Pharmacists’ role in managing sexually transmitted infections: policy issues and options for Ghana
Identifieur interne : 000216 ( Istex/Curation ); précédent : 000215; suivant : 000217Pharmacists’ role in managing sexually transmitted infections: policy issues and options for Ghana
Auteurs : Susannah Mayhew ; Khonde Nzambi ; Jacques Pe Pin [Canada] ; Sam Adjei [Ghana]Source :
- Health Policy and Planning [ 0268-1080 ] ; 2001-06.
Descripteurs français
- Wicri :
- geographic : Ghana.
- topic : Antibiotique, Soins de santé, Pharmacien, Pharmacie, Entreprise privée.
English descriptors
- KwdEn :
- Accra, Antibiotic, Brugha, Cedi, Chemical sellers, Chemical shops, Client survey, Combat aids, Common occurrence, Condom, Condom promotion, Development agency, Drug effectiveness, Drug pricing, Drug procurement, Drug supplies, Drug therapy, Essential drugs list, First choice treatments, Genital, Genital ulcer, Genital ulcers, Ghana, Ghana ministry, Greater accra region, Guideline, Health care, Health research unit, Important role, International division, International health, Little change, Lowincome countries, Mayhew, Median cost, Medical doctor, Medical establishment, Medical practitioner, Medical practitioners, Medical professions, Medication, National aids control programme, Ndings, Pharmaceutical society, Pharmacist, Pharmacy, Pharmacy bodies, Pharmacy council, Policy implications, Practitioner, Preventive activities, Private sector, Programme, Quality control, Quality treatment, Rural areas, Second drug, Simple ailments, Social science, Susannah, Susannah mayhew, Syndrome, Syndromic, Syndromic approach, Syndromic management, Training interventions, Training session, Training sessions, Treatment regimens, Treatment role, Ulcer, Untrained pharmacists, Urban areas, Urethral, Urethral discharge, Urgent need, Vaginal discharge, West africa project.
- Teeft :
- Accra, Antibiotic, Brugha, Cedi, Chemical sellers, Chemical shops, Client survey, Combat aids, Common occurrence, Condom, Condom promotion, Development agency, Drug effectiveness, Drug pricing, Drug procurement, Drug supplies, Drug therapy, Essential drugs list, First choice treatments, Genital, Genital ulcer, Genital ulcers, Ghana, Ghana ministry, Greater accra region, Guideline, Health care, Health research unit, Important role, International division, International health, Little change, Lowincome countries, Mayhew, Median cost, Medical doctor, Medical establishment, Medical practitioner, Medical practitioners, Medical professions, Medication, National aids control programme, Ndings, Pharmaceutical society, Pharmacist, Pharmacy, Pharmacy bodies, Pharmacy council, Policy implications, Practitioner, Preventive activities, Private sector, Programme, Quality control, Quality treatment, Rural areas, Second drug, Simple ailments, Social science, Susannah, Susannah mayhew, Syndrome, Syndromic, Syndromic approach, Syndromic management, Training interventions, Training session, Training sessions, Treatment regimens, Treatment role, Ulcer, Untrained pharmacists, Urban areas, Urethral, Urethral discharge, Urgent need, Vaginal discharge, West africa project.
Abstract
The debate about extending the role of pharmacists in health care is growing in recognition of the ongoing difficulties experienced by many public sector services. The perceived accessibility and confidentiality of pharmacists makes them particularly attractive to patients for the management of health problems such as sexually transmitted infections (STI) that may lead to stigmatization. Despite growing interest in the subject, there are few documented analyses of the role of pharmacists in low-income countries. In Ghana, pharmacists are acknowledged by the government to be the preferred option for people seeking treatment for STI. A study was conducted to investigate the current role played by pharmacists in Greater Accra Region in the management of STI. On the basis of these findings, training schemes were developed, implemented and evaluated. This paper presents the findings of this operation-research and considers their implications for deciding to what extent and in what way pharmacists should be involved in managing STI in Ghana and other similar country settings. These findings suggest that pharmacists have a crucial role in effective management of STI, particularly in the management of urethral discharge. They may need to limit their management of genital ulcer to referring customers to laboratories and medical practitioners. They also represent a currently under-utilized opportunity for preventive activities. Regulation and quality assurance issues need to be addressed by both pharmacy and medical professions.
Url:
DOI: 10.1093/heapol/16.2.152
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Susannah Mayhew<affiliation><mods:affiliation>Nuffield Institute for Health, University of Leeds, UK,</mods:affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation><affiliation><mods:affiliation>West Africa Project to Combat AIDS, Accra, Ghana,</mods:affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation>Le document en format XML
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xml:lang="fr">Ghana</country><wicri:regionArea>Health Research Unit, Ministry of Health, Accra</wicri:regionArea></affiliation></author></analytic><monogr></monogr><series><title level="j">Health Policy and Planning</title><title level="j" type="abbrev">Health Policy Plan.</title><idno type="ISSN">0268-1080</idno><idno type="eISSN">1460-2237</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="2001-06">2001-06</date><biblScope unit="volume">16</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="152">152</biblScope><biblScope unit="page" to="160">160</biblScope></imprint><idno type="ISSN">0268-1080</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0268-1080</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accra</term><term>Antibiotic</term><term>Brugha</term><term>Cedi</term><term>Chemical sellers</term><term>Chemical shops</term><term>Client survey</term><term>Combat aids</term><term>Common occurrence</term><term>Condom</term><term>Condom promotion</term><term>Development agency</term><term>Drug effectiveness</term><term>Drug pricing</term><term>Drug procurement</term><term>Drug supplies</term><term>Drug therapy</term><term>Essential drugs list</term><term>First choice treatments</term><term>Genital</term><term>Genital ulcer</term><term>Genital ulcers</term><term>Ghana</term><term>Ghana ministry</term><term>Greater accra region</term><term>Guideline</term><term>Health care</term><term>Health research unit</term><term>Important role</term><term>International division</term><term>International health</term><term>Little change</term><term>Lowincome countries</term><term>Mayhew</term><term>Median cost</term><term>Medical doctor</term><term>Medical establishment</term><term>Medical practitioner</term><term>Medical practitioners</term><term>Medical professions</term><term>Medication</term><term>National aids control programme</term><term>Ndings</term><term>Pharmaceutical society</term><term>Pharmacist</term><term>Pharmacy</term><term>Pharmacy bodies</term><term>Pharmacy council</term><term>Policy implications</term><term>Practitioner</term><term>Preventive activities</term><term>Private sector</term><term>Programme</term><term>Quality control</term><term>Quality treatment</term><term>Rural areas</term><term>Second drug</term><term>Simple ailments</term><term>Social science</term><term>Susannah</term><term>Susannah mayhew</term><term>Syndrome</term><term>Syndromic</term><term>Syndromic approach</term><term>Syndromic management</term><term>Training interventions</term><term>Training session</term><term>Training sessions</term><term>Treatment regimens</term><term>Treatment role</term><term>Ulcer</term><term>Untrained pharmacists</term><term>Urban areas</term><term>Urethral</term><term>Urethral discharge</term><term>Urgent need</term><term>Vaginal discharge</term><term>West africa project</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Accra</term><term>Antibiotic</term><term>Brugha</term><term>Cedi</term><term>Chemical sellers</term><term>Chemical shops</term><term>Client survey</term><term>Combat aids</term><term>Common occurrence</term><term>Condom</term><term>Condom promotion</term><term>Development agency</term><term>Drug effectiveness</term><term>Drug pricing</term><term>Drug procurement</term><term>Drug supplies</term><term>Drug therapy</term><term>Essential drugs list</term><term>First choice treatments</term><term>Genital</term><term>Genital ulcer</term><term>Genital ulcers</term><term>Ghana</term><term>Ghana ministry</term><term>Greater accra region</term><term>Guideline</term><term>Health care</term><term>Health research unit</term><term>Important role</term><term>International division</term><term>International health</term><term>Little change</term><term>Lowincome countries</term><term>Mayhew</term><term>Median cost</term><term>Medical doctor</term><term>Medical establishment</term><term>Medical practitioner</term><term>Medical practitioners</term><term>Medical professions</term><term>Medication</term><term>National aids control programme</term><term>Ndings</term><term>Pharmaceutical society</term><term>Pharmacist</term><term>Pharmacy</term><term>Pharmacy bodies</term><term>Pharmacy council</term><term>Policy implications</term><term>Practitioner</term><term>Preventive activities</term><term>Private sector</term><term>Programme</term><term>Quality control</term><term>Quality treatment</term><term>Rural areas</term><term>Second drug</term><term>Simple ailments</term><term>Social science</term><term>Susannah</term><term>Susannah mayhew</term><term>Syndrome</term><term>Syndromic</term><term>Syndromic approach</term><term>Syndromic management</term><term>Training interventions</term><term>Training session</term><term>Training sessions</term><term>Treatment regimens</term><term>Treatment role</term><term>Ulcer</term><term>Untrained pharmacists</term><term>Urban areas</term><term>Urethral</term><term>Urethral discharge</term><term>Urgent need</term><term>Vaginal discharge</term><term>West africa project</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Antibiotique</term><term>Soins de santé</term><term>Pharmacien</term><term>Pharmacie</term><term>Entreprise privée</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The debate about extending the role of pharmacists in health care is growing in recognition of the ongoing difficulties experienced by many public sector services. The perceived accessibility and confidentiality of pharmacists makes them particularly attractive to patients for the management of health problems such as sexually transmitted infections (STI) that may lead to stigmatization. Despite growing interest in the subject, there are few documented analyses of the role of pharmacists in low-income countries. In Ghana, pharmacists are acknowledged by the government to be the preferred option for people seeking treatment for STI. A study was conducted to investigate the current role played by pharmacists in Greater Accra Region in the management of STI. On the basis of these findings, training schemes were developed, implemented and evaluated. This paper presents the findings of this operation-research and considers their implications for deciding to what extent and in what way pharmacists should be involved in managing STI in Ghana and other similar country settings. These findings suggest that pharmacists have a crucial role in effective management of STI, particularly in the management of urethral discharge. They may need to limit their management of genital ulcer to referring customers to laboratories and medical practitioners. They also represent a currently under-utilized opportunity for preventive activities. Regulation and quality assurance issues need to be addressed by both pharmacy and medical professions.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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