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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Impact of Ministry of Health interventions on private medicine retailer knowledge and practices on anti-malarial treatment in Kenya
American Journal of Tropical Medicine and Hygiene, Volume 80, No. 6, Year 2009
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Description
Small-scale interventions on training medicine retailers on malaria treatment improve over-the-counter medicine use, but there is little evidence on effectiveness when scaled up. This study evaluated the impact of Ministry of Health (MoH) training programs on the knowledge and practices of medicine retailers in three districts in Kenya. A cluster randomized trial was planned across 10 administrative divisions. Findings indicated that 30.7% (95% confidence interval [CI]: 23.3, 39.0) and 5.2% (95% CI: 2.1, 10.3) of program and control retailers, respectively, sold MoH amodiaquine with correct advice on use to surrogate clients (OR = 8.8; 95% CI: 2.9, 26.9; P < 0.001). Similarly, 61.8% (95% CI: 54.2, 69.1) and 6.3% (95% CI: 2.7, 12.1) of program and control retailers, respectively, reported correct knowledge on dosing with amodiaquine (OR = 29.8; 95% CI: 8.2, 108.8). Large-scale retailer training programs within the national malaria control framework led to significant improvements in retailers' practices across three districts. Copyright © 2009 by The American Society of Tropical Medicine and Hygiene.
Authors & Co-Authors
Abuya, Timothy O.
Unknown Affiliation
Fegan, Greg
Unknown Affiliation
Rowa, Yvonne
Unknown Affiliation
Karisa, Baya
Unknown Affiliation
Ochola, Sam A.
Unknown Affiliation
Mutemi, W.
Unknown Affiliation
Marsh, Vicki M.
Unknown Affiliation
Statistics
Citations: 39
Authors: 7
Affiliations: 6
Identifiers
Doi:
10.4269/ajtmh.2009.80.905
ISSN:
00029637
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Randomised Control Trial
Study Locations
Kenya