Private retail drug shops: what they are, how they operate, and implications for health care delivery in rural Uganda

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Mayora, ChrispusUniv Witwatersrand, Sch Publ Hlth, 27 St Andrews Rd, ZA-2193 Johannesburg, South Africa;Makerere Univ, Dept Hlth Policy Planning & Management, Sch Publ Hlth, POB 7072, Kampala, Uganda (author)

Private retail drug shops : what they are, how they operate, and implications for health care delivery in rural Uganda

Article/chapterEnglish2018

Publisher, publication year, extent ...

2018-07-09
BMC,2018
electronicrdacarrier

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LIBRIS-ID:oai:DiVA.org:uu-361274
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-361274URI
https://doi.org/10.1186/s12913-018-3343-zDOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:138655991URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

Background: Retail drug shops play a significant role in managing pediatric fevers in rural areas in Uganda. Targeted interventions to improve drug seller practices require understanding of the retail drug shop market and motivations that influence practices. This study aimed at describing the operational environment in relation to the Uganda National Drug Authority guidelines for setup of drug shops; characteristics, and dispensing practices of private retail drug shops in managing febrile conditions among under-five children in rural western Uganda. Methods: Cross sectional survey of 74 registered drug shops, observation checklist, and 428 exit interviews using a semi-structured questionnaire with care-seekers of children under five years of age, who sought care at drug shops during the survey period. The survey was conducted in Mbarara and Bushenyi districts, South Western Uganda, in May 2013. Results: Up to 90 and 79% of surveyed drug shops in Mbarara and Bushenyi, largely operate in premises that meet National Drug Authority requirements for operational suitability and ensuring medicines safety and quality. Drug shop attendants had some health or medical related training with 60% in Mbarara and 59% in Bushenyi being nurses or midwives. The rest were clinical officers, pharmacists. The most commonly stocked medicines at drug shops were Paracetamol, Quinine, Cough syrup, ORS/Zinc, Amoxicillin syrup, Septrin (R) syrup, Artemisinin-based combination therapies, and multivitamins, among others. Decisions on what medicines to stock were influenced by among others: recommended medicines from Ministry of Health, consumer demand, most profitable medicines, and seasonal disease patterns. Dispensing decisions were influenced by: prescriptions presented by client, patients' finances, and patient preferences, among others. Most drug shops surveyed had clinical guidelines, iCCM guidelines, malaria and diarrhea treatment algorithms and charts as recommended by the Ministry of Health. Some drug shops offered additional services such as immunization and sold non-medical goods, as a mechanism for diversification. Conclusion: Most drug shops premises adhered to the recommended guidelines. Market factors, including client demand and preferences, pricing and profitability, and seasonality largely influenced dispensing and stocking practices. Improving retail drug shop practices and quality of services, requires designing and implementing both supply-side and demand side strategies.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
Private sector
Retail market
Drug shops
Under-five children
Health care

Added entries (persons, corporate bodies, meetings, titles ...)

Kitutu, FreddyUppsala universitet,Internationell barnhälsa och nutrition,Makerere Univ, Dept Pharm, Coll Hlth Sci, POB 7062, Kampala, Uganda(Swepub:uu)freki150 (author)
Kandala, Ngianga-BakwinUniv Witwatersrand, Sch Publ Hlth, 27 St Andrews Rd, ZA-2193 Johannesburg, South Africa;Northumbria Univ, Fac Engn & Environm, Dept Math Phys & Elect Engn, Newcastle Upon Tyne NE1 8ST, Tyne & Wear, England (author)
Ekirapa-Kiracho, ElizabethMakerere Univ, Dept Hlth Policy Planning & Management, Sch Publ Hlth, POB 7072, Kampala, Uganda (author)
Swartling Peterson, Stefan,1962-Karolinska Institutet,Uppsala universitet,Internationell barnhälsa och nutrition,Karolinska Inst, Dept Publ Hlth Sci, Hlth Syst & Policy Res Grp, SE-17177 Stockholm, Sweden(Swepub:uu)stefanps (author)
Wamani, HenryMakerere Univ, Dept Community Hlth & Behav Sci, Sch Publ Hlth, POB 7072, Kampala, Uganda (author)
Univ Witwatersrand, Sch Publ Hlth, 27 St Andrews Rd, ZA-2193 Johannesburg, South Africa;Makerere Univ, Dept Hlth Policy Planning & Management, Sch Publ Hlth, POB 7072, Kampala, UgandaInternationell barnhälsa och nutrition (creator_code:org_t)

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