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Background: The proliferation of counterfeit drugs is of public health concern and worthy of discourse. Aim: The aim of the study is to assess the perceived factors affecting the distribution of counterfeit drugs in community pharmacies in Calabar municipality. Methodology: This study is a cross sectional descriptive study that employed the use of closed ended pretested questionnaire for the collection of data. Data was analyzed using the SPSS 20.0. Results: Findings show that 23(74.2%) of the respondents were males while 8(25.8%) were females. Majority of the respondents 28(90.8%) were community pharmacist, 2(6.5%) nurses and 1(3.2%) pharmacy technician. Findings show that about 58% of purchase of drugs is been determined by the medical/pharmacist representative while 42% of drugs purchased is been determine by the distributor. Majority of the respondents 19(61.3%) buy their drugs from medical /pharmacist representative. Respondents were able to detect counterfeit drugs through: customers report (19%), close scrutiny (32%), regulatory officials (13%) and news/company alerts (36%). Poverty 10(32%), greed 6(19%), heavy taxes/VAT on drugs 5(16%), government policies towards health care delivery 5(16%), and poor implementation of relevant laws by government agencies 5(16%) were factors identified as responsible for proliferation of counterfeit drugs. Conclusion: Poverty is a significant factor responsible for the proliferation of counterfeit drugs. The most common means used by community pharmacists to identify counterfeit drugs are scrutiny and news/alerts. There is need to create more awareness, and seek collaboration with community stakeholders in the fight against counterfeit drugs.

south american journal of public health

Perceived Determinants of Distribution of Counterfeit Drugs in Community Pharmacies, Calabar Municipality Local Government Area, Cross River State, Nigeria