Factors Influencing Self-Medication and Adherence to Leaflet Instructions for Anti-Malarial Drugs in an Artemisinin Resistance Risk Zone (Record no. 29843)
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| 000 -LEADER | |
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| fixed length control field | 04356nam a22003377a 4500 |
| 001 - CONTROL NUMBER | |
| control field | 20241118173224.0 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | OCOLC |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20241118182545.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 241118b |||||||| |||| 00| 0 eng d |
| 028 ## - PUBLISHER OR DISTRIBUTOR NUMBER | |
| Source | Wurzburg Road 35, Premises, Post Code: 33102 | |
| Source | P. O. Box 1464 Mwanza, Tanzania | |
| Source | Phone: (255) 28-298-3384 | |
| Source | Fax: (255) 28-298-3386 | |
| Source | Email: vc@bugando.ac.tz | |
| 035 ## - SYSTEM CONTROL NUMBER | |
| System control number | Website: www.bugando.ac.tz |
| 040 ## - CATALOGING SOURCE | |
| Transcribing agency | ddc |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| Language code of text/sound track or separate title | Kiswahili |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Relator term | CUHAS/6000609/T/22 |
| Fuller form of name | Peter Moris Mayengo |
| 245 ## - TITLE STATEMENT | |
| Title | Factors Influencing Self-Medication and Adherence to Leaflet Instructions for Anti-Malarial Drugs in an Artemisinin Resistance Risk Zone |
| Remainder of title | A Study from Kibondo District, Western Tanzania. |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Mwanza, Tanzania | |
| Name of publisher, distributor, etc. | Catholic University of Health and Allied Sciences [CUHAS-Bugando] | |
| Date of publication, distribution, etc. | 2024. |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 109 Pages |
| Extent | Includes References. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract:<br/><br/>Background: Malaria remains a significant public health challenge, in tropical regions, impacting over 247 million individuals globally and resulting in more than 619,000 fatalities each year. Tanzania ranks third among highly burdened countries, with over 69% of individuals practicing self-medication with antimalarial drugs. Despite the widespread practice of self-medication, research focusing on adherence to leaflet dosing instructions remains scarce in Tanzania.<br/><br/>Methodology: A household-based analytical cross-sectional study was conducted among 600 adults residing in Kibondo district between December 2023 and February 2024. The IBM SPSS® version 25 software was used to analyze data, and univariate analysis and multivariate logistic regression were conducted to identify factors.<br/><br/>Results: The study recruited 600 adult residents of Kibondo district. Approximately two-thirds of the participants (378/600 (63.0%) were females, with a median age of 36 years (interquartile range, IQR=25-75). The majority of participants (285/600 (47.5%) had attained primary education, and farming was the primary occupation for more than half of the participants (391/600 (65.2%). Self-medication was practiced by two-thirds of the participants (404/600 (67.3%). The most common source of drugs used without a prescription was the pharmacy (209/404 (51.7%). Sulfadoxine-pyrimethamine (SP) was the most frequently used antimalarial drug, utilized by over two-thirds of the participants (280/404 (69.3%), followed by artemether-lumefantrine (ALU) (119/404 (29.5%).<br/><br/>Several factors significantly influenced self-medication behavior, including the use of ALU (adjusted odds ratio [aOR]=0.41, 95% confidence interval [CI] 0.28-0.60, p<0.001), availability of antimalarial drugs at the health facilities (aOR=0.55, 95% CI 0.35-0.86, p=0.008), and shorter waiting times for consultation (aOR=0.35, 95% CI 0.-0.60, p<0.001).<br/>Lastly, participants who reported using ALU for self-medication were less likely to adhere to leaflet instructions (odds ratio [OR]=0.008, 95% CI 0.004-0.019, p<0.001) compared to those who reported using other drugs.<br/><br/>Conclusion: The high prevalence of self-medication underscores a concerning lack of awareness and understanding among individuals regarding the appropriate usage of these medications and the dangers associated with their misuse. These findings emphasize the critical necessity for urgent public health interventions aimed at addressing antimalarial drug resistance, particularly in high-risk border areas. Moreover, it was observed that long waiting hours and unavailability of antimalarial drugs were the leading factors towards self-medication. Therefore, it is essential to enhance the healthcare environment to ensure that patients experience minimal inconvenience, ultimately leading to a decrease in self-medication rates.<br/><br/>Keywords: Antimalarial drugs, self-medication, leaflet instructions, Tanzania<br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Clinical Pharmacology |
| General subdivision | Community Medicine |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Fuller form of name | Karoli Julius Marwa |
| Fuller form of name | Anthony Dickson Kapesa |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Public note | A Dissertation to Be Submitted in Partial Fulfillment of The Requirement for The Award of Degree of Master in Public Health (MPH) Of the Catholic University of Health and Allied Sciences. |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | POSTGRADUATE DISSERTATIONS |
| Suppress in OPAC | |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Home library | Current library | Date acquired | Total checkouts | Barcode | Date last seen | Copy number | Price effective from | Koha item type |
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| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 11/18/2024 | 20241118173224.0 | 11/18/2024 | 20241118173224.0 | 11/18/2024 | POSTGRADUATE DISSERTATIONS |