Provider characteristics among staff providing care to sexually transmitted infection self-medicating patients in retail pharmacies in Kibera Slum, Nairobi, Kenya
Provider characteristics among staff providing care to sexually transmitted infection self-medicating patients in retail pharmacies in Kibera Slum, Nairobi, Kenya
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DOI：
10.1097/olq.0b013e3181644b84
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发表时间：
2008-05-01
影响因子：
3.1
通讯作者：
Bukusi, Elizabeth
中科院分区：
文献类型：
--
作者：
Kwena, Zachary;Sharma, Anjali;Bukusi, Elizabeth
目的：评估供应商的特点，在最大的非正式结算在Kenya.Methods：我们收集了社会人口，培训和工作历史属性药房工作人员从一个方便的样本，50个零售药店在基贝拉贫民窟使用自填式问卷在零售药店的STI自我药疗患者的管理。我们在8周内收集了所需的数据，并在分发后7至14天内收集了完成的自填问卷。两个数据采集器随后在这些药房作为神秘的患者寻求治疗的症状，生殖器溃疡疾病和淋病，并完成了结构化的观察表在10分钟内离开pharmacy.Results：大约一半的受访者是男性，年龄小于28岁。超过90%的人接受过12年的正规教育和另外3年的医疗专业培训。三分之二（66%）的人在政府机构接受过培训。大约65%的人报告说，病人没有处方，45%的人指出，病人要求特定的药物，但开放的建议。三分之一（36%）的患者将药房作为他们的第一个护理点。使用神秘的病人来评估淋病和生殖器溃疡疾病的综合征管理，只有10%的肯尼亚卫生部性病综合征管理guidelines.Conclusion提供适当的治疗：虽然大多数的药房工作人员在这个非正式的解决有一些医疗培训和一些经验，一个非常低的比例提供了足够的治疗2常见的性病。
Objectives: To evaluate the characteristics of providers in management of STI self-medicating patients in retail pharmacies within the largest informal settlement in Kenya.Methods: We collected sociodemographic, training, and work history attributes among pharmacy staff from a convenience sample of 50 retail pharmacies in Kibera slum using a self-administered questionnaire. We gathered the required data in 8 weeks, collecting completed self-administered questionnaires within 7 to 14 days after distribution. Two data collectors subsequently presented at these pharmacies as mystery patients seeking care for symptoms of genital ulcer disease and gonorrhea and completed a structured observation form within 10 minutes of leaving the pharmacy.Results: Approximately half the respondents were men aged less than 28 years. Over 90% had 12 years of formal education and an additional 3 years of medical professional training. Two thirds (66%) had been trained in Government institutions. About 65% reported that patients presented without prescriptions, and 45% noted that patients requested specific medicines but were open to advice. One-third (36%) of the patients used the pharmacy as their first point of care. Using mystery patients to evaluate syndromic management of gonorrhea and genital ulcer disease, only 10% offered appropriate treatment per the Kenya Ministry of Health STI syndromic management guidelines.Conclusion: Although the majority of the pharmacy staff in this informal settlement have some medical training and some experience, a very low proportion offered adequate treatment for 2 common STIs.