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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Medicine sellers and malaria treatment in sub-Saharan Africa: What do they do and how can their practice be improved?
American Journal of Tropical Medicine and Hygiene, Volume 77, No. SUPPL. 6, Year 2007
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Description
Medicine sellers are widely used for fever and malaria treatment in sub-Saharan Africa, but concerns surround the appropriateness of drugs and information provided. Because there is increasing interest in improving their services, we reviewed the literature on their characteristics and interventions to improve their malaria-related practices. Sixteen interventions were identified, involving a mixture of training/capacity building, demand generation, quality assurance, and creating an enabling environment. Although evidence is insufficient to prove which approaches are superior, tentative conclusions were possible. Interventions increased rates of appropriate treatment, and medicine sellers were willing to participate. Features of successful interventions included a comprehensive situation analysis of the legal and market environment; buy-in from medicine sellers, community members and government; use of a combination of approaches; and maintenance of training and supervision. Interventions must be adapted to include artemisinin-based combination therapies, and their sustainability and potential to operate at a national level should be further explored. Copyright © 2007 by The American Society of Tropical Medicine and Hygiene.
Authors & Co-Authors
Goodman, Catherine A.
Unknown Affiliation
Brieger, William R.
Unknown Affiliation
Unwin, Alasdair
Unknown Affiliation
Mills, Anne J.
Unknown Affiliation
Meek, Sylvia R.
Unknown Affiliation
Greer, George
Unknown Affiliation
Statistics
Citations: 274
Authors: 6
Affiliations: 7
Identifiers
Doi:
10.4269/ajtmh.2007.77.203
ISSN:
00029637
Research Areas
Health System And Policy
Infectious Diseases