
medicines of consumers. This implies that OTC medicine consumers usually check the price of OTC medicine
before buying it. The finding is in accordance with the result of Haramiova, et al. (2017), (Villako, et al., 2012),

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Major and Vincze (2010), Shohel, et al. (2013), and Dadhich & Dixit (2017) which were conducted in different
developed countries especially in Europe and Asia.
Country of origin has a positive and significant effect on consumers’ purchase decision of OTC medicines
with mean value of 3.15. This result is in line with Kevrekidis, et al. (2017), which was conducted in Greece,
which has a mean value 3.63. Shohel, et al. (2013), Dadhich & Dixit (2017), and Boström (2011) have similar
results that explain the positive and significant effect country of origin on consumers’ purchase decision of OTC
medicines. Furthermore, consumers consider country of origin to be important for choosing OTC medicines. It
can be considered that country of origin does guide the decision making process of consumers, after they have
taken into consideration other people’s input. As it is explained in the above, country of origin received an
average of 3.15 which indicates its importance. Based on the finding, the researcher can conclude that there is a
segment whose product choice is influenced by the pharmaceutical company’s country of origin and not only by
product features or others people’s opinions.
Several studies; Shohel, et al. (2013), Haramiova, et al. (2017), Yousif (2016), Boström (2011), (Cîrstea, et
al., 2017), and Talabă and Andreia (2010) explain that recommendation of family and friends is considered as
one of the more important factors that help the consumer choose an OTC medicine. However, this study shows
there is a positive relationship between families’ and friends’ recommendation and purchase decision of OTC
medicines even if the relationship is statistically insignificant. This is in contrary to the previously studied related
literatures.
It is important for pharmaceutical companies that their product is the first product choice which the
consumer makes in that specific product category which is explained by; Shohel, et al. (2013), Haramiova, et al.
(2017), Yousif (2016), Boström (2011), (Cîrstea, et al., 2017), and Talabă and Andreia (2010) as nearly all
consumers say that they usually buy the same OTC medicine again and again. The most common reason for this
purchasing pattern is that they know the product does work and through previous experience they have learnt
about the product and that it is a solution to their problem or need. Some customers do not have the time or
energy to explore other options and buy the same product again. Unlike to these literatures, previous experience
has a positive but insignificant effect on consumers’ purchase decision of OTC medicines.
Table 7: Summary of the overall outcome of the research hypothesis
Hypothesis Result Reason
H1: Pharmacist's recommendation has a positive and significant effect on Confirmed β=0.436,
consumer purchase decision of OTC medicines. p<0.05
H2: Family's and friends' recommendation have positive and significant effect on rejected β=0.030,
consumer purchase decision of OTC medicines. p>0.05
H3: Past experience has positive and significant effect on consumer purchase rejected β=0.038,
decision of OTC medicines. p>0.05
H4: Country of origin has positive and significant effect on consumer purchase Confirmed β=0.370,
decision of OTC medicines. p<0.05
H5: Price has positive and significant effect on consumer purchase decision of Confirmed β=0.431,
OTC medicines. p<0.05
Source: Survey Result (May, 2018)

Conclusion
As per the finding, pharmacist’s recommendation, price, and country of origin of OTC medicines have positive
and significant effect on consumers’ purchase decision. Thus, consumers’ purchase decisions of OTC medicines
were mainly determined by the pharmacist’s recommendation, price, and country of origin of OTC medicines.
Though, past experience and family's and friends' recommendation have positive effect on consumers’ purchase
decision, it is not statistically significant.

Recommendations
Depending on the findings and conclusions made, the researcher forwards four main recommendations. These
are;
1. Marketers of OTC medicines especially, wholesalers and importers could benefit from considering
community pharmacists as main targets for their promotional activities such as, new OTC medicine
launch, continuous medical education (CME) as well as detailing (personal selling).
2. OTC medicines wholesalers and importers could also benefit from focusing on their pricing strategies
so as to have competitive advantages and manage needs of their consumers.
3. OTC medicine marketers could also capitalize on the country of origin for their products in their
strategies through different promotional activities which targets professionals who have direct contact
with consumers. This is because commercial advertising of pharmaceutical products is not yet practical
in Ethiopia.

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4. Lastly, the researcher recommends further research on previous experience and families’ & friends’
recommendation to examine their effect on purchase decision of OTC medicine.

Limitation and Suggestion for Future Research


1. This study not examined the effect of demographic characteristics on purchase decision of OTC
medicines. Therefore, researchers in the future will examine their effects on purchase decision of OTC
medicines.
2. This study not included factors like packaging, and company profile as independent variables.
Therefore, future research can be carried out on these variables to examine their effects on purchase
decision of OTC medicines.
3. Only OTC medicine consumers of Addis Ababa were considered as target population. As a result, the
finding might not represent the purchase decision of OTC medicines consumers of the whole Ethiopia.
Therefore; additional studies of the same topic shall be conducted in different regions of the country.
4. Finally, since convenient sampling technique was used, the result might not explain OTC medicines
purchase decision of even Addis Ababa consumers.

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Annex 1
Questionnaire (English version)
Dear Respondent;
First of all I would like to thank you for your valuable cooperation. I am doing a paper for the fulfillment of a
Masters degree in the Arts of Marketing Management. This research focuses on factors affecting consumer

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Vol.65, 2020

purchase decision of over- the- counter medicine of community pharmacies in Ethiopia. The information you
provide will only be used for the results of the study and it is strictly confidential. Please do not write your
contact details on the questionnaire. Thanks for your cooperation again.
Meseret Wube (Mob. +251913989489)

Part I: General Information


Please put an ‘‘X’’ mark of your choice on the space provided.
1. What is your age (in year?)
1. 18 – 30
2. 31 – 40
3. 41 – 50
4. 51 – 60
5. >60

2. Sex
1. Male 2. Female

3. Educational Level

1. No formal education
2. Primary School completed
3. High School completed
4. Diploma
5. Degree
6. Masters Degree and above

4. Your monthly income (in Birr)

1. < 1000
2. 1001- 2000
3. 2001- 3000
4. 3001- 4000
5. 4001- 5000
6. >5000
Part II
Dear Respondent;
First of all I would like to thank you for your valuable cooperation. I am doing a paper for the fulfillment of a
Masters degree in the Arts of Marketing Management. This research focuses on factors affecting consumer
purchase decision of over- the- counter medicine of community pharmacies in Ethiopia. The information you
provide will only be used for the results of the study and it is strictly confidential. Please do not write your
contact details on the questionnaire. Thanks for your cooperation again.
Instructions: Please indicate your degree of agreement or disagreement against each question by encircling the
appropriate number (where, 1: Strongly disagree, 2: Disagree, 3: Neutral, 4: Agree, and 5: Strongly agree).
N.B. Over- the- counter medicine is a medicine that can be purchased from pharmacy without prescription.

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Strongly disagree

Strongly agree
Disagree

Neutral

Agree
S.N Factors

Pharmacist’s recommendation (PR)


PR 1 I have a trust on pharmacist’s recommendation of over- the- counter 1 2 3 4 5
medicines.
PR 2 I have been buying an over- the- counter medicine according to 1 2 3 4 5
pharmacist’s recommendation.
PR 3 I repeat buying a medicine which the pharmacist described to me 1 2 3 4 5
and gave me good results.
PR 4 I have an experience of buying over- the- counter medicine which 1 2 3 4 5
the pharmacist recommended me.
Families’ and Friends recommendation (FFR)
FFR 1 I have been buying over- the- counter medicine of which I have 1 2 3 4 5
heard from my friend and/or my family.
FFR 2 I have a trust on family member’s experiences regarding over- the- 1 2 3 4 5
counter medicines.
FFR 3 I have experience of buying a brand of over- the- counter medicine 1 2 3 4 5
that my family members recommended me without consulting the
pharmacist.
FFR 4 The information I obtain from my family members and friends 1 2 3 4 5
encourage me to buy over- the- counter medicine.
FFR 5 I repeat buying an over-the-counter medicine that my family 1 2 3 4 5
members and friends described to me and gave me good results.
Previous Experience ( PE)
PE 1 I prefer to purchase a brand of over-the-counter medicine that I have 1 2 3 4 5
previously purchased.
PE 2 I always buy the same brand of over-the-counter medicine. 1 2 3 4 5
PE 3 I am willing to pay more for an over-the-counter medicine I have had a 1 2 3 4 5
good experience with.
PE 4 I will buy different brands of over- the- counter medicine because I 1 2 3 4 5
want variation.
Country- of- Origin (COO)
COO 1 I like considering its country of origin while I purchase an over- 1 2 3 4 5
the- counter medicine.
COO 2 I use country-of-origin as a reference to evaluate quality of an over- 1 2 3 4 5
the- counter medicine among brands.
COO 3 I will purchase over- the- counter medicines from certain country to 1 2 3 4 5
enhance my self-image.
COO 4 I believe purchasing over- the- counter medicines from certain 1 2 3 4 5
country will enhance my social status and pride.
COO 5 I will purchase an over- the- counter medicine, if it is from a 1 2 3 4 5
country-of-origin which I like.

Price (P)
P1 I am very concerned about the price of the over- the- counter medicine. 1 2 3 4 5
P2 I will continue buying over- the- counter medicine which I know so far 1 2 3 4 5
even though it increases its price.
P3 I will switch to another brand of over- the- counter medicine if the price 1 2 3 4 5
is increased.
P4 I will compare the prices of over- the- counter medicine among brands 1 2 3 4 5
while I want to purchase.
P5 I will buy the cheapest over- the- counter medicine. 1 2 3 4 5

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Purchase decision (PD)


PD 1 I decide to buy over- the- counter medicine upon pharmacist’s 1 2 3 4 5
recommendation.
PD 2 I decide to buy over- the- counter medicine upon families’ and friends’ 1 2 3 4 5
recommendation.
PD 3 I decide to buy over- the- counter medicine through my own 1 2 3 4 5
experience.
PD 4 I decide to buy over- the- counter medicine by considering its country 1 2 3 4 5
of origin.
PD 5 I decide to buy over- the- counter medicine by considering its price 1 2 3 4 5
Thank you for your participation!

Annex 2
Questionnaire (Amharic version)

አዲስ አባባ ዩኒቨርስቲ ንግድ ስራ ት/ቤት


የድህረ ምረቃ ጥናት
የገበያ ጥናት ትምህርት ክፍል/Marketing Management Department
በደንበኞች የሚሞላ መጠይቅ

ውድ ጊዜዎን ሰውተው ይኼንን መጠይቅ ስለሞሉልኝ በቅድሚያ አመሰግናለሁ፡፡ በመቀጠልም ይህ መጠይቅ የተዘጋጀው ያለ መድሃኒት
ማዘዣ የሚሸጡ መድሃኒቶችን በመግዛት ሂደት ውስጥ የገዢው/ደንበኛው ምርቱን የመግዛት ውሳኔ ላይ ተጽእኖ የሚያደርጉ ምክንያቶች
(Factors Affecting Consumers’ Purchase Decision of Over- the- Counter Medicines) ለመፈተሸ ሲሆን ጥናቱም በግል
መድሃኒት ቤቶች ላይ ያተኩራል፡፡ ጥናቱ የተዘጋጀው ለመመረቂያ ፅሁፍ ሲሆን በዚህ መጠይቅ እርስዎ የሚመልሱት መልስ ለመመረቂያ ፅሁፍ
አገልግሎት ብቻ የሚውል መሆኑን በቅድሚያ ላረጋግጥለዎት እወዳለሁ፡፡ ለበለጠ መረጃ ወይም ማብራሪያ በስልክ ቁጥር፡ 0913 98 94 89
ቢደውሉልኝ ወይም በኢ-ሜይል፡ meseretwb@gmail.com ቢፅፉልኝ ፈጣን ምላሽ ይኖረኛል፡፡
ክፍል አንድ
ስለ ምላሽ ስጪዎች መረጃ
በሚሞሉበት ጊዜ፡ 1. ስምዎን መጻፍ የለብዎትም 2. መልስዎ ሲፅፉ በሳጥኑ ውስጥ የ (x) ምልክት ያድርጉ
1. ዕድሜ (በዓመት)

1. 18 – 30
2. 31 – 40
3. 41 – 50
4. 51 – 60
5. >60

2. ፆታ
1. ወንድ 2. ሴት
3. የትምህርት ደረጃ
1. የመጀመሪያ ደረጃ ት/ት ያጠናቀቀ/ች
2. የሁለተኛ ደረጃ ት/ት ያጠናቀቀ/ች
3. ዲፕሎማ ያጠናቀቀ/ች
4. የመጀመሪያ ድግሪ
5. የሁለተኛ ድግሪና ከዚያ በላይ
6. ከተጠቀሱት ዉጪ ከሆነ ይጠቀስ________

4. የወር ገቢ (በብር)

1. ከ1000 ያነሰ
2. 1001- 2000
3. 2001- 3000
4. 3001- 4000
5. 400- 5000
6. ከ5000 በላይ
ክፍል ሁለት
የገዢውን ወይም የደንበኛውን የመግዛት ውሳኔ በዋናነት ተጽእኖ ሊያሳድሩ የሚችሉ ምክንያቶች
እባክዎ የገዢውን ወይም የደንበኛውን የመግዛት ውሳኔ በዋናነት ተጽእኖ ሊያሳድሩ የሚችሉ ምክንያቶችና የመስማማት/አለመስማማት
ፍላጎትዎን መጠን ከሚከተሉት ዓረፍተነገሮች ጋር በማያያዝ ይምረጡ። (የእርስዎን አመለካከት የበለጠ የሚገልጸውን ቁጥር ያክብቡ)፡፡

23
Journal of Medicine, Physiology and Biophysics www.iiste.org
ISSN 2422-8427 An International Peer-reviewed Journal
Vol.65, 2020

ማሳሰቢያ፡ 1፡ በጣም አልስማማም 2፡ አልስማማም 3፡ የምለው የለኝም 4፡ እስማማለሁ 5፡ በጣም እስማማለሁ ማለት ነው፡፡

አልስማማም
አልስማማም

እስማማለሁ

እስማማለሁ
በጣም
ተ.ቁ. የመለኪያ መስፈረቶች

የምለው
የለኝም

በጣም
የመድሃኒት ባለሙያዎች ጥቆማን በተመለከተ
1 የመድሃኒት ባለሙያዎች ያለ ማዘዣ የሚሸጡ መድሃኒቶችን በተመለከተ ለሚሰጡኝ አሰተያየትና 1 2 3 4 5
ጥቆማ እምነት አለኝ፡፡
2 ያለ ማዘዣ የሚሸጡ መድሃኒቶችን የመድሃኒት ባለሙያዎች በሚሰጡኝ አሰተያየትና ጥቆማ 1 2 3 4 5
መሰረት እገዛለሁ፡፡
3 የመድሃኒት ባለሙያዎች ከዚህ ቀደም ጠቁመውኝ ተጠቅሜው በደንብ የፈወሰኝን ያለ ማዘዣ 1 2 3 4 5
የሚሸጥ መድሃኒት ደጋግሜ ገዝቼ አውቃለሁ፡፡፡፡
4 የመድሃኒት ባለሙያዎች የጠቆሙኝን ያለ ማዘዣ የሚሸጡ መድሃኒቶች የመግዛት ልምዱ አለኝ፡፡ 1 2 3 4 5
የቤተሰቦችና የጓደኞች ጥቆማን በተመለከተ
1 ከቤተሰቦቼና ወይም ከጓደኞቼ የሰማሁትን ያለ ማዘዣ የሚሸጥ መድሃኒትን ስገዛ ቆይቻለሁ፡፡ 1 2 3 4 5
2 ያለ ማዘዣ የሚሸጡ መድሃኒቶችን በተመለከተ በቤተሰቦቼና ወይም በጓደኞቼ ልምድ እምነት
አለኝ፡፡ 1 2 3 4 5
3 ቤተሰቦቼ ወይም ጓደኞቼ የጠቆሙኝን ያለ ማዘዣ የሚሸጥ መድሃኒት ብራንድ የመድሃኒት
ባለሙያዎችን ሳላማክር የመግዛት ልምዱ አለኝ፡፡ 1 2 3 4 5
4 ከቤተሰቦቼና ከጓደኞቼ ያገኘሁት መረጃ ያለ ማዘዣ የሚሸጥ መድሃኒት እንድገዛ ያበረታታኛል፡፡ 1 2 3 4 5
5 ቤተሰቦቼና ጓደኞቼ ከዚህ ቀደም ጠቁመውኝ ተጠቅሜው በደንብ የፈወሰኝን ያለ ማዘዣ የሚሸጥ
መድሃኒት ደጋግሜ ገዝቼ አውቃለሁ፡፡ 1 2 3 4 5
ከዚህ ቀደም የነበረ ልምድን ወይም ተሞክሮን በተመለከተ
1 ከዚህ ቀደም ገዝቼ ተጠቅሜው የማውቀውን ያለ ማዘዣ የሚሸጥ መድሃኒት ተመሳሳይ ብራንድ 1 2 3 4 5
መግዛት እመርጣለሁ፡፡
2 ተመሳሳይ ብራንድ የሆነ ያለ ማዘዣ የሚሸጥ መድሃኒት በተለምዶ ደጋግሜ አገዛለሁ፡፡ 1 2 3 4 5
3 ከዚህ ቀደም ገዝቼ ተጠቅሜው በደንብ የፈወሰኝን ያለ ማዘዣ የሚሸጥ መድሃኒት ብራንድ 1 2 3 4 5
ለመግዛት የበለጠ ዋጋ ለመክፈል ፈቃደኛ ነኝ፡፡
4 የተለያየ ብራንድ ያላቸው ያለ ማዘዣ የሚሸጡ መድሃኒቶች መጋዛት እወዳለሁ፡፡ ምክንያቱም 1 2 3 4 5
ለውጥ ስለምፈልግ፡፡
መድሃኒቱ የተመረተበትን ሀገር በተመለከተ
1 ያለ ማዘዣ የሚሸጥ መድሃኒት በምገዛበት ወቅት የተሰሩበትን ሀገር ከግምት ውስጥ አስገባለሁ፡፡ 1 2 3 4 5

2 ያለ ማዘዣ የሚሸጡ መድሃኒቶች የተመረቱበትን ሀገር በየመድሃኒት ብራንዶች መካከል ያለውን 1 2 3 4 5


የጥራት ልዩነት እንደመለኪያ እጠቀማለሁ፡፡
3 የራሴን ገፅታ/self-image/ ለመጨመር ስል የሆነ ሀገር የተመረተ ያለ ማዘዣ የሚሸጥ መድሃኒት 1 2 3 4 5
ገዝቼ እጠቀማለሁ፡፡
4 የሆነ ሀገር የተመረተ ያለ ማዘዣ የሚሸጥ መድሃኒት ገዝቼ ስጠቀም በማህበረሰቡ ውስጥ ያለኝን 1 2 3 4 5
ቦታና ክብር እንደሚጨምርልኝ አምናለሁ፡፡
5 ያለ ማዘዣ የሚሸጠውን መድሃኒት የምገዛው የተመረተበት ሀገር የምወደው ሀገር ከሆነ ነው፡፡ 1 2 3 4 5
የመሸጫ ዋጋን በተመለከተ
1 ያለ ማዘዣ የሚሸጡ መድሃኒቶችን ስገዛ የሽያጭ ዋጋቸውን ከግምት ውስጥ በጣም አስገባለሁ፡፡ 1 2 3 4 5
2 ምንም እንኳ የመሸጫ ዋጋው ቢጨምርም ከዚህ በፊት የማውቀውን ያለ ማዘዣ የሚሸጥ 1 2 3 4 5
መድሃኒት መግዛት እቀጥላለሁ፡፡
3 ከዚህ በፊት ስጠቀም የነበረው ያለ ማዘዣ የሚሸጥ መድሃኒት የመሸጫ ዋጋው ቢጨምር ሌላ 1 2 3 4 5
ብራንድ እገዛለሁ፡፡
4 ያለ ማዘዣ የሚሸጡ መድሃኒቶችን ስገዛ የሽያጭ ዋጋቸውን ከብራንድ ብራንድ አወዳድራለሁ፡፡ 1 2 3 4 5
5 ያለ ማዘዣ የሚሸጥ መድሃኒት በምገዛበት ወቅት በጣም ቅናሽ ዋጋ ያለውን መድሃኒት 1 2 3 4 5
እፈልጋለሁ፡፡
የመግዛት ውሳኔን በተመለከተ
1 ያለማዘዣ የሚሸጡ መድሃኒቶችን ለመግዛት የምወስነው የመድሃኒት ባለሙያዎች በሚሰጡኝ 1 2 3 4 5
አስተያየትና ጥቆማ መሰረት ነው፡፡
2 ያለማዘዣ የሚሸጡ መድሃኒቶችን ለመግዛት የምወስነው ቤተሰቦቼና ጓደኞቼ በሚሰጡኝ 1 2 3 4 5
አስተያየትና ጥቆማ መሰረት ነው፡፡
3 ያለማዘዣ የሚሸጡ መድሃኒቶችን ለመግዛት የምወስነው ከዚህ ቀደም ያለኝን ልምድ በመጠቀም 1 2 3 4 5
ነው፡፡
4 ያለማዘዣ የሚሸጡ መድሃኒቶችን ለመግዛት የምወስነው የተሰሩበትን ሀገር ከግምት ውስጥ 1 2 3 4 5
በማስገባት ነው፡፡
5 ያለማዘዣ የሚሸጡ መድሃኒቶችን ለመግዛት የምወስነው የሽያጭ ዋጋቸውን ከግምት ውስጥ 1 2 3 4 5
በማስገባት ነው፡፡

24
Journal of Medicine, Physiology and Biophysics www.iiste.org
ISSN 2422-8427 An International Peer-reviewed Journal
Vol.65, 2020

ለትብብርዎ በጣም አመሰግናለሁ!!

Annex 3
Number of Community Pharmacies in Addis Ababa

25

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