Dispensing medication with bare hands is a global issue. Despite numerous informal campaigns, the bare hand counting of medicines remains fairly common in Africa, Central Asia, South East Asia, and several Latin American and Caribbean countries. Even if medicines are of good quality, they are often counted out with bare hands. As a result, medicines can become contaminated and may not work properly, leading to possibly serious health implications. A comprehensive approach to addressing the challenges of dispensing medications is needed to counter this practice.