Home treatment and use of informal market of pharmaceutical drugs for the management of paediatric malaria in Cotonou, Benin.
Identifieur interne : 000917 ( Main/Exploration ); précédent : 000916; suivant : 000918Home treatment and use of informal market of pharmaceutical drugs for the management of paediatric malaria in Cotonou, Benin.
Auteurs : Edwige Apetoh [France] ; Marina Tilly [France] ; Carine Baxerres [France] ; Jean-Yves Le Hesran [France]Source :
- Malaria journal [ 1475-2875 ] ; 2018.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Aidants (psychologie), Aidants (statistiques et données numériques), Antipaludiques (usage thérapeutique), Antipaludiques (économie), Bénin (MeSH), Comportement en matière de santé (MeSH), Facteurs socioéconomiques (MeSH), Femelle (MeSH), Humains (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Paludisme (prévention et contrôle), Secteur informel (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Villes (MeSH), Études transversales (MeSH).
- MESH :
- prévention et contrôle : Paludisme.
- psychologie : Aidants.
- statistiques et données numériques : Aidants.
- usage thérapeutique : Antipaludiques.
- économie : Antipaludiques.
- Adulte, Adulte d'âge moyen, Bénin, Comportement en matière de santé, Facteurs socioéconomiques, Femelle, Humains, Jeune adulte, Mâle, Secteur informel, Sujet âgé, Sujet âgé de 80 ans ou plus, Villes, Études transversales.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Antimalarials (economics), Antimalarials (therapeutic use), Benin (MeSH), Caregivers (psychology), Caregivers (statistics & numerical data), Cities (MeSH), Cross-Sectional Studies (MeSH), Female (MeSH), Health Behavior (MeSH), Humans (MeSH), Informal Sector (MeSH), Malaria (prevention & control), Male (MeSH), Middle Aged (MeSH), Socioeconomic Factors (MeSH), Young Adult (MeSH).
- MESH :
- chemical , economics : Antimalarials.
- chemical , therapeutic use : Antimalarials.
- prevention & control : Malaria.
- psychology : Caregivers.
- statistics & numerical data : Caregivers.
- Adult, Aged, Aged, 80 and over, Benin, Cities, Cross-Sectional Studies, Female, Health Behavior, Humans, Informal Sector, Male, Middle Aged, Socioeconomic Factors, Young Adult.
Abstract
BACKGROUND
Malaria is the main cause of hospital admissions in Benin and a leading cause of death in childhood. Beside consultations, various studies have underlined the management of the disease through home treatment. The medicines used can be purchased in informal market of pharmaceutical drugs (IMPD) without prescription or any involvement of healthcare professional. Pharmaceutical drugs are sold by informal private vendors, who operate at any time in the immediate environment of the patients. The present study was conducted in Cotonou to study the health-seeking behaviour of caregivers to treat malaria in children under 12 years old. Factors associated with malaria home treatment and drugs purchase in IMPD were studied.
METHODS
A cross-sectional study was carried out among 340 children's caregivers who were interviewed about their socio-demographic characteristics and their care-seeking behaviour during the most recent episode of malaria in their children under 12. Medicines used and purchase place were also collected. Multivariate logistic regression model was used to determine factors associated with malaria home treatment and drug purchase in IMPD.
RESULTS
Beyond all the 340 caregivers, 116 (34%) consulted healthcare professional, 224 (66%) home treat the children, among whom 207 (61%) gave pharmaceutical drugs and 17 (5%) gave traditional remedies to children. Malaria home treatment was associated with family size, health insurance (OR = 0.396, 95% CI 0.169-0.928), and wealth quintiles where home treatment was less used by the richest (OR = 0.199, 95% CI 0.0676-0.522) compared to those in the poorest quintile. The caregivers age group 30-39 years was associated to the use of IMPD (OR = 0.383, 95% CI 0.152-0.964), the most economically wealthy people were less likely to use IMPD (wealth quintile richest: OR = 0.239, 95% CI 0.064-0.887; wealth quintile fourth OR = 0.271, 95% CI 0.100-0.735) compared to those in the poorest quintile. All caregivers who benefited from health insurance did not use IMPD.
CONCLUSION
This study highlights the link between worse economic conditions and accessibility to medical care as one of the main factors of malaria home treatment and drug purchase in IMPD, even if those two phenomena need to be understood apart.
DOI: 10.1186/s12936-018-2504-1
PubMed: 30305107
PubMed Central: PMC6180418
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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(MeSH)</term><term>Humans (MeSH)</term><term>Informal Sector (MeSH)</term><term>Malaria (prevention & control)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Socioeconomic Factors (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Aidants (psychologie)</term><term>Aidants (statistiques et données numériques)</term><term>Antipaludiques (usage thérapeutique)</term><term>Antipaludiques (économie)</term><term>Bénin (MeSH)</term><term>Comportement en matière de santé (MeSH)</term><term>Facteurs socioéconomiques (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Paludisme (prévention et contrôle)</term><term>Secteur informel (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Villes (MeSH)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="economics" xml:lang="en"><term>Antimalarials</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antimalarials</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Malaria</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Paludisme</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Aidants</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Caregivers</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Caregivers</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Aidants</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antipaludiques</term></keywords><keywords 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xml:lang="en"><p><b>BACKGROUND</b></p><p>Malaria is the main cause of hospital admissions in Benin and a leading cause of death in childhood. Beside consultations, various studies have underlined the management of the disease through home treatment. The medicines used can be purchased in informal market of pharmaceutical drugs (IMPD) without prescription or any involvement of healthcare professional. Pharmaceutical drugs are sold by informal private vendors, who operate at any time in the immediate environment of the patients. The present study was conducted in Cotonou to study the health-seeking behaviour of caregivers to treat malaria in children under 12 years old. Factors associated with malaria home treatment and drugs purchase in IMPD were studied.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A cross-sectional study was carried out among 340 children's caregivers who were interviewed about their socio-demographic characteristics and their care-seeking behaviour during the most recent episode of malaria in their children under 12. Medicines used and purchase place were also collected. Multivariate logistic regression model was used to determine factors associated with malaria home treatment and drug purchase in IMPD.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Beyond all the 340 caregivers, 116 (34%) consulted healthcare professional, 224 (66%) home treat the children, among whom 207 (61%) gave pharmaceutical drugs and 17 (5%) gave traditional remedies to children. Malaria home treatment was associated with family size, health insurance (OR = 0.396, 95% CI 0.169-0.928), and wealth quintiles where home treatment was less used by the richest (OR = 0.199, 95% CI 0.0676-0.522) compared to those in the poorest quintile. The caregivers age group 30-39 years was associated to the use of IMPD (OR = 0.383, 95% CI 0.152-0.964), the most economically wealthy people were less likely to use IMPD (wealth quintile richest: OR = 0.239, 95% CI 0.064-0.887; wealth quintile fourth OR = 0.271, 95% CI 0.100-0.735) compared to those in the poorest quintile. All caregivers who benefited from health insurance did not use IMPD.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>This study highlights the link between worse economic conditions and accessibility to medical care as one of the main factors of malaria home treatment and drug purchase in IMPD, even if those two phenomena need to be understood apart.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30305107</PMID><DateCompleted><Year>2018</Year><Month>11</Month><Day>26</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1475-2875</ISSN><JournalIssue CitedMedium="Internet"><Volume>17</Volume><Issue>1</Issue><PubDate><Year>2018</Year><Month>Oct</Month><Day>10</Day></PubDate></JournalIssue><Title>Malaria journal</Title><ISOAbbreviation>Malar J</ISOAbbreviation></Journal><ArticleTitle>Home treatment and use of informal market of pharmaceutical drugs for the management of paediatric malaria in Cotonou, Benin.</ArticleTitle><Pagination><MedlinePgn>354</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12936-018-2504-1</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Malaria is the main cause of hospital admissions in Benin and a leading cause of death in childhood. Beside consultations, various studies have underlined the management of the disease through home treatment. The medicines used can be purchased in informal market of pharmaceutical drugs (IMPD) without prescription or any involvement of healthcare professional. Pharmaceutical drugs are sold by informal private vendors, who operate at any time in the immediate environment of the patients. The present study was conducted in Cotonou to study the health-seeking behaviour of caregivers to treat malaria in children under 12 years old. Factors associated with malaria home treatment and drugs purchase in IMPD were studied.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A cross-sectional study was carried out among 340 children's caregivers who were interviewed about their socio-demographic characteristics and their care-seeking behaviour during the most recent episode of malaria in their children under 12. Medicines used and purchase place were also collected. Multivariate logistic regression model was used to determine factors associated with malaria home treatment and drug purchase in IMPD.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Beyond all the 340 caregivers, 116 (34%) consulted healthcare professional, 224 (66%) home treat the children, among whom 207 (61%) gave pharmaceutical drugs and 17 (5%) gave traditional remedies to children. Malaria home treatment was associated with family size, health insurance (OR = 0.396, 95% CI 0.169-0.928), and wealth quintiles where home treatment was less used by the richest (OR = 0.199, 95% CI 0.0676-0.522) compared to those in the poorest quintile. The caregivers age group 30-39 years was associated to the use of IMPD (OR = 0.383, 95% CI 0.152-0.964), the most economically wealthy people were less likely to use IMPD (wealth quintile richest: OR = 0.239, 95% CI 0.064-0.887; wealth quintile fourth OR = 0.271, 95% CI 0.100-0.735) compared to those in the poorest quintile. All caregivers who benefited from health insurance did not use IMPD.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This study highlights the link between worse economic conditions and accessibility to medical care as one of the main factors of malaria home treatment and drug purchase in IMPD, even if those two phenomena need to be understood apart.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Apetoh</LastName><ForeName>Edwige</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Institut de recherche pour le développement, Unité mixte de recherche 216: Mères et enfants face aux infections tropicales, Université Paris-Descartes, 4 Avenue de l'Observatoire, 75006, Paris, France. eapetoh@gmail.com.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Ecole doctorale Pierre Louis de santé publique, ED 393 Epidémiologie et Sciences de l'Information Biomédicale, Paris, France. eapetoh@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tilly</LastName><ForeName>Marina</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Institut de recherche pour le développement, Unité mixte de recherche 216: Mères et enfants face aux infections tropicales, Université Paris-Descartes, 4 Avenue de l'Observatoire, 75006, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Baxerres</LastName><ForeName>Carine</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Institut de recherche pour le développement, Unité mixte de recherche 216: Mères et enfants face aux infections tropicales, Université Paris-Descartes, 4 Avenue de l'Observatoire, 75006, Paris, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre Norbert Elias EHESS-Campus Marseille La Vieille Charité, 2 Rue de la Charité, 13002, Marseille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Le Hesran</LastName><ForeName>Jean-Yves</ForeName><Initials>JY</Initials><AffiliationInfo><Affiliation>Institut de recherche pour le développement, Unité mixte de recherche 216: Mères et enfants face aux infections tropicales, Université Paris-Descartes, 4 Avenue de l'Observatoire, 75006, Paris, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>FP7/2007-2013 / ERC grant agreement n°337372</GrantID><Agency>European Research Council</Agency><Country>International</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>10</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Malar J</MedlineTA><NlmUniqueID>101139802</NlmUniqueID><ISSNLinking>1475-2875</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000962">Antimalarials</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000962" MajorTopicYN="N">Antimalarials</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName><QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001541" MajorTopicYN="N">Benin</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017028" 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control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Benin</Keyword><Keyword MajorTopicYN="N">Cotonou</Keyword><Keyword MajorTopicYN="N">Home treatment</Keyword><Keyword MajorTopicYN="N">Informal market of pharmaceutical drugs</Keyword><Keyword MajorTopicYN="N">Malaria</Keyword><Keyword MajorTopicYN="N">Paediatric malaria</Keyword><Keyword MajorTopicYN="N">Parallel market</Keyword><Keyword MajorTopicYN="N">Self-medication</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate 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IdType="pubmed">20099669</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Provence-Alpes-Côte d'Azur</li><li>Île-de-France</li></region><settlement><li>Marseille</li><li>Paris</li></settlement><orgName><li>Université Paris-Descartes</li></orgName></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Apetoh, Edwige" sort="Apetoh, Edwige" uniqKey="Apetoh E" first="Edwige" last="Apetoh">Edwige Apetoh</name></region><name sortKey="Apetoh, Edwige" sort="Apetoh, Edwige" uniqKey="Apetoh E" first="Edwige" last="Apetoh">Edwige Apetoh</name><name sortKey="Baxerres, Carine" sort="Baxerres, Carine" uniqKey="Baxerres C" first="Carine" last="Baxerres">Carine Baxerres</name><name sortKey="Baxerres, Carine" sort="Baxerres, Carine" uniqKey="Baxerres C" first="Carine" last="Baxerres">Carine Baxerres</name><name sortKey="Le Hesran, Jean Yves" sort="Le Hesran, Jean Yves" uniqKey="Le Hesran J" first="Jean-Yves" last="Le Hesran">Jean-Yves Le Hesran</name><name sortKey="Tilly, Marina" sort="Tilly, Marina" uniqKey="Tilly M" first="Marina" last="Tilly">Marina Tilly</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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