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Sökning: WFRF:(Wertheim Heiman) > To sell or not to s...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004605naa a2200469 4500
001oai:DiVA.org:umu-155166
003SwePub
008190109s2018 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1551662 URI
0247 a https://doi.org/10.1186/s40545-018-0158-62 DOI
040 a (SwePub)umu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Afari-Asiedu, Samuel4 aut
2451 0a To sell or not to sell; the differences between regulatory and community demands regarding access to antibiotics in rural Ghana
264 c 2018-12-14
264 1b BMC,c 2018
338 a electronic2 rdacarrier
520 a Background: In Ghana, there is extensive over-the-counter dispensing of antibiotics, resulting in high levels of inappropriate use, and an increase in antibiotic resistance. Regulations prevent Licenced Chemical Sellers (LCS, Over-the-Counter Medicine Sellers) from selling antibiotics other than Cotrimoxazole. In practice, however, these sellers sell a variety of antibiotics. This paper aims to provide insight into the differences between regulatory and community demands on the sale of antibiotics, and to explore how these differences in demand could be resolved to facilitate safe and appropriate use of antibiotics in rural Ghana.Methods: A total of 32 in-depth interviews were conducted in the Kintampo North and South Districts in Ghana; 16 among antibiotic suppliers, predominantly LCS, and 16 among community members. Six focus group discussions were also conducted among 40 community members. Data were coded using Nvivo 10 and thematically analyzed in line with study objectives. The results are presented as narratives with quotes to illustrate the findings.Results: Generally, antibiotic suppliers were aware that regulations prevent LCS from selling antibiotics except Cotrimoxazole. However, LCS sell all types of antibiotics because of community demand, economic motivations of LCS, and the poor implementation of regulations that are intended to prevent them from selling these medications. Factors that influence community demand for antibiotics include previous knowledge of effectiveness of some antibiotics, delays in seeking care at health facilities, financial constraints, and distance to health facilities. LCS suggested that they should be trained and allowed to sell some types of antibiotics instead of being prevented completely from selling. Community members also suggested that Community-based Health Planning and Services (CHPS) compounds should be equipped to dispense antibiotics.Conclusion: The sale of antibiotics by LCS at the community level is influenced by both structural and individual contextual factors. There is a need to educate community members on the appropriate access and use of antibiotics in rural Ghana. In addition, rather than enforcing rules that go against practice, it may be more effective to regulate the sale of antibiotics by LCS and train them to make their dispensing more appropriate. CHPS compound could also be equipped to dispense some antibiotics to improve appropriate antibiotic access at the community level.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
653 a Antibiotics access
653 a Ghana
653 a Licensed chemical sellers
653 a Pharmaceutical regulations
7001 a Kinsman, Johnu Umeå universitet,Epidemiologi och global hälsa4 aut0 (Swepub:umu)joki0020
7001 a Boamah-Kaali, Ellen4 aut
7001 a Abdulai, Martha Ali4 aut
7001 a Gyapong, Margaret4 aut
7001 a Sankoh, Osman4 aut
7001 a Hulscher, Marlies4 aut
7001 a Asante, Kwaku Poku4 aut
7001 a Wertheim, Heiman4 aut
7102 a Umeå universitetb Epidemiologi och global hälsa4 org
7730 t Journal of Pharmaceutical Policy and Practiced : BMCg 11q 11x 2052-3211
8564 u https://doi.org/10.1186/s40545-018-0158-6y Fulltext
8564 u https://umu.diva-portal.org/smash/get/diva2:1276861/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 u https://joppp.biomedcentral.com/track/pdf/10.1186/s40545-018-0158-6
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-155166
8564 8u https://doi.org/10.1186/s40545-018-0158-6

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