Presumptive Treatment of Malaria from Formal and Informal Drug Vendors in Nigeria

摘要: Background: Despite policies that recommend parasitological testing before treatment for malaria, presumptive remains widespread in Nigeria. The majority of Nigerians obtain antimalarial drugs from two types for-profit drug vendors—formal and informal medicine shops—but little is known about the quality malaria care services provided at these shops. Aims: This study seeks to (1) describe profile patients who seek different outlets, (2) document purchased treating (3) assess which are purchasing recommended drugs, (4) estimate extent over-treatment. Methods: In urban, peri-urban, rural areas Oyo State, customers exiting proprietary patent vendor (PPMV) shops or pharmacies having anti-malarial were surveyed tested with rapid diagnostic test. A follow-up phone survey was conducted four days after self-reported administration. Bivariate multivariate regression analysis determine correlates patronizing a PPMV versus pharmacy, likelihood an artemisinin-combination therapy (ACT) drug. Results: Of 457participants sought 49 enrolled nearly 92% had diagnosed their condition by themselves, family member, friend. Nearly 60% pharmacy ACT compared only 29% customers, paid significantly more on average. Multivariate results show patrons PPMVs younger, less wealthy, waited fewer seeking care, likely be hospital, clinic, laboratory. Only 3.9% participants positive Conclusions: Poorer individuals receive inappropriate when those go pharmacies. Increasing accessibility reliable diagnosis should explored reduce