检索结果-南通市图书馆

Self-Medication Practice against Malaria and Associated Factors in the City of Parakou in Northern Benin: Results of a Population Survey in 2017

引用

Advances in Infectious Diseases 2019年第3期9卷 263-275页

作者： Cossi Angelo Attinsounon Yollande Sissinto euripide avokpaho Adébayo Alassani Majid Sanni Marcel Zannou Faculty of Medicine CHUD-Borgou Teaching and Research Unit of Infectious and Tropical Diseases University of Parakou Parakou Bénin University of Parakou CHUD-Borgou Clinic of Internal Medicine Parakou Bénin University of Abomey Calavi CNHU-HKM Laboratory of Parasitology-Mycology Cotonou Bénin University of Abomey Calavi CNHU-HKM Clinic of Internal Medicine Cotonou Bénin

Introduction: Self-medication is a common practice in Benin. It has many consequences on people’s health in general and develops chemoresistance in particular. Aim: The aim of this work is to study the practice of anti-malarial self-medication in the city of Parakou and to identify the associated factors with this practice. Methods: This was a descriptive cross-sectional analytical survey that took place in the period from April 15 to June 24, 2017. Adults who reported having had malaria symptoms in the last 6 months before the survey and living in 9 neighbourhoods randomly selected in the city of Parakou were included. A structured questionnaire collected their self-medication habit, the drugs used, the supply places and the reasons for this practice. Data were analysed using the Epi-data 3.1 software. Results: Of the 335 respondents included in this study, 141 (42.09%) had self-medicated including 130 (38.81%) with anti-malarial drugs. Fever is the main symptom of malaria cited by respondents (129% or 38.51%) followed by headache (93% or 27.76%). The most commonly used anti-malarial drugs for self-medication are quinine (60% or 44.45%) followed by artemisinin-based combination therapy (46% or 34.07%). Eighty-seven respondents (66.92%) did not have a good knowledge of the drug dosage. Reasons for self-medication were mainly the high cost of consultation fees (99% or 54.10%) and good knowledge of one’s illness (53% or 28.96%). Self-medication associated factors were fever (p = 0.04), non-prescription drugs supply in pharmacies (p Conclusion: Self-medication is a common practice in the city of Parakou. Medicines purchased without prescription in pharmacies and drugs availability in street facilitate this practice, which may compromise the effectiveness of anti-malarial drugs.

关键词： Self-Medication Anti-Malarial Drugs Urban Setting Parakou Benin

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Policy stakeholder perspectives on barriers and facilitators to launching a community-wide mass drug administration program for soil-transmitted helminths

引用

Global Health Research and Policy 2022年第1期7卷 23-36页

作者： Amy Roll Malvika Saxena Elizabeth Orlan Angelin Titus Sanjay Kamlakar Juvekar Marie-Claire Gwayi-Chore euripide avokpaho Félicien Chabi Comlanvi Innocent Togbevi Abiguel Belou Elijan Providence Nindi Judd LWalson Sitara SRAjjampur Moudachirou Ibikounlé Khumbo Kalua Kumudha Aruldas Arianna Rubin Means Department of Global Health University of WashingtonSeattleWAUSA The Wellcome Trust Research Laboratory Division of Gastrointestinal Sci-encesChristian Medical CollegeVelloreIndia Vadu Rural Health Program KEM Hospital Research CentrePuneIndia Institut de Recherche Clinique du Bénin Abomey-CalaviBénin Blantyre Institute for Community Outreach BlantyreMalawi Departments of Medicine Pediatricsand EpidemiologyUniversity of WashingtonSeattleWAUSA Centre de Recherche pour la lutte contre les Maladies Infectieuses Tropicales(CReMIT/TIDRC) Universitéd’Abomey-CalaviGodomeyBénin

Background:Recent evidence suggests that soil-transmitted helminth(STH)transmission interruption may be feasible through community-wide mass drug administration(cMDA)that deworms community members of all ages.A change from school-based deworming to cMDA will require reconfiguring of STH programs in endemic *** conducted formative qualitative research in Benin,India,and Malawi to identify barriers and facilitators to successfully launching a cMDA program from the policy-stakeholder ***:We conducted 40 key informant interviews with policy stakeholders identified as critical change agents at national,state/district,and sub-district *** included World Health Organization country office staff,implementing partners,and national and sub-national government *** used the Consolidated Framework for Implementation Research to guide data collection,coding,and *** maps were used to organize coded data and differentiate perceived facilitators and barriers to launching cMDA by ***:Key facilitators to launching a cMDA program included availability of high-quality,tailored sensitization materials,and human and material resources that could be leveraged from previous MDA *** barriers included the potential to overburden existing health workers,uncertainty of external funding to sustain a cMDA program,and concerns about weak intragovernmental coordination to implement ***-cutting themes included the need for rigorous trial evidence on STH transmission interruption to gain confidence in cMDA,and implemen-tation evidence to effectively operationalize ***,if policy stakeholders anticipate a cMDA program cannot be sustained due to cost and human resource barriers in the long term they may be less likely to support the launch of a program in the short ***:Overall,policy stakeholders were optimistic about implementing cMDA primarily because they believe that the tools neces

关键词： Soil-transmitted helminths Neglected tropical diseases Health policy Facilitators Barriers Mass drug administration Implementation science Policy guidelines

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Coverage of community-wide mass drug administration platforms for soil-transmitted helminths in Benin, India, and Malawi: findings from the DeWorm3 project

引用

贫困所致传染病(英文) 2024年第5期13卷 1-14页

作者： Means Arianna Rubin ásbj?rnsdóttir Kristjana Hr?nn Sharrock Katherine C. Galagan Sean R. Aruldas Kumudha avokpaho euripide Chabi Félicien Halliday Katherine E. Houngbegnon Parfait Israel Gideon John Kaliappan Saravanakumar Puthupalayam Kennedy David Legge Hugo Oswald William E. Palanisamy Gokila Rogers Elliott Timothy Joseph Pearman Emily Ramesh Rohan Michael Simwanza James Sheik-Abdullah Jasmine Farzana Sheikh Mariyam Togbevi Comlanvi Innocent Witek-McManus Stefan Pullan Rachel L. Bailey Robin Kalua Khumbo Ibikounlé Moudachirou Luty Adrian J. F. Ajjampur Sitara S. R. Walson Judd L. Department of Global Health University of Washington Seattle Washington USA The DeWormProject University of Washington Seattle Washington USA Centre of Public Health Sciences University of Iceland Reykjavík Iceland The Wellcome Trust Research Laboratory Division of Gastrointestinal Sciences Christian Medical College Vellore India Institut de Recherche Clinique du Bénin Abomey-Calavi Bénin Department of Disease Control Faculty of Infectious and Tropical Diseases London School of Hygiene &amp Tropical Medicine London UK Global Health Division International Development Group Research Triangle Institute (RTI) International Research Triangle Park NC USA Division of Medicine University College London London UK Blantyre Institute for Community Outreach Lions Sight First Eye Hospital Blantyre Malawi Department of Population Health Faculty of Epidemiology and Population Health London School of Hygiene &amp Clinical Research Department Faculty of Infectious and Tropical Diseases London School of Hygiene &amp School of Population and Public Health University of British Columbia Vancouver British Columbia Canada Tropical Infectious Diseases Research Center (TIDRC)Université d’Abomey-Calavi Abomey-Calavi Bénin Université Paris Cité Institut de Recherche pour le Développement MERIT Paris F-75006 France Department of International Health Bloomberg School of Public Health Johns Hopkins University Baltimore MD USA

Background Soil-transmitted helminths (STH) affect approximately 1.5 billion people globally. The current STH control strategy is annual or twice-annual preventive chemotherapy, typically school-based deworming targeting children and women of reproductive age. Mathematical modeling suggests that it may be possible to interrupt STH transmission through high-coverage community-wide mass drug administration (cMDA). DeWorm3 is a cluster randomized trial testing cMDA for prevalence reduction and transmission interruption. The purpose of this study is to describe coverage of cMDA in study clusters over time and correlates of coverage at individual and cluster *** From 2018-2020, DeWorm3 delivered six rounds of cMDA with 400 mg albendazole at sites in Benin, India, and Malawi. We report coverage, treatment uptake, and directly observed therapy across all rounds. Factors associated with coverage at the cluster level were identified using binomial generalized estimating equations, while factors associated with non-treatment at the individual level were identified using binomial mixed-effects *** Coverage was high across all clusters and rounds, exceeding the WHO target of 75% in all sites and across all rounds (78% to 95%); cluster-level coverage tended to increase over time. Younger, unmarried, and migratory adults were more likely to be untreated at all sites; adult males were more likely to be untreated in Benin and Malawi. Among children, girls were more likely to be untreated, as were non-school-attending and migratory children. Higher adult education was associated with greater odds of non-treatment among adults, but lower odds among children in the household. Belonging to a less wealthy or minority language-speaking household was associated with non-treatment among both adults and *** It is possible to deliver community-wide MDA with high coverage. Unique individual and community-level factors influence treatment across settings,

关键词： Soil-transmitted helminths Mass drug administration Albendazole Community Coverage

来源：

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：