要求抗疟疾药物及其在卢旺达社区药房在没有处方的情况下发放
Amon Nsengimana1, Emmanuel Biracyaza2,3, Joyce Isimbi4
1US Agency for International Development Global Health Supply Chain Program, Procurement and Supply Chain Management, Kigali, Rwanda.
Integrated pharmacy research & practice
|November 6, 2023
概括
在卢旺达的药房中,免费分发抗疟疾药物是很常见的. 这些因素包括客户压力,看似的场外地位,以及担心失去客户的恐惧,突出了需要更好的监管的需要.
科学领域:
- 制药科学 制药科学
- 公共卫生 公共卫生
- 疟疾研究 疟疾研究
背景情况:
- 抗疟疾药物耐药性需要严格遵守配药指南.
- 在许多地区,社区药房在获得疟疾治疗方面发挥着至关重要的作用.
研究的目的:
- 调查卢旺达社区药房中反疟疾药物请求和无处方药的流行情况.
- 确定与药剂师之间这种做法相关的因素.
主要方法:
- 嵌入式混合方法设计,使用问卷和主题内容分析.
- 在2022年2月至4月期间,从卢旺达的235家社区药剂师收集的数据.
- 两变量和多变量回归分析以确定影响因素.
主要成果:
- 88.5%的药剂师收到无处方抗疟药的要求; 54%的药剂师分发了它们.
- 疟疾快速诊断测试的可用性和对非处方药的信念增加了分发的可能性.
- 处方的主要原因包括先前的疟疾诊断知识,客户压力和对客户失去的恐惧.
结论:
- 在卢旺达社区药房中,免费分发抗疟疾药物是一个普遍的问题.
- 导致因素包括缺乏对处方状态的认识,诊断测试的可用性,客户需求和业务担忧.
- 解决这些因素对于改善合理使用抗疟疾药物和打击耐药性至关重要.
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