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American Journal of Public Health Research. 2015, 3(3), 116-121
DOI: 10.12691/AJPHR-3-3-7
Original Research

Perceptions Influencing Self Medication with Antibiotics and/or Antimalarials among the Households in Nyalenda B Sub-Location, Kisumu County, Kenya

Owour I. A.1, , Prof Alwar J.1 and Oyugi H.1

1Tropical Institute of Community Health, Great Lakes University of Kisumu

Pub. Date: May 31, 2015
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Cite this paper

Owour I. A., Prof Alwar J. and Oyugi H.. Perceptions Influencing Self Medication with Antibiotics and/or Antimalarials among the Households in Nyalenda B Sub-Location, Kisumu County, Kenya. American Journal of Public Health Research. 2015; 3(3):116-121. doi: 10.12691/AJPHR-3-3-7

Abstract

Objectives:This study was designed to investigate the level of self medication with antibiotics and/or antimalarials and perceptions influencing the practice among the households in Nyalenda B Sub Location. Methods: This isa cross sectional study carried out on 350 systematically sampled household heads after clustering the households into five clusters of 70 households in Novermber 2012. Quantitative primary data was obtained through the administration of pretested structured questionnaires comprising of likert scales, multiple and closed ended questions on the perceptions of consumption of self medication as a good and a service and questions establishing the demographics of the consumers. Results: The proportion of self medication with antibiotics and/or antimalalarials is 76.9% (95% CI: 3.01-3.17) and the households perceptions influencing the practice are availability of information through advertisement (OR: 2.065, 95%CI: 1.218-3.502, p-value 0.007) of antibiotics and/or antimalarials and advise given by medical practitioners (OR: 0.467, 95%CI: 0.272-0.800, p-value0.006),distance from the health facility (OR: 2.743,95% CI:1.042-5.009, p-value: 0.001),inadequately equipped local health facilities (OR:1.948,95% CI:1.042-3.642, p-value: 0.037), sexually transmitted diseases (OR: 1.869, 95% C.I: 1.039-3.362, p-value, 0.037). Conclusion: Households perceive self medication with antibiotics and/or antimalarials as convenient and appropriate and this has an influence on the practice.

Keywords

self medication, antibiotics and/or antimalaraials, Household’s perceptions

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  Montastruc JL, Bagheri H, Geraud T, Lapeyre-Mestre M. Pharmacovigilance of selfmedication. Therapie 1997; 52(2):105-10. ... J Clin Pharm Ther 1997; 22:261&#8211; 72.
 
[2]  World Health Organization (2000): Guidelines for the regulatory assessment of Medicinal Products for use in self-medication.WHO/EDM/QSM/00.1.
 
[3]  Hughes CM, McElnay JC, Fleming GF. Benefits and risks of self medication.Drug Safety. 2001; 24: 1027-1037.
 
[4]  Foster S. J. Treatment of malaria outside the formal health services Trop Med Hyg. 1995; 98(1):29-34.
 
[5]  Tayanithi P, Aramwit P. Self – medicated over the counter ophthalmic solutions in central Bangkok. J-Med Assoc Thai.2008; 88 (Suppl 4):S330-S334
 
[6]  Soparkar CN, Wilhelmus KR, Koch DD, Wallace GW, Jones DB. Acute andChronic conjunctivitis due to over the counter ophthalmic decongestants. Arch Ophthalmol. 1997; 115(1):34-38.
 
[7]  Kiyingi KS, LauwoJAK.Drugs in home: danger and waste. World Health Forum.1993; 14: 381-384.
 
[8]  Clavinjo, H.A., Self-medication during pregnancy.World Health Forum, 1995. 16: p. 403-404.
 
[9]  Gwee MC. Department of Pharmacology, Faculty of Medicine, National University of Singapore.Annals of the Academy of Medicine, Singapore 1993, 22(1):90-93.
 
[10]  Kenya Bureau of Statistics, 2005.
 
[11]  Pharmacy and Poisons Board, Kenya, 2010.
 
[12]  Pharmaceutical Society of Kenya, 2010.
 
[13]  Kenya Pharmaceutical Association, 2010.
 
[14]  Global Antibiotic Resistance Partnership (GARP) -Kenya Situation Analysis Status of Conditions Related to Antibiotic Resistance 2010.
 
[15]  World Health Organisation (WHO) (2010), “World Health Statistics 2010”.
 
[16]  Kenyan-Population-and-Housing-Census-3rd January 2012.
 
[17]  Kinfu Y, Dal Poz MR, Mercer H, Evans DB. The health worker shortage in Africa: are enough physicians and nurses being trained? Bull World Health Organ. 2009 Mar; 87(3):225-30.
 
[18]  Ross, C., Steward, C. and Sinacore, J. “The importance of patient preferences in the measurement of health care satisfaction”, Medicine Care, 1933; Vol. 31, pp. 1138-49.
 
[19]  Reerink IH, Sauerborn R. Quality of care in primary healthcare settings in developing countries: recent experiences and future directions. International Journal of Quality of HealthCare. 1996; 8: 131-9.
 
[20]  Luong, A. "Affective Service Display and Customer Mood," Journal of Service Research(8:2), 2005, pp.117-30.
 
[21]  Katz, J. How Emotions Work. Chicago, IL: University of Chicago Press, 1999. 163.
 
[22]  Kristensen, K., Martensen, A. and Gronholdt, L. “Measuring the impact of buying behaviour on customer satisfaction”, Total Quality Management, 1999; Vol. 10, S602-S14.
 
[23]  Martensen, A., Gronholdt, L. and Kristensen, K. “The drivers of customer satisfaction and loyalty: cross-industry findings from Denmark”,Total Quality Management, 2000; Vol. 11, pp. S544-53.
 
[24]  Gronroos, C. “A service quality model and its marketing implications”, European Journal of Marketing, 1984; Vol. 18 No. 4, pp. 36-44.
 
[25]  Bateson, J. E. G., & Hoffman, K. D. (1999). Managing services marketing (4thed.). Chicago: The Dryden Press.
 
[26]  Cardozo, Richard, “An Experimental Study on Customers Effort, expectation and satisfaction”,Journal of Marketing Research, 1965: 2 (3), 244-9.
 
[27]  Olshavsky and John A. Miller “Consumer Expectations, Product Performance and perceived Product Quality,” Journal of Marketing Research, 1972; 9 (1) 19-21.
 
[28]  Olson, Jerry C and Philip Dover (1976), “Effects of Expectations Product Performance and Disconfirmation Belief Elements of Cognitive Structures,” Advances in Consumer Research PROVO UT: Association for consumer research.
 
[29]  Oliver, Richard L (1980) “A Cognitive Model of Antecedents and Consequences of Satisfaction Decision,” Journal of Marketting Research, 42 (4), 460-9.
 
[30]  Zeithaml, Valarie A. “Consumer Perception on Price, Quality and Value: A means-End Model and Synthesis of Evidence,”Journal of Marketing, 1988; 52(3), 2-22.
 
[31]  Parasuraman A, Valarie A, Zeithaml and LeornardL. Berryl,” Conceptual Model of Service Quality and its Implications for Future Research,” Journal of Marketing, 1985; 49(4):41-50
 
[32]  Government of Kenya, Census 2009.
 
[33]  United Nations Human Settlements Programme [UN-HABITAT] (2008). The Challenge of Slums: Global Report on Human Settlements.
 
[34]  Gwee, M.C. Prevention of adverse drug reactions: role the patient (consumer). Ann Acad Med Singapore, 1993; 22(1): p. 90-93.
 
[35]  Fisher, Andrew A., John Laing, and John Stoeckel. 1985. “Guidelines for overcoming design problems in family planning operations research.”Studies in Family Planning 16(2)
 
[36]  Sapkota AR, Coker ME, Goldstein RER, Atkinson NL, Sweet SJ, Sopeju PO., Self-medication with antibiotics for the treatment of menstrual symptoms in southwest Nigeria: across-sectional study, BMC Public Health 2010; 10: 1-10.
 
[37]  Pankaj Gupta, Prateek S. Bobhate, Saurabh R. Shrivastava. Determinants of Self Medication Practices in an urban Slum Community.Asia Journal of Pharmaceutical and Clinical Research 2011; 4 (3) 54-57.
 
[38]  Saunders M., Lewis P and Thornhill, A (2009). Research Methods for Business Students. 4th ed. Pearson Education Publishers. USA.
 
[39]  Krejcie, R.V., & Morgan, D.W. Determining Sample Size for Research Activities. Educational and Psychological Measurement 1970; 30, 607-610.
 
[40]  George NLordorfos, Katch,Mulvana, John Temperley, 2006. “Consumer behaviour: Experience, Price, Trust and Subjective Norms in The OTC Pharmaceutical Market.” Special edition on Consumer Satisfaction-Global Perspective.
 
[41]  Mulugeta T A, Nasir T W , RajuNJ. Assessment of Patterns of Drug use by World Health Organization’s Prescribing, Patient Care and Health facility indicators in Selected Health Facilities in Southwest Ethiopia .japs. 2011; 01 (07):62-66.
 
[42]  ThiHoan Le, Ellinor Ottosson, Thi Kim Chuc Nguyen, BaoGiang Kim and Peter AllebeckDrug use and self-medication among children with respiratory illness or diarrhea in a rural district in Vietnam: a qualitative study. J MultidiscipHealthc. 2011; 4: 329-336.
 
[43]  Abdelmoneim Awad1, Idris Eltayeb2, Lloyd Matowe1 Lukman Thalib. Self-medication with Antibiotics and Antimalarials in the community of Khartoum State, Sudan J Pharm PharmaceutSci (www.cspscanada.org) 8(2): 326-331, 2005
 
[44]  McLeod, Saul. Likert Scale. Simply Psychology retrieved August 2008 26, 2011 from http://www.simplypsychology.org/likert -scale.htm.
 
[45]  Likert, R. “A technique for the measurement of attitudes”.Archives of Psychology, 1932;Vol 22, No. 140, p 55.
 
[46]  Chandra H. and Chambers R .“Small area estimation under transformation to linearity”, Survey Methodology.2011; 37, 39-51.
 
[47]  Sapkota AR, Coker ME, Goldstein RER, Atkinson NL, Sweet SJ, SopejuPOet al., Self-medication with antibiotics for the treatment of menstrual symptoms in southwest Nigeria: across-sectional study, BMC Public Health 2010; 10: 1-10.
 
[48]  Buke AC, Ermertcan S, Hosgor-Limoncu M, Ciceklioglu M, Eren S Rational antibiotic use and academic staff. International Journal of Antimicrobial Agents. 2003; 21: 63-66.
 
[49]  Buke C, Hosgor-Limoncu M, Ermertcan S, Ciceklioglu M, Tuncel M, Irrational use of antibiotics among university students. J Infect. 2005; 51: 135-139.
 
[50]  Al-Azzam SI, Al-Husein BA, Alzoubi F, Masadeh MM, Al-Horani MA.Self-medication with antibiotics in Jordanian population. Int J OccupMed Environ Health 2007; 20: 373-380.
 
[51]  Schorling JB, De Souza MA, Guerrant RL (1991) Patterns of antibiotic use among children in an urban Brazilian slum.Int J Epidemiol 20: 293
 
[52]  Kristiansson C, Reilly M, Gotuzzo E, Rodriguez H, Bartoloni A. Antibiotic use and health-seeking behaviour in an underprivileged area of Peru. Trop Med Int Health.2008; 13: 434-441.
 
[53]  Morgan, R. M. and Hunt, S. D. "The Commitment-Trust Theory of Relationship Marketing," Journal of Marketing(58:1), 1994, pp. 20-38.
 
[54]  Islam N, Goldman JD, Kunin CM. Ask the expert. APUA (Alliance for the Prudent Use of Antibiotics) Newsletter. 1996; 14 (2):5. URL.
 
[55]  Festus Abasiubong, EmemAbasiBassey, John AkpanUdobang, Oluyinka Samuel Akinbami, Sunday BasseyUdoh, Alphonsus UdoIdung (2012). Self-Medication: potential risks and hazards among pregnant women in Uyo, Nigeria. The Pan African Medical Journal. 2012; 13:15.
 
[56]  Shah AP, Parmar SA, Kumkishan A, Mehta AA. Knowledge, Attitude and Practice (KAP) Survey Regarding the safe use of Medicines in rural area of Gujurat. Adv Trop Med Pub Health. 2011; 1(2): 66-70.
 
[57]  Abdelmoneim Awad, Idris Eltayeb, Lloyd Matowe, Lukman Thalib. Self-medication with Antibiotics and Antimalarials in the community of Khartoum State, Sudan J Pharm PharmaceutSci (www.cspscanada.org).2005; 8(2):326-331, 2005.