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01.12.2012 | Research | Ausgabe 1/2012 Open Access

Malaria Journal 1/2012

Does anti-malarial drug knowledge predict anti-malarial dispensing practice in drug outlets? A survey of medicine retailers in western Kenya

Zeitschrift:
Malaria Journal > Ausgabe 1/2012
Autoren:
Andria Rusk, Nathan Smith, Diana Menya, Andrew Obala, Chrispinus Simiyu, Barasa Khwa-Otsyula, Wendy O’Meara
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1475-2875-11-263) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

AR performed data analysis and drafted the first version of the manuscript. NS participated in study design, led development of the data collection tool, collected the data, and provided revisions to the manuscript. DM participated in developing the data collection tool, and provided revisions to the manuscript. AO participated in developing the data collection tool. CS participated in data collection. BO participated in developing the data collection tool. WPO conceived the study, participated in study design and developing the data collection tool, performed analysis, and provided revisions to the manuscript. All authors read and approved the final manuscript.

Abstract

Background

Malaria is a major cause of morbidity and mortality in Kenya, where it is the fifth leading cause of death in both children and adults. Effectively managing malaria is dependent upon appropriate treatment. In Kenya, between 17 to 83 percent of febrile individuals first seek treatment for febrile illness over the counter from medicine retailers. Understanding medicine retailer knowledge and behaviour in treating suspected malaria and dispensing anti-malarials is crucial.

Methods

To investigate medicine retailer knowledge about anti-malarials and their dispensing practices, a survey was conducted of all retail drug outlets that sell anti-malarial medications and serve residents of the Webuye Health and Demographic Surveillance Site in the Bungoma East District of western Kenya.

Results

Most of the medicine retailers surveyed (65%) were able to identify artemether-lumefantrine (AL) as the Kenyan Ministry of Health recommended first-line anti-malarial therapy for uncomplicated malaria. Retailers who correctly identified this treatment were also more likely to recommend AL to adult and paediatric customers. However, the proportion of medicine retailers who recommend the correct treatment is disappointingly low. Only 48% would recommend AL to adults, and 37% would recommend it to children. It was discovered that customer demand has an influence on retailer behaviour. Retailer training and education were found to be correlated with anti-malarial drug knowledge, which in turn is correlated with dispensing practices. Medicine retailer behaviour, including patient referral practice and dispensing practices, are also correlated with knowledge of the first-line anti-malarial medication. The Kenya Ministry of Health guidelines were found to influence retailer drug stocking and dispensing behaviours.

Conclusion

Most medicine retailers could identify the recommended first-line treatment for uncomplicated malaria, but the percentage that could not is still too high. Furthermore, knowing the MOH recommended anti-malarial medication does not always ensure it is recommended or dispensed to customers. Retailer training and education are both areas that could be improved. Considering the influence that patient demand has on retailer behaviour, future interventions focusing on community education may positively influence appropriate dispensing of anti-malarials.
Zusatzmaterial
Authors’ original file for figure 1
12936_2012_2215_MOESM1_ESM.pdf
Authors’ original file for figure 2
12936_2012_2215_MOESM2_ESM.pdf
Authors’ original file for figure 3
12936_2012_2215_MOESM3_ESM.pdf
Authors’ original file for figure 4
12936_2012_2215_MOESM4_ESM.pdf
Literatur
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