What determines providers' stated preference for the treatment of uncomplicated malaria?

摘要: As agents for their patients, providers often make treatment decisions on behalf of and choices can affect health outcomes. However, operate within a network relationships are not only but also other sector actors, such as employer, the Ministry Health, pharmaceutical suppliers. Providers' stated preferences uncomplicated malaria were examined to determine what factors predict choice in absence information institutional constraints, stock medicines or patient's ability pay. 518 working at non-profit facilities for-profit pharmacies drug stores Yaounde Bamenda Cameroon Enugu State Nigeria surveyed between July December 2009 elicit antimalarial they prefer supply malaria. Multilevel modelling was used effect financial non-financial incentives preference, while controlling accounting clustering geographic areas. 69% preference artemisinin-combination therapy (ACT), which is recommended Nigeria. A ACT significantly associated with facility, reporting that patients ACT, obtain antimalarials from company representatives. Preferences similar among colleagues same locality. Knowing government recommends significant predictor, though having access clinical guidelines sufficient. Providers serving multiple principals over alternative influenced by representatives, facility local area. Efforts disseminate policy should target full range actors involved supplying drugs, including providers, employers, suppliers communities.