He also described that, even though post marketing surveillance is vital and untouched area in developing world, especially in Ethiopia, most health providers participation is very far from what could have been done in practice . In Debremarkos Referral Hospital pharmacy department, knowing that little input is crucial to contribute to the National drug safety monitoring and thereby improve the quality of health care being provided, they are working tremendously by mobilizing all clinical staff. The department assigned Adverse Drug Event (ADE) focal person and design ADE registration book to document observed ADE to use the information for the facility in addition to primarily reporting it to the Pharmacovigilance center on a regular basis for further investigation and regulatory measure. Doing this is considered as part of their daily activities.