Am J Trop Med Hyg. 2009 May;80(5):737-8.

Malaria drug shortages in Kenya: a major failure to provide access to effective treatment.

Kangwana BB, Njogu J, Wasunna B, Kedenge SV, Memusi DN, Goodman CA, Zurovac D, Snow RW.

Source

Malaria Public Health and Epidemiology Group, Kenya Medical Research Institute/Wellcome Trust Programme Nairobi, Kenya. bkangwana@nairobi.kemri-wellcome.org

Abstract

A key bench mark of successful therapeutic policy implementation, and thus effectiveness, is that the recommended drugs are available at the point of care. Two years after artemether-lumefathrine (AL) was introduced for the management of uncomplicated malaria in Kenya, we carried out a cross-sectional survey to investigate AL availability in government facilities in seven malaria-endemic districts. One of four of the surveyed facilities had none of the four AL weight-specific treatment packs in stock; three of four facilities were out of stock of at least one weight-specific AL pack, leading health workers to prescribe a range of inappropriate alternatives. The shortage was in large part caused by a delayed procurement process. National ministries of health and the international community must address the current shortcomings facing antimalarial drug supply to the public sector.

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