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Perceptions of Barriers to Using Opioid Analgesics: A Mixed Methods Study
Atsede Aregay1,2, Margaret O'Connor3,4, Jill Stow5
1Department of Health and Nursing Sciences, University of Agder, Kristiansand, Norway.
Palliative Medicine Reports
|September 29, 2023
Summary
Opioid access is limited in Ethiopia due to cultural beliefs, knowledge gaps, and supply chain issues. Improving morphine availability and healthcare provider education is crucial for effective pain management.
Area of Science:
- Medical Sciences
- Public Health
- Pharmacology
Background:
- Opioid availability and accessibility present global challenges, particularly in low-resource settings like Ethiopia.
- Access to essential opioid analgesics is often restricted within Ethiopian healthcare systems.
Purpose of the Study:
- To identify barriers to the availability and accessibility of opioids in Ethiopian rural and regional healthcare settings.
Main Methods:
- A mixed-method case study approach was employed.
- Quantitative data collected via surveys from 220 nurses across primary, secondary, and tertiary care.
- Qualitative data gathered through interviews with 38 participants from educational, health service, and community settings.
Main Results:
- Identified barriers include: pain expression as weakness, limited knowledge, concerns over morphine side effects, prescription restrictions to physicians, foreign currency shortages for imports, and inequitable access.
- Opioid analgesics, specifically morphine, were not consistently available or accessible to all patients requiring them.
Conclusions:
- Significant knowledge gaps among health professionals regarding opioid use were identified.
- Recommendations include strengthening pain management initiatives and optimizing morphine's type, dosage, and supply to improve patient access and reduce suffering.
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