Availability and Choice of Antimalarials at Medicine Outlets in Ghana: The Question of Access to Effective Medicines for Malaria Control

被引:14
作者
Buabeng, K. O. [1 ,2 ]
Duwiejua, M. [2 ]
Matowe, L. K. [3 ]
Smith, F. [4 ]
Enlund, H. [1 ,5 ]
机构
[1] Univ Kuopio, Dept Social Pharm, FIN-70211 Kuopio, Finland
[2] Kwame Nkrumah Univ Sci & Technol, Fac Pharm & Pharmaceut Sci, Dept Clin & Social Pharm, Kumasi, Ghana
[3] Ctr Pharmaceut Management, Arlington, VA USA
[4] Univ London, Sch Pharm, Dept Practice & Policy, London WC1N 1AX, England
[5] Kuwait Univ, Dept Pharm Practice, Safat, Kuwait
关键词
D O I
10.1038/clpt.2008.130
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Although national and international efforts to combat malaria have intensified over the years, problems with availability, distribution, and choice of antimalarials at medicine outlets in Africa continue to exist. This article presents the results of an indicator-based assessment of availability and choice of antimalarials at 130 licensed medicine outlets in Ghana. We also discuss how the choice of an antimalarial to dispense conforms to recommendations of the national policy for malaria therapy. Data were obtained through face-to-face interviews, by reviewing facility records, and by observing the practices of dispensing staff in the medicine outlets. antimalarials recommended in the policy were not readily available in the most accessible medicine outlets. Few outlets adhered to the policy when choosing antimalarials. interventions targeting medicine outlets should be initiated to improve availability and access to effective medicines in order to support the national program for malaria control.
引用
收藏
页码:613 / 619
页数:7
相关论文
共 23 条
[1]   Improving access to early treatment of malaria: a trial with primary school teachers as care providers [J].
Afenyadu, GY ;
Agyepong, IA ;
Barnish, G ;
Adjei, S .
TROPICAL MEDICINE & INTERNATIONAL HEALTH, 2005, 10 (10) :1065-1072
[2]   Providing practical estimates of malaria burden for health planners in resource-poor countries [J].
Agyepong, IA ;
Kangeya-Kayonda, J .
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 2004, 71 (02) :162-167
[3]   Malaria-related beliefs and behaviour in southern Ghana: Implications for treatment, prevention and control [J].
Ahorlu, CK ;
Dunyo, SK ;
Afari, EA ;
Koram, KA ;
Nkrumah, FK .
TROPICAL MEDICINE & INTERNATIONAL HEALTH, 1997, 2 (05) :488-498
[4]   Brands, costs and registration status of antimalarial drugs in the Kenyan retail sector [J].
Amin, AA ;
Snow, RW .
MALARIA JOURNAL, 2005, 4 (1)
[5]  
BANDA JJ, 2003, GHANA ROLL BACK MALA
[6]   World antimalarial resistance network (WARN) IV: Clinical pharmacology [J].
Barnes, Karen I. ;
Lindegardh, Niklas ;
Ogundahunsi, Olumide ;
Olliaro, Piero ;
Plowe, Christopher V. ;
Randrianarivelojosia, Milijaona ;
Gbotosho, Grace O. ;
Watkins, William M. ;
Sibley, Carol H. ;
White, Nicholas J. .
MALARIA JOURNAL, 2007, 6 (1)
[7]   Self-reported use of anti-malarial drugs and health facility management of malaria in Ghana [J].
Buabeng, Kwame O. ;
Duwiejua, Mahama ;
Dodoo, Alex No ;
Matowe, Lloyd K. ;
Enlund, Hannes .
MALARIA JOURNAL, 2007, 6 (1)
[8]   The morally uncomfortable global drug gap [J].
Cohen-Kohler, J. C. .
CLINICAL PHARMACOLOGY & THERAPEUTICS, 2007, 82 (05) :610-614
[9]   Artemisinin-based combination therapies for uncomplicated malaria [J].
Davis, TME ;
Karunajeewa, HA ;
Ilett, KF .
MEDICAL JOURNAL OF AUSTRALIA, 2005, 182 (04) :181-185
[10]   Health workforce issues and the Global Fund to fight AIDS, tuberculosis and malaria: An analytical review [J].
Dräger S. ;
Gedik G. ;
Dal Poz M.R. .
Human Resources for Health, 4 (1)