Characterization and distribution of medicine vendors in 2 states in Nigeria: implications for scaling health workforce and family planning services.
Characterization and distribution of medicine vendors in 2 states in Nigeria: implications for scaling health workforce and family planning services.
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DOI：
10.1186/s12960-021-00602-2
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发表时间：
2021-05-01
影响因子：
4.5
通讯作者：
Anyanti J
中科院分区：
文献类型：
--
作者：
Daini BO;Okafor E;Baruwa S;Adeyanju O;Diallo R;Anyanti J
2014年，尼日利亚发布了基本卫生服务任务转移/分担政策，旨在填补人力资源缺口，改善全国卫生服务的提供。本研究的重点是特点，传播和计划生育（FP）库存的做法，药品供应商在拉各斯和卡杜纳，评估医疗培训的影响提供和库存的FP服务和商品的供应商。我们对所有专利药品商店（PMS）进行了一次普查，随后利用采访者管理的问卷对10%的地图商店进行了设施评估。采用卡方检验进行双变量分析，并采用多元Logistic回归估计研究中显著性检验的校正比值比（OR）和置信区间（CI）。经点算的药房共有8318间（市区占76.2%）。这两个州平均每10万人口有39家商店。大约一半（50.9%）的诊所由药品供应商在没有援助的情况下提供服务，25.7%的诊所声称每周向2名以上的客户提供计划生育服务，11.4%的诊所没有在监管机构或任何专业协会注册。此外，28.2%的供应商报告了正式的医疗培训，其中56.3%的受过医疗培训的供应商相对较新，在过去5年内开业。供应商利用开放的药物市场作为FP产品的主要供应来源。医疗培训显着增加了FP产品的库存，并抑制了开放药品市场的利用。专利和专利药品供应商（PPMVs）在过去5年中继续逐步增长，成为北方和尼日利亚南部不同卫生服务（特别是计划生育服务）潜在客户最近的卫生设施，现在包括大量受过医学培训的人员，能够提供高质量的卫生服务，并补充现有的卫生保健基础设施，如果经过培训。然而，由于在PPMV范围内提供的服务受到限制，而且无法获得高质量的药品和商品，导致PPMV的做法不佳。因此，有必要确定、培训和提供创新手段，以改善这一卫生工作者群体获得有质量保证的产品的机会。
In 2014, Nigeria issued the task-shifting/sharing policy for essential health services, which aimed to fill the human resource gap and improve the delivery of health services across the country. This study focuses on the characteristics, spread, and family planning (FP) stocking practices of medicine vendors in Lagos and Kaduna, assessing the influence of medical training on the provision and stocking of FP services and commodities by vendors. We conducted a census of all Patent Medicines stores (PMS) followed up with a facility assessment among 10% of the mapped shops, utilizing an interviewer-administered questionnaire. Bivariate analysis was conducted using the Chi-square test, and multiple logistic regression was used to estimate the adjusted odds ratio (OR) and confidence intervals (CI) for the test of significance in the study. A total of 8318 medicine shops were enumerated (76.2% urban). There were 39 shops per 100,000 population in both states on average. About half (50.9%) were manned by a medicine vendor without assistance, 25.7% claimed to provide FP services to > 2 clients per week, and 11.4% were not registered with the regulatory body or any professional association. Also, 28.2% of vendors reported formal medical training, with 56.3% of these medically trained vendors relatively new in the business, opening within the last 5 years. Vendors utilized open drug markets as the major source of supply for FP products. Medical training significantly increased the stocking of FP products and inhibited utilization of open drug markets. Patent and Proprietary Medicines Vendor (PPMVs) have continued to grow progressively in the last 5 years, becoming the most proximal health facility for potential clients for different health services (especially FP services) across both Northern and Southern Nigeria, now comprising a considerable mass of medically trained personnel, able to deliver high-quality health services and complement existing healthcare infrastructure, if trained. However, restrictions on services within the PPMV premise and lack of access to quality drugs and commodities have resulted in poor practices among PPMVs. There is therefore a need to identify, train, and provide innovative means of improving access to quality-assured products for this group of health workers.
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影响因子：
4.5
作者：
Mai Phuong Nguyen;Mirzoev, Tolib;Thi Minh Le
通讯作者：
Thi Minh Le
影响因子：
11.1
作者：
Liu J;Prach LM;Treleaven E;Hansen M;Anyanti J;Jagha T;Seaman V;Ajumobi O;Isiguzo C
通讯作者：
Isiguzo C
影响因子：
2.7
作者：
Abimbola, Seye;Olanipekun, Titilope;Martiniuk, Alexandra L. C.
通讯作者：
Martiniuk, Alexandra L. C.
影响因子：
4.5
作者：
Adeloye, Davies;David, Rotimi Adedeji;Iseolorunkanmi, Alexander
通讯作者：
Iseolorunkanmi, Alexander
DOI：
10.9745/ghsp-d-14-00085
发表时间：
2014-11-13
期刊：
Global health, science and practice
影响因子：
--
作者：
Akol A;Chin-Quee D;Wamala-Mucheri P;Namwebya JH;Mercer SJ;Stanback J
通讯作者：
Stanback J