The role of drug vendors in improving basic health-care services in Nigeria.
The role of drug vendors in improving basic health-care services in Nigeria.
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DOI：
10.2471/blt.15.154666
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发表时间：
2016-04-01
影响因子：
11.1
通讯作者：
Isiguzo C
中科院分区：
文献类型：
--
作者：
Liu J;Prach LM;Treleaven E;Hansen M;Anyanti J;Jagha T;Seaman V;Ajumobi O;Isiguzo C
描述尼日利亚专利和专有药品供应商和商店的特征，并评估他们帮助改善获得高质量初级卫生保健服务的能力。 2013 年和 2014 年，对尼日利亚 16 个州的专利和专有药品商店进行了普查，以确定：(i) 该行业的规模和覆盖范围； (ii) 商店及其员工的基本特征； (iii) 为优先卫生服务储备的一系列产品，特别是针对疟疾、腹泻和计划生育的产品。通过回归分析评估了商店负责人的医疗培训对保健品库存和官方机构注册的影响。南部各州每 10 万人口的商店数量高于北部各州，但地方政府辖区负责医疗培训的平均比例北部各州较高：52.6%，而南部各州为 29.7%。由受过医学培训的人领导的商店更有可能储存以青蒿素为基础的联合疗法、口服补液盐、锌、注射避孕药和宫内避孕器。然而，这些商店不太可能在全国专利和专有药品经销商协会注册，而更有可能在监管机构尼日利亚药剂师委员会注册。尼日利亚的许多专利和专有药品供应商都接受过医学培训。通过额外的培训和监督，他们可以帮助改善获得基本医疗保健服务的机会。具体来说，接受过医疗培训的供应商可以参与任务转移干预措施。
To characterize patent and proprietary medicine vendors and shops in Nigeria and to assess their ability to help improve access to high-quality, primary health-care services. In 2013 and 2014, a census of patent and proprietary medicine shops in 16 states of Nigeria was carried out to determine: (i) the size and coverage of the sector; (ii) the basic characteristics of shops and their staff; and (iii) the range of products stocked for priority health services, particularly for malaria, diarrhoea and family planning. The influence of the medical training of people in charge of the shops on the health-care products stocked and registration with official bodies was assessed by regression analysis. The number of shops per 100 000 population was higher in southern than in northern states, but the average percentage of people in charge with medical training across local government areas was higher in northern states: 52.6% versus 29.7% in southern states. Shops headed by a person with medical training were significantly more likely to stock artemisinin-based combination therapy, oral rehydration salts, zinc, injectable contraceptives and intrauterine contraceptive devices. However, these shops were less likely to be registered with the National Association of Patent and Proprietary Medicine Dealers and more likely to be registered with the regulatory body, the Pharmacist Council of Nigeria. Many patent and proprietary medicine vendors in Nigeria were medically trained. With additional training and oversight, they could help improve access to basic health-care services. Specifically, vendors with medical training could participate in task-shifting interventions.