在坦桑尼亚的药店提供抗生素的做法和动机:定性研究
Pendo M Ndaki1, Joseph R Mwanga1, Martha F Mushi2
1Department of Biostatistics, Epidemiology and Behavioral Sciences, School of Public Health, Catholic University of Health and Allied Sciences, Mwanza, Tanzania.
PloS one
|August 31, 2023
概括
在坦桑尼亚,由于客户需求和财务收益,在没有处方的情况下分发抗生素是常见的,这有助于抗菌素耐药性. 解决这些动机是改善抗生素管理和患者结果的关键.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 抗生素耐药性是全球主要的健康威胁,预计到2050年,每年会造成1000万人的死亡.
- 在没有处方的情况下分发抗生素会促进抗菌素耐药性 (AMR),导致患者的治疗结果差,耐药性细菌增加.
- 在坦桑尼亚的社区药店中,未经授权的抗生素分发做法很普遍.
研究的目的:
- 探索坦桑尼亚社区药店在没有处方的情况下分发抗生素背后的做法和动机.
- 根据药剂师的做法和动机,确定抗生素管理干预措施的策略.
主要方法:
- 这项研究涉及对28位来自社区药房和认可药品分发商 (ADDO) 的药品分发商进行了深入采访.
- 在坦桑尼亚的Mwanza,Kilimanjaro和Mbeya地区收集了三个月的数据 (2019年11月至2020年1月).
- 用NVivo12软件对成绩单进行了主题分析.
主要成果:
- 大多数药剂商承认在没有处方的情况下提供抗生素,并销售不完整的疗程.
- 这些做法的主要动机包括客户压力,财务收益和患者的低购买力.
- 药房常常未能提供有关药物使用的详细说明.
结论:
- 解决未经授权的抗生素分发的潜在动机至关重要.
- 建议包括通过教育和财政支持赋予客户权力,以改善遵守药品发行法规.
- 需要进一步的民族学研究,以了解和解决AMR的结构性驱动因素,如贫困和卫生服务不足.
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