Format

Send to

Choose Destination
Trans R Soc Trop Med Hyg. 2018 Dec 31. doi: 10.1093/trstmh/try138. [Epub ahead of print]

Self-medication with non-prescribed pharmaceutical agents in an area of low malaria transmission in northern Tanzania: a community-based survey.

Author information

1
Department of Surgery, Division of Emergency Medicine, Duke University Medical Center, 2301 Erwin Rd, Durham, NC, USA.
2
Department of Medicine, Division of Infectious Disease, Duke University Medical Center, 2301 Erwin Rd, Durham, NC, USA.
3
Department of Statistical Science, Duke University, Durham, NC, USA.
4
Kilimanjaro Christian Medical Centre, Moshi, Tanzania.
5
Duke Global Health Institute, Duke University, 310 Trent Dr, Durham, NC, USA.
6
Otago Global Health Institute, University of Otago, Dunedin, New Zealand.

Abstract

Background:

Self-treatment with antimicrobials is common in sub-Saharan Africa. Little is known about the prevalence of this practice where malaria transmission intensity is low, and little is known about the prevalence of self-treatment with other medications such as antihypertensives and antihyperglycemics.

Methods:

A two-stage randomized population-based cluster survey with selection proportional to population size was performed in northern Tanzania. Self-identified healthcare decision-makers from randomly selected households were asked to report instances of self-medication without a prescription in the preceding year. Associations between self-treatment and sociodemographic characteristics were assessed with Pearson's chi-squared and the Student's t-test.

Results:

A total of 718 participants completed the survey, and 344 (47.9%) reported any household member obtaining medication without a prescription. Of these, 85 (11.8%) obtained an antimicrobial and four (0.6%) obtained an antihypertensive or antihyperglycemic. Of respondents reporting self-treatment, 306 (89.0%) selected the medication themselves. Self-treatment with antimicrobials was associated with post-primary education (OR 1.95, 95% CI 1.22-3.16, p=0.005), younger age (43.1 vs 48.7 years, p=0.007) and higher socioeconomic status score (0.42 vs 0.34, p=0.023).

Conclusions:

Self-treatment with antimicrobials in an area of low malaria transmission intensity was uncommon and self-treatment with antihypertensives and antihyperglycemics was rare.

PMID:
30597114
DOI:
10.1093/trstmh/try138

Supplemental Content

Full text links

Icon for Silverchair Information Systems
Loading ...
Support Center