Self-medication with anti-malarials is a common practice in rural communities of Kilosa district in Tanzania despite the reported decline of malaria.
Self-medication with anti-malarials is a common practice in rural communities of Kilosa district in Tanzania despite the reported decline of malaria.
复制标题
DOI：
10.1186/1475-2875-13-252
复制
发表时间：
2014-07-03
期刊：
影响因子：
3
通讯作者：
Gwakisa PS
中科院分区：
文献类型：
--
作者：
Chipwaza B;Mugasa JP;Mayumana I;Amuri M;Makungu C;Gwakisa PS
自我药疗已在世界范围内广泛实行，特别是在包括坦桑尼亚在内的发展中国家。在撒哈拉以南非洲地区，疟疾发病率高，促使人们自行使用抗疟疾药物进行治疗。近年来，疟疾控制取得了进展，导致疟疾传播、发病率和死亡率下降。因此，了解这段时期的自我药疗模式很重要，因为大多数发烧病例被认为是由非疟疾发热性疾病引起的。在这项研究中，对社区成员的自我药疗实践进行了评估，并从卫生工作者那里收集了有关自我药疗习惯的信息。在坦桑尼亚基洛萨地区与社区成员进行了 12 次焦点小组讨论 (FGD)，并与卫生工作者进行了 14 次深度访谈 (IDI)。通过MaxQDA软件将成绩单编码为不同的类别，然后通过主题内容分析进行分析。研究表明，自我药疗是 FGD 参与者的常见做法。参与者经常使用包括磺胺多辛、乙胺嘧啶和奎宁在内的抗疟疾药物来治疗发烧。研究参与者报告说，他们在自我药疗失败或自我药疗后没有显着改善后去了医疗机构。自我药疗的常见原因是医疗机构药品短缺、医疗机构等待时间长、距离医疗机构远、无力支付医疗费用以及可以自由选择首选药物。这项研究表明，自我药疗实践在研究地区的农村社区中很常见。强调社区意识的必要性，以获取有关自我药疗实践相关缺点的正确和全面的信息。政府和其他利益相关者刻意努力改善医疗保健服务，特别是在初级医疗保健机构，将有助于减少自我药疗行为。
Self-medication has been widely practiced worldwide particularly in developing countries including Tanzania. In sub-Saharan Africa high incidences of malaria have contributed to self-medication with anti-malarial drugs. In recent years, there has been a gain in malaria control, which has led to decreased malaria transmission, morbidity and mortality. Therefore, understanding the patterns of self-medication during this period when most instances of fever are presumed to be due to non-malaria febrile illnesses is important. In this study, self-medication practice was assessed among community members and information on the habit of self-medication was gathered from health workers. Twelve focus group discussions (FGD) with members of communities and 14 in-depth interviews (IDI) with health workers were conducted in Kilosa district, Tanzania. The transcripts were coded into different categories by MaxQDA software and then analysed through thematic content analysis. The study revealed that self-medication was a common practice among FGD participants. Anti-malarial drugs including sulphadoxine-pyrimethamine and quinine were frequently used by the participants for treatment of fever. Study participants reported that they visited health facilities following failure of self-medication or if there was no significant improvement after self-medication. The common reported reasons for self-medication were shortages of drugs at health facilities, long waiting time at health facilities, long distance to health facilities, inability to pay for health care charges and the freedom to choose the preferred drugs. This study demonstrated that self-medication practice is common among rural communities in the study area. The need for community awareness is emphasized for correct and comprehensive information about drawbacks associated with self-medication practices. Deliberate efforts by the government and other stakeholders to improve health care services, particularly at primary health care facilities will help to reduce self-medication practices.
登录
查看更多内容
影响因子：
0.4
作者：
Abay, S. M.;Amelo, W.
通讯作者：
Amelo, W.
影响因子：
158.5
作者：
D'Acremont, Valerie;Kilowoko, Mary;Genton, Blaise
通讯作者：
Genton, Blaise
影响因子：
4.5
作者：
Ellis, Amy A.;Traore, Sidy;Winch, Peter J.
通讯作者：
Winch, Peter J.
影响因子：
3.3
作者：
Addo-Yobo, Emmanuel;Anh, Dang D.;Qazi, Shamim
通讯作者：
Qazi, Shamim
影响因子：
2.5
作者：
Graham, Kirstie J.;Ba-Break, Maryam M.
通讯作者：
Ba-Break, Maryam M.