What motivates antibiotic dispensing in accredited drug dispensing outlets in Tanzania? A qualitative study

Antimicrobial Resistance and Infection Control

Volumn 4, Issue 1, 2015, Pages

  Dillip, Angel ^a   Embrey, Martha ^b   Shekalaghe, Elizabeth ^c   Ross Degnan, Dennis ^d   Vialle Valentin, Catherine ^d   Kimatta, Suleiman ^e   Liana, Jafary ^e   Rutta, Edmund ^b   Valimba, Richard ^e   Chalker, John ^b  

^a IFAKARA HEALTH INSTITUTE   (Tanzania)

^b MANAGEMENT SCIENCES FOR HEALTH   (United States)

^c Pharmacy Council   (Tanzania)

^d HARVARD PILGRIM HEALTH CARE INSTITUTE   (United States)

^e Management Sciences for Health   (Tanzania)

Author keywords

ADDO; Antibiotics; Antimicrobial resistance

Indexed keywords

ANTIBIOTIC AGENT;

ACCREDITATION; ANTIBIOTIC DISPENSING; ARTICLE; ATTITUDE; BLOODY DIARRHEA; BUSINESS ETHICS; COLD; COMMUNICATION SKILL; COUGHING; DISEASE SEVERITY; DRUG INDUSTRY; DRUG MARKETING; DRUG USE; FEMALE; HEALTH CARE FACILITY; HUMAN; MALE; PNEUMONIA; PRACTICE GUIDELINE; PRIORITY JOURNAL; QUALITATIVE RESEARCH; RESPIRATORY TRACT INFECTION; RURAL AREA; TANZANIA; TREATMENT INDICATION;

EID: 84938484894     PISSN: None     EISSN: 20472994     Source Type: Journal    
DOI: 10.1186/s13756-015-0073-4     Document Type: Article

References (26)

1. Center for Pharmaceutical Management. Accredited Drug Dispensing Outlets in Tanzania Strategies for Enhancing Access to Medicines Program. Arlington, VA: Management Sciences for Health; 2008.
2. Tanzania Food and Drugs Authority. Guidelines for establishing and operating accredited drug dispensing outlets. Dar es Salaam: TFDA; 2009.
3. East Africa Drug Seller Initiative. Evaluation report. Arlington, VA: Management Sciences for Health; 2011.
4. Rutta E, Senauer K, Johnson K, Adeya G, Mbwasi R, Liana J, et al. Creating a new class of pharmaceutical services provider for underserved areas: the Tanzania accredited drug dispensing outlet experience. Prog Community Health Partnersh. 2009;3(2):145-53.
5. United Republic of Tanzania Ministry of Health and Social Welfare. Standard treatment guidelines (STG) and the national essential medicines List (NEMLIT) for mainland Tanzania. 3rd ed. Dar es Salaam: Ministry of Health and Social Welfare; 2007.
6. World Health Organization. Integrated Management of Childhood Illness chart booklet. 2008, Geneva. http://whqlibdoc.who.int/publications/2008/9789241597289_eng.pdf. Accessed 12 Feb 2015.
7. World Health Organization. The evolving threat of antimicrobial resistance: options for action. Geneva: WHO; 2012.
8. Tanzania Consumer Advocacy Society. Research report: mystery shopping study on services provided by dispensers of accredited drug dispensing outlets in Tanzania. Dar es Salaam: TCAS; 2013.
9. Gwimile JJ, Shekalaghe SA, Kapanda GN, Kisanga ER. Antibiotic prescribing practice in management of cough and/or diarrhoea in Moshi Municipality, Northern Tanzania: cross-sectional descriptive study. Pan Afr Med J. 2012;12:103.
10. World Health Organization. The World Medicines Situation 2011, 3rd Edition, Geneva:WHO. http://apps.who.int/medicinedocs/en/m/abstract/Js20054en/. Accessed 25 Mar 2015.
11. Hoa NQ, Larson M, Kim Chuc NT, Eriksson B, Trung NV, Stalsby CL. Antibiotics and paediatric acute respiratory infections in rural Vietnam: health-care providers' knowledge, practical competence and reported practice. Trop Med Int Health. 2009;14(5):546-55.
12. Vialle-Valentin CE, Lecates RF, Zhang F, Desta AT, Ross-Degnan D. Predictors of antibiotic use in African communities: evidence from medicines household surveys in five countries. Trop Med Int Health. 2012;17(2):211-22.
13. World Health Organization. Antimicrobial resistance global report on surveillance. Geneva: WHO; 2014.
14. Mshana SE, Matee M, Rweyemamu M. Antimicrobial resistance in human and animal pathogens in Zambia, Democratic Republic of Congo, Mozambique and Tanzania: an urgent need of a sustainable surveillance system. Ann Clin Microbiol Antimicrob. 2013;12:28. doi: 10.1186/1476-0711-12-28.
15. Goodman C, Kachur SP, Abdulla S, Bloland P, Mills A. Drug shop regulation and malaria treatment in Tanzania-why do shops break the rules, and does it matter? Health Policy Plan. 2007;22(6):393-403.
16. Alba S, Dillip A, Hetzel MW, Mayumana I, Mshana C, Makemba A, et al. Improvements in access to malaria treatment in Tanzania following community, retail sector and health facility interventions-a user perspective. Malar J. 2010;9:163.
17. Alba S, Hetzel MW, Goodman C, Dillip A, Liana J, Mshinda H, et al. Improvements in access to malaria treatment in Tanzania after switch to artemisinin combination therapy and the introduction of accredited drug dispensing outlets-a provider perspective. Malar J. 2010;9:164.
18. Ringsted FM, Massawe IS, Lemnge MM, Bygbjerg IC. Salability of anti-malarials in private drug shops in Muheza, Tanzania: a baseline study in an era of assumed artemisinin combination therapy (ACT). Malar J. 2011;10:238.
19. Strauss A, Corbin J. Grounded theory methodology: an overview. In: Denzin N, Lincoln Y, editors. Handbook of qualitative research. Thousand Oaks, CA: Sage Publications Ltd; 1994. p. 273-85.
20. Rutta E, Liana J, Embrey M, Johnson K, Kimatta S, Valimba R, et al., Accrediting retail drug shops to strengthen Tanzania's public health system: an ADDO case study. J Pharm Policy Pract (forthcoming).
21. Silverman D. Interpreting qualitative data: methods for analysing talk, text and interaction. 3rd ed. Thousand Oaks: CA:Sage Publications Ltd.; 2006.
22. Tuckett AG. Qualitative research sampling: the very real complexities. Nurse Res. 2004;12:47-61.
23. NVivo QRS International. http://www.qsrinternational.com/products_nvivo.aspx. Accessed 10 May 2013.
24. Tanzania Food and Drugs Authority. Integrated Management of Childhood Illness (IMCI) in ADDO: manual for ADDO dispensers. Dar es Salaam: Ministry of Health and Social Welfare; 2006.
25. Stakeholders satisfaction with ADDO implementation process in Mtwara and Singida regions. A report prepared by C&V for Management Sciences for Health; 2010. Available at www.drugsellerinitiatives.org.
26. Kimatta S, Mwakisu S, Yeager B, Mwansasu A. Final community case management assessment for children under five through Tanzania ADDOs. Submitted to the US Agency for International Development by the Strengthening Pharmaceutical Systems Program. Management Sciences for Health: Arlington, VA; 2012.