Title |
Accessibility, availability and affordability of anti-malarials in a rural district in Kenya after implementation of a national subsidy scheme
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Published in |
Malaria Journal, October 2011
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DOI | 10.1186/1475-2875-10-316 |
Pubmed ID | |
Authors |
Nathan Smith, Andrew Obala, Chrispinus Simiyu, Diana Menya, Barasa Khwa-Otsyula, Wendy Prudhomme O'Meara |
Abstract |
Poor access to prompt and effective treatment for malaria contributes to high mortality and severe morbidity. In Kenya, it is estimated that only 12% of children receive anti-malarials for their fever within 24 hours. The first point of care for many fevers is a local medicine retailer, such as a pharmacy or chemist. The role of the medicine retailer as an important distribution point for malaria medicines has been recognized and several different strategies have been used to improve the services that these retailers provide. Despite these efforts, many mothers still purchase ineffective drugs because they are less expensive than effective artemisinin combination therapy (ACT). One strategy that is being piloted in several countries is an international subsidy targeted at anti-malarials supplied through the retail sector. The goal of this strategy is to make ACT as affordable as ineffective alternatives. The programme, called the Affordable Medicines Facility - malaria was rolled out in Kenya in August 2010. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 4 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 3 | 75% |
Practitioners (doctors, other healthcare professionals) | 1 | 25% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | <1% |
United States | 1 | <1% |
Canada | 1 | <1% |
Unknown | 145 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 32 | 22% |
Student > Ph. D. Student | 17 | 11% |
Researcher | 16 | 11% |
Student > Bachelor | 11 | 7% |
Lecturer | 9 | 6% |
Other | 35 | 24% |
Unknown | 28 | 19% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 41 | 28% |
Social Sciences | 17 | 11% |
Pharmacology, Toxicology and Pharmaceutical Science | 13 | 9% |
Nursing and Health Professions | 10 | 7% |
Agricultural and Biological Sciences | 9 | 6% |
Other | 22 | 15% |
Unknown | 36 | 24% |