RELEVANCE OF PATIENT’S KNOWLEDGE, ATTITUDES AND BELIEFS IN THE RATIONAL USE OF BIO- MEDICAL DRUGS. A CASE OF KAYUNGA TOWN COUNCIL – KAYUNGA DISTRICT MAY
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https://doi.org/10.57054/codesria.pub.1239
Mots-clés :
PATIENT’S KNOWLEDGE, ATTITUDES, BIO- MEDICAL DRUGS, KAYUNGA DISTRICTSynopsis
Irrational use of bio- medical drugs is a worldwide phenomenon which is occurring in both the developed and developing world. The common practices of irrational use of bio- medical drugs include; multiple drugs on a prescription ( polypharmacy), overuse of anti biotics, mis-use and overuse of injections, overuse of relatively safe drugs, use of unnecessary expensive drugs (brand name visa avis generic name) and or self medication. Much as regulatory policies pertaining to the rational use of bio-medical drugs have been enacted, the practice of irrational use is still persistently on the increase. This study hence sought to understand how patients’ knowledge, attitude and beliefs influence the rational use of drugs. The study objectives were: to establish the factors determining the patient’s use of bio-medical drugs, to examine how the sources of bio-medical drugs influence the rational use of the medicine, to assess how patient’s knowledge affects the rational use of bio-medical drugs and to establish how attitudes and beliefs affect the rational use of bio- medical drugs. To facilitate the study, the methods of investigation were by survey research using structural questionnaires and questionnaire guide for the key informants. The study was conducted in Kayunga Town Council Kayunga District where 94 respondents and 5 key informants who were medical personnel working in different health units were selected. The data was manually coded and then analysed qualitatively and quantitatively. Qualitative data was presented as narratives and quotes while quantitative was analysed by the Statistical Package for Social Sciences (SPSS). The core finds were that; patients seek the use of bio –medicine because it offers quick relief to ill health, irrational use of drugs is perpetuated by both the private and public healthcare providers, the health providers do not provide adequate information to enable the patients rationally use the medicine the patients do not entirely subscribe to the use of bio- medicine but use it concurrently with traditional medicine.
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Références
Adome RO, Whyte SR, Hardon, 1996. Popular Pills. Community Drug Use in Uganda. Spinhuis.Amsterdam.
Akin J & Hutchinson P.1999. “Health – Care facility choice and the phenomenon of Bypassing.” Health
Policy and Planning.Vol 14(2)135 -51.
Alderman H & Gertler, 1998. The Substitutability & Private Care for the Treatment of Children In Pakistan. Living standard measurement study paper No57. World Bank,Washington DC.
Aljunid S.1995. “The role of private medical practioners and their interactions with public health services in Asian Countries”. Health Policy plan. Vol 10: 333-49.
Arustiyono.1999. Promoting Rational Use of Drugs at the Community Health Centre in Indonesia School of Public Health Boston University.Unpublished.
Astin John A.1998. Why patients Use Alternative Medicine.JAMA. 279:1548-1553.
AVERT 2010. Women, HIV and AIDS. Avert.org .Unpublished
Bakeera Solome K, Wamala P Sarah, Galea Sandro, State Andrew, Peterson Stefan , Pariyo W George, 2009.”Community Perceptions And Factors Influencing Utilization Of Health Services In Uganda.” International Journal for Equity in Health, 8:25.
Bhatnagar Tarun, Mishra C.P and Mishra R, N. 2003. Drug Prescription Practices: A household survey in Rrural Varanasi. Hindu University. Indian J.Prev.Soc.Med.Vol 34 No.1& 2.
Betran R.& Mclnnes D,1993.The Demand For Health Care In Latin America. The World Bank. San Fransisco.
Birungi, H. 1995. Injection Use and Practices in Uganda. WHO/Action Programme on essential drugs. Geneva.
Bojalil R, Guiscafre H, Espinosa P, Martinez H, Palafox M, Romero G, Gutierrez G. 1998. The quality of private and public primary health care Management of children with diarrhoea & acute respiratory infections in Taxcala, Mexico.Healthy policy plan 13:323-31
Brecher, E.1972. Licit and Illicit Drugs. Boston Little. Brown.
Chesney, A.Margaret.2000.Factors Affecting Adherence to Antiretroviral Therapy. University of California San Francisco. Journal of Clinical Infectious Diseases. Vol 30: S171 – S176 Greenhalgh T.1978. “Drug prescription and self medication in India. An exploratory
survey.” Soc Scie Med.25:307 -18.
Hall O. 1949.Types of Medical careers. American Journal of Sociology.
Hall O. 1946. The stages of a Medical career. American Journal of Sociology.
Hjelm K, Nyberg p, Isacsson A, & Apelqvist J. 1999. Beliefs about health and illness essential for self – care Practice: a comparison of migrant Yugoslavian and Swedish Diabetic females, Journal of Advanced Nursing, 30 (5), 1147 – 1159.
Holloway, Kathleen and Ivanovaska, Verika.2003. WHO‘s database on rational use of medicines. Issue no.3
Holloway Kathleena. 2006.Understanding Rational Use of medicine.Contact Autumn/Winter. World Council of churches. Nairobi.Kenya.
Holloway Kathleenb, 2006. Policies and structures to ensure rational use of medicine.Contact Autumn/Winter World Council of Churches. Nairobi. Kenya.
IUHPE,2007. Promotion & Education. France. Vol XIV No.2 IUHPE,2000. Promotion & Education. France. Vol XIII No.2
Janjua Naveed, Khan Mohammed,Usman R,Hussan, Azam,Igbal, Khali Moazzam and Ahmad Khabi ,2006.
Pattern of Health Care Utilization and Determinants of Care – Seeking From Gps in Two Districts Of Pakistan. Birmingam. USA. Southeast Asian Journal of Tropical Medicine and Public Health Vol 37 No 6.pg 1244 -1253.
Kabugho F, 1999. Community Drug Use In Tororo. A short study report. Unpublished. Kaffle K.K & Gartoulla R.P, 1993. A Study of Self –Medication & Its Impact on Essential Drug Schemes in Nepal.
Kafuko J, Zirabamuzaale & Bagenda D. 1996 .Rational drug use in rural health units national standard guidelines. WHO. Essential medicines policy Department.
Muneene John, Onwen T, Birungi H, Kwagala B, Orone P, Streef land P. 1997. Revitalisation of Primary Health Care in Uganda. A study of the Interface of Basic Health services and the community. MISR. Amsterdam. Netherrlands.
Mwoga N.Joseph.2000. Community Knowledge on drugs commonly used for self medication in Mbarara.
Adissertation submitted to the school of Public health. Makerere University.Kampala.
National Drug Authority,1993.The National Drug Policy Authority Statute . Entebbe.Government Printer.
Nanda P, 2002. “Gender Dimensions Of User Fees: Implications for Women’s Utilisation of Health Care.” Reproductive Health Matters 10(20):127 -134.
Nanteza B, 2000. Factors Affecting Health Seeking Behaviour of Women (20-25years) in Bweyogere Parish, Mpigi District. Dissertation, School of Public Health, Makerere University,Kampala.
Neaman W. Lawrence, 1997. Social Research Methods. Qualitative and Quantitative Approaches. Allyn & Bacon. Boston.
Njenga Frank. 2006. How Rational Is Our Use Of Medicines? Contact Autumn/Winter. World Council of Churches.Nairobi. Kenya.
Nshakira N, Kristensen M, Ssali F & Whyte Reynolds S. 2002. Appropriate Treatment of malaria. Use of Anti malaria drugs for children’s fever in District Medical Units, Drug shops & homes in Eastern Uganda Vol. 7 : 4 309 – 316.
Odoi A R,Whyte SR, Ortenblad L, Nsabagasani X, Turinde AK.1995, The Impact of Community – based teaching on drugs: an experience from Western Uganda. WHO. Essential Medicines and Policy Department.
Osaka R. & Nanakorn S,1996. Health Care of Villages in North East Thailand. Kurume Medical Journal
(1):49 – 54
Otoom S & Sequeira R.P. 2006. Healths are providers’ perceptions of the problems and causes of irrational use of drugs in two Middle East countries. Internal Journal of clinical Practice 60(5), 565 -570.
Sseppuya G. 2003. Analysis of the informed consent process to medical care in new Mulago. Research paper submitted for the award of Master of Public Health. Makerere University (unpublished).
Ssewanyana Sarah,Kasirye Ibrahim ,Nabyonga Juliet & Lawson David. 2004. Demand for Health Care Services in Uganda: Implications for Poverty Reduction. Makerere University. Kampala. Uganda. (Unpublished)
Siddiq S,Hamid S,Rafique G,Chaudhry SA, Ali N,Shahab S &Sauerborn R.2002. Practices of Public & Private Health Care providers in Attock district of Pakistan. International Journal of Health Planning and management 17:23-40.
Stekelenburg J. Jager R, Kolk Pascal,Westen. M N, Kwaak Anke van der, Wolffers N Ivan. 2005. Health care seeking behaviour and utilization of traditional healers in Kalabo, Zambia. Health Policy Journal Vol 71: 67 – 81.
Suryawati S .2003. CBIA improving the quality of self – medication through mother’s active learning. Essential Drugs Monitor 32:4-6, 22-23.
Sudarkasa N, 1982. Sex Roles, Education, and Development in Africa. Anthropology & Education Quarterly, Vol. 13, No 3 pp 279 – 289.
Therapists’ Perspectives. 2007. Research on the Impact of Socio - Cultural factors on Access and Use of Mental health services in Rural Populations. National institute of Mental Health. Unpublished.
Thaver H Inayat, Harphan Trudy, Mepake Barbara & Garner paul et al .1998. Private Practioners in the slums of Kharachi. What quality of care do they offer? Soc Scie Med.Vol 46:144-9.
Twaddle C A and Hessler M. R 1987. A Sociology of Health. 2ⁿᵈ Ed. Macmillan. London.
Uganda Bureau of Statistics 2002. .Population And Housing Census Analytical report.Kampala Unpublished.
Uganda Bureau of Statistics 2007. Demographic and Health Survey, 2006.Macro Intern Inc. Maryland.USA.
WHO 1988: The world Drug Situation. Geneva. WHO 2004: The World Medicines Situation. Geneva.
Zechariah R,Nkhoma W, Harries AD, Arendt V, Chantulo A, Spielmann M P, Mbereko M P, Buhandwa L. 2002. “Health seeking and sexual behaviour in patients with sexually transmitted infections: the importance of traditional healers in Thyolo, Malawi.” Sex Transm Infect Journal; 78:127-129.
Zachariah R. Nkhoma W, Harries AD, Arendt V, Nchingula D, Chimtulo, Kirpach. 2002. “Behavioral characteristics, prevalence of Chlamydia trachnomatis and antibiotic susceptibility of Neisseria gonorrhoea in men with urethra discharge in Thyolo,Malawi.” Tropical medicine and Hygiene Journal; 96, 232-235.
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