Self-medication with antimalarials drugs in Lubumbashi city (DR Congo)

Valentin, Bashige Chiribagula; Salvius, Bakari Amuri; Philippe, Okusa Ndjolo; Jean-Baptiste, Lumbu Simbi

doi:10.30574/gscbps.2020.12.2.0228

Cited by 2 publications

(1 citation statement)

References 49 publications

(39 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A survey conducted in Burkina Faso urban private pharmacies among 1,467 people who came to buy an anti-malarial, revealed that 2/3 had come directly, without a prescription [ 34 ]. A high rate of self-medication has also been observed in the Democratic Republic of Congo with 96 to 98% of respondents in studies admitting to self-medicate with anti-malarials [ 78 , 79 ]. In contrast, a study in Ghana reports a lower proportion (16.8%) of non-prescribed anti-malarial use, and explains it by the existence of National Health Insurance Scheme [ 77 ].…”

Section: Discussionmentioning

confidence: 99%

The impact of anti-malarial markets on artemisinin resistance: perspectives from Burkina Faso

Guissou,

Amaratunga,

de Haan

et al. 2023

Malar J

View full text Add to dashboard Cite

Background Widespread artemisinin resistance in Africa could be catastrophic when drawing parallels with the failure of chloroquine in the 1970s and 1980s. This article explores the role of anti-malarial market characteristics in the emergence and spread of arteminisin resistance in African countries, drawing on perspectives from Burkina Faso. Methods Data were collected through in-depth interviews and focus group discussions. A representative sample of national policy makers, regulators, public and private sector wholesalers, retailers, clinicians, nurses, and community members were purposively sampled. Additional information was also sought via review of policy publications and grey literature on anti-malarial policies and deployment practices in Burkina Faso. Results Thirty seven in-depth interviews and 6 focus group discussions were conducted. The study reveals that the current operational mode of anti-malarial drug markets in Burkina Faso promotes arteminisin resistance emergence and spread. The factors are mainly related to the artemisinin-based combination therapy (ACT) supply chain, to ACT quality, ACT prescription monitoring and to ACT access and misuse by patients. Conclusion Study findings highlight the urgent requirement to reform current characteristics of the anti-malarial drug market in order to delay the emergence and spread of artemisinin resistance in Burkina Faso. Four recommendations for public policy emerged during data analysis: (1) Address the suboptimal prescription of anti-malarial drugs, (2) Apply laws that prohibit the sale of anti-malarials without prescription, (3) Restrict the availability of street drugs, (4) Sensitize the population on the value of compliance regarding correct acquisition and intake of anti-malarials. Funding systems for anti-malarial drugs in terms of availability and accessibility must also be stabilized.

show abstract

Section: Discussionmentioning

confidence: 99%

The impact of anti-malarial markets on artemisinin resistance: perspectives from Burkina Faso

Guissou,

Amaratunga,

de Haan

et al. 2023

Malar J

View full text Add to dashboard Cite

show abstract

Perceptions and use of traditional African medicine in Lubumbashi, Haut-Katanga province (DR Congo): A cross-sectional study

et al. 2022

View full text Add to dashboard Cite

In the Democratic Republic of Congo, the desire of the Ministry of Health to integrate Traditional African Medicine into the Official Health System remains limited by the lack of reliable data on several aspects of this medicine. This study aims to determine the perceptions of the Lubumbashi population towards Traditional African Medicine and the contexts of recourse to these therapeutic modalities. We conducted semi-structured interviews of population samples in each of the 7 Lubumbashi municipalities, which were semi-randomly selected in proportions to each population size, from January to June 2017 and from February to July 2018. A total of 4278 people (average age, 32.1 ± 10.4 years; 36.5% of women) have been surveyed. Among them, 75.8% define "Traditional African Medicine" as "herbal-based treatments"; 79.4% have resorted to traditional medicine, for several pathologies and social problems. This medicine was preferred for efficiency, speed of healing and low cost, as well as the presence of the diseases against which it would be the only one used. Most, (52.1%) have started with Conventional Medicine, then resorted to Traditional African Medicine, 34.7% started directly with Traditional African Medicine, while 13.2% combined these two medicines. From those who have resorted to Traditional African Medicine (n = 3396), 55% declare no concern towards traditional medicine, while 42.5% fear looseness, overdose, intoxication, and lack of hygiene; from those who have not resorted to Traditional African Medicine (n = 882), 78% are fearful of fear looseness, witchcraft, and fetishism. Traditional African Medicine remains an important health care resource for the Lubumbashi people. It is essential that decision-makers consider the importance of this health sector for the population, but also the reported fears and hindrances, and work towards the regulation, sanitization, and control of this medicine to ensure its safe use.

show abstract

Self-medication with antimalarials drugs in Lubumbashi city (DR Congo)

Cited by 2 publications

References 49 publications

The impact of anti-malarial markets on artemisinin resistance: perspectives from Burkina Faso

The impact of anti-malarial markets on artemisinin resistance: perspectives from Burkina Faso

Perceptions and use of traditional African medicine in Lubumbashi, Haut-Katanga province (DR Congo): A cross-sectional study

Contact Info

Product

Resources

About