Changing home treatment of childhood fevers by training shop keepers in rural Kenya.
BACKGROUND Malaria control in Africa relies primarily on early effective treatment for clinical disease, but most early treatments for fever occur through self-medication with shop-bought drugs.
Lack of information to community members on over-the-counter drug use has led to widespread ineffective treatment of fevers, increased risks of drug toxicity and accelerating drug resistance.
We examined the feasibility and measured the likely impact of training shop keepers in rural Africa on community drug use.
METHODS In a rural area of coastal Kenya, we implemented a shop keeper training programme in 23 shops serving a population of approximately 3500, based on formative research within the community.
We evaluated the training by measuring changes in the proportions of drug sales where an adequate amount of chloroquine was purchased and in the percentage of home-treated childhood fevers given an adequate amount of chloroquine.
The programme was assessed qualitatively in the community following the shop keeper training.
RESULTS The percentage of drug sales for children with fever which included an antimalarial drug rose from 34.3% (95% CI 28.9% - 40.1%) before the training to a minimum of 79.3% (95% CI 71.8% - 85.3%) after the training.
The percentage of antimalarial drug sales where an adequate amount of drug was purchased rose from 31.8% (95% Cl 26.6% - 37.6%) to a minimum of 82.9% (95% Cl 76.3% - 87.3%). (...)
Mots-clés Pascal : Traitement, Fièvre, Enfant, Homme, Kenya, Afrique, Automédication, Education santé, Chimiothérapie, Résultat, Evaluation, Connaissance
Mots-clés Pascal anglais : Treatment, Fever, Child, Human, Kenya, Africa, Self prescription, Health education, Chemotherapy, Result, Evaluation, Knowledge
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0343923
Code Inist : 002B02W. Création : 14/12/1999.