Magnitude and factors associated with anti-malarial self-medication practice among residents of Kasulu Town Council, Kigoma-Tanzania

Mwita, Stanley; Meja, Omary; Katabalo, Deogratias; Richard, Catherine

doi:10.4314/ahs.v19i3.20

Cited by 13 publications

(14 citation statements)

References 11 publications

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“…Six factors are associated with antimalarials self-medication in this study: age, monthly income, membership in a health science, previous use of traditional medicine and the claim of knowledge of antimalarials unlike two studies where the associated factor was education [55,56], and in accordance with the works for which the age [57,58] and previous selfmedication [57,59] were associated factors.…”

Section: Discussionsupporting

confidence: 71%

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

Valentin

Salvius

Philippe

et al. 2020

GSC Biol. and Pharm. Sci.

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Self-medication for malaria is very common in Sub-Saharan Africa where this parasitosis is endemic. In order to determine the extent, characteristics and factors associated with this practice in medical area in the city of Lubumbashi, a cross-sectional descriptive study was carried out by direct interview from January 2018 to June 2018, in the internal medicine departments of 10 General Referral Hospital (GRH) . Five thousand one hundred and thirtyfour patients were consulted among them, 96.6% (average age 38.7 ± 8 years; average income: 100 ± 12 USD; gender male/ female ratio: 0.86) practice self-medication with antimalarials. They used it for the first time at an average age of 13-17 years. Quinine (36.4%) and Carica papaya (0.4%) are the most used remedies in conventional and non-conventional medicine, respectively. Several risks are incurred during this practice when the most cited are worsening side effects (53%), incomplete treatment (37%) and appearance to health sciences (37%). Age (17-35 and > 65 years old), low income (50-150 USD), membership in a health sector and the claim to know antimalarial drugs, predispose patients to self-medication. There is an urgent need to regulate this practice to avoid its harmful consequences.

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Section: Discussionsupporting

confidence: 71%

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

Valentin

Salvius

Philippe

et al. 2020

GSC Biol. and Pharm. Sci.

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“…25 The reported prevalence of self-medication among adults in some parts of Tanzania is around 70%. 26 Since this prevalence may be homogenous and found also in other parts of the country, and since parents practicing self-medication are more likely to self-medicate their children with antibiotics, 27,28 it is not surprising that in this study parental SMA was almost 50%. In Uganda, SMA of infants was almost 45%.…”

Section: Discussionmentioning

confidence: 62%

<p>Prevalence and Factors Associated with Parents Self-Medicating Under-Fives with Antibiotics in Bagamoyo District Council, Tanzania: a Cross-Sectional Study</p>

Simon¹,

Kazaura²

2020

PPA

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Background: Self-medication with antibiotics (SMA) is a global problem. This extends to medication of under-fives by their parents. In particular, there is currently insufficient information for this problem. Purpose: To determine the proportion and factors associated with medication of under-fives with antibiotics by their parents. Materials and Methods: A cross-sectional study among parents/caregivers of under-fives in 30 hamlets/streets of Bagamoyo District Council, in Tanzania was conducted between July and August, 2019. Respondents were the under-fives' parents/caregivers aged at least 18 years selected from households using probability proportional to a size cluster-sampling method. Respondents were required to report whether or not the under-fives had been unwell within the past 12 months and to describe the type or specific name of any medicine administered to their child. We used descriptive and analytical procedures to analyze the data. Results: The study included 730 parents/caregivers of under-fives. Their mean age was 32.2 (SD=7.4) years. The majority 668 (91.5%) were biological mothers and 574 (78.6%) having completed primary education. The proportion of parental SMA to under-fives was 47.7% (95% CI=43.7, 51.8). Knowledge on the appropriate use of antibiotics among parents was low. The most commonly used antibiotic was amoxicillin, 181 (62.0%). Independent factors associated with parental SMA to under-fives were average household income, distance to the nearest health facility, knowledge about use of antibiotics and the parent/caregiver's awareness of prescription-only medicines (POMs). Conclusion: Since the prevalence of SMA by parents to under-fives in Bagamoyo District is high, there is a need for health systems to enhance those measures that would control the sale of antibiotics without prescriptions. In addition, more than half of all study participants have a minimal understanding of the use of antibiotics and are unaware of POMs. Findings indicate a need to have routine continuous health education at the community level about the use of antibiotics.

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“…Since malaria episodes start at the household, making correct early decisions is key: Children with signs of potential malaria infection should see the Community Health Worker (CHW) where available, or be presented with no delay to a Health Centre. Instead, some patients or parents of sick children will resort to self-medication which is common in Africa and the DRC [ 8 , 9 ] or revert to traditional or unconventional treatments depending on the information available in the household, the perceived urgency of the situation, cultural and religious beliefs and economic considerations [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Knowledge of Antimalarials and Health Seeking Behaviour of Households in Case of Suspected Malaria in Democratic Republic of the Congo

et al. 2021

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(1) Background: The Democratic Republic of the Congo (DRC) is heavily affected by malaria despite availability of effective treatments. Ignorance and unrecommended behaviour toward a suspected malaria case in households may contribute to this problem. (2) Method: In communities of one rural and one urban Health Centres in each of the 11 previous provinces of DRC, all households with a case of malaria in the 15 days prior to the survey were selected. The patient or caregiver (responder) were interviewed. Logistic regression was used to assess predictors of knowledge of recommended antimalarials and adequate behaviour in case of suspected malaria. (3) Results: 1732 households participated; about 62% (1060/1721) of the responders were informed about antimalarials, 70.1% (742/1059) knew the recommended antimalarials and 58.6% (995/1699) resorted to self-medication. Predictors of knowledge of antimalarials were education to secondary school or university, information from media and smaller households. Predictors of good behaviour were Catholic religion and smaller households. Receiving information from Community Health Workers (CHWs) failed to be determinants of knowledge or adequate behaviour. (4) Conclusion: malaria control in DRC is hampered by ignorance and non-adherence to national recommendations. These aspects are influenced by unsuccessful communication, size of households and level of education.

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Magnitude and factors associated with anti-malarial self-medication practice among residents of Kasulu Town Council, Kigoma-Tanzania

Cited by 13 publications

References 11 publications

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

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

<p>Prevalence and Factors Associated with Parents Self-Medicating Under-Fives with Antibiotics in Bagamoyo District Council, Tanzania: a Cross-Sectional Study</p>

Knowledge of Antimalarials and Health Seeking Behaviour of Households in Case of Suspected Malaria in Democratic Republic of the Congo

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